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Experts say the United States is going through a maternity and child health crisis.“We know that every 12 hours, around the clock, a mother dies as a consequence of childbirth, and if you are a Black woman, those numbers are three-fold higher,” said Dr. Rahul Gupta, Chief Medical and Health Officer at the March of Dimes. “If you're an American Alaskan woman, its two and a half times higher.”The March of Dimes is highlighting the areas of the country that are considered maternity care deserts, meaning places where there are no hospitals providing obstetric care.They say a third of counties are affected and it’s not just a rural American problem. It’s urban counties too.Dr. Rahul Gupta touched on some of the consequences, such as mothers dying unnecessarily, 22,000 infants dying before their first birthday, and the pre-term birth rate rising for a fifth year in a row.The numbers and problems are amplified in maternity care deserts, which have a higher poverty rate and lower household income. That’s something that's escalated during the pandemic.“The COVID-19 pandemic has unveiled the underlying challenges as well as ugliness within our systems of care as well as communities in terms of institutional racism and bias as well as the socioeconomic conditions that lead to some of these outcomes,” said Gupta.A report touches on many different policy-based solutions that could improve access to maternity care, including expanding access to Medicaid for new moms from 60 days to 1 year after childbirth, allowing better access to midwives, reimbursement for doula care, and expansion of telehealth services. 1629

ENCINITAS, Calif. (KGTV) - Three people are dead and two people were injured Friday when a bluff collapsed just north of Grandview Surf Beach in Encinitas, San Diego County Sheriff's deputies confirmed.The bluff fell about 3 p.m. near a lifeguard tower at the Grandview Beach staircase located in the 1700 block of Neptune Avenue, just below South Ponto State Beach.One person was flown to the hospital in critical condition. A second victim was transported to a nearby hospital with serious injuries. Both of those victims have succumbed to their injuries. Officials closed part of Highway 101 temporarily Friday afternoon to land a life flight helicopter.Map of most recent San Diego County bluff collapsesTwo others suffered minor injuries and their conditions are unknown at this time. There were no children among the victims, deputies said during a news conference Friday.Search and rescue dogs are assisting crews to determine if anyone else may be trapped under the debris.SATURDAY PRESS CONFERENCE:One person who talked to 10News said he arrived at the beach moments after the collapse and saw crowds trying to clear rocks away from the collapse to save anyone who was trapped."It's just horrifying that the people underneath were there in the moment," said Fabian. "Let's just hope for the people."Watch live coverageSky10 video showed more than 20 deputies and rescue officials near the debris field moments after the disaster. Beach chairs and surfboards that had been positioned near the cliff were scattered as rescue teams began their work.The chunk of cliff that collapsed is about the size of a bus and is as heavy as a concrete wall, said geologist Dr. Pat Abbott. The area is 25 by 30 feet, lifeguard officials confirmed, adding that the debris reaches 10 feet at its highest point.Rising waves are creating a dangerous situation for first responders. The disaster happened about an hour and a half before low tide, with "one of the highest tides of the year" expected late Friday night, lifeguards said.RELATED: Encinitas bluffs are a trouble spot known to geologists"This will continue to the point where it becomes unsafe for teams to get in there and work," said Larry Giles of Encinitas Lifeguards.Soil experts were also concerned about a potential second collapse, but said homes on the cliff were not at risk.Officials requested heavy equipment to remove debris and "meticulously break it apart to look for anyone else."Lifeguards closed the beach from the Leucadia-Carlsbad border to just south of Grandview for their rescue effort.“No one woke up thinking this would happen," said a deputy on the scene. "We're going to do the best we can to get through this."Today, a bluff collapsed at approximately 3 p.m. near the 1700 block of Neptune Avenue north of Grandview Beach. The City’s Sheriff and first responders are on the scene assisting in rescue operations. One person is confirmed dead and people have been injured. More details later.— City of Encinitas (@EncinitasGov) August 2, 2019 3026

ENCINITAS, Calif. (KGTV) - Construction is underway on bike and pedestrian improvement projects in North San Diego County.Paths will be built beneath the Interstate 5 overpasses at Santa Fe Drive and Encinitas Blvd.The work, which will cost .5 million, should be finished in late summer 2019.During construction, drivers can expect traffic delays. There will also be periodic noise and lights.“Construction activities have been designed to reduce impacts to anyone using these intersections,” said Caltrans Project Manager Arturo Jacobo. “While there will be narrowed lanes, we do not anticipate any lane closures during construction. Additionally, we are installing a temporary protected path for pedestrians and people on bikes, which now only exists along westbound Santa Fe Drive.”The projects are part of the North Coast Corridor Program, which will eventually add carpool lanes to I-5, double track the coastal rail corridor, provide walking and biking trails, and complete environmental restoration. 1017

Federal prosecutors are preparing criminal charges against President Donald Trump's former lawyer Michael Cohen and could announce them by the end of the month, people familiar with the matter tell CNN.The US Attorney's office for the Southern District of New York has been investigating Cohen for possible bank and tax fraud and campaign finance violations related in part to a 0,000 hush money payment made to silence porn star Stormy Daniels' allegations of an affair with Trump. Trump has denied an affair.Investigators are also examining?more than million in loans obtained for Cohen and his family's taxi companies, The New York Times reported Sunday night, citing people familiar with the matter.Criminal charges against Cohen would be a major setback to President Donald Trump because Cohen has long been in his inner circle. Cohen has prided himself over the years on his reputation as Trump's pit bull and once said he "would take a bullet" for Trump. 991

Facebook has come under fire after posts discussing the sale of a child bride were made and shared on its site.An auction was discussed on the social media platform for a girl aged 16 or 17 in South Sudan that sought payment for her hand in marriage.Facebook said the post was taken down as soon as the company learned of it, but that wasn't until after the girl involved was married.According to children's rights organization Plan International, the girl was bid on by five men, some of whom were reportedly high-ranking South Sudanese government officials. 567