TIME India

Indian State Bans Mass Sterilization After Surgeon Uses Bicycle Pump in Operations

Surgeon claims he never faced “a mishap or complication” during the dangerous procedure

A state in India issued a ban on mass sterilizations on Tuesday, a few days after it was revealed that a surgeon had used a bicycle pump in 56 operations last week.

Women undergoing tubectomies for sterilization are required to have their abdomens inflated, but this is generally done through the introduction of carbon dioxide rather than outside air.

Officials from the East Indian state of Odisha said using a pump for the procedure can be extremely risky, the BBC reports.

Dr. Mahesh Chandra Rout, the surgeon accused of breaking protocol, told the BBC that pumps are routinely used in Odisha during such procedures and that he had never faced “a mishap or complication.”

Tuesday’s ban is another addition to the controversy surrounding India’s mass sterilization drives, which are conducted widely and frequently to curb the country’s rapidly growing population.

Over a dozen women died during a sterilization drive in the state of Chattisgarh last month, a tragedy that was later blamed on substandard drugs.

TIME Obesity

Obesity Now Costs the World $2 Trillion a Year

Half the world's population could be obese by 2030, warns a McKinsey Global Institute report

The global cost of obesity has risen to $2 trillion annually, according to a new report, more than the combined costs of armed violence, war and terrorism.

The McKinsey Global Institute report says currently almost 30% of the world’s population is obese, and that if present trends continue, that almost half the population will be clinically overweight or obese by 2030.

The report cautioned that no single solution would reverse the problem, instead calling for a “systemic, sustained portfolio of initiatives” to tackle the crisis, such as better nutritional label, healthier food at schools, advertising restrictions on fatty foods and beverages, and public health campaigns.

TIME India

Indian Doctor Arrested After Women Die Following Sterilization Surgery

Women, who underwent a sterilization surgery at a government mass sterilisation "camp", lie in hospital beds for treatment at CIMS hospital in Bilaspur
Women, who underwent a sterilization surgery at a government mass-sterilization "camp," lie in hospital beds for treatment at the Chhattisgarh Institute of Medical Sciences hospital in Bilaspur, in the eastern Indian state of Chhattisgarh, on Nov. 13, 2014 Anindito Mukherjee—Reuters

The surgeon blames pressure to meet targets and faulty medicine for the deaths

The doctor at the center of a tragedy in which at least a dozen women died following sterilization surgery in Bilaspur, India, was suspended from duties and arrested on Wednesday night.

R.K. Gupta, 59, operated on 83 women in five hours on Saturday, according to the BBC.

“It was not my fault, the administration pressured me to meet targets,” local news outlet NDTV quoted Gupta as saying. The doctor attributed the deaths to the medicines given to the women after the surgery.

In January, the Chhattisgarh state government gave him a commendation for performing a record number of sterilizations.

Meanwhile, another woman lost her life at a different sterilization camp in the same district and 20 others reported postsurgery complications, the Indian Express reports.

Authorities are still investigating the fatalities, which occurred during one of the many mass-sterilization drives organized to combat the country’s rapid population growth. The exact cause of death remains unclear, but so far the quality of medicines administered, as well as the infrastructure of the hospitals where the operations were conducted, has been identified as possible culprits.

“To me it’s not the surgeon’s fault, because if there was a problem with the surgeon’s actions there would have been bleeding and damage to the organs,” says Dr. Ashutosh Halder of the All India Institute of Medical Sciences (AIIMS) in Delhi.

Halder speculates that the complications were most likely caused by inadequate sterilization of the equipment used or an unfavorable hospital environment, although a team of four AIIMS doctors who visited the site told reporters they were “satisfied” with the arrangements there.

Sujatha Natarajan, president of the Family Planning Association of India, says that although precautions are necessary, doctors are not the sole bearers of responsibility. “Quality of service involves much larger stakeholders than that,” Natarajan tells TIME. “Putting all the responsibility on the doctor is putting a very high risk on the program itself,”

India sterilized over 4 million people last year, about 97% of whom were women. People in rural areas are offered financial incentives to undergo sterilization.

TIME Population

World Population Could Hit 12.3 Billion by 2100

Babies
Comstock Images—Getty Images

Researchers had earlier estimated the population would only reach 7.2 billion

The world population may balloon to anywhere between 9.6 billion and 12.3 billion by 2100, according to a new report that used statistics from the U.N. The new estimates far outstrip previous calculations of 7.2 billion.

