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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

Multiple secretaries of state in battleground states are reporting robocalls to their residents telling them to stay home Tuesday. They are worried the calls are misleading and spreading misinformation on Election Day, and the FBI and other law enforcement agencies are looking into where the calls are originating from.The anonymous robocalls, which appear to come from a local number, tell voters, “Now is the time to stay home. Stay safe and stay home.”Michigan’s Secretary of State, Jocelyn Benson, tweeted Tuesday morning about the robocalls.“We received reports that an unknown party is purposefully spreading misinformation via robocalls in Flint in an attempt to confuse voters there. I want to ensure everyone who plans to vote in person understands you *must be in line to do so by 8 p.m. today.*” 815

NATIONAL CITY, Calif. (KGTV) -- An investigation is underway to find the driver in a hit-and-run crash that critically injured a skateboarder.National City police say the man was skateboarding with friends on Palm avenue around 12:30 a.m. when a vehicle traveling northbound hit him.The vehicle fled the scene, leaving the victim on the street when officers arrived. Paramedics rushed him to UC San Diego Medical Center with serious head injury, according to police.Witnesses tell police the driver was a woman. Police say the suspect's vehicle is a black Mitsubishi Galant with substantial front end damage and a missing side mirror.This is a developing story stay with ABC 10news for updates. 702

NATIONAL CITY, Calif. (KGTV) -- A family in National City says Immigration and Customs Enforcement (ICE) violated their rights during an arrest on Tuesday morning.  Brianna Alonso says her husband was heading to work when he saw ICE agents and ran back into his house. A spokesperson for ICE tells 10News 31-year-old Alberto Alonso-Hernandez is wanted for illegally re-entering the country 16 times since 2013 and for a domestic violence conviction in 2014.His wife disputes ICE's numbers. She says her husband was deported twice before Tuesday's arrest. She's upset because she says ICE agents never showed them a warrant before entering. Brianna says the agents gave her the warrant after her husband was in custody. However, according to a criminal attorney, ICE was just doing their job. Exercising the "no-knock" rule, where the officers do not have to show the warrant if they have probable cause that the suspect will get away or destroy possible evidence. ICE sent us the following statements regarding Tuesday's arrest:  1082

More than 120 people have been sickened since mid-May reportedly from bagged salad sold in Midwest grocery stores.Interviews with these people led the Centers for Disease Control and Prevention to connect the illnesses with certain bagged salad mixes containing carrots, red cabbage and iceberg lettuce sold at ALDI, Hy-Vee and Jewel-Osco stores in several Midwestern states.As of June 22, 2020, a total of 122 people with laboratory-confirmed Cyclospora infections associated with this outbreak have been reported from 7 states: Illinois (30), Iowa (54), Kansas (1), Minnesota (13), Missouri (7) Nebraska (8), and Wisconsin (9). Of the 122 reported illnesses, the CDC says 19 people have been hospitalized.Symptoms of Cyclospora include diarrhea, loss of appetite, cramping, bloating, nausea, fatigue, vomiting and low-grade fever. Symptoms without treatment can last weeks to a month.Below are the details of the recalled items:ALDI Little Salad Bar brand Garden Salad sold in Arkansas, Illinois, Indiana, Iowa, Michigan, Minnesota, Missouri, North Dakota, South Dakota, and Wisconsin.Hy-Vee brand 12-ounce bagged Garden Salad sold in Illinois, Iowa, Kansas, Missouri, Minnesota, Nebraska, South Dakota, and Wisconsin.Jewel-Osco Signature Farms brand 12-ounce bagged Garden Salad sold in Illinois, Indiana, and Iowa.The above products do not account for all of the illnesses according to the CDC, and they along with the FDA are investigating whether other products are a source of illness. 1500

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