By WAFAA SHURAFA and SAMY MAGDY

DEIR AL-BALAH, Gaza Strip (AP) — Israeli strikes killed at least 36 Palestinians across the Gaza Strip on Monday, including a pregnant woman and her newborn, local health officials said. Israel meanwhile eased some aid restrictions as it came under mounting pressure over the spiraling hunger crisis in the war-ravaged territory.

Israel announced Sunday that the military would pause operations in Gaza City, Deir al-Balah and Muwasi for 10 hours a day until further notice to allow for the improved flow of aid and designate secure routes for aid delivery.

Aid agencies have welcomed the new measures but say they are not enough to counter worsening starvation in the Palestinian territory.

Israel said it would continue military operations alongside the new humanitarian measures. The Israeli military had no immediate comment about the latest strikes, which occurred outside the time frame for the pause Israel declared would be held between 10 a.m. and 8 p.m.

Newborn dies after complex surgery

The newborn died hours after being delivered in a complex surgery. She had been placed in an incubator and was breathing with assistance from a ventilator, footage from The Associated Press showed.

Her mother, Soad al-Shaer, who was seven months pregnant with her, was among 12 Palestinians killed in an Israeli airstrike on a house and neighboring tents in the Muwasi area of Khan Younis, according to Nasser Hospital, which received the bodies.

Another strike hit a two-story house in Khan Younis, killing at least 11 people, more than half of them women and children, according to the hospital. At least five others were killed in strikes elsewhere in Gaza, according to other hospitals.

The Israeli military did not immediately respond to a request for comment on most of the strikes. It said it was not aware of one strike in Gaza City during the pause that health officials said killed one person.

Israel says it only targets combatants and blames civilian deaths on Hamas because the fighters operate in densely populated areas. The daily airstrikes across the territory frequently kill women and children. Hamas has been designated as a terrorist organization by the United States, Canada and the European Union.

Israel allows more aid to enter

Images of emaciated children have sparked outrage around the world, including from Israel’s close allies. U.S. President Donald Trump on Sunday called the images of emaciated and malnourished children in Gaza “terrible.”

Israel has restricted aid to varying degrees throughout the war. In March, it cut off the entry of all goods, including fuel, food and medicine, to pressure Hamas to free hostages.

Israel partially lifted those restrictions in May but also pushed ahead on a new U.S.-backed aid delivery system that has been wracked by chaos and violence. Traditional aid providers have encountered a breakdown in law and order surrounding their deliveries.

COGAT, the Israeli military body in charge of coordinating aid shipments, said U.N. agencies collected 120 trucks for distribution on Sunday and that another 180 trucks had been allowed into Gaza.

The U.N. and aid groups say the territory needs 500-600 trucks a day to meet its needs. Israel’s blockade and military operations have destroyed nearly all food production in the territory of roughly 2 million Palestinians.

Two air force planes from Jordan and the United Arab Emirates meanwhile airdropped 17 tons of humanitarian aid in Gaza on Monday.

The head of the United Nations agency for Palestinian refugees, Philippe Lazzarini, warned that airdrops are “expensive, inefficient and can even kill starving civilians” and won’t reverse the increasing starvation.

The 17 tons of aid would fill less than one aid truck, according to World Food Program’s calculations of almost 19 tons per aid truck.

Seven killed near aid site, officials say

The Awda hospital in central Gaza said it received the bodies of seven Palestinians who it said were killed Monday by Israeli fire close to an aid distribution site run by the Gaza Humanitarian Foundation, an Israeli-backed American contractor. The hospital said 20 others were wounded close to the site. GHF did not immediately respond to a request for comment.

Hamas started the war with its Oct. 7, 2023, attack, in which Palestinian terrorists killed some 1,200 people and abducted 251 others. They still hold 50, and Israel believed more than half the remaining hostages are dead. Most of the rest were released in ceasefires or other deals.

