Osaka, Japan — Wider access to abortion in Japan has largely remained elusive a year after the historic approval of medical abortion pills.

In April last year, lawmakers approved the use of the two-step abortion pill — MeFeego Pack — for pregnancies up to nine weeks. Before that, women in the East Asian nation could only receive a surgical abortion in private clinics by designated surgeons that often charge as much as $370.

Financial strain aside, women were often required to provide proof of spousal consent to receive an abortion, making it nearly impossible for them to make the decision on their own. Reports showed that even for single women, doctors still asked for permission of a male partner before agreeing to perform such surgeries.

Despite the approval of the abortion pill, only 3% of all clinics with abortion services in Japan provide them a year after the pill’s approval, according to Kumi Tsukahara, independent researcher of reproductive health and rights, “and none of them have a Maternal Body Protection Law (MBPL) designated doctor,” Tsukahara told VOA News.

Under the MBPL, the controversial requirement for spousal consent before a doctor can prescribe oral abortion medication still exists — it’s the same condition for gaining permission for a surgical abortion.

“Unfortunately, there are no signs of change with regard to either,” the expert said.

In contrast to countries with better abortion access, Japan’s approved abortion pills cannot be administered more than once — sometimes, multiple tries are necessary — and the pregnant women will still need to resort to surgical abortion that involves a serious risk to their health.

Since such surgeries are only allowed in private clinics and are considered profitable by designated doctors, they often charge the same price or higher for abortion pills as for a surgical abortion. Neither measure is covered by Japan’s national health system.

“The high prices and low affordability depending on individual doctors, the inaccurate information given by doctors who cannot use drugs to guide people to conventional surgical procedures, the unjust situation and the state’s failure to respond, and the women are disempowered to have a sense of entitlement on their part,” Tsukahara explained.

Abortion rights activist Kazuko Fukuda, who spearheads a grassroots movement to push for women’s rights to end pregnancies in Japan, echoed the sentiment.

“The abortion rights [in Japan] didn’t improve,” Fukuda told VOA News. “Of course, this [approval of oral abortion] was better than nothing, but conservative politicians went against such pills before the approval. … It’s mandated that women have to stay in hospitals that provide beds until the end of the abortion, but designated private clinics don’t usually have beds.”

Women in Japan are banned from taking abortion pills at home. They must be in hospitals and take the pills in front of the doctors as authorities fear that they might resell them. If violated, these women can be subject to imprisonment for up to a year.

Male-dominated political scene

Abortion is still a big taboo in politics, and real rights improvement will go a long way, Fukuda added.

“News of women being arrested for giving birth alone and abandoning them is still very common — we hear that just a few days ago. … The government should repeal the criminalization of abortion. [Things don’t work] as doctors are still afraid of being sued so they require signatures from boyfriends to prescribe abortion pills.”

Last year, Japan started a study, selling morning-after pills over the counter without prescription. However, the study suffers limited availability in many cities. Girls under 15 are not allowed to purchase them, and those ages 16 to 18 must be accompanied by a parent to buy the pills.

Both experts VOA spoke with say that the information and availability of these contraceptive pills doesn’t appear high in online searches — the usual method for the targeted group to look for contraception.

Japan ranked among the lowest of developed countries in a March report this year by the World Bank in terms of women’s rights.

Currently, women account for less than 10% in Japan’s lower house of parliament and 27% in the upper house. In local politics, only 15% of women are on the front line. The gender pay gap in Japan reached 40%, according to a report from the Organization for Economic Co-operation and Development (OECD).

Women’s issues like abortion access or contraceptive measures are often not viewed as priorities for female politicians.

“In the male-dominated politics, a lot of women have to become more conservative and look strong to be accepted so it’s really hard for women to liberal or supportive in this kind of thing [abortion and contraception in the parliament],” Fukuda said.

Women blamed for low fertility rate

Social stigma connected to abortion remains strong as Japan blames women for its low fertility rate. The country hit a record low number of births last year.

“The Japanese government has attributed the ‘decreasing number [fertility rate] to ‘women who don’t give birth,’ women are made to feel socially guilty for trying to choose not to give birth. Of course, such an issue construction is itself highly biased and misogynistic,” said researcher Tsukahara.

Fukuda said that the government’s support of favorable reproductive policies stops with women who don’t want babies.

“Anything against that [wanting babies] is not supported at all. Many people think that ‘contraception’ is a taboo and even taking [morning after] pills can expose to judgment as a promiscuous woman. It’s not easy for women to talk about it.”
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WASHINGTON — One woman miscarried in the lobby restroom of a Texas emergency room as front desk staff refused to check her in. Another woman learned that her fetus had no heartbeat at a Florida hospital, the day after a security guard turned her away from the facility. And in North Carolina, a woman gave birth in a car after an emergency room couldn’t offer an ultrasound. The baby later died.

