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Laws that seek to limit abortions around the world may not lower the rate of abortions but could make them less safe, according to a new report that illustrates the trend.In countries with the fewest restrictions, only 1% of abortions were the "least safe" kind from 2010 to 2014. That number jumps to 31% in the most restrictive countries, according to the report, released Tuesday by the Guttmacher Institute, a reproductive rights think tank.During the same period, abortions happened roughly as frequently in the most restrictive countries as they did in the least restrictive: 37 versus 34 abortions each year for every 1,000 women aged 15 to 44."Restricting abortion laws does not eliminate the practice of abortion," said Gilda Sedgh, principal research scientist at the Guttmacher Institute and one of the report's authors.Abortion rates have dropped globally over the past 25 years, driven by increased and more effective contraceptive use, Sedgh said. Procedures have also become safer overall, in large part due to the increasing use of medications that are effective in terminating pregnancy, the report said.A study last year by researchers at the Guttmacher Institute and the World Health Organization found that 45% of abortions performed between 2010 and 2014 were considered unsafe, meaning they didn't use both a recommended abortion method and a trained provider.Unsafe abortions can lead to complications, such as heavy bleeding, infection, damage to internal organs or an incomplete abortion, according to the WHO. Complications can sometimes be fatal.Countries that have seen falling abortion rates since the '90s are more likely to be developed countries, which tend to have fewer abortion restrictions and wider access to contraceptives. Abortion rates in developing regions haven't changed much overall.About 42% of women of reproductive age live in countries "where abortion is highly restricted," according to the report, versus 37% who live "where abortion is available without restriction as to reason -- with maximum gestational limits specified in almost all cases."US abortion rates have hit a historic low in recent years, according to another report last year by the institute.However, advocates have warned that increasing restrictions by individual states could delay care and put some women's health at risk."The United States has been adding restrictions on a state-by-state basis at an alarming rate over the last few years," said Dr. Jody Steinauer, director of the Bixby Center for Global Reproductive Health at the University of California, San Francisco. Steinauer, a practicing ob-gyn, was not involved in the new report."The bottom line is that these restrictions ... cause unnecessary harm and delay women in accessing the care they need," Steinauer said.On Monday, Mississippi Gov. Phil Bryant signed a bill that prevents women from getting abortions after 15 weeks of pregnancy. This would have given Mississippi the distinction of having the earliest abortion ban in the country, but a federal judge issued an order Tuesday temporarily blocking it.Research has shown that restrictive laws in places like Ohio, Utah, Wisconsin and Texas did not improve outcomes and in some cases led to more hardships such as delayed abortion care, more side effects and higher costs for women.At the same time, between 2000 and 2017, 28 countries around the world modified their abortion laws, and all but one -- Nicaragua -- broadened access to abortion, the report says. Nepal came the furthest of any country, removing its complete ban on abortion in favor of no restrictions on why someone might seek to terminate their pregnancy.Some countries, Sedgh said, "are moving toward liberalizing abortion laws, making it legal under broader ground.""At the same time, in some countries with liberal abortion laws like the US and some former Soviet countries, ideology is making its way into legislation, and more and more restrictions are being imposed."These restrictive policies are "based on this myth that abortion is a complicated procedure or an unsafe procedure," Steinauer said."In fact, it's just the opposite. It is an extremely safe procedure," she said. "It's even safer than a dental extraction." 4358