Israel’s retaliatory offensive has killed more than 59,800 Palestinians, according to Gaza’s Health Ministry. Its count doesn’t distinguish between fighters and civilians. The ministry operates under the Hamas government. The U.N. and other international organizations see it as the most reliable source of data on casualties.

Magdy reported from Cairo.

Follow AP’s war coverage at https://apnews.com/hub/israel-hamas-war.

By Marina Schauffler, KFF Health News

When Lawrence and Penny Higgins of Fairfield, Maine, first learned in 2020 that high levels of toxic chemicals called PFAS taint their home’s well water, they wondered how their health might suffer. They had consumed the water for decades, given it to their pets and farm animals, and used it to irrigate their vegetable garden and fruit trees.

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“We wanted to find out just what it’s going to do to us,” Penny Higgins said. They contacted a couple of doctors, but “we were met with a brick wall. Nobody knew anything.”

Worse still, she added, they “really didn’t want to hear about it.”

Many clinicians remain unaware of the health risks linked to PFAS, short for perfluoroalkyl and polyfluoroalkyl substances, despite rising medical and public awareness of the chemicals and their toxicity. PFAS can affect nearly every organ system and linger in bodies for decades, raising risks of cancer, immune deficiencies, and pregnancy complications.

These “forever chemicals” have been widely used since the 1950s in products including cosmetics, cookware, clothing, carpeting, food packaging, and firefighting foam. Researchers say they permeate water systems and soils nationwide, with a federal study estimating that at least 45% of U.S. tap water is contaminated. PFAS can be detected in the blood of nearly all Americans, according to the Centers for Disease Control and Prevention.

Maine was among the first states to begin extensive water and soil testing and to try to limit further public exposure to PFAS through policy action, after discovering that farms and residences — like the Higgins’ property — had been contaminated by land-spreading of wastewater sludge containing PFAS. Exposure can also be high for people living near military bases, fire training areas, landfills, or manufacturing facilities.

In regions where testing reveals PFAS hot spots, medical providers can be caught flat-footed and patients left adrift.

Lawrence and Penny Higgins and other Central Maine residents serve on an advisory board for a Maine study assessing mental health consequences of PFAS exposure in rural residents. (Brianna Soukup/KFF Health News/TNS)

Rachel Criswell, a family practice doctor and environmental health researcher, is working to change that. She was completing her residency in Central Maine around the time that the Higginses and others there began discovering the extent of the contamination. Her medical training at Columbia University included more than a year in Norway researching the effects of PFAS and other chemicals on maternal and infant health.

When patients began asking about PFAS, Criswell and the state toxicologist offered primary care providers lunchtime presentations on how to respond. Since then, she has fielded frequent PFAS questions from doctors and patients throughout the state.

Even knowledgeable providers can find it challenging to stay current given rapidly evolving scientific information and few established protocols. “The work I do is exhausting and time-consuming and sometimes frustrating,” Criswell said, “but it’s exactly what I should be doing.”

Phil Brown, a Northeastern University sociology professor and a co-director of the PFAS Project Lab, said the medical community “doesn’t know a lot about occupational and environmental health,” adding that “it’s a very minimal part of the medical school curriculum” and continuing education.

Courtney Carignan, an environmental epidemiologist at Michigan State University, said learning of PFAS exposure, whether from their drinking water or occupational sources, “is a sensitive and upsetting situation for people” and “it’s helpful if their doctors can take it seriously.”

Clinical guidance concerning PFAS improved after the National Academies of Sciences, Engineering, and Medicine released a report on PFAS in 2022. It found strong evidence associating PFAS with kidney cancer, high cholesterol, reduced birth weights, and lower antibody responses to vaccines, and some evidence linking PFAS to breast and testicular cancer, ulcerative colitis, thyroid and liver dysfunction, and pregnancy-induced hypertension.

That guidance “revolutionized my practice,” Criswell said. “Instead of being this hand-wavey thing where we don’t know how to apply the research, it brought a degree of concreteness to PFAS exposure that was kind of missing before.”