Complaints that pregnant women were turned away from U.S. emergency rooms spiked in 2022 after the U.S. Supreme Court overturned Roe v. Wade, federal documents obtained by The Associated Press reveal.

The cases raise alarms about the state of emergency pregnancy care in the U.S., especially in states that enacted strict abortion laws and sparked confusion around the treatment doctors can provide.

“It is shocking, it’s absolutely shocking,” said Amelia Huntsberger, an OB/GYN in Oregon. “It is appalling that someone would show up to an emergency room and not receive care — this is inconceivable.”

It’s happened despite federal mandates that the women be treated.

Federal law requires emergency rooms to treat or stabilize patients who are in active labor and provide a medical transfer to another hospital if they don’t have the staff or resources to treat them. Medical facilities must comply with the law if they accept Medicare funding.

The Supreme Court will hear arguments Wednesday that could weaken those protections. The Biden administration has sued Idaho over its abortion ban, even in medical emergencies, arguing it conflicts with the federal law.

“No woman should be denied the care she needs,” Jennifer Klein, director of the White House Gender Policy Council, said in a statement. “All patients, including women who are experiencing pregnancy-related emergencies, should have access to emergency medical care required under the Emergency Medical Treatment and Labor Act (EMTALA).”

Pregnancy care after Roe

Pregnant patients have “become radioactive to emergency departments” in states with extreme abortion restrictions, said Sara Rosenbaum, a George Washington University health law and policy professor.

“They are so scared of a pregnant patient, that the emergency medicine staff won’t even look. They just want these people gone,” Rosenbaum said.

Consider what happened to a woman who was nine months pregnant and having contractions when she arrived at the Falls Community Hospital in Marlin, Texas, in July 2022, a week after the Supreme Court’s ruling on abortion. The doctor on duty refused to see her.

“The physician came to the triage desk and told the patient that we did not have obstetric services or capabilities,” hospital staff told federal investigators during interviews, according to documents. “The nursing staff informed the physician that we could test her for the presence of amniotic fluid. However, the physician adamantly recommended the patient drive to a Waco hospital.”

Investigators with the Centers for Medicare and Medicaid Services concluded Falls Community Hospital broke the law.

Reached by phone, an administrator at the hospital declined to comment on the incident.

The investigation was one of dozens the AP obtained from a Freedom of Information Act request filed in February 2023 that sought all pregnancy-related EMTALA complaints the previous year. One year after submitting the request, the federal government agreed to release only some complaints and investigative documents filed across just 19 states. The names of patients, doctors and medical staff were redacted from the documents.

Federal investigators looked into just over a dozen pregnancy-related complaints in those states during the months leading up to the U.S. Supreme Court’s pivotal ruling on abortion in 2022. But more than two dozen complaints about emergency pregnancy care were lodged in the months after the decision was unveiled. It is not known how many complaints were filed last year as the records request only asked for 2022 complaints and the information is not publicly available otherwise.

The documents did not detail what happened to the patient turned away from the Falls Community Hospital.

‘She is bleeding a lot’

Other pregnancies ended in catastrophe, the documents show.

At Sacred Heart Emergency Center in Houston, front desk staff refused to check in one woman after her husband asked for help delivering her baby that September. She miscarried in a restroom toilet in the emergency room lobby while her husband called 911 for help.

“She is bleeding a lot and had a miscarriage,” the husband told first responders in his call, which was transcribed from Spanish in federal documents. “I’m here at the hospital but they told us they can’t help us because we are not their client.”

Emergency crews, who arrived 20 minutes later and transferred the woman to a hospital, appeared confused over the staff’s refusal to help the woman, according to 911 call transcripts.

One first responder told federal investigators that when a Sacred Heart Emergency Center staffer was asked about the gestational age of the fetus, the staffer replied: “No, we can’t tell you, she is not our patient. That’s why you are here.”

A manager for Sacred Heart Emergency Center declined to comment. The facility is licensed in Texas as a freestanding emergency room, which means it is not physically connected to a hospital. State law requires those facilities to treat or stabilize patients, a spokesperson for the Texas Health and Human Services agency said in an email to AP.

Sacred Heart Emergency’s website says that it no longer accepts Medicare, a change that was made sometime after the woman miscarried, according to publicly available archives of the center’s website.