The root of the booming population is high birth rates in Africa, according to the report, published in the journal Science. The number of people in Africa is expected to rise from 1 billion to 4 billion in the next 86 years. Researchers found that there is a 70% probability that the world’s population will not stabilize in this century.

“Earlier projections were strictly based on scenarios, so there was no uncertainty,” U.N. demographer Patrick Gerland told the Associated Press. “This work provides a more statistically driven assessment that allows us to quantify the predictions, and offer a confidence interval that could be useful in planning.”

MONEY Millennials

10 Places Millennials Are Moving For Bigger Paychecks

140918_CAR_MillennialsMove_NewOrleans
With 5.1% unemployment and low-priced homes, New Orleans is a top town for millennials. John Coletti—Getty Images

Over the past five years, Gen Yers have decamped for some surprisingly pricey cities in search of a higher-paying job.

Millennials are on the hunt for high-paying jobs, and they’re moving to some unexpected places to find them, according to a new report out today.

Bruised by the rough post-recession job market, Gen-Yers are moving from lower-cost cities to places with a higher cost of living but more plentiful and lucrative jobs, a RealtyTrac analysis of Census data from 2007 through 2013 found.

“Millennials are attracted to markets with good job prospects and low unemployment, but that tend to have higher rental rates and high home-price appreciation,” says Daren Blomquist, vice president of RealtyTrac. “It’s a tradeoff.”

In the 10 U.S. counties with the biggest increase in millennials, the average unemployment rate is 5.2%, well below the national average of 6.1%. The average household income is $62,496, vs. $51,058 nationally. The median home price is $406,800 (nearly double the U.S. median of $222,900), while a three-bedroom apartment rents for $1,619 a month on average, just over the national average of $1,550.

Riding the robust job market in the D.C. area, two counties in Northern Virginia with unemployment rates below 3.7% top the list. But not all places that the 69-million-strong millennial generation are flocking to are expensive. New Orleans, where the median home price is $140,000, edged out San Francisco, where tech jobs may be plentiful but the median home price is nearly $1 million.

New Orleans, where the unemployment rate is 5.1%, is a transportation center with one of the busiest and largest ports in the world, as well as tons of jobs related to the local oil refineries. Denver, Nashville, and Portland, Ore., all top 10 areas, offer median home prices below $300,000 and a diversity of jobs in technology, health care, and education.

Perhaps the most surprising millennial magnet: Clarksville, Tenn, the fifth largest city in the state behind Nashville, Memphis, Knoxville, and Chattanooga. Forty five miles north of Nashville, it benefits from spillover from that city’s strong job market, but Clarksville also has its own industrial base, plus nearby Ft. Campbell and Austin Peay State University. The unemployment rate: 4.7%.

Here are RealtyTrac’s top 10 destinations for millennials on the move:

Rank County State Metro Area % Increase in Millennial Population, 2007-2013 Milennials % of Total Population, 2013 Median Home Price, April 2014 Average Monthly Apartment Rent (3 beds), 2014
1 Arlington County Va. Washington, DC 82% 39% $505,000 $1,996
2 Alexandria City Va. Washington, DC 81% 34% $465,000 $1,966
3 Orleans Parish La. New Orleans 71% 30% $140,000 $1,190
4 San Francisco County Calif. San Francisco 68% 32% $950,000 $2,657
5 Denver County Colo. Denver 57% 33% $270,000 $1,409
6 Montgomery County Tenn. Clarksville 46% 31% $128,000 $1,016
7 Hudson County N.J. New York 44% 31% $330,000 $1,643
8 New York County N.Y. New York 43% 32% $850,000 $1,852
9 Multnomah County Ore. Portland 41% 28% $270,000 $1,359
10 Davidson County Tenn. Nashville 37% 29% $160,000 $1,131
TIME

Watch: What You Need To Know About Elections in India and Indonesia

April will be a big month for democracy, as elections take place in India, Indonesia, Afghanistan, Hungary, Indonesia, Algeria and Iraq – countries with total electorates of more than one billion people. In particular, the upcoming elections in India and Indonesia promise to be momentous, with more than 1 billion eligible voters, more than 1.5 million electronic voting machines and more than a million polling stations in India alone. In the video above, we asked TIME’s International Editor Bobby Ghosh for a preview of what we should know about the upcoming elections in the two countries.

