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Money might be tight this holiday with many working less hours or losing their jobs due to the pandemic, but it's not too late to budget and feel good about the season.November through December is a time when more cash is flowing and cards are swiping at stores.“The average that people spend across the country is about ,000 per holiday season,” said Ryan Freitag, a financial adviser with Edward Jones.Freitag said budgeting is key to preparing for the expected, such as gift buying around the holidays, and unexpected, like financial losses during a pandemic.He said people should simplify expenses and look at spending on a monthly basis to understand how much is needed for necessities, savings and the extras.The same rule of thumb applies to holiday spending. Freitag said people should plan how much can be allotted for gifts and set spending limits before hitting the holiday deals.“Whether it's 0 or ,000, take that money out of a checking or a savings account and even use a prepaid debit card," Freitag said. "That will allow them to keep their spending in check.”Experts typically recommend putting 10% of monthly income toward "fun spending." That number might change during the holidays.To manage the increase, Freitag recommends starting a holiday club savings account as soon as January to start budgeting for this time of year early. He said even putting in a month can be beneficial.“That way by the time holiday season comes you have a block of money that you’ve already designated toward your goal," Freitag said. "I feel like that takes the emotion, and overwhelming part of holiday spending out of it and the money is available.”Caitlin Carmody, an outpatient psycotherapist with Spectrum Behavioral Health LLC, said they see more people struggle with anxiety and depression around this time of year. She said some might feel an extra emotional burden from not being able to buy as many gifts for loved ones.But there are other options for showing loved ones they care.“There’s so many different ways we can show people love and affection. It doesn’t have to cost money," Carmody said.Instead of buying presents, Carmody suggested making gifts with family. She said the act of creating can help combat anxiety and depression, and even build self esteem in kids.Carmody said quality time is important. The gift of time can be just as meaningful, even if it's done virtually.“You’re growing new memories. You’re making new traditions," Carmody said. "So if we can re-frame it as not something that we’re losing, but maybe as a time of growth, or an opportunity to make new traditions and new memories.”For some, it's the gifts that can't be bought that mean the most.“We don’t need to put a dollar figure to a phone call," Freitag said. "There are a lot of people right now that are alone and isolated. I truly see that as more important than the money that somebody spends right now.”If people are feeling anxious or depressed, Carmody suggests practicing mindfulness, breathing exercises and keeping a routine. She said it's also important to stay present in the moment and not worry about things that are out of one's control.For those struggling with mental health, Carmody said they should reach out to a mental health professional for help.This story was originally published by Kelsey Dickeson at WGBA. 3349

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

MONTEREY, Calif. (AP) — Authorities say two murder suspects have escaped from central California's Monterey County Jail.The county sheriff's office says in a tweet that the inmates escaped Sunday morning.The tweet says Santos Fonseca and Jonathan Salazar were in custody on suspicion of murder and other violent charges.A call seeking additional details from sheriff's officials wasn't immediately returned.Monterey is a city of about 28,000 people on California's central coast, 100 miles (160 kilometers) south of San Francisco. 538

MOHEGAN LAKE, N.Y. — Angelina Friedman, a 102-year-old nursing home resident, recently survived her second bout with COVID-19, according to her daughter Joanne Merola."Not only has she beaten COVID at 101, she's beaten it at 102," Merola said.Friedman also has the unique distinction of living through two global pandemics.During the 1918 pandemic, Angelina Sciales was born on a passenger ship taking immigrants from Italy to New York City."She was born on a ship coming from Italy during the Spanish flu," Merola said earlier this year. "Her birthday was Oct. 18, 1918."Angelina's mother died giving birth on the ship."She was helped by her two sisters," Merola said of her mother.When Angelina's father reunited with his daughters in New York, he took them to live in Brooklyn."She was one of 11 children," Merola said. "She's the last one surviving."Angelina eventually married a man named Harold Friedman. The couple battled cancer later in life, but only Angelina overcame the disease.She's lost most of her hearing and her vision is bad, but she's retained her zest for life.Friedman, a resident of the North Westchester Restorative Therapy and Nursing Center, battled COVID-19 most recently in October, according to her daughter.Her first bout with the virus happened in March when she was taken to the hospital for a minor medical procedure.When she initially tested positive for COVID-19, the procedure was postponed and Friedman spent a week in the hospital. She then returned to the nursing home and was isolated in her room.After running a fever on and off for several weeks, Friedman finally tested negative for coronavirus on April 20.At the time, Friedman's daughter received a late-night phone call from nurses. They said Friedman was doing great, that she was eating again and looking for yarn for crocheting."My mother is a survivor," Merola said in April. "She survived miscarriages, internal bleeding and cancer."Six months after that first COVID-19 diagnosis, Friedman's daughter said she received a call from the nursing home in late October, "to tell me she tested positive again.""She had symptoms — fever, a dry cough," Merola said. "...they gave her a bunch of meds. They thought she might also have the flu."More staff and residents at the nursing home were getting sick, according to Merola, so the older residents were put in isolation.Merola said she got daily updates on the situation, and on Nov. 17 she received great news."My invincible mother tested negative," she said.After another test came back negative, Friedman was moved out of isolation and back into her regular room.Merola said she attributes her mother's survival to "an iron will to live.""She's not the oldest to survive COVID, but she may be the oldest to survive it twice," she said.This story was originally published by Mary Murphy on WPIX in New York City. 2868

More than 40 percent of attendees at an overnight summer camp became infected with Covid-19 within days before officials shut it down, according to the CDC.Local media reports it was a YMCA camp near a lake in Rabun County, Georgia.More than 260 staff and campers tested positive for the coronavirus, out of a total 597 people who were at the camp sometime between when it opened and when it closed in mid-June. Of the 260 who tested positive, 231 were campers aged 6 to 17 years old.In their report published Friday, the Centers for Disease Control and Prevention says camp officials followed most of their recommended safety protocols. They say the two measures not implemented were cloth masks for campers and opening windows and doors for increased ventilation in buildings. Masks were required for staff members.The camp held orientation for staff members and trainees between June 17 to 21, then were joined by hundreds of kids on June 21 for a week-long camp session.On June 23, a teen staff member left the camp after developing chills the night before. They tested positive for Covid-19, and the camp began sending kids home on June 24. The entire camp was closed June 27.The camp was adhering to Georgia’s Executive Order that allowed overnight camps and required negative coronavirus tests less than 11 days before attending.“These findings demonstrate that SARS-CoV-2 spread efficiently in a youth-centric overnight setting, resulting in high attack rates among persons in all age groups, despite efforts by camp officials to implement most recommended strategies to prevent transmission,” says the CDC report on this outbreak.From the 136 cases where the CDC was able to gather symptom data, about 26 percent of those who tested positive for coronavirus had no symptoms at the time. 1804