The national academies affirmed what Criswell had already been recommending: Doctors should order blood tests for patients with known PFAS exposures.

Testing for PFAS in blood — and for related medical conditions if needed — can help ease patients’ anxiety.

“There isn’t a day that goes by,” Lawrence Higgins said, “that we don’t think and wonder when our bodies are going to shut down on us.”

‘Devastating but Incredibly Helpful’

After finding out in 2021 that his family was exposed to PFAS through sludge spread on their Unity, Maine, farm decades earlier, Adam Nordell discovered that “it was exceedingly difficult” to get tested. “Our family doctor had not heard of PFAS and didn’t know what the test was,” he said. A lab technician needed coaching from an outside expert to source the test. The lab analyzing the samples had a backlog that left the family waiting three months.

Before Lawrence Higgins discovered in 2020 that their home’ s artesian well was contaminated with PFAS, he built a duck pond to help manage the overflow of water. (Brianna Soukup/KFF Health News/TNS)

“The results were devastating but incredibly helpful,” Nordell said. Their blood serum levels for PFAS were at roughly the 99th percentile nationally, far higher than their well-water levels would have predicted — indicating that additional exposure was probably coming from other sources such as soil contact, dust, and food.

Blood levels of PFAS between 2 and 20 nanograms per milliliter may be problematic, the national academies reported. In highly contaminated settings, blood levels can run upward of 150 times the 20-ng/mL risk threshold.

Nordell and his family had been planning to remain on the farm and grow crops less affected by PFAS, but the test results persuaded them to leave. “Knowledge is power,” Nordell said, and having the blood data “gave us agency.”

The national academies’ guidance paved the way for more clinicians to order PFAS blood tests. The cost, typically $400 to $600, can be prohibitive if not picked up by insurance, and not all insurers cover the testing. Deductibles and copays can also limit patients’ capacity to get tested. Less costly finger-prick tests, administered at home, appear to capture some of the more commonly found PFAS as accurately as blood serum tests, Carignan and colleagues found.

Maine legislators recently passed, with overwhelming support, a bill — modeled after one in New Hampshire — that would require insurers to consider PFAS blood testing part of preventive care, but it was carried over to the next legislative session.

“In my mind, it’s a no-brainer that the PFAS blood serum test should be universally offered — at no cost to the patient,” said Nordell, who now works as a campaign manager for the nonprofit Defend Our Health. Early screening for the diseases associated with PFAS, he said, is “a humane policy that’s in the best interests of everyone involved” — patients, providers, and insurance companies.

Criswell tells colleagues in family practice that they can view elevated PFAS blood levels as a risk factor, akin to smoking. “What’s challenging as a primary care doctor is the nitty-gritty” of the testing and screening logistics, she said.

Penny and Lawrence Higgins, after living at their home in Fairfield, Maine, for decades, discovered in 2020 that high levels of PFAS are present in their well water. (Brianna Soukup/KFF Health News/TNS)

In trainings, she shares a handout summarizing the national academies’ guidance — including associated heath conditions, blood testing, clinical follow-up, and exposure reduction — to which she has added details about lab test order codes, insurance costs and coverage, and water filtration.

Criswell served on an advisory committee tasked with allocating $60 million in state funds to address PFAS contamination from past sludge-spreading in Maine. The group recommended that labs analyzing PFAS blood tests should report the results to state public health authorities.

That change, slated to take effect this summer, will allow Maine health officials to follow up with people who have high PFAS blood levels to better determine potential sources and to share information on health risks and medical screening. As with many earlier PFAS policies, Maine is among the first states to adopt this measure.

Screening for PFAS is falling short in many places nationwide, said Kyle Horton, an internist in Wilmington, North Carolina, and founder of the nonprofit On Your Side Health. She estimates that only about 1 in 100 people facing high PFAS exposure are getting adequate medical guidance.