TIME Population

4 Key Takeaways from New Census Data

New Census Data: Four Key Takeaways
Getty Images

Population growth and migratory patterns show a changing nation.

U.S. Census population figures released Thursday provide a glimpse of the nation’s hot (and cold) spots.

In a three-year span from mid-2010 to mid-2013, the U.S. had a natural population increase of 4.7 million people (that is, the number of births minus the number of deaths). Coupled with a net migration increase of some 2.7 million people, the country’s population jumped 7.4 million to an estimated 316 million.

Not all metro areas are growing at the same clip, however. Some are pulling ahead by drawing more immigrants or by luring residents of other regions with the promise job opportunities.

Which are the boomtowns? That depends on how you filter the data, but here are the highlights:

North Dakota metros surge
The state’s oil boom has bolstered some metro areas by double-digit percent growth. With a 31% population increase, Williston, N.D., beat out all U.S. metros by percent change. Nearby, the Dickinson, N.D., metro area grew 16%. All other U.S. metro areas fell in line thereafter.

“Any time before 2008, North Dakota had out-migration decade after decade,” says Kevin Iverson, Manager of North Dakota Census office. “People were leaving for economic opportunities outside the state.” But more recently, he says, the oil industry has bolstered both population and per-capita income in the western regions of the state. In the last three years, he adds, 38 of the state’s 53 counties have grown. Roughly half of the influx is from Minnesota.

1chart
American Fact Finder/Census.gov

Puerto Rico falls behind Where are residents moving away? Four of the ten U.S. metro areas with the greatest population losses (by number of people) are in Puerto Rico. Some of the population decline is attributed to lower birth rates on the island. But the more significant loss stems from a battered economy and pervasive crime – two factors that push out professionals, students and middle-class families to mainland states like Florida and Texas.

American Fact Finder/Census.gov

Texas draws a crowd Slice population data by migration (who’s moving in, domestically or internationally) and Texas metros top the charts. By total net migration, the Houston area drew some 205,000 people. Dallas came in third and Austin fifth among all U.S. metro areas. While foreign immigrants have bolstered the Lone Star state’s headcount, U.S. residents from all over the country – lured by job opportunities and lower taxes – have contributed to the surge.

3chart
American Fact Finder/Census.gov

Big metro areas stay on top By sheer influx of people, Houston, Dallas, New York, Los Angeles and Washington top the charts. Seven metro areas netted more than 200,000 people. San Francisco, Seattle and Phoenix, among others, also saw six-digit growth in the last three years.

5chart
American Fact Finder/Census.gov
MONEY

10 Fastest Growing Cities

Whether it's an oil boom or an influx of tech jobs, the populations of these 10 cities grew faster than in any other major metro area between July 2012 and July 2013, according to data from the Census Bureau.

  • Austin

    Population: 1.9 million
    % gain: 2.6%
    New residents: 47,941

    A thriving university town with one of the best live music scenes in the country, Austin’s youthful, creative vibe keeps people coming.

    With it’s more than 250 live music venues and festivals like its famed South by Southwest (or SXSW) Austin’s “cultural vibrancy helps to drive the economy in a big way,” said demographer Ryan Robinson.

    Another driver: Jobs.

    Austin’s massive University of Texas, with its 50,000-plus enrollment, is known for its engineering and computer science programs, which have spawned many local tech businesses and incubators. It has also attracted a number of big tech companies — Apple APPLE INC. AAPL 2.9613% , Google GOOGLE INC. GOOG 1.23% , Facebook FACEBOOK INC. FB 3.0088% , Intel INTEL CORP. INTC 2.1523% — looking to recruit young talent.

    In January, the city’s unemployment rate fell to 4.7%, the lowest of any metro area with a population of one million or more.

     

  • Houston

    Population: 6.3 million
    % gain: 2.2%
    New residents: 137,782

    Oil and gas have long kept Houston humming. Butthese days — with oil prices hovering around $100 a barrel — the city is booming.

    “The recent oil surge going on in Texas is generating major job gains,” said Ray Perryman, a regional economist and founder of The Perryman Group.

