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The most common methods for preventing pregnancy, according to a new government report are female sterilization, oral contraception, long-acting reversible contraception such as IUDs and implants, and male condoms.To help understand fertility patterns across demographics, researchers combed through the latest data from the 337
The feel-good story of how Cambodia allowed a cruise ship to dock after it was turned away elsewhere in Asia for fear of spreading a new disease took an unfortunate turn after a passenger later tested positive for the virus.News over the weekend that an 83-year-old American woman who was on the ship and flew from Cambodia to Malaysia was found to be carrying the virus froze further movement of the passengers and crew of the Westerdam. Some are in hotels in Cambodia’s capital, Phnom Penh, while others are still aboard the ship.The American woman was among several hundred passengers who were flown out of Cambodia on Friday and Saturday. According to authorities in Malaysia, 143 continued their flights home from that country, while the woman and her 84-year-old husband, who was diagnosed with pneumonia, remained behind for treatment.The dispersal around the world of passengers from the ship with possible exposure to the new coronavirus has sparked concern.“I think now given that there is a confirmed case that is suspected to have acquired infection on board the ship, the other passengers should be asked to quarantine themselves at home and alert health authorities if they develop fever or respiratory symptoms within the 14 days since disembarkation,” said Professor Benjamin Cowling from the School of Public Health at Hong Kong University.Dr. Gagandeep Kang, executive director of India’s Translational Health Science and Technology Institute, said it is unclear whether the woman’s infection would result in an outbreak in another part of the world. The virus that causes the disease named COVID-19 has been confirmed in about two dozen countries, with most cases concentrated in China, where it emerged in December. “We will have to wait and see,” she said, adding that it would depend on where the woman got the infection, and at what stage of the infection she was in while in contact with other people.The ship’s operator, Holland America Line, said in a statement Monday that Cambodian health officials were on the ship testing the 255 guests and 747 crew who were awaiting clearance, and that guests currently staying at a Phnom Penh hotel had all been tested.“At this time, no other guests or crew on board or at the hotel have reported any symptoms of the illness. Guests who have already returned home will be contacted by their local health department and provided further information,” it said.The statement added that the virus patient had not reported any illness to the Westerdam’s medical center during the cruise. Twenty people who reported illness while on board have tested negative for the virus, it said. The rest of the passengers and crew had health checks that included filling out a written health questionnaire and having their temperatures checked, which has become standard procedure for air and sea passengers considered at risk.Several Westerdam passengers from the United States and elsewhere have already returned home and spoken to the media.Two of the passengers, Joseph Schaeffer and his wife, Paulette, a retired nurse, told the Las Vegas Review-Journal from their home in Henderson, Nevada, that they felt the hue and cry over the released passengers was not totally merited.“It doesn’t seem to me that the whole world should be jumping at this,” Joseph Schaeffer said. “There are more deaths from the flu than there have been from this particular virus,” his wife said.The couple said they were screened on their way home at airports in Phnom Penh and Singapore by thermal scanners that remotely monitor arriving passengers.On arrival in Los Angeles, they said, they were among a large crowd getting screened that included fellow cruise passengers. They said they answered questions gfrom the Centers for Disease Control and Prevention that included whether they felt sick, had visited mainland China or knew anyone who had contracted the virus.Two Canadians who returned via Vancouver International Airport were asked to put on protective face masks on arrival but were not otherwise isolated, Canada’s CBC News reported.“We were asked a few questions and filled out an immigration form, and they very nicely helped us bypass the usual lineups and let us out the door,” said Joseph Hansen, who took the cruise with his wife. “We’re feeling fine.”Hansen, from Surrey, British Columbia, told CBC that he did not hear about the American woman in Malaysia with the virus until he landed in Vancouver on Sunday.