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WHO Says Global Monkeypox Cases Down 20%

The World Health Organization (WHO) said Thursday the number of new monkeypox cases fell 20% globally last week, but new cases increased in the Americas and said there is still “intense transmission” of the disease.

At a news briefing at agency headquarters in Geneva, WHO Director-General Tedros Adhanom Ghebreyesus said there are signs the monkeypox outbreak is slowing in Europe, which he credited to a combination of effective public health measures, changes in behavior and vaccination.

But the WHO chief said the opposite is true in the Americas, particularly in Latin America, where insufficient awareness or public health measures are combining with a lack of access to vaccines to “fan the flames of the monkeypox outbreak.”

Tedros said in the early stages of the monkeypox outbreak, most reported cases were in Europe, with a smaller proportion in the Americas. He said, “That has now reversed, with less than 40% of reported cases in Europe and 60% in the Americas.”

The WHO chief said Danish drug maker Bavarian Nordic signed an agreement Wednesday with WHO affiliate the Pan-American Health Organization to support access to its vaccine in Latin America and the Caribbean.

Tedros also noted that this week, globally, the world crossed another tragic milestone, with 1 million reported COVID-19 deaths in 2022.

He said, “We can’t say we are learning to live with COVID-19 when 1 million people have died with COVID-19 this year alone, when we have all the tools necessary to prevent these deaths.”

The WHO director-general, once again, asked “all governments to strengthen their efforts to vaccinate all health workers, older people and others at the highest risk, on the way to 70% vaccine coverage for the whole population.”

Some information for this report came from Reuters and Agence France-Presse.

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North Korea Sees Suspected COVID-19 Cases After Victory Claim

North Korea on Thursday said it found four new fever cases in its border region with China that may have been caused by coronavirus infections, two weeks after leader Kim Jong Un declared a widely disputed victory over COVID-19.

North Korea’s state-run Korean Central News Agency said health workers were conducting genetic tests on the samples taken from four people in Ryanggang province who exhibited fevers to confirm whether they were caused by the “malignant epidemic.” The North often uses that term, along with “malignant virus,” to describe COVID-19 and the coronavirus.

Authorities immediately locked down the areas where the fever cases emerged and plan to maintain tight restrictions and quarantines until health workers determine the cause of the illness.

KCNA said health authorities were giving extra attention to the cases because none of the four patients had a history of coronavirus infections.

The country’s emergency anti-virus headquarters dispatched “talented epidemiological, virology and test experts to the area” and is taking steps to “trace all persons … connected with the suspect cases, and persons going to and from the relevant area and keep them under strict medical observation,” KCNA said.

North Korea said there have been no confirmed COVID-19 cases in any part of the country since Aug. 10 when Kim declared victory over the virus, just three months after the country acknowledged an outbreak.

Even as he ordered preventive measures eased, Kim called for vigilance and the maintaining of tight border controls to prevent the virus from reentering the country. Ryanggang province is one of the border areas where North Korean officials for years struggled to clamp down smuggling activities with China.

An official from South Korea’s Unification Ministry, which handles inter-Korean affairs, said Seoul isn’t ruling out the possibility that the virus could reemerge in the North.

“North Korea may additionally report on the situation, including whether the fevers were confirmed as COVID-19, and we would need to wait for that before making judgments,” said the official, who spoke on condition of anonymity during a background briefing.

While Kim claimed that the country’s success against the virus would be recognized as a global health miracle, experts believe the North has manipulated disclosures on its outbreak to help him maintain absolute control. The victory statement signals Kim’s aim to move to other priorities, including a possible nuclear test, experts say.

After admitting to an omicron outbreak of the virus in May, North Korea reported about 4.8 million “fever cases” across its mostly unvaccinated population of 26 million but only identified a fraction of them as COVID-19. It claimed just 74 people have died, which experts see as an abnormally small number considering the country’s lack of public health tools.

Kim’s declaration of victory over COVID-19 during a national meeting in Pyongyang was followed by a combative speech from his powerful sister, who said Kim had suffered a fever himself while steering the anti-virus campaign and laid dubious blame against South Korea while vowing deadly retaliation.

North Korea claims that its initial infections were caused by anti-Pyongyang propaganda leaflets and other items carried across the border by balloons launched by South Korean activists, a claim the South has described as “ridiculous” and unscientific.

Outside experts believe it’s more likely that the virus spread when the North briefly reopened its border with China to freight traffic in January and surged further following a military parade and other large-scale events in its capital, Pyongyang, in April.

There are concerns that the threats by Kim’s sister portend a provocation, possibly a nuclear or missile test or even border skirmishes.

