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Kraft Foods is going through a rough patch.

This week, Kraft recalled nearly 2.5 million boxes of macaroni and cheese that were potentially contaminated with metal pieces.

Also, Kraft Singles, a pre-sliced processed cheese product, earned a nutritional seal from the Academy of Nutrition and Dietetics. The seal prompted outrage from nutritionists.

"I am really shocked that this would be the first thing that the academy would choose to endorse," children's nutrition advocate Casey Hinds told the New York Times.

The academy said the seal is not an endorsement, but recognition that Kraft supports its Kids Eat Right program. Kraft declined to comment.

Kraft is one of a number of processed food companies that are facing challenges from many directions.

The company specializes in cheeses, salad dressings and Oscar Mayer meats — things that are typically used to make sit-down meals. But sit-down meals are not what consumers are buying, says Jared Koerten, senior food analyst with market-research firm Euromonitor.

"When you look sort of at the broader U.S. food landscape, you're seeing a big shift toward snack foods," Koerten says. "Some people have called it the 'snackification of U.S. food.' "

Another challenge: a younger generation that prefers artisanal brands with a healthier image.

Koerten says the trend toward healthier foods is a challenge for all packaged products, which may still dominate supermarket shelves, but which are losing ground when it comes to social-media marketing. Some, like Campbell's Soup, are trying to adapt their brands toward more organic or healthy options, says Barry Weinstein a food-manufacturing consultant based in Fullerton, Calif.

"They're taking the Campbell's line, that's a brand that's been around for a long time, and they're just trying to update it and make it appeal to evolving consumer tastes," Weinstein says.

Weinstein helps independent food startups manufacture in small batches, and says his business has increased 30 or 40 percent since 2008. He says the big players are also buying into the new markets.

"I think Kraft and other larger firms are addressing this through acquisition," he says.

General Mills, for example, bought organic mac and cheese brand Annie's last year. Coca-Cola acquired Honest Tea four years ago.

But, Weinstein says, mainstream brands are still king, and although consumers are clearly more skeptical about processed foods, given the volume, he says the vast majority are safe to eat.

"You're talking about a situation where the lines are running [and] producing anywhere from 250 to 1,000 units per minute," he says.

He says the U.S. still has the safest food manufacturing in the world, and the fact that Kraft identified and recalled all that mac and cheese means the system worked.

After the sun sets on Havana on weekends, G Street turns into a kind of runway.

Blocks of the promenade — which is very colonial with its big, beautiful statues and impeccable topiaries — swell with crowds of young Cubans. For the most part, they just walk up and down, greeting each other with kisses.

It's a spectacle: Everyone, it seems, is here to impress. They're perfectly coiffed, perfectly matched; they're splayed on benches, arms wrapped around each other.

We stop to talk to Tatiana, 17, and her group of friends. We ask her what she hopes will come of a new relationship with the U.S.

"We're going to be able to travel. We're going to have Internet," she says, growing excited. "Unlimited Internet. Finally."

What you quickly find out here in Cuba is that the Internet has become an object of desire: something as rare and valuable as strawberries that everybody wants.

By any measure, Cuba's Internet penetration rate is dismal. The government says that about 25 percent of Cubans have access to the Internet. But Freedom House, a watchdog that promotes freedom globally, says that number refers to Cubans who have access to a government-run intranet. According to Freedom House's experts, only about 5 percent of Cubans have access to the open Internet.

That's why Facebook and the World Wide Web have become a kind of promised land.

As we walk through G Street, we notice that many of the kids clutch smartphones. Out here, they're essentially useless, because the only real way to get on a Wi-Fi network is to pay $5 an hour at a tourist hotel.

We ask the group why they think Cuba doesn't have widely available Internet — and if they accept the government explanation that the lack of infrastructure is the result of the U.S. embargo.

They laugh. Christian, an 18-year-old drummer, answers. He looks like a typical teenage skater with long hair, baggy pants and Vans shoes.

"Cuba does not want us to know the things that happen in other countries," he says.

Daniel, 18, interjects: "Only they," he says, making epaulets on his shoulder with his fingers, "can have Internet." Then he tugs at an imaginary beard, Cuba's universal symbol for Fidel.

"Only Fifo can have Internet access," he says.

We point out that what's going on here on G Street is actually kind of nice: a bunch of kids talking to one another, without having their heads buried in a screen. If indeed there is new openness in Cuba and the island is flooded with foreign investment, and with it Internet connectivity, this scene would probably cease to exist.