Meanwhile, the staff at Person Memorial Hospital in Roxboro, North Carolina, told a pregnant woman, who was complaining of stomach pain, that they would not be able to provide her with an ultrasound. The staff failed to tell her how risky it could be for her to depart without being stabilized, according to federal investigators. While en route to another hospital 45 minutes away, the woman gave birth in a car to a baby who did not survive.

Person Memorial Hospital self-reported the incident. A spokeswoman said the hospital continues to “provide ongoing education for our staff and providers to ensure compliance.”

In Melbourne, Florida, a security guard at Holmes Regional Medical Center refused to let a pregnant woman into the triage area because she had brought a child with her. When the patient came back the next day, medical staff were unable to locate a fetal heartbeat. The center declined to comment on the case.

What’s the penalty?

Emergency rooms are subject to hefty fines when they turn away patients, fail to stabilize them or transfer them to another hospital for treatment. Violations can also put hospitals’ Medicare funding at risk.

But it’s unclear what fines might be imposed on more than a dozen hospitals that the Biden administration says failed to properly treat pregnant patients in 2022.

It can take years for fines to be levied in these cases. The Health and Human Services agency, which enforces the law, declined to share if the hospitals have been referred to the agency’s Office of Inspector General for penalties.

For Huntsberger, the OB/GYN, EMTALA was one of the few ways she felt protected to treat pregnant patients in Idaho, despite the state’s abortion ban. She left Idaho last year to practice in Oregon because of the ban.

The threat of fines or loss of Medicare funding for violating EMTALA is a big deterrent that keeps hospitals from dumping patients, she said. Many couldn’t keep their doors open if they lost Medicare funding.

She has been waiting to see how HHS penalizes two hospitals in Missouri and Kansas that HHS announced last year it was investigating after a pregnant woman, who was in preterm labor at 17 weeks, was denied an abortion.

“A lot of these situations are not reported, but even the ones that are — like the cases out of the Midwest — they’re investigated but nothing really comes of it,” Huntsberger said. “People are just going to keep providing substandard care or not providing care. The only way that changes is things like this.”

President Joe Biden and top U.S. health official Xavier Becerra have both publicly vowed vigilance in enforcing the law.

Even as states have enacted strict abortion laws, the White House has argued that if hospitals receive Medicare funds they must provide stabilizing care, including abortions.

In a statement to the AP, Becerra called it the “nation’s bedrock law protecting Americans’ right to life- and health-saving emergency medical care.”

“And doctors, not politicians, should determine what constitutes emergency care,” he added.

Idaho’s law allows abortion only if the life, not the health, of the mother is at risk. But the state’s attorney general has argued that its abortion ban is “consistent” with federal law, which calls for emergency rooms to protect an unborn child in medical emergencies.

“The Biden administration has no business rewriting federal law to override Idaho’s law and force doctors to perform abortions,” Idaho Attorney General Raúl Labrador said in a statement earlier this year.

Now, the Supreme Court will weigh in. The case could have implications in other states like Arizona, which is reinstating an 1864 law that bans all abortions, with an exception only if the mother’s life is at risk.

EMTALA was initially introduced decades ago because private hospitals would dump patients on county or state hospitals, often because they didn’t have insurance, said Alexa Kolbi-Molinas of the American Civil Liberties Union.

Some hospitals also refused to see pregnant women when they did not have an established relationship with physicians on staff. If the court nullifies or weakens those protections, it could result in more hospitals turning away patients without fear of penalty from the federal government, she said.

“The government knows there’s a problem and is investigating and is doing something about that,” Kolbi-Molinas said. “Without EMTALA, they wouldn’t be able to do that.”
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Geneva — In the wake of a recent outbreak of avian influenza detected in dairy cows and goats in the United States, the World Health Organization is calling on governments to increase their surveillance and to “remain vigilant” regarding the possible spread of this deadly disease to their countries.

Dr. Wenqing Zhang, head of the WHO’s global influenza program, said Friday that investigations are underway to determine the extent and severity of the H5N1 bird flu found in 29 herds in eight U.S. states since March.

“While WHO and its partners are closely monitoring, reviewing, assessing and updating the risk associated with H5N1 and other avian influenza viruses, we call on countries to remain vigilant, rapidly report human infections if any, rapidly share sequences and other data, and reinforce biosecurity measures on animal farms,” said Zhang.

Zhang also told journalists in Geneva that on April 1 a laboratory-confirmed case of avian influenza was found in a man who was working at a dairy cattle farm in Texas.

“The case in Texas is the first case of a human infected by avian influenza by a cow,” she said, noting that he most likely got infected “through the direct contact with cows.”