    But it’s not just the energy sector that’s hiring. A major port city, Houston is also home to several manufacturing, transportation, aerospace and medical research companies as well.

    Newcomers will find homes affordable, too: The median home price in Houston is about $195,000, about $10,000 less than the national median.

  • Raleigh, N.C.

    Population: 1.2 million
    % gain: 2.2%
    New residents: 26,012

    Along with the cities of Durham and Chapel Hill, Raleigh forms North Carolina’s Research Triangle, an area rich with tech companies and universities including Duke, University of North Carolina at Chapel Hill, and North Carolina State.

    The universities are not only among the area’s largest employers, but they also “add to the local quality of life by providing access to excellent healthcare, arts and sports,” said Harvey Schmitt, CEO of the Greater Raleigh Chamber of Commerce.

    And in recent years, hiring has really picked up. In January, the unemployment rate was 5.5%, down nearly two percentage points from a year earlier.

    Companies have plenty to entice new recruits with: Housing is affordable, only about 10% higher than the national norm, while incomes are nearly 20% higher.

  • Orlando, Fla.

    Population: 2.3 million
    % gain : 2%
    New residents: 44,390

    Mickey Mouse is making a comeback.

    Orlando attracted 57 million visitors last year, up from 43 million in 2009.

    Yet while nearly one-third of the area’s jobs are tied to the tourism industry, other industries are expanding here too, namely tech.

    The city is a leader in the growing field of modeling and simulation. It’s also a major industrial site with Lockheed MartinLOCKHEED MARTIN CORP. LMT 3.5053% , General DynamicsGENERAL DYNAMICS CORP. GD 1.8873% and Siemens all running production lines there.

    And with median home prices of around $155,000, nearly every working family can afford to buy a home.

  • San Antonio

    Population: 2.3 million
    % gain : 1.9%
    New residents: 43,056
    San Antonio’s economy is still riding high thanks, in part, to the oil boom. Valero Energy VALERO ENERGY CORPORATION VLO -1.5066% , one of the nation’s largest oil companies, is based here, as are a handful of other oil and energy services firms like Tesoro Corp TESORO CORPORATION TSO -4.2265% . and NuStar Energy NUSTAR ENERGY L.P. NS 2.7193% .

    The local economy, though, is still well diversified, with healthcare, tourism, financial services and call centers major sources of jobs. And Joint Base San Antonio, one of the largest military installations in the country, hosts 80,000 residents and trains some 130,000 military personnel a year.

    Related: Buy vs. rent: What you’ll pay in the 10 biggest cities

    In January, the metro area unemployment rate was 5.4%, more than a percentage point below the national average.

    San Antonio is also a young city, which is also helping to boost the local population, said Lloyd Potter of the Institute for Demographic and Socioeconomic Research University of Texas at San Antonio. “We have fewer deaths because we’re young and more births as well,” he said.

  • Denver

    Population: 2.7 million
    % gain : 1.9%
    New residents: 50,782

    Great skiing, biking and hiking are just some of the reasons people flock to the Mile-High City.

    “People see Colorado as a place for opportunity,” said state demographer Elizabeth Garner. And when they arrive, it’s not too hard to find one.

    Area employment grew nearly 3% in 2013 thanks to hiring in sectors such as mining and energy, construction, professional and business services, and education and healthcare services, according to Denver’s Metro Area Economic Development Corporation. Some of the area’s biggest employers include Halliburton HALLIBURTON CO. HAL -0.5325% , Comcast COMCAST CORP 5% PRF USD25 CCV 0.0793% and CenturyLink CENTURYLINK INC CTL 2.0419% .

    And while unemployment is still just a few ticks lower than the national average, it’s improving fast. In January, the unemployment rate fell to 6.4% from 7.8% the year before.

    Home prices, at a median of $259,000, aren’t exactly cheap, but they are affordable relative to median family income of nearly $78,000.

  • Nashville, Tenn.

    Population: 1.8 million
    % gain : 1.8%
    New residents: 31,153

    A thriving music industry, a host of big healthcare employers and a burgeoning start-up scene have made Nashville a hotspot for several years.

    The city’s famed Music Row, with its record companies, music publishers, clubs and guitar shops, is where some of the city’s 20,000 music industry jobs can be found.

    Yet, many more of the area’s residents work in the much less-glitzy field of healthcare.