The moment they hear that, they erupt with giddy laughter, imagining a future in which they would lie on their beds and still be able to connect with friends and the world.

"I'm already an expert texter," Tatiana says.

A Limited Internet

For years, Cuba accessed the Internet using satellites. It meant that the connection was slow and sluggish and had severe limitations on the amount of data that moved in and out of the island.

At the beginning of 2013, Doug Madory, of Dyn, an Internet performance company, noticed that the Internet speed on the island had become significantly better. He figured out that Cuba had turned on a huge underwater fiber optic cable that Venezuela had run from its shores to the eastern end of Cuba. Madory says the cable — called the ALBA-1 — has the capacity to move a huge amount of data to and from Cuba.

He says that right now, Cuba's lack of Internet has little if nothing to do with the embargo.

"We've been making the case that if Cubans really want to do this, they have a good model in Myanmar," Madory says.

Myanmar, also known as Burma, turned its ruling military junta into a nominally civilian government in 2011. That's given rise to a more open society and an improved relationship with the United States.

Madory says that shortly thereafter international telecoms lined up to provide Myanmar with the infrastructure to access the Internet. Because of the advancement in mobile Internet, the deployment has happened rapidly.

Madory says Cuba could follow suit even if the U.S. embargo against it continues.

Non-American "telecoms would be lining up around the block to work in Cuba if they were allowed," Madory says. "Not only that but they would be willing to pay hundreds of millions of dollars for that right and Cuba could probably use that money."

Long Waits To Get Online

One of the ways to get online in Havana is to visit the offices of the state-owned telecom monopoly, ETECSA.

We find an office, painted blue and white, in a leafy neighborhood called Miramar. Two priests from the Ecumenical Catholic Church of Christ, Monsignor Stefanos and Father Fanurios, are sitting on the porch.

This is their second time in line. Earlier in the day, they had traveled 45 minutes to the office and then waited outside for another 45 minutes, only to be told finally that the connection was down.

Stefanos says that he comes to ETECSA to check his email every few days. That's the only way he can keep in touch with his leadership in Central America.

Cubans wait in line to use four computers connected to the Internet at the offices of Cuba's state-owned telecom monopoly. Eyder Peralta/NPR hide caption

itoggle caption Eyder Peralta/NPR

So, they sit patiently as people are called by the police officers to walk inside the air-conditioned building and use one of the four computers connected to the Internet.

At the end of the day, the clerics will have accomplished one thing: checking their email.

"We're Cuban," says Fanurios, resigned. "We're Cuban and with needs."

A Special Case

Without a doubt, the Internet in Cuba is tough. But there is an oasis in the midst of this digital desert.

It's in a poor neighborhood in Havana called El Romerillo. That's where the artist Kcho (pronounced "CAH-cho") built his studio.

Kcho is a bear of a man, bearded and wearing a Rolex watch. As he walked through his vast complex, which also houses a cafe, a library and a gallery, a group of young girls followed, giggling as he expounded on being a son of the Cuban revolution.

He's a superstar; his paintings and sculptures, often made with pieces of boats, have been exhibited worldwide — in Spain, in Italy and even at the Marlborough Gallery in New York City.

The prominent artist Kcho provides free Internet at his studio in Havana. Eyder Peralta/NPR hide caption

itoggle caption Eyder Peralta/NPR

Because he's an artist, the Culture Ministry allowed him to have an Internet connection. He told us that when he first moved into this space, a 2-megabit Internet connection was too broad just for him to use. So, in 2013, he connected a few computers to the Internet and made them public, and in January, he installed wireless routers to share the connection more widely.

"The Internet was invented for it to be used," he says. "There's this big kerfuffle here in Havana that Kcho has Internet at his place. There's nothing to it. It's just me, who is willing to pay the cost and give it to the people. It's about sharing something with people, the same way my country does. I've always worried that people have what they need, just like the revolution did, and so I'm trying to give people a place to grow spiritually. A library, an art studio — all those things are important."

Kcho says that bringing Internet to the masses is not the responsibility of the government. It is, he says, an "entrepreneurial responsibility."

"And if it's so important for young people to have Internet, my dream is to bring more of it to them and to have a space here where they can travel the world without spending a dime, a place where they can travel from India to Burundi, to Antarctica, to the Library of Congress," he says.

