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Millions of women and girls globally have lost access to contraceptives and abortion services because of the coronavirus pandemic. Now the first widespread measure of the toll says India with its abrupt, months-long lockdown has been hit especially hard.Several months into the pandemic, many women now have second-trimester pregnancies because they could not find care in time.Across 37 countries, nearly 2 million fewer women received services between January and June than in the same period last year, Marie Stopes International says in a new report — 1.3 million in India alone. The organization expects 900,000 unintended pregnancies worldwide as a result, along with 1.5 million unsafe abortions and more than 3,000 maternal deaths.Those numbers “will likely be greatly amplified” if services falter elsewhere in Latin America, Africa and Asia, Marie Stopes’ director of global evidence, Kathryn Church, has said.The World Health Organization this month said two-thirds of 103 countries surveyed between mid-May and early July reported disruptions to family planning and contraception services. The U.N. Population Fund warns of up to 7 million unintended pregnancies worldwide.Lockdowns, travel restrictions, supply chain disruptions, the massive shift of health resources to combat COVID-19 and fear of infection continue to prevent many women and girls from care.A surge in teen pregnancies was reported in Kenya, while some young women in Nairobi’s Kibera slum resorted to using broken glass, sticks and pens to try to abort pregnancies, said Diana Kihima with the Women Promotion Center. Two died of their injuries, while some can no longer conceive.In parts of West Africa, the provision of some contraceptives fell by nearly 50% compared to the same period last year, said the International Planned Parenthood Federation.“I’ve never seen anything like this apart from countries in conflict,” said Diana Moreka, a coordinator of the MAMA Network that connects women and girls to care across 16 African countries. Calls have increased to their hotlines, including those launched since the pandemic began in Congo, Zambia and Cameroon. More than 20,000 women have called since January.Like others, Moreka predicts a coming baby boom in some parts of the world. “The pandemic ... has taken us many years backwards” in family planning services, she said.Some countries didn’t deem sexual and reproductive health services as essential under lockdown, meaning women and girls were turned away. Even after NGOs in Romania pressured the government to declare the services essential, many hospitals still weren’t providing abortions, said Daniela Draghici, a member of the IPPF European network’s executive committee.“The impact in some cases is like what used to happen to young women during Communism, to get an abortion from somebody who claims to be a medical provider ... and pray,” she said.In India’s megacity of Mumbai, one woman was unable to find a pregnancy testing kit after the lockdown started in March, and then couldn’t find transport to reach care in time, said Dr. Shewetangi Shinde, who attended to her in a public hospital. By then, medical abortion wasn’t an option since the pregnancy was too advanced.India listed abortions as essential services under lockdown but many weren’t aware, said Shinde, who is part of the India Safe Abortion Youth Advocates organization.The pandemic has highlighted how difficult it already was for many women to safely access abortion services, said Dr. Suchitra Dalvie, a gynecologist in Mumbai and coordinator of the Asia Safe Abortion Partnership.“All these people ... the marginalized groups, the vast invisible majority. This is how life is,” she said.In January, India began amending laws to allow certain women to obtain abortions up to 24 weeks instead of 20. But the pandemic interrupted it.No one expected the lockdown to continue for months, Dalvie said. Now many women face second-trimester abortions, which are more expensive and complicated, especially “because everyone who is involved needs to wear PPE.”Abortion access has improved in India, but the pandemic resulted in abortion pill shortages in several states surveyed by Foundation for Reproductive Health Services India. Only 1% of pharmacies in northern states like Haryana and Punjab had them, 2% in the southern state of Tamil Nadu and 6.5% in the central state of Madhya Pradesh. In Delhi it was 34%.Some contraceptives are still delayed by supply chain disruptions, said Chris Purdy, CEO of the DKT International social marketing organization for family planning products. Production is back online, but shipping routes are crowded and ports clogged with back orders, he said.Meanwhile, women’s health providers have scrambled to find solutions such as telemedicine, home deliveries of contraceptives and home-based medical abortions.But even now, “we’re hearing everywhere that numbers are down” as public health facilities struggle because thousands of staffers have been infected with the virus, said Marion Stevens, director of the South Africa-based Sexual & Reproductive Justice Coalition. Her group and others wrote to the health minister about women turned away from care.The real global measure of lockdowns’ effects will come when health ministries report annual data, experts say. But it will be incomplete. In Haiti, the health ministry reported a 74% drop in births at health facilities in May compared to the same period last year. Many women are delivering at home, but deaths there are not reported.“Small examples can tell us a lot,” said Nondo Ejano, coordinator for the Women’s Global Network for Reproductive Rights Africa. In Tanzania, he said, a major maternity hospital in Dar es Salaam was converted into a COVID-19 response center. “You can ask yourself,” he said of women seeking care, “where would they go?”At a school he visited last week in the town of Kigoma, five girls had become pregnant in the past few months. “One school. Five girls. Definitely the rate of pregnancy is up,” he said.“I feel like right now we just have a tip of the situation, and when lockdowns are lifted we will see things clearly,” said Phonsina Archane, a coordinator of the MAMA Network. “We should prepare ourselves for that time.”___Anna reported from Johannesburg.___The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Department of Science Education. The AP is solely responsible for all content. 6513