    “About half of all the for-profit hospital beds in the country are administered from Nashville,” said Matthew Wiltshire, head of Nashville’s department of economic and community development. “Healthcare is a $30 billion industry here.”

    Another big attraction: the reasonable cost of living, which is 14% less than the national average, according to Wiltshire.

  • Charlotte, N.C.

    Population: 2.3 million
    % gain : 1.8%
    New residents: 40,368

    The second biggest banking center in the country behind New York, Charlotte is home toBank of America BANK OF AMERICA CORP. BAC 1.5643% , and hosts offices for Citi CITIGROUP INC. C 3.1459% , Ally Financial , JPMorgan Chase JPMORGAN CHASE & CO. JPM 2.861% and Wells Fargo WELLS FARGO & CO. WFC 2.6399% .

    And new jobs are being created, many through spin-offs of these financial behemoths, said John Connaughton, Babson Capital Professor of Economics at University of North Carolina Charlotte.

    Related: How much house can you afford?

    He said many former employees of the big banks have founded financial consulting firms and other small financial services businesses.

    But don’t think that the area is solely about suits and money. NASCAR has multiple offices in the area as well.

  • Oklahoma City

    Population: 1.3 million
    % gain : 1.7%
    New residents: 22,280

    Like many cities in Texas and North Dakota, Oklahoma City is also in the midst of an oil boom.

    The expansion of horizontal drilling and fracking has made it possible to tap into vast reserves that remained untouched before — meaning lots of oil money and lots of jobs.

    “As the amount of drilling goes up, demand for services, like finishing off well heads, laying pipeline and cleaning up site, increases as well,” said Don Hackler, public information officer with the state’s Commerce Department.

    As a result, people are flocking to the area to find work: The greater Oklahoma City has seen its population grow by more than 5% since the 2010 Census.

    And so far, there appears to be almost enough jobs for everyone. In January, the metro area unemployment rate was just 5%, a full two percentage points below the national rate.

  • Phoenix

    Population: 4.4 million
    % gain : 1.6%
    New residents: 71,130

    Phoenix is starting to rise from the ashes of the housing bust.

    After being one of the hardest hit cities during the foreclosure crisis, home prices have come roaring back. Construction workers idled during the housing bust are back at work rehabbing foreclosed homes and other distressed properties so they can be put back on the market or rented out.

    Other jobs are coming back, too, in industries like renewable energy, aerospace, bio-med and business services, according to the Greater Phoenix Economic Council. And recentlyApple APPLE INC. AAPL 2.9613% announced it would build a plant in nearby Mesa that would employ more than 2,000 workers.

    Still, unemployment remains relatively high. In January, the unemployment rate was 6.7% — about on par with the national level — and about 0.8 percentage points lower than last year.

TIME Agriculture

Five Questions with DuPont CEO Ellen Kullman

DuPont has long been known as a chemical company, but Kullman is shifting the 211-year-old corporation towards innovation and agriculture

There’s never a bad time to be named CEO of a Fortune 500 company, but when Ellen Kullman took over the 211-year-old DuPont at the beginning of 2009, things could have been better. The global economy was tanking, sales were dropping and the future was hazy. Fast forward five years later, though, and DuPont is surging. Kullman has transitioned the company away from some of its traditional fields—including the performance chemicals business, best known for its nonstick frying pans and paints—and towards higher growth sectors in high-tech agriculture and nutrition. That shift has worked so far—last month DuPont announced that its fourth-quarter profits had doubled on the back of brisk sales of high-tech seeds and pesticides. I spoke recently with Kullman about the changes at one of America’s iconic companies, the global demographic shifts driving them and the big business of feeding the world’s 7 billion-plus people

TIME: You have been spinning off some business, investing in new ones. How do you see the company changing and what is driving those changes?

Kullman: I started right in the midst of the global financial crisis, so volumes were falling, and the world was not a very secure place. That gave me an opportunity to reflect on the portfolio, to reflect on how science was making a difference for us, how we were connecting to the market. We evolved to a strategy that is focused on science, and ag and nutrition, extending our advanced materials area and then really bringing to life areas like industrial biosciences that I was engaged in over a decade ago.

(MORE: Industrial Farming Slows Climate Change?)