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Miracle, a work by Kcho that hangs in his studio, shows Jesus crucified on a cross made of oars. Eyder Peralta/NPR hide caption

itoggle caption Eyder Peralta/NPR

Miracle, a work by Kcho that hangs in his studio, shows Jesus crucified on a cross made of oars.

Eyder Peralta/NPR

When asked if the Internet could be detrimental to the revolution, he says that a shift away from socialism is simply not on the table.

"But it's also not an option for me to renounce what I'm doing," he says. "It's not an option for me to take back what I've already given to Cubans."

The Internet at Kcho's place is Cuba's first free hot spot, and it's on 24 hours a day.

That means that the place is a hive of activity: There are people leaning on the outside walls, staring at their smartphones. In the library, people get on a waiting list to watch funny videos on Yahoo.

Yoan Istameyer, 29, is sitting along a concrete retaining wall. He is with his friend Yendy Rodriguez, 20, but they aren't talking. They're glued to a screen.

Istameyer says he has been there since the night before.

Yoan Istameyer, 29, in the black shirt, and Yendy Rodriguez, 20, wearing orange, spend hours at Kcho's studio, which is connected to the Internet. Istameyer says that when his girlfriend asked him to choose between her and his Wi-Fi connection, he chose the Internet. Eyder Peralta/NPR hide caption

itoggle caption Eyder Peralta/NPR

"I never leave," he says. The Web and especially Facebook keep him hooked.

He says that there are only two places in Havana with free Internet: Kcho's place and the U.S. Interests Section along the Malecon. He'd gone to the Interests Section twice before, he says, but he decided to stop because of the political baggage that comes with stepping foot inside a U.S. installation.

Rodriguez says that he had just heard of this place and is thrilled. We ask him if the Internet had changed his life in any way. Rodriguez shakes his head: not really.

Then Istameyer cuts in. He's young. He's brash. He'll hand you his email address as soon as he can.

"I even left my girlfriend for Wi-Fi," he says, eliciting laughter from his friend.

The Internet — and the social connections across the world that it gave him the freedom to make — had drawn Istameyer in so much that his girlfriend gave him an ultimatum: Wi-Fi, which Cubans pronounce "wee-fee," or me.

Istameyer chose the Internet.

Cuba

Internet

The U.S. is providing surveillance flights over the besieged Iraqi city of Tikrit, where militants from the self-proclaimed Islamic State remain holed up, protected by a defensive network of explosives and snipers.

NPR's Alice Fordman reports that a senior military official from the U.S.-led coalition against the militants, also known as ISIS, says the U.S. has been conducting reconnaissance missions over Tikrit since Saturday.

Until now, she says, the weeks-long military operation around Tikrit has been dominated by Iraqi security forces and allied paramilitary forces strongly backed by Iran. But Alice reports that the operation to take back Tikrit from the militants has stalled, and some Iraqi military officials have told reporters they need U.S. air support to take the city.

Tikrit, about 90 miles northwest of the capital, Baghdad, is the hometown of former Iraqi President Saddam Hussein. Pushing militants from the city would be considered both a military victory and a symbolic victory over ISIS — and a prelude to a battle to retake Mosul, where the jihadist group has set up a major base.

Reuters news agency says the surveillance flights are a lead-up to U.S. airstrikes on Tikrit. The news agency quotes a senior Western diplomat who is part of the coalition as saying that a formal request from the Iraqi government for airstrikes is "imminent."

Still, Alice says one leader of an Iranian-backed militia, Hadi al Ameri, gave a speech over the weekend in which he strongly condemned the idea of U.S. military assistance, calling those who sought American air support weaklings.

Iraqi security officials say their force of 20,000 is made up of mostly Shiite militiamen. It succeeded in pushing militants out of surrounding villages, but hasn't been able to uproot them from the center of Tikrit, according to The Wall Street Journal.

As NPR has reported, ISIS has dug up the streets and planted mines. They've also booby-trapped cars and have snipers protecting the militants.

Sky news says Iraq's interior minister announced last week that the operation had been halted temporarily to avoid casualties and protect infrastructure in the city.

