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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

MONTEZUMA, Iowa (AP) -- Authorities say they are holding a suspect in the death of Iowa college student Mollie Tibbetts, and he is being held on a federal immigration detainer.An assistant director of the state Division of Criminal Investigations says Tuesday that authorities are holding a suspect.Cristihian Bahena Rivera, 24 has been charged with Tibbetts' death.Earlier Tuesday, investigators announced a body believed to be Tibbetts was found in rural Poweshiek County.RELATED: Mollie Tibbetts: Body believed to be missing University of Iowa studentTibbetts, a 20-year-old student at the University of Iowa, has been missing since July 18.The Iowa Division of Criminal Investigation says the body was found Tuesday morning in rural Poweshiek County, which includes Tibbetts' hometown of Brooklyn, Iowa.Tibbetts has been missing since July 18, when she was last seen jogging through the streets of Brooklyn.Police held a news conference at 2 p.m. Watch the conference in the player below: 1010

Missing Saudi journalist Jamal Khashoggi may have recorded his own death, a Turkish newspaper reported Saturday morning.Khashoggi turned on the recording function of his Apple Watch before walking into the Saudi consulate in Istanbul on October 2, according to Sabah newspaper.The moments of his "interrogation, torture and killing were audio recorded and sent to both his phone and to iCloud," the pro-government, privately owned newspaper paper reported. The Turkish newspaper said conversations of the men involved in the reported assassination were recorded.Security forces leading the investigation found the audio file inside the phone Khasshoggi left with his fiancé, according to Sabah.Upon noticing the watch, Sabah reports, Khashoggi's assailants tried to unlock the Apple Watch with multiple password attempts, ultimately using Khashoggi's fingerprint to unlock the smart watch. They were successful in deleting only some of the files, Sabah reported.However, on its website, Apple does not list fingerprint verification as one of the Apple Watch's capabilities. A representative from the company confirmed to CNN the watches do not have the feature.It was not immediately clear whether it would have been technically feasible for Khashoggi's Apple phone to transfer audio to his phone, which he had given to his fiancee before entering the consulate.CNN cannot independently verify Sabah report and is seeking comment from both Saudi and Turkish officials.On Friday, a source familiar with the ongoing investigation told CNN that Turkish authorities have audio and visual evidence that showed Khashoggi was killed inside the Saudi consulate. But it was unclear how Turkish authorities obtained the evidence.The evidence, which was described to the source by a Western intelligence agency, showed there had been an assault and a struggle inside the consulate. There is also evidence of the moment that Khashoggi was killed, the source said.Turkish security units analyzed how Khashoggi's reported killing unfolded with the use of a translator, according to Sabah.Sabah also reported that investigation units are currently examining all cell phone and landline records from the consulate and the consul general's residence on October 2.Efforts to locate Khashoggi's body are ongoing, Sabah reported.Khashoggi, a columnist for the Washington Post, went into the consulate to obtain paperwork that would allow him to marry his Turkish fiancée. He hasn't been seen in public since.Saudi Arabia firmly denies any involvement in his disappearance and says he left the consulate that afternoon. His fiancée, Hatice Cengiz, who was waiting outside the consulate, says she did not see him re-emerge. Turkey has called on Saudi officials to provide evidence that he left the consulate, as they claim.The Washington Post reported late Thursday that the Turkish government had told US officials that it was in possession of audio and video recordings proving that Khashoggi was killed in the consulate, citing unnamed US and Turkish sources.The audio recording in particular provided "persuasive and gruesome evidence" that a Saudi team dispatched to Istanbul was responsible for Khashoggi's death, the Post reported."You can hear his voice and the voices of men speaking Arabic," one person with knowledge of the recording told the Post. "You can hear how he was interrogated, tortured and then murdered."International pressure has mounted on Saudi Arabia to explain what happened to Khashoggi, a former Saudi royal insider who became a critic of the regime and Crown Prince Mohammed bin Salman, who is known colloquially as MBS.The business world has also signaled its disquiet, with British tycoon Richard Branson?saying he's pulling back from two tourism projects in Saudi Arabia and has suspended discussions with Riyadh about a billion investment in Virgin's space companies. Business leaders have also started pulling out of a key conference hosted by MBS in late October.CNN confirmed Friday that it too would no longer participate in the Saudi Future Investment Initiative conference, known as "Davos in the desert." CNN was a media partner for the event.US Treasury Secretary Steven Mnuchin told broadcaster CNBC he still planned to attend the Riyadh summit despite concerns about Khashoggi's status. 4355

NASHVILLE, Tenn. (AP) — Grammy-winning country group Lady A has filed a lawsuit against a Black singer who has been performing as Lady A as well. The group dropped the word "Antebellum" from their name because of its ties to slavery. But blues singer Anita White, who has been releasing and performing music under that name for years, complained publicly that the band never reached out to her. Negotiations between the parties broke down. The lawsuit seeks the court to declare that the band's use of the trademark "Lady A" does not infringe on White's alleged trademark rights of the same name. The band is not seeking monetary damages. 646

Miss USA has apologized after comments she made about two fellow Miss Universe contestants' English-language abilities sparked backlash online.In a live Instagram video posted on Wednesday, 24-year-old contestant Sarah Rose Summers said that Miss Vietnam H'Hen Nie is "so cute and she pretends to know so much English and then you ask her a question after having a whole conversation with her and she (nods and smiles)."Summers, who was joined in the video by Miss Colombia, Valeria Morales and Miss Australia, Francesca Hung, was attending the Miss Universe pageant in Thailand, which is scheduled to begin on Sunday in Bangkok.Later on in the video Summers appeared to express sympathy for Miss Cambodia, Rern Sinat, who she said, "doesn't speak any English and not a single other person speaks her language.""Can you imagine? Francesca (Miss Australia) said that would be so isolating and I said yes and just confusing all the time," Summers said. "Poor Cambodia."The comments have sparked criticism online, with some calling Summers' words "xenophobic" and "condescending."Responding to the backlash in an Instagram post on Friday, Summers said that Miss Universe was "an opportunity for women from around the world to learn about each other's cultures, life experiences, and views.""In a moment where I intended to admire the courage of a few of my sisters, I said something that I now realize can be perceived as not respectful, and I apologize," Summers said, alongside a photo of her embracing her fellow contestants."My life, friendships, and career revolve around me being a compassionate and empathetic woman. I would never intend to hurt another," she added. "I am grateful for opportunities to speak with Nat, Miss Cambodia, and H'Hen, Miss Vietnam, directly about this experience. These are the moments that matter most to me."Speaking to CNN on Friday, Miss Vietnam H'Hen Nie said Summers "didn't mean anything" by it."Everyone in this competition, myself included, loves and respects one another," she said, adding that Summers had been particularly supportive and helpful to her."When she knew about my difficulties with (the English) language, she took an interest and showed me love. That's why she knows about that. Thank you Miss USA for taking care of me, showing me love and helping me recently," H'Hen Nie said.In another sign that all was well between the contestants, Miss Cambodia posted the same Instagram photo as Summers with the caption, "I speak the language of love, respect and understanding.""My friendship and sisterhood in Miss Universe will forever be kept in my heart," she said. "Our experience have given us the opportunity to show and learn different cultures." 2711

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