Some experts say the North may try to stir up tensions as South Korea and the United States hold their biggest combined military training in years to counter the growing North Korean nuclear threat. The Ulchi Freedom Shield exercise, which involves aircraft, tanks and warships, continues in South Korea through Sept. 1.

Diplomacy between Washington and Pyongyang to defuse the nuclear standoff has stalled since 2019 over disagreements in exchanging crippling U.S.-led sanctions against the North for the North’s denuclearization steps.

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US Judge Blocks Idaho Abortion Ban in Emergencies

A federal judge on Wednesday blocked Idaho from enforcing an abortion ban when women with pregnancy complications require emergency care, a day after a judge in Texas ruled against President Joe Biden’s administration on the same issue. 

The conflicting rulings came in two of the first lawsuits over the Democratic administration’s attempts to ease abortion access after the conservative majority U.S. Supreme Court in June overturned the 1973 Roe v. Wade decision that legalized the procedure nationwide. 

Legal experts said the two state rulings, if upheld on appeal, could force the Supreme Court to wade back into the debate. 

About half of all U.S. states have or are expected to seek to ban or curtail abortions following Roe’s reversal. Those states include Idaho and Texas, which like 11 others adopted “trigger” laws banning abortion upon such a decision. 

Abortion is already illegal in Texas under a separate, nearly century-old abortion ban that recently took effect after the U.S. Supreme Court’s decision. Idaho’s trigger ban takes effect on Thursday, the same day as those in Texas and Tennessee. 

In Idaho, U.S. District Judge B. Lynn Winmill agreed with the U.S. Justice Department that the abortion ban taking effect Thursday conflicts with a federal law that ensures patients can receive emergency “stabilizing care” at hospitals. 

Threat to patients cited

Winmill, an appointee of former Democratic President Bill Clinton, issued a preliminary injunction blocking Idaho from enforcing its ban to the extent it conflicts with federal law, citing the threat to patients. 

“One cannot imagine the anxiety and fear she will experience if her doctors feel hobbled by an Idaho law that does not allow them to provide the medical care necessary to preserve her health and life,” Winmill wrote. “From that vantage point, the public interest clearly favors the issuance of a preliminary injunction.” 

The Justice Department has said the federal Emergency Medical Treatment and Labor Act requires abortion care in emergency situations. 

Winmill’s decision came after a late-night Tuesday ruling in Texas by U.S. District Judge James Wesley Hendrix holding the U.S. Department of Health and Human Services under Biden went too far by issuing guidance holding the same federal law guaranteed abortion care. 

Hendrix agreed with Texas Attorney General Ken Paxton, a Republican, that the guidance issued in July “discards the requirement to consider the welfare of unborn children when determining how to stabilize a pregnant woman.” 

Hendrix, an appointee of former Republican President Donald Trump, said the federal statute was silent as to what a doctor should do when there is a conflict between the health of the mother and the unborn child and that Texas’s law “fills that void.” 

He issued an injunction barring the federal government from enforcing HHS’s guidance in Texas and against two groups of anti-abortion doctors who also challenged it, saying the Idaho case showed a risk the Biden administration might try to enforce it. 

Hendrix declined, though, to issue a nationwide injunction as Paxton wanted, saying the “circumstances counsel in favor of a tailored, specific injunction.” 

Appellate courts

Appeals are expected in both cases and would be heard by separate appeals courts, one based in San Francisco with a reputation for leaning liberal and another in New Orleans known for conservative rulings. 

Greer Donley, an assistant professor at the University of Pittsburgh Law School and expert on abortion law, said should those appeals courts uphold this week’s dueling rulings, the U.S. Supreme Court may feel pressured to intervene and clarify the law. 

“Without a federal right to abortion, this is the type of legal chaos that most people were predicting would be happening,” she said. 

Shannon Selden, a lawyer at Debevoise & Plimpton who represents several medical associations supporting the Justice Department’s Idaho case, said “there’s a huge cloud over physicians’ ability to provide stabilizing care for patients who need it.” 

“The Justice Department is trying lift that cloud through its Idaho action, and the Texas court has made that cloud darker,” she said.

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CDC Drops Quarantine, Screening Recommendations for COVID-19

The nation’s top public health agency on Thursday relaxed its COVID-19 guidelines, dropping the recommendation that Americans quarantine themselves if they come into close contact with an infected person.

The Centers for Disease Control and Prevention also said people no longer need to stay at least 6 feet away from others.

The changes are driven by a recognition that — more than 2 1/2 years since the start of the pandemic — an estimated 95% of Americans 16 and older have acquired some level of immunity, either from being vaccinated or infected, agency officials said.