“Now we see multiple herds of cows affected in an increasing number of U.S. states, which shows a further step of the virus spillover to mammals,” she added, warning that “farm workers and others in close contact with cows should take precautions in case the animals are infected.”

Zhang also noted that so far there has been no detected transmission of the virus from cattle to other mammals, though bird-to-cow, cow-to-cow and cow-to-bird transmission have occurred during the current outbreaks.

“Although a lot is still under investigation, this suggests that the virus may have found … routes of transmission other than what we previously understood,” she said. “While this sounds concerning, it is also a testament to strong disease surveillance which allows us to detect the virus.”

Avian influenza A(H5N1) first emerged in 1996. In 2020, the virus spread into Africa, Asia, and Europe and then in 2022, it crossed into North and South America.

“In recent years, we see the virus spillover to mammals,” Zhang said, noting that the U.S. Department of Agriculture has detected infections in “around 200 mammals.”

Human infections of avian flu are rare and tied to exposure to infected animals and environments. The WHO reports nearly 900 cases have been detected since 2003. About half of those infected with the disease reportedly have died.

In the early years, most cases were found in Asia and Southeast Asia. WHO reports the relatively few U.S. and European cases reported to the agency over the past two years have been mild.

Zhang said the virus in dairy cows currently circulating in the United States also has been detected in milk from infected animals.

“We also received reports that there is very high virus concentration in raw milks. But exactly how long the virus will be able to survive in the milks remains under investigation.

“So, we recommend that people really should consume pasteurized milk and milk products,” she said, adding that this recommendation applies to people “in the whole world.”

Nearly 20 vaccines are currently licensed for pandemic use for influenza. Zhang said two “candidate vaccine viruses” are available that can respond to bird flu outbreaks in dairy cows and other animals in the United States.

“Having candidate vaccine viruses really allows us to be prepared to quickly produce vaccines for humans, if this becomes necessary,” she said, adding that at least four antiviral medications, including oseltamivir, widely marketed as Tamiflu, are available to treat people who may become sick with bird flu.
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A gold mine in Zimbabwe has turned its former dumpsite into a solar station, generating all the energy it needs for operations at the mine and releasing excess energy into the national grid. Located in Zimbabwe’s southwestern Bubi district, some 500 kilometers from the capital, the project has drawn praise from environmentalists. Columbus Mavhunga has more.
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LONDON — Patients in the U.K. and European Union are facing shortages of vital medicines such as antibiotics and epilepsy medication, research published Thursday found.

The report by Britain’s Nuffield Trust think-tank found the situation had become a “new normal” in the U.K. and was “also having a serious impact in EU countries.”

Mark Dayan, Brexit program lead at the Nuffield Trust think tank, said Britain’s decision to leave the European Union had not caused U.K. supply problems but had exacerbated them.

“We know many of the problems are global and relate to fragile chains of imports from Asia, squeezed by COVID-19 shutdowns, inflation and global instability,” he said.

“But exiting the EU has left the U.K. with several additional problems -– products no longer flow as smoothly across the borders with the EU, and in the long term our struggles to approve as many medicines might mean we have fewer alternatives available,” he said.

Researchers also warned that being outside the EU might mean Britain is unable to benefit from EU measures taken to tackle shortages, such as bringing drug manufacturing back to Europe.

It said that this included the EU’s Critical Medicines Alliance which it launched in early 2024.

Analysis of freedom of information requests and public data on drug shortages showed the number of notifications from drug companies warning of impending shortages in the UK had more than doubled in three years.

Some 1,634 alerts were issued in 2023, up from 648 in 2020, according to the report, The Future for Health After Brexit.

Paul Rees, chief executive of the National Pharmacy Association (NPA), said medicine shortages had become “commonplace,” adding that this was “totally unacceptable” in any modern health system.

“Supply shortages are a real and present danger to those patients who rely on life-saving medicines for their well-being,” he said.

A Department of Health and Social Care spokesperson said the U.K. was not alone in facing medical supply issues.

It said most cases of shortages had been “swiftly managed with minimal disruption to patients.” 
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Washington — China is bolstering its space capabilities and is using its civilian program to mask its military objectives, the head of the U.S. space agency said Wednesday, warning that Washington must remain vigilant.

“China has made extraordinary strides especially in the last 10 years, but they are very, very secretive,” NASA administrator Bill Nelson told lawmakers on Capitol Hill.

“We believe that a lot of their so-called civilian space program is a military program. And I think, in effect, we are in a race,” Nelson said.

He said he hoped Beijing would “come to its senses and understand that civilian space is for peaceful uses,” but added: “We have not seen that demonstrated by China.”