Even in her highly contaminated community, “I’m not aware of anyone who is routinely screening or discussing PFAS mitigation with their patients,” Horton said. Knowledge of local PFAS threats, she added, “hasn’t translated over to folks managing patients differently or trying to get through to that next phase of medical monitoring.”

Patients as Advocates

In heavily affected communities — including in Michigan, Maine, and Massachusetts — patients are pushing the medical field to better understand PFAS.

More doctors are speaking out as well. Testifying before a Maine legislative committee this year in support of a bill that would limit occupational PFAS exposure, Criswell said, “We, as physicians, who are sworn to protect the health of our patients, must pay attention to the underlying causes of the illnesses we treat and stand up for policy solutions that reduce these causes.”

Even where policy changes are instituted, the physical and psychological toll of “forever chemicals” will extend far into the future. Criswell and other Maine doctors have observed chronic stress among patients.

Nordell, the former farmer, described his family’s contamination as “deeply, deeply jarring,” an ordeal that has at times left him “unmoored from a sense of security.”

To assess the mental health consequences of PFAS exposure in rural residents, Criswell and Abby Fleisch, a pediatric endocrinologist at the MaineHealth Institute for Research, teamed up on a study. In its first phase, winding up this summer, they collected blood samples and detailed lifestyle information from 147 people.

Nordell, the Higginses, and other Central Maine residents sit on an advisory board for the study, a step Criswell said was critical to ensuring that their research helps those most affected by PFAS.

“The urgency from the community is really needed,” she said. “I don’t think I would be as fired up if my patients weren’t such good advocates.”

Criswell has faced what she calls “cognitive dissonance,” caught between the deliberate pace of peer-reviewed medical research and the immediate needs of patients eager to lower their PFAS body burden. Initially she considered inviting residents to participate in a clinical trial to test therapies that are considered safe and may help reduce PFAS levels in the body, such as high-fiber diets and a drug designed to reduce cholesterol called cholestyramine. But the clinical trial process could take years.

Criswell and Fleisch are instead planning to produce a case series on PFAS blood-level changes in patients taking cholestyramine. “We can validate the research results and share those,” Criswell said, potentially helping other patients.

A view of Skowhegan, Maine, on June 18, 2025. (Brianna Soukup/KFF Health News/TNS)

Alan Ducatman, an internist and occupational physician who helped design the largest PFAS cohort study to date, said providers should convey that “there is no risk-benefit analysis” for any of the current treatments, although they’re generally well known and low-risk.

“Some people want to be treated, and they should be allowed to be treated,” he said, because knowing they have high PFAS levels in their bodies “preys on them.”

©2025 KFF Health News. Distributed by Tribune Content Agency, LLC.

By HYUNG-JIN KIM, Associated Press

SEOUL, South Korea (AP) — The influential sister of North Korean leader Kim Jong Un rebuffed overtures by South Korea’s new liberal government, saying Monday that its “blind trust” in the country’s alliance with the U.S. and hostility toward North Korea make it no different from its conservative predecessor.

Kim Yo Jong’s comments imply that North Korea — now preoccupied with its expanding cooperation with Russia — sees no need to resume diplomacy with South Korea and the U.S. anytime soon. Experts say she likely hopes to drive a wedge between Seoul and Washington.

“We clarify once again the official stand that no matter what policy is adopted and whatever proposal is made in Seoul, we have no interest in it and there is neither a reason to meet nor an issue to be discussed,” Kim Yo Jong said in a statement carried by state media.

It’s North Korea’s first official statement on the government of South Korean President Lee Jae Myung, which took office in early June with a promise to improve badly frayed ties with North Korea.

Lee’s government has halted anti-Pyongyang frontline loudspeaker broadcasts, taken steps to ban activists from flying balloons with propaganda leaflets across the border and repatriated North Koreans who were drifted south in wooden boats months earlier.