MINNEAPOLIS, Minn. -- The re-energized racial justice movement has brought to light more systemic disparities, especially in criminal justice reform.“What we are saying is we have to have a system that does not prejudice people due to their poverty,” said Jared Mollenkof, an executive board member of the Minnesota Freedom Fund. “In reality, if you have enough money, you will always get out.”The Minnesota Freedom Fund started in 2016 as a small operation dedicated to ending cash bail systems. They helped bail out about 67 people last year.Following demonstrations set off by George Floyd's killing, donations started flooding in to help get protesters out of jail. Just since May, they've now bailed out at least ninety people.People all over the world, about 1 million individuals, have donated some million.“We have criminalized everything. We arrest people for bull**** and then we try to force it all through a system that would not be able to keep up, but for the fact that it leaves all these people in cages and counts on the fact that people want to get home,” said Mollenkof.The Minnesota Freedom Fund says getting people out pre-trial now, with COVID-19, is even more important.It says in the past, a third of people it has bailed out have had their cases dismissed.People are less likely to plead guilty when they're not held in custody. They are more likely to keep their job and even tend to get less harsh sentences if they are convicted.The Minnesota Freedom Fund says it intends to use the influx of donations to help arrested protesters.There are similar efforts in other states that you can find through The National Bail Fund Network. 1670

MORENO VALLEY, Calif. (AP) — A 13-year-old boy seriously injured in an attack involving two other students at a Southern California middle school is "clinically dead" after life-saving treatments failed, authorities said Wednesday.The family of the teen identified only as "Diego" plans to donate his organs, according to a Riverside County Sheriff's Department press release.The student was assaulted Sept. 16 at Landmark Middle School in the city of Moreno Valley, the department said.Two other juveniles who are also students at the school could face prosecution in the assault. Both were booked into juvenile hall last week. Officials have not said if the charges against the two have been increased because of the boy's death.No further information will immediately be released due to the ages of all involved, the department said.The Moreno Valley Unified School District said it will provide counselors at Landmark.A remembrance ceremony will be held at the school Thursday evening."This is a life-changing tragedy for everyone involved, including the staff and students at Landmark Middle School," Mayor Yxstian Gutierrez said in a statement.Moreno Valley is a city of about 194,000 people 60 miles (97 kilometers) east of Los Angeles. 1251

MILWAUKEE — Two strangers met for the first time at Versiti Blood Center Tuesday morning, those strangers now say they are connected for life.Meeting Kris Klug was an anxious and emotional moment for plasma recipient Unique Edwards. She said Kris is the reason why she is alive today.“I almost didn’t make it. If we didn’t have the plasma, I wouldn’t be here, just thankful,” said Unique.In May, Kris tested positive for COVID-19 and recovered. She then started donating her plasma as an effort to help others fight the virus.“If you have something to give, somewhere down the road it’s going to come back to you,” said Klug. 633

NASHVILLE, Tenn. (AP) — In a surprise twist that fit an unexpected year of firsts, Carrie Underwood and Thomas Rhett tied for entertainer of the year at the Academy of Country Music Awards. “Keith, what is happening right now?” Rhett asked, astounded, before thanking his family. Underwood appeared right after him remarking, “2020, man?” before adding, “I am more than happy to share this with Thomas Rhett.”Underwood has won the prize twice before, while Rhett is a first-time winner in the category. Luke Combs walked away a winner, too, by picking up album of the year and male artist of the year.Country group Old Dominion won song of the year and group of the year, and band members Matthew Ramsey, Trevor Rosen and Brad Tursi earned additional individual awards as songwriters for “One Man Band.” 811