Laboratories across the U.S. are buckling under a surge of coronavirus tests, creating long processing delays that experts say are undercutting the pandemic response.With the U.S. tally of confirmed infections at nearly 4 million Wednesday and new cases surging, the bottlenecks are creating problems for workers kept off the job while awaiting results, nursing homes struggling to keep the virus out and for the labs themselves as they deal with a crushing workload.Some labs are taking weeks to return COVID-19 results, exacerbating fears that people without symptoms could be spreading the virus if they don’t isolate while they wait.“There’s been this obsession with, ‘How many tests are we doing per day?’” said Dr. Tom Frieden, former director of the Centers for Disease Control and Prevention. “The question is how many tests are being done with results coming back within a day, where the individual tested is promptly isolated and their contacts are promptly warned.”Frieden and other public health experts have called on states to publicly report testing turnaround times, calling it an essential metric to measure progress against the virus.The testing lags in the U.S. come as the number of people confirmed to be infected worldwide passed a staggering 15 million, according to data compiled by Johns Hopkins University. The U.S. leads the world in cases as well as deaths, which have exceeded 142,000.New York, once by far the U.S. leader in infections, has been surpassed by California, though that is partly due to robust testing in a state with more than twice the population of New York.Guidelines issued by the CDC recommend that states lifting virus restrictions have a testing turnaround time of under four days. The agency recently issued new recommendations against retesting most COVID-19 patients to confirm they have recovered.“It’s clogging up the system,” Adm. Brett Giroir, assistant health secretary, told reporters last week.Zachrey Warner knows it all too well.The 30-year-old waiter from Columbus, Ohio, was sent home from work on July 5 with a high fever a few days after he began feeling ill. He went for a test five days later at the request of his employer.Almost two weeks and one missed pay period later, he finally got his answer Wednesday: negative.Though Warner said most symptoms — including fever, diarrhea, chest tightness and body aches — stopped a few days after he was tested, he wasn’t allowed to return to work without the result.It was “frustrating that I’ve missed so much work due to testing taking forever,” Warner said. “It is what it is ... (but) I’m glad I’m negative and happy to be able to get back to work this week.”Beyond the economic hurt the testing lags can cause, they pose major health risks, too.In Florida, which reported 9,785 new cases and a rise in the death toll to nearly 5,500, nursing homes have been under an order to test all employees every two weeks. But long delays for results have some questioning the point.Jay Solomon, CEO of Aviva in Sarasota, a senior community with a nursing home and assisted living facility, said results were taking up to 10 days to come back.“It’s almost like, what are we accomplishing in that time?” Solomon said. “If that person is not quarantined in that 7-10 days, are they spreading without realizing it?”Test results that come back after two or three days are nearly worthless, many health experts say, because by then the window for tracing the person’s contacts to prevent additional infections has essentially closed.“The turnaround times, particularly across the South are too long,” Dr. Deborah Birx of the White House coronavirus task force said on Fox.Birx said the U.S. had shorter turnaround times in April, May and early June, but that “this surge and this degree of cases is so widespread compared to previously,” she said.Dr. Leana Wen, a public health professor at George Washington University said it’s reasonable to tell people awaiting test results to isolate for 24 hours, but the delays have been unacceptable.“Imagine you tell a parent with young children to self-isolate for 10 days or more without knowing they actually have COVID? I mean, that’s ridiculous. That’s actually absurd,” Wen said.U.S. officials have recently called for ramping up screening to include seemingly healthy Americans who may be unknowingly spreading the disease in their communities. But Quest Diagnostics, one of the nation’s largest testing chains, said it can’t keep up with demand and most patients will face waits of a week or longer for results.Quest has urged health care providers to cut down on tests from low-priority individuals, such as those without symptoms or any contact with someone who has tested positive.As testing has expanded, so have mask orders and other measures aimed at keeping infections down. Ohio, Indiana, Minnesota and Oregon became the latest to announce statewide mandatory mask orders Wednesday.The U.S. is testing over 700,000 people per day, up from less than 100,000 in March. Trump administration officials point out that roughly half of U.S. tests are performed on rapid systems that give results in about 15 minutes or in hospitals, which typically process tests in about 24 hours. But last month, that still left some 9 million tests going through laboratories, which have been plagued by limited chemicals, machines and kits to develop COVID-19 tests.There is no scientific consensus on the rate of testing needed to control the virus in the U.S., but experts have recommended for months that the U.S. test at least 1 million to 3 million people daily.Health experts assembled by the Rockefeller Foundation said last week that the U.S. should scale up to testing 30 million Americans per week by the fall, when school reopenings and flu season are expected to further exacerbate the virus’s spread. The group acknowledged that will not be possible with the lab-based testing system.The National Institutes of Health has set up a “shark tank” competition to quickly identify promising rapid tests and has received more than 600 applications. The goal is to have new testing options in mass production by the fall.Until then, the backbone of U.S. testing remains at several hundred labs with high-capacity machines capable of processing thousands of samples per day. Many say they could be processing far more tests if not for global shortages of testing chemicals and other materials.Dr. Bobbi Pritt of the Mayo Clinic in Rochester, Minnesota, says the hospital’s machines are running at just 20% capacity. Lab technicians run seven different COVID-19 testing formats, switching back and forth depending on the availability of supplies.At Emory University Hospital in Atlanta, lab workers lobby testing manufacturers on a weekly basis to provide more kits, chemicals and other materials.“There’s no planning ahead, we just do as many as we can and cross our fingers that we’ll get more,” said Dr. Colleen Kraft, who heads the hospital’s testing lab.___This story has been corrected to show that the CDC has issued guidelines recommending against repeat testing for patients recovering from coronavirus.___Webber reported from Fenton, Michigan, and Sedensky reported from Philadelphia. Associated Press writers Kelli Kennedy in Fort Lauderdale, Florida, Michelle R. Smith in Providence, Rhode Island, and Medical Writer Mike Stobbe in New York contributed to this report.___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. 7624

