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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

More than 10,000 pounds of chicken is being recalled due to possible contamination by "foreign materials," specifically metal.  Empire Kosher Poultry Inc. says the raw chicken breasts were packaged on November 2 and have the number "P-1015" in the USDA inspection mark. The chicken was reportedly shipped to locations across the country. No injuries or illness has been reported, according to the United States Department of Agriculture. Consumers are urged to throw away the following products or return them to a place of purchase:  562

NASHVILLE, Tenn. (AP) — The NFL has postponed the Denver-New England game indefinitely due to another positive coronavirus test with the Patriots.That game, originally scheduled for Sunday, had been moved to Monday night.A person familiar with the situation says the Patriots have closed their facility again after the positive test result.“This decision was made to ensure the health and safety of players, coaches and game day personnel and in consultation with medical experts,” wrote the NFL in a statement.Meanwhile, the Tennessee Titans announced they closed their facility Sunday morning after a staff member tested positive.Titans: “This morning we learned that a staff member tested positive. We have temporarily closed our facility and are in communication with the league on the next steps.”— Adam Schefter (@AdamSchefter) October 11, 2020 These latest results endanger the Titans’ game with Buffalo set for Tuesday night.A source told ESPN’s Adam Schefter that there were no other positive test with any other team Sunday morning. 1050

MURRIETA, Calif. (KGTV) — Firefighters made progress Friday against a brush fire that burned dangerously close to homes in Riverside County.As of 7 a.m. Saturday, the Tenaja Fire was 35% contained and had scorched at least 2,000 acres in the Murrieta area, according to Cal Fire. All evacuation warnings were lifted Friday night after fire crews said the fire's activity was minimal Friday. Crews expect full containment by Tuesday.INTERACTIVE MAP: Tenaja Fire Evacuation Zones, Road ClosuresThree firefighters have suffered non-life threatening injuries while fighting the blaze. Two structures have also been damaged.California Highway Patrol was conducted intermittent escorts on Clinton Keith between Chantory St. and Avenida La Cresta, though the road remained closed overnight.The Tenaja Fire erupted Wednesday in rural land near Murrieta, according to Cal Fire. A lightning strike may have caused the fire, as hot, muggy weather and erratic winds fueled the flames toward homes. 993

Nancy Pelosi's bid to become speaker of the House is becoming more complicated, as 17 Democrats have now signed a letter saying they won't vote for her on the House floor, according to four sources with knowledge of the matter.If these Democrats stick to this pledge, the California Democrat, who is currently the leader of her party in the House, may not have the votes to become speaker. In addition to the 17, five additional Democrats have pledged not to support her on the floor but have yet to sign the letter, one of the sources said.The goal of the Pelosi critics is to force her out of the speaker's race by convincing her she does not have the votes to win. But Pelosi and her allies reject that notion and are confident of their chances, saying she will call their bluff on the floor.Pelosi first needs to win a majority of the House Democrats to win the caucus nomination on November 28. Then, she needs to win a majority of House members who vote for a candidate -- likely 218 -- and can't afford to lose too many Democrats on the floor.Democrats are poised to hold at least 227 seats in the new Congress compared to 200 for Republicans, with eight races still yet to be called by CNN.What's unclear is who will run against Pelosi on the Democratic side. Ohio Reps. Marcia Fudge and Tim Ryan both have told CNN they are not ruling out a bid.Drew Hammill, Pelosi's spokesman, projected confidence that she would get the votes."Leader Pelosi is very confident in her support among Members and Members-elect," Hammill said.A senior Democratic aide said Pelosi would not be deterred."Members on the 'list' are all to the right of Pelosi," the aide emailed. "Pelosi will take this to the floor in January, so she will be calling their bluff." 1758