Islamic State

Tikrit

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Iraq

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Luis Henry Robles Higinio, 19, has XDR-TB. His right lung was removed due to the extent of the disease, and he had a port implanted in his chest for his twice-daily drip of TB drugs. With the end of IV treatment just two weeks away, he's in a positive frame of mind. Jason Beaubien/NPR hide caption

itoggle caption Jason Beaubien/NPR

Luis Henry Robles Higinio, 19, has XDR-TB. His right lung was removed due to the extent of the disease, and he had a port implanted in his chest for his twice-daily drip of TB drugs. With the end of IV treatment just two weeks away, he's in a positive frame of mind.

Jason Beaubien/NPR

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Diana Corolina Huamani Pasion is a TB nurse with Partners in Health in Lima, Peru. She'll greet a patient with a kiss on the cheek — levels of bacteria are very low after the drug regimen begins, she says. Jason Beaubien/NPR hide caption

itoggle caption Jason Beaubien/NPR

Diana Corolina Huamani Pasion is a TB nurse with Partners in Health in Lima, Peru. She'll greet a patient with a kiss on the cheek — levels of bacteria are very low after the drug regimen begins, she says.

Jason Beaubien/NPR

You sure don't want to get tuberculosis. You'll cough a lot, maybe cough up blood, have fever, chills and chest pain. But most cases of the bacterial disease are curable after taking the two first-line drugs for four to six months.

You really don't want to get multiple-drug resistant TB. That's a strain of the bacteria that resists the front-line drugs. So nastier drugs and a longer treatment span are required. There are roughly 480,000 cases of MDR-TB, as it's called, each year; nearly half of the people with MDR-TB die from the disease.

Worst of all is XDR-TB, or extensively drug-resistant tuberculosis. It's estimated that 9 percent of people with multiple-drug resistant TB are in the XDR category. The treatment is hellish: two daily infusions of IV drugs through a port implanted in the chest, each session lasting about an hour. This goes on for a year. The drugs have horrible side effects, including nausea, permanent dizziness and permanent hearing loss. People are often depressed at the seeming endlessness of it all.

Because the treatment is so harsh, some countries write XDR-TB patients off, don't offer them treatment and just leave them to die. That approach heightens the risk that XDR-TB will be passed on to others. (Like regular TB, XDR-TB is spread when a patient coughs, sneezes or spits, sending bacteria into the air.)

Partners In Health, the global health nonprofit, wants to show that XDR-TB is not a death sentence. So the agency is currently treating 55 XDR-TB patients in Lima, Peru. We spoke with Jason Beaubien, NPR's global health correspondent, who is in Peru reporting on tuberculosis.

How bad are the side effects from treatment?

It knocks some people on their butt. They are exhausted for a year.

It must be hard to convince people to take debilitating drugs for so long a period.

Oscar Ramirez, the PIH coordinator here, said to me, "It's not just about the drugs." It's about nurses coming to visit, talking with them. It's about setting up support groups so these people don't get so depressed. Some patients just drop out.

And if they drop out?

The TB would come back.

How do people earn a living during treatment?

In a lot of places where you've got XDR-TB, there's not a social safety net. Partners In Health has this microfinance loan program to help patients. One woman is now knitting things and selling them. One woman with multiple drug resistant TB got a loan and opened a corner store.

How could she run a store if she's contagious?

Soon after you start treatment, you actually aren't contagious anymore.

That's surprising.

I was astounded. I put on a mask when I went to the first XDR-TB patient house, and the nurse was kissing him on the cheek. She said: "Don't worry. The levels of bacteria once he's been in treatment are so low that he's not contagious."

Can you tell me about some of the people you met?

One woman lives so far out of the capital — 6 1/2 hours away by bus — that PIH is renting a small apartment for her in Lima.

She's Jenny Tenorio Gallegos. She's 35 and her kids are 3 1/2 and 13. She was really heartbreaking. I asked her, "What's the worst part of the treatment?" She said, "I miss my children." She saw them in December and will see them again next month, during holy week.

Were there other patients in a better frame of mind?

I met a guy, Luis, who's 19. His TB was so bad they had to take out an entire lung. He was just two weeks away from finishing one year of the IV treatment. He's just about through the worst. Then there's another year, on pills. He was very upbeat. He had been driving a mototaxi — a three-wheeled jitney cab. He's hoping next year he'll be able to go to school and study to be a professional.

Shots - Health News

What It Takes To Cure Drug-Resistant Tuberculosis

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'How Unromantic It Is To Die Of Tuberculosis In The 21st Century' March 22, 2015

What kind of professional?
I asked him. He said, "Anything other than driving taxis!"

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