“I guess on the one hand it’s upsetting to know that there was one case, but we’re feeling fine,” he said. “We’ve had health scans, temperature scans and we don’t have any concerns for our own health.”Cambodia’s government had originally earned kudos from the head of the U.N.’s World Health Organization and the U.S. ambassador there for allowing the ship to dock at Sihanoukville after it was turned away by Japan, Taiwan, the Philippines, Guam and Thailand.The move was seen as a victory for the image of Cambodia’s authoritarian leader, who welcomed the ship’s passengers with handshakes and flowers. Prime Minister Hun Sen boasted that although Cambodia is a poor country, it “has always joined the international community to solve the problems that the world and our region are facing.” WHO Director-General Tedros Adhanom Ghebreyesus had said he was pleased Cambodia had agreed to accept the Westerdam and described it as an example of the international solidarity advocated by the U.N. health agency.“The one thing I can say is we’re very, very grateful that Cambodia has opened literally its ports and its doors to people in need,” U.S. Ambassador to Cambodia W. Patrick Murphy said Saturday when he took his family to the port to meet passengers. “We think this sends a strong message. We all have to help each other.”In hindsight, however, Cambodia’s handling of the ship’s passengers has been criticized on social media, though it also has gotten some support.According to Cowling, the Hong Kong University professor, it’s a good idea to let passengers leave and monitor them after disembarkation.Since there were no known cases on board the Westerdam at the time passengers left the ship, it was reasonable to allow them to travel home, he said.“I think it would not be appropriate to keep passengers on the ship for 14 days, as it could be a high-risk environment,” Cowling said. “We have seen the consequences of holding passengers on a cruise ship with the Diamond Princess outbreak,” he said, referring to another cruise ship that is quarantined in Yokohama, Japan, with hundreds of cases among the passengers.___Ng reported from Kuala Lumpur, Malaysia, and Peck reported from Bangkok. Associated Press writer Aniruddha Ghosal in New Delhi contributed to this report. 6759

The deaths of an American couple who became ill while vacationing in Fiji late last month are being investigated by health officials on the South Pacific Island, with help from the US Centers for Disease Control and Prevention, authorities said Tuesday.Texas residents David and Michelle Paul arrived in Fiji on May 22, Fiji's Ministry of Health and Medical Services said in a statement. They were on holiday in the country's Western Division."Although they were provided medical treatment as standard of care, their illnesses progressively worsened and despite best efforts, they died within a few days of each other," the statement said.Fiji's Ministry of Health said investigations into the cause of death are ongoing, but added that influenza has been ruled out."And at this stage we do not believe there is any risk to the public. It would be premature to speculate further on the cause of death until the investigation is complete," the ministry of health said."Monitoring of the small number of staff and health workers who came into close contact with the deceased couple was conducted, and as a precaution remains ongoing. All are currently well."Sailasa Misimisi of Zens Medical Centre told CNN that the facility treated the couple."They entered in the morning, complaining of diarrhea and vomiting. They were observed for two or three hours. They were well under physical and medical parameters. Michelle received a saline IV. They wanted to go home. They were released," he said by phone.He confirmed they came back later, but did not provide additional details.David Paul worked for Lockheed Martin as a sustainment group engineer, according to company spokesman Kenneth Ross.The deaths were confirmed by a US State Department official, who said in a statement that American authorities were "closely monitoring" the investigation."CDC has received a request for assistance from the Ministry of Health in Fiji regarding the death of an American couple in Fiji of an unidentified illness," the CDC said in a statement."CDC is working with the government to investigate, including receiving specimens for testing in CDC laboratories. As per protocol, we will share results with the Fiji Ministry of Health when available."Fiji's health ministry said it was also working with the country's police forensics department and the World Health Organization to determine the cause of death. The couple died over the Memorial Day weekend, the Fort Worth Star-Telegram reported. 2492
The Justice Department, responding to a lawsuit by CNN and BuzzFeed, released 295 pages of witness memoranda and notes from FBI interviews released from special counsel Robert Mueller's investigation into Russian election interference, including contacts with Donald Trump's 2016 campaign.The witnesses include: former Trump lawyer Michael Cohen, former Trump 2016 campaign aide Rick Gates, former White House chief of staff John Kelly, former Deputy Attorney General Rod Rosenstein, former Trump adviser Hope Hicks and former campaign aide Corey Lewandowski.Here are highlights from the documents:Rosenstein and Jeff Sessions discussed replacing Comey during presidential transitionRosenstein said in his FBI interview that he had discussed with former Attorney General Jeff Sessions