“The current conditions of this pandemic are very different from those of the last two years,” said the CDC’s Greta Massetti, an author of the guidelines.

The CDC recommendations apply to everyone in the U.S., but the changes could be particularly important for schools, which resume classes this month in many parts of the country.

Perhaps the biggest education-related change is the end of the recommendation that schools do routine daily testing, although that practice can be reinstated in certain situations during a surge in infections, officials said.

The CDC also dropped a “test-to-stay” recommendation, which said students exposed to COVID-19 could regularly test — instead of quarantining at home — to keep attending school. With no quarantine recommendation anymore, the testing option disappeared too.

Masks continue to be recommended only in areas where community transmission is deemed high, or if a person is considered at high risk of severe illness.

School districts across the U.S. have been scaling back their COVID-19 precautions in recent weeks even before the CDC relaxed its guidance.

Masks will be optional in most school districts when classes resume this fall, and some of the nation’s largest districts have dialed back or eliminated COVID-19 testing requirements.

Some have also been moving away from test-to-stay programs that became unmanageable during surges of the omicron variant last school year. With so many new infections among students and staff, many schools struggled to track and test their close contacts, leading to a temporary return to remote classes in some places.

The average numbers of reported COVID-19 cases and deaths have been relatively flat this summer, at about 100,000 cases a day and 300 to 400 deaths.

The CDC previously said that if people who are not up to date on their COVID-19 vaccinations come into close contact with a person who tests positive, they should stay home for at least five days. Now the agency says quarantining at home is not necessary, but it urges those people to wear a high-quality mask for 10 days and get tested after five.

The agency continues to say that people who test positive should isolate from others for at least five days, regardless of whether they were vaccinated. CDC officials advise that people can end isolation if they are fever-free for 24 hours without the use of medication and they are without symptoms or the symptoms are improving.

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Nebraska Woman Charged With Helping Daughter Have Abortion

A Nebraska woman has been charged with helping her teenage daughter end her pregnancy at about 24 weeks after investigators obtained Facebook messages in which the two discussed using medication to induce an abortion and plans to burn the fetus afterward.

The prosecutor handling the case said it’s the first time he has charged anyone for illegally performing an abortion after 20 weeks, a restriction that was passed in 2010. Before the U.S. Supreme Court overturned Roe v. Wade in June, states weren’t allowed to enforce abortion bans until the point at which a fetus is considered viable outside the womb, at roughly 24 weeks.

In one of the Facebook messages, Jessica Burgess, 41, tells her then-17-year-old daughter that she has obtained abortion pills for her and gives her instructions on how to take them to end the pregnancy.

The daughter, meanwhile, “talks about how she can’t wait to get the ‘thing’ out of her body,” a detective wrote in court documents. “I will finally be able to wear jeans,” she says in one of the messages. Law enforcement authorities obtained the messages with a search warrant, and detailed some of them in court documents.

In early June, the mother and daughter were only charged with a single felony for removing, concealing or abandoning a body, and two misdemeanors: concealing the death of another person and false reporting. It wasn’t until about a month later, after investigators reviewed the private Facebook messages, that they added the felony abortion-related charges against the mother. The daughter, who is now 18, is being charged as an adult at prosecutors’ request.

Burgess’ attorney didn’t immediately respond to a message Tuesday, and the public defender representing the daughter declined to comment.

When first interviewed, the two told investigators that the teen had unexpectedly given birth to a stillborn baby in the shower in the early morning hours of April 22. They said they put the fetus in a bag, placed it in a box in the back of their van, and later drove several miles north of town, where they buried the body with the help of a 22-year-old man.

The man, whom The Associated Press is not identifying because he has only been charged with a misdemeanor, has pleaded no contest to helping bury the fetus on rural land his parents own north of Norfolk in northeast Nebraska. He’s set to be sentenced later this month.

In court documents, the detective said the fetus showed signs of “thermal wounds” and that the man told investigators the mother and daughter did burn it. He also wrote that the daughter confirmed in the Facebook exchange with her mother that the two would “burn the evidence afterward.” Based on medical records, the fetus was more than 23 weeks old, the detective wrote.

Burgess later admitted to investigators to buying the abortion pills “for the purpose of instigating a miscarriage.”

At first, both mother and daughter said they didn’t remember the date when the stillbirth happened, but according to the detective, the daughter later confirmed the date by consulting her Facebook messages. After that he sought the warrant, he said.