LAKEWOOD, Colo. — A hospital parking lot isn’t the typical place for a family reunion, but after 69 days in the hospital, it was the perfect place for the Rael family to gather to celebrate the fact that Wanda Vigil is now going home.Wanda spend 69 days at St. Anthony Hospital in Lakewood battling COVID-19 — 42 of them on a ventilator.“She’s a fighter. We were told 20 days in she probably wasn’t going to make it,” brother Alan Rael said.Alan and about two dozen family members gathered in the parking lot of St. Anthony’s on Thursday as Wanda was discharged from the hospital.“It’s a beautiful thing. It’s miraculous,” sister Linda Deborah Sanchez said.Hospital workers lined the lobby in a socially distanced fashion to clap and cheer as Wanda was wheeled out. Her family was waiting outside with signs and hugs.“I am so grateful,” Wanda said.She still has a damaged vocal cord, meaning she can only whisper, and her family acknowledged that she had plenty of recovery still to go.“She still has a journey ahead of her, but she’s alive,” Sanchez said.“My heart is so happy. I’m so happy. My family has been there through thick and thin,” Wanda said.Multiple members of the Rael family were diagnosed with COVID-19, and all recovered. They wanted to send the message that though this day was a happy one, and the vaccine is now being distributed, there are still many people in the hospital fighting the virus.“It’s a serious thing. My sister almost passed away,” Sanchez said. “I ask you please wear masks, stay distanced, wear gloves, wash your hands.”The family says Wanda is most excited to see her grandchildren now that she is out of the hospital and getting to go home — just in time for Christmas.“She’s my big present under the tree,” her sister said through tears. “She’s going home.”This story originally reported by Jason Gruenauer on TheDenverChannel.com. 1881

Lee Keum-seom hasn't held her son in 68 years.The last time she saw him, Sang Chol was four years old, and together with her husband and their daughter, they were headed south, fleeing the fighting during the early days of the Korean War.In the mass of hundreds of thousands of others trying to escape, Lee and her daughter lost sight of her husband and Sang Chol.They continued south, becoming part of the flood of refugees who crossed what became the Demilitarized Zone. Only later did she discover that her husband and son remained on the other side of the divide, in North Korea.They are among the tens of thousands of Koreans whose families were separated by the war.Lee is now one of a small number of people fortunate enough to be chosen for government-run family reunions.On Monday, the first reunion in three years will take place, at North Korea's Mount Kumgang. The reunion is included in the historic accord that was signed by the leaders of the two Koreas in April. Around 57,000 people were eligible to take part. Of those, 0.16 percent, just 89 people, will make the journey. 1098

LINKSFIND YOUR POLLING PLACE TRACK YOUR BALLOT ELECTION GUIDESAN DIEGO (KGTV) -- In the March primary election, election officials in California had to disqualify 102,428 mail-in ballots, or about 1.5 percent.So how do you ensure your vote gets counted?The very first step is to make sure you are registered to vote. Voters in San Diego County can do so at sdvote.com. Californians in other counties should visit vote.ca.gov.The deadline to register is October 19.The second thing you want to do is make a plan for how you will vote, either by mail or in-person.“Our recommendation, particularly with the pandemic, is to vote by mail in this upcoming election,” said San Diego County Registrar of Voters Michael Vu.Because of the pandemic, election officials are sending mail-in ballots to every active, registered voter in California for the first time in state history. As long as you’re registered by October 19, you’ll get one, Vu said.When you’re making your selections, “clearly mark that ballot, similar to when you’re going to a polling place with an ink pen. Black or blue is preferred,” Vu said.Once filled out, seal the ballot in the pre-paid return envelope and sign the back. Seriously. Don’t forget.Missing or mismatched signatures, meaning the signature on the ballot doesn’t match the one on file, are the second most common reason mail ballots get disqualified.The number one reason is that they’re sent back too late. Ballots must be postmarked on or before Election Day, November 3.“Fill it out at your leisure. But send it back with plenty of time just to make sure that it's postmarked on or before Election Day in order to count,” said California Secretary of State Alex Padilla.You can return the ballot to the post office or a mail-ballot drop-off location. There are 126 drop-off locations in San Diego County. You can also drop it off at a polling place.If mail ballots aren’t your thing, you can still vote in-person at the polls. Every polling location will open up to three days early, on October 31.Voters can also cast an in-person ballot at the San Diego County Registrar of Voters office as of October 5. The office is open from 8 a.m. until 5 p.m. Monday through Friday.“If you choose to vote in person. Don't wait for the last day. Go the very first day that voting locations are open,” Secretary Padilla said.If you’re going to the polls in person, make sure to double check the location. Your assigned polling place has probably changed from previous elections.In San Diego County, they’ve gone from 1,548 locations last cycle to just 235, but election workers are bringing in larger venues, like Viejas Arena and the Convention Center.“They’re strategically located. No less than 2,000 square feet in the majority of these locations to allow for physical distancing,” Vu said.Vu said by shrinking the number of polling locations, they’re able to have the polls open for four days rather than one, which he hopes will help spread out voters and mitigate the risk of the virus.For the first time statewide, you can sign up to track your ballot through a new tool called Where’s My Ballot? The system will send text alerts and emails when your ballot is mailed, when election officials receive it, when it’s been counted, and if there are any issues with your ballot that can be corrected, such as a missing signature.“Do a little bit of homework, know the process. Decide how you're going to vote and do it early,” Padilla said.A record 72 percent of California ballots were cast by mail in the March primary, so election officials are used to the process. But they’re still urging voters to have patience for a long count. Registrar Vu said he plans to take the full 30 days to certify the results. 3743

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