in late 2016 or early 2017 the possibility of replacing FBI Director James Comey. Rosenstein said he thought Comey's public statements on the Hillary Clinton email investigation violated the Justice Department rules and that the FBI needed new leadership.Rosenstein said he even reached out to "a few people" as potential candidates for the job. That search was shelved when Rosenstein heard Trump give public backing to Comey remaining in the post.Rosenstein: 'angry, ashamed, horrified and embarrassed' at handling of Comey firingRosenstein would also tell FBI interviewers that he was "angry, ashamed, horrified and embarrassed," at how the White House handled Comey's firing in May 2017.He said he appointed a special counsel to oversee the Russia investigation not because of a lack of confidence into how the investigation would be handled, but because of a concern about the public perception of the process. He first reached out to Mueller early on May 10, 2017, the day after Comey's firing.Rosenstein said he later learned that Comey had been notified of his firing by email and not, as Rosenstein had assumed it would be handled, either by the President directly or by Sessions or Rosenstein, as direct supervisors to the FBI director.Rosenstein also was surprised when he learned that the White House was portraying the firing as Rosenstein's idea. Rosenstein said that by the evening of May 9, it was clear that White House officials had been telling the story of Comey's firing in a manner "inconsistent with my experience and personal knowledge."Rosenstein said he refused a White House request to attend a press conference on the Comey firing and told the Justice public affairs chief that the Justice Department "cannot participate in putting out a false story."Pence pushed Trump to fire Flynn, Gates saidGates pinned some of the decision to fire national security adviser Michael Flynn on Vice President Mike Pence."Gates said Pence went to Trump about firing Flynn and he thought it was one of the few times Pence pushed Trump hard like that," Mueller's team wrote in the summary of Gates' April 2018 cooperation interview.Investigators also noted that Gates thought Trump and Flynn had had a good relationship, and that Trump didn't want to fire his national security adviser but "felt like he had no choice" after Flynn lied to Pence about his contact with the Russian ambassador.Giuliani wouldn't have recused himself on Russia investigation, Gates saidGates told the special counsel's office -- as they investigated possible obstruction of justice by the President -- that if Rudy Giuliani had been the attorney general, some believed he wouldn't have recused himself from the Russia investigation, which at times targeted Trump's campaign advisers.Trump had wanted Mueller fired at one point, and was irate over Sessions' recusal from overseeing the Mueller investigation, Mueller ultimately found."After the recusal, he recalled conversations where people offered their opinion that had Rudy Giuliani been attorney general, he would not have recused himself. Gates knew Giuliani had been the first choice for attorney general, but turned it down because he wanted to be Secretary of State instead," the FBI summary of the interview with Gates said.Sekulow said it wasn't necessary to elaborate on Trump Tower Moscow talks, Cohen saysTrump's former personal lawyer Michael Cohen told Trump's lawyer Jay Sekulow that there were details about the Trump Tower Moscow discussions that were not included in the statement they were providing Congress, including more communications with Russia and more communications with Donald Trump.But Sekulow told him it was "not necessary to elaborate or include those details because the transaction did not take place.""Sekulow said it did not matter and Cohen should not contradict Trump and that it was time to move on," according to the summary of Cohen's interview. Sekulow assured Cohen that Trump was happy with him and that he would be "protected" but he would not be if he "went rogue."Cohen later pleaded guilty to lying to Congress by withholding contacts he had with the Russian government, the number of communications he had with Trump and their discussions to fly to Moscow in the summer of 2016, months before the election.Cohen also recalled talking to Trump about his call with someone from the Kremlin -- Putin spokesman Dmitry Peskov's assistant -- who he said asked great questions about a possible Trump Tower in Moscow and noted that he wished the Trump Organization had assistants as competent as she was.Manafort made clear Trump and others were behind him, Mueller learnedThe documents detail how much former Trump campaign chairman Paul Manafort was coaxing his aide Gates not to flip, and include several examples where Manafort told Gates what he was supposedly hearing from Trump, Trump's then-personal attorney John Dowd and White House adviser Jared Kushner.At one point, Manafort had apparently been speaking with attorneys and heard Trump say in the room "stay strong," Gates said Manafort had told him.Manafort also said to Gates he had an email of support from Kushner, Trump's son-in-law, Gates told the