Nelson’s comment came as he testified before the House Appropriations Committee on NASA’s budget for fiscal 2025.

He said the United States should land on the moon again before China does, as both nations pursue lunar missions, but he expressed concern that were Beijing to arrive first, it could say: “‘OK, this is our territory, you stay out.'”

The United States is planning to put astronauts back on the moon in 2026 with its Artemis 3 mission. China says it hopes to send humans to the moon by 2030.

Nelson said he was confident the United States would not lose its “global edge” in space exploration.

“But you got to be realistic,” he said. “China has really thrown a lot of money at it and they’ve got a lot of room in their budget to grow. I think that we just better not let down our guard.”
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Goma — In the eastern Democratic Republic of Congo, specifically in the Beni and Butembo region, parents are finding it hard getting vaccines for their children. Health care providers report that vaccines have been in short supply for several months, leaving thousands of children unvaccinated. Parents worried about their children’s health are calling on authorities to quickly resolve the situation.

In the town of Butembo, vaccination programs have come to a stop. The head nurse of the Makasi health area, Kambale Wangahikya, confirms the absence of vaccines in certain areas of North Kivu province.

He said they’re missing several vaccines, such as the one that fights pneumonia and helps children fight coughs, and also the vaccine that fights meningitis and mumps. He said that all children born and unborn are therefore still at risk.

This situation creates frustrations for breastfeeding women. One mother, Kasoki, is worried because her infant son has not yet received the BCG vaccine against tuberculosis.

She said she has a 4-month-old baby, but he’s having trouble getting BCG and other vaccines. She went to the hospital four times and couldn’t find anything. The doctors gave her several appointments but when she arrived, she could hardly find anything. She’s worried that her baby will catch serious diseases.

Another mother, Stephanie’s, said she made several trips to health facilities to have her child vaccinated. It was only last week, she said, that her son received his first dose of any vaccine. She told us about the fear she felt.

She said she felt very bad because the vaccine she had been looking for a long time was very important for her child, because if he didn’t get it, he would be exposed to disabilities and diseases when he grew up. She said that the health authorities should force themselves to bring in the vaccines, because this shortage could cause problems for the children later on.

Kasoki Defrose, a nurse at Beni’s university clinic, said that not vaccinating children has consequences for the physical health of newborns. She said that local authorities are working hard to respond to this shortage.

She said that if children aren’t vaccinated against polio, for example, they risk becoming weak and their muscles won’t be strengthened. She said the authorities intend to respond to the shortage soon.

According to officials from the Beni health zone, which oversees dozens of hospitals in the region, over 1,000 children are waiting to be vaccinated in several towns in the Beni and Butembo region.
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The Biden Administration has launched a new effort to tackle the drug overdose epidemic in the United States, which in 2022 took more than 100,000 lives, according to the U.S. Centers for Disease Control and Prevention. But as VOA’s Veronica Balderas Iglesias reports, some critics say there are some gaps in the government’s strategy to save lives.
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GENEVA — Decades of progress in sexual and reproductive health are being rolled back with the poorest, most vulnerable members of society at greatest risk of losing out on lifesaving services, according to the 2024 State of World Population report.  

The report, issued Wednesday by the U.N. Population Fund, UNFPA, says, “The data are damning.”  

“Women and girls who are poor, belong to ethnic, racial and indigenous minority groups, or are trapped in conflict settings, are more likely to die because they lack access to timely health care.”  

Thirty years ago, 179 governments that attended the International Conference on Population and Development in Cairo pledged that they would place sexual and reproductive health at the core of sustainable development, to empower women and girls, and achieve gender equality.  

“There was a moment in Cairo when humanity came together in agreement that women should not die while giving life. And this is a worthy pursuit,” Dr. Natalia Kanem, UNFPA executive director, told journalists in Geneva on Monday, in advance of the report’s publication.  

Unfortunately, she said, the promise of Cairo is not being met. Women are still being left behind. That, she added, is happening after a generation of notable achievement in reducing the rate of unintended pregnancy, in lowering maternal deaths by one-third, and in securing laws against domestic violence in more than 160 countries.  

“In the report, we show that inequalities are widening, human reproduction is being politicized. The rights of women, girls and gender-diverse people are the subject of increasing pushback … progress is slowing and by many measures it has stalled completely,” she said.  

“Annual reductions in maternal deaths have flatlined. Since 2016, the world made zero progress in saving women from preventable deaths in pregnancy and childbirth,” she said, noting that 800 women die every day giving birth.  