The more I travel around the globe, the more I’m convinced that this strategy is going to lead to higher growth, higher value, greater shareholder value, because of the amount of change that is going on in the world today. We started in sustainability 20 years ago. That’s three CEOs ago. Basically then it was all about footprint reduction. You think about it now with the stressors on the world, sustainability is really important for the future of civilization, if you think about the climate, if you think about food and energy. And we think science can play a huge role in solving some of these problems, in a way that creates shareholder value. We’re much more energy efficient today than we were a decade ago, and we saved billions of dollars by not spending it on energy. But more importantly we can help airframe manufacturers lighten their vehicles or planes, and get higher efficiency out of the energy they’re using. We can help farmers utilize water much more efficiently, like through our AquaMax product, to increase yields in water stressed conditions

TIME: When it comes to ag and science and technology, and especially when it comes to biotech, you see different levels of public acceptance in different countries. How do you deal with the concern people might have for the impacts of bioscience agriculture, which is so basic to human life?

Kullman: I’m believe that countries and people make choices for themselves about what science they accept or don’t accept. And it should be fact based, so they understand [the science] and make those decisions. We as a company need to be relevant whether they choose to utilize the technology or not. I believe in the science. When you think about GMOs, I spend a lot of time on them, and I understand them. But I understand that my telling people on faith may not carry the day. They need to see it, understand it, [and we need to] arm them with facts, educate them, and let them make their choices.

We have a large business in agriculture in non-GMO seed in Europe [where GMO technology is less accepted]. We’ll be relevant there, regardless of the technology choices they make. We’ll ensure that they have the right studies and tests done to help that.

TIME: How do you deal with the differing regulation on this issue around the world, on biotech and on things like biofuel, where policy has a big impact on how the business grows?

Kullman: We are operating in an increasingly regulated world. We would certainly love to see a more harmonized regulatory environment around the world, to see that getting something approved in India is the same as getting it approved in America or China. That’s just more efficient. But I do think that we do have to participate in the process from a regulatory standpoint. We workwith different governments around the world to share information and to inform them, so when they consider laws and regulations, they do so from a standpoint of data and information that helps them make the right decision.

(MORE: Can Urban Beekeeping Stop the Beepocalypse?)
TIME: Within agriculture, you mentioned this enormous demand coming from parts of the developing world, and this yield gap, between what farms can do in Iowa versus farms in places like eastern Europe or sub-Saharan Africa. Is the aim eventually that farming in those parts of the world will come to resemble farming in America, or will there still be regional differences?

Kullman: Food is phenomenally local, and there are cultural differences that you have to comprehend. We need a common language, because people talk about this area in so many different ways. In the fall I was in an area in northeast China, above North Korea, part of the corn belt there. You drive along a road and you’re seeing an area that looks damn close to what you might find in the rolling hills [of Iowa], and then you find out the corn is all hand sown and hand harvested. That each farmer owns or gets the ability to farm a certain number of mous—about a tenth of an acre. And you go sit with a farmer or a family and you talk about farming, and they’re doing pretty well under their historic methodology in farming that is very labor intensive. But they know that has to change, and they know they need to mechanize. And that is very different there than what you’d find in India, or in Tanzania. It will always be different, but there’s a big gap that can be crossed from a productivity standpoint in agriculture that shouldn’t be lost on us. And I think it creates huge economic opportunity in places like sub-Saharan Africa, as farmers go from subsistence farming to farming with an income.

TIME: You mentioned sustainability as a big part of what you do. That word has a lot of different meaning for a lot of different people. When you say sustainability, what does it mean? Is it just efficiency or does it go beyond that?

Kullman: Sustainable means selecting for a long time, so [what you produce] can withstand the rigors of the world, while allowing the environment to continue to be plentiful and grow. I think that whole area is evolving greatly, and as the regulatory environment changes, people become concerned about how the future looks, and the part that each of us plays. There’s real opportunity. Think about cellulosic biofuels. First generation biofuels are in use, but what’s really sustainable are second or third generation biofuels that utilize plant waste and things like that. This is an area that is not just something to do to create real value for our customers and for our company going forward. We don’t have all the answers but I think there’s a lot of opportunity there.

(MORE: Can Urban Beekeeping Stop the Beepocalypse?)

Your browser, Internet Explorer 8 or below, is out of date. It has known security flaws and may not display all features of this and other websites.

Learn how to update your browser