FBI.Though Gates recounted these messages from Manafort as they both faced indictment, Gates noted to investigators that he was unsure if Manafort's stories were true.The details, which were not previously known, highlight how significant it was for Manafort to have agreed to cooperate, then lie to Mueller, potentially blocking the special counsel from getting to the truth of what happened. Manafort's interview notes from the Mueller investigation are not yet publicly available. Dowd was not interviewed by the special counsel's office. (He was involved in another conversation where he apparently pressed Flynn's lawyers not to flip.)"I talked to Dowd. I've covered you at the White House," Manafort had said to Gates, Mueller learned in April 2018. Manafort also told Gates about two pots of money -- legal defense funds -- including one that Manafort and Gates could benefit from as they fought their charges. Manafort discussed these with Dowd, Gates said."Manafort told Gates it was stupid to plead and that he would get a better deal down the road," the memos state. "Manafort said he had been in touch with Dowd and repeated they should 'sit tight' and 'we'll be taken care of.' Manafort never explicitly mentioned pardons," the FBI wrote about Gates' retelling.Kelly backed up McGahn's testimonyThe document dump sheds new light on what Mueller learned from former White House chief of staff John Kelly, who sat for an interview in August 2018.Investigators quizzed Kelly about Trump's efforts to fire Mueller in June 2017, and his efforts to contain the fallout when The New York Times revealed the unsuccessful attempt in a January 2018 article. The Mueller report determined that there was substantial evidence that both of these episodes constituted obstruction of justice, though Trump could not be charged due to Justice Department policyKelly told investigators about a "tense" conversation in the Oval Office that he witnessed between Trump and then-White House counsel Don McGahn, where Trump asked McGahn to "correct the record" after the Times article came out, but McGahn maintained that there was nothing to fix.After the meeting, McGahn privately told Kelly that he "did have that conversation" with Trump, presumably about firing Mueller. (The memo is heavily redacted but the implication is clear.)Cohen asked about a pardon from TrumpCohen asked Sekulow about the possibility of a pardon some time after his apartment and hotel room were raided by the FBI in April 2018. Cohen noted he had been loyal to the President."Cohen said it was an uncomfortable position to be in and wanted to know what was in it for him," one memo states. 8660
The deaths of an American couple who became ill while vacationing in Fiji late last month are being investigated by health officials on the South Pacific Island, with help from the US Centers for Disease Control and Prevention, authorities said Tuesday.Texas residents David and Michelle Paul arrived in Fiji on May 22, Fiji's Ministry of Health and Medical Services said in a statement. They were on holiday in the country's Western Division."Although they were provided medical treatment as standard of care, their illnesses progressively worsened and despite best efforts, they died within a few days of each other," the statement said.Fiji's Ministry of Health said investigations into the cause of death are ongoing, but added that influenza has been ruled out."And at this stage we do not believe there is any risk to the public. It would be premature to speculate further on the cause of death until the investigation is complete," the ministry of health said."Monitoring of the small number of staff and health workers who came into close contact with the deceased couple was conducted, and as a precaution remains ongoing. All are currently well."Sailasa Misimisi of Zens Medical Centre told CNN that the facility treated the couple."They entered in the morning, complaining of diarrhea and vomiting. They were observed for two or three hours. They were well under physical and medical parameters. Michelle received a saline IV. They wanted to go home. They were released," he said by phone.He confirmed they came back later, but did not provide additional details.David Paul worked for Lockheed Martin as a sustainment group engineer, according to company spokesman Kenneth Ross.The deaths were confirmed by a US State Department official, who said in a statement that American authorities were "closely monitoring" the investigation."CDC has received a request for assistance from the Ministry of Health in Fiji regarding the death of an American couple in Fiji of an unidentified illness," the CDC said in a statement."CDC is working with the government to investigate, including receiving specimens for testing in CDC laboratories. As per protocol, we will share results with the Fiji Ministry of Health when available."Fiji's health ministry said it was also working with the country's police forensics department and the World Health Organization to determine the cause of death. The couple died over the Memorial Day weekend, the Fort Worth Star-Telegram reported. 2492
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