Instead of being empowered, she said women continue to be repressed and denied their rights. “One woman in four cannot make her own health care decisions, one woman in four cannot say no to sex, and nearly one in 10 are unable to make their own choices about whether or not to use contraception,” she said.  

The report finds racism, sexism, and other forms of discrimination are blocking women’s and girls’ access to sexual and reproductive health and that those living in poor, developing countries are far more likely to die from a lack of services than are women and girls in richer countries.  

The report says African women are most at risk. It says an African woman who experiences pregnancy and childbirth complications is around 130 times more likely to die from them than a woman in Europe or North America.  

It says nearly 500 deaths a day, more than half of all preventable maternal deaths, occur in countries with humanitarian crises and conflicts.  

The report notes that women of African descent across the Americas are more likely to die in childbirth than white women, noting, “In the United States, the rate is three times higher than the national average.”  

Kanem says the data show that “inequalities are killing women,” adding they are dying because “health systems today are weak, tainted by gender inequality, by racial discrimination, and by misinformation.”  

For example, she notes that midwives are undervalued, underpaid and under-supported in male-dominated health systems “even though increasing midwifery coverage could avert more than 40 percent of maternal deaths.”  

“We also see that women of African descent experience higher rates of mistreatment and neglect by health providers. Indigenous women are routinely denied culturally appropriate maternal health care.  

“As a result, these groups are much more likely and, in some places, six times more likely to die in pregnancy or childbirth,” she said.  

Nowhere in the 168-page report does the word “abortion” appear in the text. Kanem explains that as a U.N. entity, UNFPA does not take a position on member state policies and complies with whatever national governments determine “about that procedure.”  

However, she noted that UNFPA believes that, “Where legal in countries it should be safe and accessible and where not legal, it should be clear that post-abortion services, typically presenting as hemorrhage and bleeding, must be available, no matter the legal status. 

“In my mind, it is clear that unsafe abortion, the result of not having contraception … is a leading cause of this stubborn maternal death globally,” indicating that deaths from unsafe abortions are likely to be higher than the data suggest.  

“Often the physician is not going to put ‘unsafe abortion’ on the death certificate. You will see hemorrhage or some other concomitant cause,” she said.  

The report shows that investing in sexual and reproductive health benefits everyone and would contribute trillions of dollars to the global economy.  

Authors of the report say that spending an additional $79 billion in low- and middle-income countries by 2030 “would avert 400 million unplanned pregnancies, save one million lives and generate $660 billion in economic benefits.”
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WARSAW — Thousands of Polish opponents of abortion marched Sunday in Warsaw to protest recent steps by the new government to liberalize the predominantly Catholic nation’s strict laws and allow termination of pregnancy until the 12th week.

Many participants in the downtown march were pushing prams with children, while others were carrying white-and-red national flags or posters representing a fetus in the womb.

Poland’s Catholic Church has called for Sunday to be a day of prayer “in defense of conceived life” and has supported the march, organized by an anti-abortion movement.

“In the face of promotion of abortion in recent months, the march will be a rare occasion to show our support for the protection of human life from conception to natural death,” a federation of anti-abortion movements said in a statement.

They were referring to an ongoing public debate surrounding the steps that the 4-month-old government of Prime Minster Donald Tusk is taking to relax the strict law brought in by its conservative predecessor.

Last week, Poland’s parliament, which is dominated by the liberal and pro-European Union ruling coalition voted to approve further detailed work on four proposals to lift the near ban on abortions.

The procedure, which could take weeks or even months, is expected to be eventually rejected by conservative President Andrzej Duda, whose term runs for another year.

Last month Duda vetoed a draft law that would have made the morning-after pill available over the counter from the age of 15.

A nation of some 38 million, Poland is seeking ways to boost the birth rate, which is currently at 1.2 per woman — among the lowest in the European Union. Poland’s society is aging and shrinking, facts that the previous right-wing government used among its arguments for toughening the abortion law.

Currently, abortions are only allowed in cases of rape or incest or if the woman’s life or health is at risk. According to the Health Ministry, 161 abortions were performed in Polish hospitals in 2022. However, abortion advocates estimate that some 120,000 women in Poland have abortions each year, mostly by secretly obtaining pills from abroad.

Women attempting to abort themselves are not penalized, but anyone assisting them can face up to three years in prison. Reproductive rights advocates say the result is that doctors turn women away even in permitted cases for fear of legal consequences for themselves.