North Korea complains of South Korea-US military drills

North Korea has shunned talks with South Korea and the U.S. since leader Kim Jong Un’s high-stakes nuclear diplomacy with President Donald Trump fell apart in 2019 due to wrangling over international sanctions. North Korea has since focused on building more powerful nuclear weapons targeting its rivals and declared a hostile “two-state” system on the Korean Peninsula to terminate relations with South Korea.

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Kim Yo Jong called Lee’s steps “sincere efforts” to develop ties, but said the new government still plots to “stand in confrontation” with North Korea. She mentioned the upcoming summertime South Korea-U.S. military drills, which North Korea views as an invasion rehearsal.

Lee said it’s important to restore trust between the Koreas as he met Unification Minister Chung Dong-young and asked about his thought on the latest North Korean statement. Chung, whose job makes him the top South Korean official on North Korea, later told reporters that he intends to propose to Lee that South Korea and the U.S. “adjust” their military exercises.

Chung’s remarks, which could mean scaling back South Korea-U.S. training as a way to get North Korea to return to talks, will likely invite strong criticism from conservatives, who support expanded South Korea-U.S. training to cope with North Korea’s advancing nuclear program.

Moon Seong Mook, an analyst for the Seoul-based Korea Research Institute for National Strategy, said Kim Yo Jong’s statement shows North Korea is holding out for South Korea to abandon the U.S. alliance.

Moon said that Kim likely sees little upside in engaging with the South since it cannot restart economic projects that previously benefited the North as long as international sanctions remain in place.

North Korea focuses on Russian ties

North Korea built cooperation with Russia, sending troops and conventional weapons to support its war in Ukraine, and likely receiving economic and economic assistance in return.

Since beginning his second term in January, Trump has repeatedly boasted of his personal ties with Kim Jong Un and expressed intent to resume diplomacy with him. But North Korea hasn’t publicly responded to Trump’s overture.

Leif-Eric Easley, professor of international studies at Ewha Womans University in Seoul, said that Kim Yo Jong’s statement had a domestic audience.

“Kim Yo Jong’s comments are an effort to advance national pride by portraying North Korea in a superior position, despite its economic struggles and international pariah status,” Easley said. “She also seeks to justify Pyongyang’s weapons programs and divide Seoul and Washington by criticizing upcoming military exercises.”

Still, there is a limit on what North Korea can get from Russia, and Pyongyang could change course at a major upcoming meeting of the ruling Workers’ Party, likely to be held in January, said Kwak Gil Sup, the head of One Korea Center, a website specializing in North Korea affairs.

“I think North Korea may formulate a Plan B and Plan C in relations for South Korea and the U.S.,” Kwak said.

By DAVID KLEPPER

WASHINGTON (AP) — The phone rings. It’s the secretary of state calling. Or is it?

For Washington insiders, seeing and hearing is no longer believing, thanks to a spate of recent incidents involving deepfakes impersonating top officials in President Donald Trump’s administration.

Digital fakes are coming for corporate America, too, as criminal gangs and hackers associated with adversaries including North Korea use synthetic video and audio to impersonate CEOs and low-level job candidates to gain access to critical systems or business secrets.

Thanks to advances in artificial intelligence, creating realistic deepfakes is easier than ever, causing security problems for governments, businesses and private individuals and making trust the most valuable currency of the digital age.

Responding to the challenge will require laws, better digital literacy and technical solutions that fight AI with more AI.

“As humans, we are remarkably susceptible to deception,” said Vijay Balasubramaniyan, CEO and founder of the tech firm Pindrop Security. But he believes solutions to the challenge of deepfakes may be within reach: “We are going to fight back.”

US Secretary of State Marco Rubio gestures as he boards his flight before departing from Subang Air Base, on the outskirts of Kuala Lumpur, on Friday, July 11, 2025, after attending the 58th ASEAN Foreign Ministers’ meeting. (Mandel Ngan/Pool Photo via AP)

AI deepfakes become a national security threat

This summer, someone used AI to create a deepfake of Secretary of State Marco Rubio in an attempt to reach out to foreign ministers, a U.S. senator and a governor over text, voice mail and the Signal messaging app.

