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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
MILWAUKEE -- Seven people were shot at the Serenity Funeral Home in Milwaukee Wednesday afternoon, police say. Acting Police Chief Michael Brunson said all seven victims are in stable condition and are expected to survive. The victims are a 48-year-old woman, a 26-year-old woman, a 24-year-old woman, a 29-year-old man, a 26-year-old man, a 24-year-old man and a 20-year-old man.There's no word yet on what caused the shooting, and the exact circumstances that led up to it are still under investigation. Brunson said his officers continue to search for an unknown suspect."Our prayers are with the victims and their family members during this terrible time," Brunson said."This is an untenable situation. This brazen act, that was done in broad daylight, is just unacceptable in our city," Brunson added.Mayor Tom Barrett called the shooting “an example of the insanity we’re seeing” with the number of guns on Milwaukee streets.There have been 139 homicides and 521 non-fatal shootings from Jan. 1 - Sept. 29, 2020 compared to 67 homicides and 313 non-fatal shootings in 2019 during the same period, according to MPD.This article was published by WTMJ. 1163

NATIONAL CITY, Calif. (KGTV) - Some COVID-inspired creativity from local youth is about to take center stage.Leo Nava, 12, has been drawing since he was six."I love drawing, and it calms me down," said Nava.It's a calm he appreciates amid the unknowns of the pandemic."Sometimes it helps me tell what I'm feeling ... It helps me ignore my surroundings about what's going on in the world, so I don't get as frustrated or stressed," said Nava. He and dozens others have been tapping their pandemic-inspired creativity through online classes at the nonprofit, A Reason To Survive, a creative development program for under-served youth in the South Bay. The voices of the youth are spoken through poignant photographs and original songs, some speaking the isolation so many are feeling. Some youth, like Nava, are drawn to drawings. Themes include superhero medical workers, toilet paper hoarding, beaches and that claustrophobic quarantine feeling.One piece one by Nava shows a red-eyed Nava typing at a computer all day. In another example, Nava sketched a comic strip panel showing an apocalypse."The asteroid hitting the earth represents quarantine. People are scared. Don't know where it came from or what it's doing," said Nava.Those feelings of fear, say the student's teachers, are mixed with anxiety, isolation, hope, joy and heroism — all part of their pandemic experience.The creativity will shine in a virtual exhibition Saturday."The artwork says, 'Hear me. Listen to me. See me.' Their, voice, viewpoints and identity are the things that leap off the page and the music ... We need to be responsive to what they're telling us," said James Halliday, Executive Director of A Reason To Survive (ARTS). 1716
MORROW, Ohio -- Two teen football players could face punishment for actions they took during a game last week, on Friday, September 11. The two players ran onto the field, one carrying a "Thin Blue Line" flag, the other carrying a "Thin Red Line" flag.The school initially suspended the two boys from the Little Miami High School football team, but announced on Tuesday they would "return the players to active status" and that any further action relating to the matter would be considered an Athletic Department Code of Conduct issue.The school issued a statement Tuesday that said the district decided to discipline the boys, not for carrying the flags out to show support for first responders on the anniversary of 9/11, but because they didn't obtain permission from district officials first."School administrators must act when students break the rules and these students were suspended from practice while the incident was investigated," the statement, signed by school board president Bobbie Grice, reads.The statement says the superintendent and high school administrators, with the school board's support, performed an investigation into the incident and determined the students had no political motivations for their actions. They did determine "there were instances of insubordination."For the rest of the season, the statement said, the only flags permitted to come through the football tunnel will be the flag of the United States of America and the Little Miami spirit flag.This story originally reported by Felicia Jordan on wcpo.com. 1558
More than 5,000 people could still be missing in Indonesia, following a powerful earthquake that hit the island of Sulawesi last week, officials said on Sunday.Thousands of people are believed to be missing in the towns of Baleroa and Petobo, where rivers of soil swept away entire neighborhoods in the aftermath of a 7.5-magnitude earthquake and ensuing tsunami on September 28.The confirmed death toll from the quake has now reached 1,763, with 265 people missing in central Sulawesi's largest city, Palu, the spokesperson of Indonesia's Disaster Management Agency, Sutopo Purwo Nugroho, told reporters in Jakarta on Sunday.Almost all of the dead have been buried in mass graves. Another 62,000 people have been displaced by the disaster, Nugroho said.The spokesman estimated that 5,000 people could still be missing in Baleroa and Petobo, which had been badly hit by soil liquefaction -- a process where the soil becomes saturated with water, causing it to erupt into torrents that topple buildings. 1010
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