One of the four proposals being processed in parliament would decriminalize assisting a woman to have an abortion. Another one, put forward by a party whose leaders are openly Catholic, would keep a ban in most cases but would allow abortions in cases of fetal defects — a right that was eliminated by a 2020 court ruling. The two others aim to permit abortion through the 12th week.
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MEXICO CITY — A report released by the Mexican government Friday says the country is facing a dire shortage of fentanyl for medical use, even as Mexican cartels pump out tons of the illicit narcotic.

The paradox was reported in a study by Mexico’s National Commission on Mental Health and Addictions. The study did not give a reason for the shortage of the synthetic opioid, which is needed for anesthesia in hospitals, but claimed it was a worldwide problem.

The commission said fentanyl had to be imported, and that imports fell by more than 50% between 2022 and 2023.

Nonetheless, Mexican cartels appear to be having no problem importing tons of precursor chemicals and making their own fentanyl, which they smuggle into the United States. The report says Mexican seizures of illicit fentanyl rose 1.24 tons in 2020 to 1.85 tons in 2023.

Some of that is now spilling back across the border, with an increase in illicit fentanyl addiction reported in some Mexican border regions — a problem Mexico paradoxically blamed on the United States.

“Despite the limitations of availability in pharmaceutical fentanyl in our country, the excessive use of opiates in recent decades in the United States has had important repercussions on consumption and supply in Mexico,” the report states.

The report said that requests for addiction treatment in Mexico increased from 72 cases in 2020, to 430 cases in 2023. That sounds like a tiny number compared to the estimated 70,000 annual overdose deaths in the United States in recent years related to synthetic opioids. But in fact, the Mexican government does very little to offer addiction treatment, so the numbers probably don’t reflect the real scope of the problem.

The shortage of medical anesthetic drugs has caused some real problems in Mexico.

Local problems with the availability of morphine and fentanyl have led anesthesiologists to acquire their own supplies, carry the vials around with them, and administer multiple doses from a single vial to conserve their supply.

In 2022, anesthetics contaminated by those practices caused a meningitis outbreak in the northern state of Durango that killed about three dozen people, many of whom were pregnant women given epidurals. Several Americans died because of a similar outbreak after having surgery at clinics in the Mexican border city of Matamoros in 2023.

The response by the administration of President Andrés Manuel López Obrador to those twin problems — not enough legal fentanyl, and too much of the illicit stuff — has been contradictory.

In 2023, López Obrador briefly proposed banning fentanyl even for medical use but has not mentioned that idea lately after it drew a wave of criticism from doctors.

Meanwhile, the president has steadfastly denied that Mexican cartels produce the drug, despite overwhelming evidence that they import precursor chemicals from Asia and carry out the chemical processes to make fentanyl. López Obrador claims they only press the drug into pill form.
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Islamabad — The recent detection of poliovirus in sewage water samples collected across 30 districts in Pakistan has reignited concerns about a potential surge in polio cases.

Among those deeply troubled is Musal Khan, a polio survivor who navigates life in a wheelchair. Having represented Pakistan in wheelchair cricket at the global level, Musal Khan doesn’t want others to endure the same hardships he has faced.

Reflecting on his own experience, Khan, who contracted polio at age 2, told VOA, “My father didn’t permit polio vaccination for me, leading to a lifetime confined to a wheelchair.”

Khan urges all parents to give polio drops to their children and protect them from lifelong disabilities.

His father, Awal Khan, carries a heavy burden of guilt for his son’s condition. He joins Musal in urging parents not to obstruct polio workers and health officials from administering the vaccine to their children.

Polio, a highly contagious viral illness primarily affecting children under 5, spreads through feces, oral transmission or contaminated food and water. While incurable, it can be prevented through vaccination. Health experts warn that the poliovirus is a persistent presence in Pakistan, particularly in urban centers such as Karachi, Quetta and Peshawar.

Plan to eradicate polio

Shahzad Baig, the coordinator of the National Emergency Operations Center, has outlined Pakistan’s goal of eradicating imported strains of the poliovirus, particularly those originating from neighboring Afghanistan, by the end of 2024.

To achieve this, he announced the implementation of eight comprehensive polio vaccination campaigns scheduled throughout the year.

Despite concerted efforts, the recent emergence of two polio cases in Chaman and Dera Bugti underscored the challenges facing Pakistan. Moreover, alarming findings from the analysis of more than 83 sewage water samples collected across 30 districts have revealed the presence of the virus.

Baig emphasized the importance of vaccination efforts considering these findings. He noted that even in areas where polio drops are administered, children remain susceptible to the virus due to deficiencies in the drainage infrastructure. Broken sewer lines contribute to the contamination of drinking water sources, facilitating the transmission of polio.