In May someone impersonated Trump’s chief of staff, Susie Wiles.

Another phony Rubio had popped up in a deepfake earlier this year, saying he wanted to cut off Ukraine’s access to Elon Musk’s Starlink internet service. Ukraine’s government later rebutted the false claim.

The national security implications are huge: People who think they’re chatting with Rubio or Wiles, for instance, might discuss sensitive information about diplomatic negotiations or military strategy.

“You’re either trying to extract sensitive secrets or competitive information or you’re going after access, to an email server or other sensitive network,” Kinny Chan, CEO of the cybersecurity firm QiD, said of the possible motivations.

Synthetic media can also aim to alter behavior. Last year, Democratic voters in New Hampshire received a robocall urging them not to vote in the state’s upcoming primary. The voice on the call sounded suspiciously like then-President Joe Biden but was actually created using AI.

Their ability to deceive makes AI deepfakes a potent weapon for foreign actors. Both Russia and China have used disinformation and propaganda directed at Americans as a way of undermining trust in democratic alliances and institutions.

Steven Kramer, the political consultant who admitted sending the fake Biden robocalls, said he wanted to send a message of the dangers deepfakes pose to the American political system. Kramer was acquitted last month of charges of voter suppression and impersonating a candidate.

“I did what I did for $500,” Kramer said. “Can you imagine what would happen if the Chinese government decided to do this?”

Scammers target the financial industry with deepfakes

The greater availability and sophistication of the programs mean deepfakes are increasingly used for corporate espionage and garden variety fraud.

“The financial industry is right in the crosshairs,” said Jennifer Ewbank, a former deputy director of the CIA who worked on cybersecurity and digital threats. “Even individuals who know each other have been convinced to transfer vast sums of money.”

In the context of corporate espionage, they can be used to impersonate CEOs asking employees to hand over passwords or routing numbers.

Deepfakes can also allow scammers to apply for jobs — and even do them — under an assumed or fake identity. For some this is a way to access sensitive networks, to steal secrets or to install ransomware. Others just want the work and may be working a few similar jobs at different companies at the same time.

Authorities in the U.S. have said that thousands of North Koreans with information technology skills have been dispatched to live abroad, using stolen identities to obtain jobs at tech firms in the U.S. and elsewhere. The workers get access to company networks as well as a paycheck. In some cases, the workers install ransomware that can be later used to extort even more money.

The schemes have generated billions of dollars for the North Korean government.

Within three years, as many as 1 in 4 job applications is expected to be fake, according to research from Adaptive Security, a cybersecurity company.

“We’ve entered an era where anyone with a laptop and access to an open-source model can convincingly impersonate a real person,” said Brian Long, Adaptive’s CEO. “It’s no longer about hacking systems — it’s about hacking trust.”

Experts deploy AI to fight back against AI

Researchers, public policy experts and technology companies are now investigating the best ways of addressing the economic, political and social challenges posed by deepfakes.

New regulations could require tech companies to do more to identify, label and potentially remove deepfakes on their platforms. Lawmakers could also impose greater penalties on those who use digital technology to deceive others — if they can be caught.

Greater investments in digital literacy could also boost people’s immunity to online deception by teaching them ways to spot fake media and avoid falling prey to scammers.

The best tool for catching AI may be another AI program, one trained to sniff out the tiny flaws in deepfakes that would go unnoticed by a person.

Systems like Pindrop’s analyze millions of datapoints in any person’s speech to quickly identify irregularities. The system can be used during job interviews or other video conferences to detect if the person is using voice cloning software, for instance.

Similar programs may one day be commonplace, running in the background as people chat with colleagues and loved ones online. Someday, deepfakes may go the way of email spam, a technological challenge that once threatened to upend the usefulness of email, said Balasubramaniyan, Pindrop’s CEO.

“You can take the defeatist view and say we’re going to be subservient to disinformation,” he said. “But that’s not going to happen.”