Baig stressed the urgent need for comprehensive measures to address not only vaccination coverage but also the improvement of sanitation infrastructure to prevent the spread of poliovirus.

This story originated in VOA’s Urdu Service.
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The U.S. military says large groups of drones and ground robots can be managed by just one person without added stress to the operator. As VOA’s Julie Taboh reports, the technologies may be beneficial for civilian uses, too. VOA footage by Adam Greenbaum.
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Reproductive rights are again at the forefront of the U.S. presidential campaign, as Republican candidate Donald Trump distances himself from an Arizona Supreme Court decision to ban most abortions in the state. VOA’s Scott Stearns has the story.
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FORT LAUDERDALE, Fla. — South Florida researchers trying to prevent predatory fish from devouring laboratory-grown coral are grasping at biodegradable straws in an effort to restore what some call the rainforest of the sea.

Scientists around the world have been working for years to address the decline of coral reef populations. Just last summer, reef rescue groups in South Florida and the Florida Keys were trying to save coral from rising ocean temperatures. Besides working to keep existing coral alive, researchers have also been growing new coral in labs and then placing them in the ocean.

But protecting the underwater ecosystem that maintains more than 25% of all marine species is not easy. Even more challenging is making sure that coral grown in a laboratory and placed into the ocean doesn’t become expensive fish food.

Marine researcher Kyle Pisano said one problem is that predators like parrot fish attempt to bite and destroy the newly transplanted coral in areas like South Florida, leaving them with less than a 40% survival rate. With projects calling for thousands of coral to be planted over the next year and tens of thousands of coral to be planted over the next decade, the losses add up when coral pieces can cost more than $100 each.

Pisano and his partner, Kirk Dotson, have developed the Coral Fort, claiming the small biodegradable cage that’s made in part with drinking straws boosts the survival rate of transplanted coral to over 90%.

“Parrot fish on the reef really, really enjoy biting a newly transplanted coral,” Pisano said. “They treat it kind of like popcorn.”

Fortunately the fish eventually lose interest in the coral as it matures, but scientists need to protect the coral in the meantime. Stainless steel and PVC pipe barriers have been set up around transplanted coral in the past, but those barriers needed to be cleaned of algae growth and eventually removed.

Pisano had the idea of creating a protective barrier that would eventually dissolve, eliminating the need to maintain or remove it. He began conducting offshore experiments with biodegradable coral cages as part of a master’s degree program at Nova Southeastern University. He used a substance called polyhydroxyalkanoate, a biopolymer derived from the fermentation of canola oil. PHA biodegrades in ocean, leaving only water and carbon dioxide. His findings were published last year.

The coral cage consists of a limestone disc surrounded by eight vertical phade brand drinking straws, made by Atlanta-based WinCup Inc. The device doesn’t have a top, Pisano said, because the juvenile coral needs sunlight and the parrot fish don’t generally want to position themselves facing downward to eat.

Dotson, a retired aerospace engineer, met Pisano through his professor at Nova Southeastern, and the two formed Reef Fortify Inc. to further develop and market the patent-pending Coral Fort. The first batch of cages were priced at $12 each, but Pisano and Dotson believe that could change as production scales up.

Early prototypes of the cage made from phade’s standard drinking straws were able to protect the coral for about two months before dissolving in the ocean, but that wasn’t quite long enough to outlast the interest of parrot fish. When Pisano and Dotson reached out to phade for help, the company assured them that it could make virtually any custom shape from its biodegradable PHA material.

“But it’s turning out that the boba straws, straight out of the box, work just fine,” Dotson said.

Boba straws are wider and thicker than normal drinking straws. They’re used for a tea-based drink that includes tapioca balls at the bottom of the cup. For Pisano and Dotson, that extra thickness means the straws last just long enough to protect the growing coral before harmlessly disappearing.

Reef Fortify is hoping to work with reef restoration projects all over the world. The Coral Forts already already being used by researchers at Nova Southeastern and the University of Miami, as well as Hawaii’s Division of Aquatic Resources.

Rich Karp, a coral researcher at the University of Miami, said they’ve been using the Coral Forts for about a month. He pointed out that doing any work underwater takes a great deal of time and effort, so having a protective cage that dissolves when it’s no longer needed basically cuts their work in half.

“Simply caging corals and then removing the cages later, that’s two times the amount of work, two times the amount of bottom time,” Karp said. “And it’s not really scalable.”

Experts say coral reefs are a significant part of the oceanic ecosystem. They occupy less than 1% of the ocean worldwide but provide food and shelter to nearly 25 percent of sea life. Coral reefs also help to protect humans and their homes along the coastline from storm surges during hurricanes.
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