Madison County Attorney Joseph Smith told the Lincoln Journal Star newspaper that he’s never filed charges like this related to performing an abortion illegally in his 32 years as the county prosecutor. He didn’t immediately respond to a message from the AP on Tuesday.

The group National Advocates for Pregnant Women, which supports abortion rights, found 1,331 arrests or detentions of women for crimes related to their pregnancy from 2006 to 2020.

In addition to its current 20-week abortion ban, Nebraska tried — but failed — earlier this year to pass a so-called trigger law that would have banned all abortions when the U.S. Supreme Court overturned Roe v. Wade.

Facebook spokesperson Andy Stone defended the way the company handled authorities’ request for information in this case after a gag order about it was lifted Tuesday.

“Nothing in the valid warrants we received from local law enforcement in early June, prior to the Supreme Court decision, mentioned abortion,” Stone said. “The warrants concerned charges related to a criminal investigation and court documents indicate that police at the time were investigating the case of a stillborn baby who was burned and buried, not a decision to have an abortion.”

Facebook has said that officials at the social media giant “always scrutinize every government request we receive to make sure it is legally valid.”

Facebook says it will fight back against requests that it thinks are invalid or too broad, but the company said it gave investigators information in about 88% of the 59,996 times when the government requested data in the second half of last year.

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In Scorched UK, Source of River Thames Dries Up

At the end of a dusty track in southwest England where the River Thames usually first emerges from the ground, there is scant sign of any moisture at all.

The driest start to a year in decades has shifted the source of this emblematic English river several miles downstream, leaving scorched earth and the occasional puddle where water once flowed.

It is a striking illustration of the parched conditions afflicting swaths of England, which have prompted a growing number of regional water restrictions and fears that an official drought will soon be declared.

“We haven’t found the Thames yet,” said Michael Sanders, on holiday with his wife in the area known as the official source of the river.

The couple were planning to walk some of the Thames Path that stretches along its entire winding course — once they can find the waterway’s new starting point.

“It’s completely dried up,” the IT worker from northern England told AFP in the village of Ashton Keynes, a few miles from the source, noting it had been replaced by “the odd puddle, the odd muddy bit.”

“So hopefully downstream we’ll find the Thames, but at the moment it’s gone,” he said.

The river begins from an underground spring in this picturesque region at the foot of the Cotswolds hills, not far from Wales, before meandering for 350 kilometers (215 miles) to the North Sea.

Along the way it helps supply fresh water to millions of homes, including those in the British capital, London.

‘So arid’

Following months of minimal rainfall, including the driest July in England since the 1930s, the country’s famously lush countryside has gone from shades of green to yellow.

“It was like walking across the savanna in Africa, because it’s so arid and so dry,” David Gibbons said.

The 60-year-old retiree has been walking the length of the Thames Path in the opposite direction from Sanders — from estuary to source — with his wife and friends.

As the group members reached their destination, in a rural area of narrow country roads dotted with stone-built houses, Gibbons recounted the range of wildlife they had encountered on their journey.

The Thames, which becomes a navigable, strategic and industrial artery as it passes through London and its immediate surroundings, is typically far more idyllic upstream and a haven for bird watching and boating.

However, as they neared the source, things changed.

“In this last two or three days, [there’s been] no wildlife, because there’s no water,” Gibbons said. “I think water stopped probably 10 miles away from here; there’s one or two puddles,” he added from picturesque Ashton Keynes.

Andrew Jack, a 47-year-old local government worker who lives about 15 kilometers (9 miles) from the village, said locals had “never seen it as dry and as empty as this.”

The river usually runs alongside its main street, which boasts pretty houses with flower-filled gardens and several small stone footbridges over the water.

But the riverbed there is parched and cracked, the only visible wildlife were some wasps hovering over it, recalling images of some southern African rivers during the subcontinent’s dry season.

‘Something’s changed’

There will be no imminent respite for England’s thirsty landscape.

The country’s meteorological office on Tuesday issued an amber heat warning for much of southern England and eastern Wales between Thursday and Sunday, with temperatures set to reach the mid-30s Celsius.

It comes weeks after a previous heat wave broke Britain’s all-time temperature record and breached 40 degrees Celsius (104 degrees Fahrenheit) for the first time.

Climate scientists overwhelmingly agree that carbon emissions from humans burning fossil fuels are heating the planet, raising the risk and severity of droughts, heat waves and other such extreme weather events.

Local authorities are reiterating calls to save water, and Thames Water, which supplies 15 million people in London and elsewhere, is the latest provider to announce forthcoming restrictions.

But Gibbons was sanguine.

“Having lived in England all my life, we’ve had droughts before,” he said. “I think that it will go green again by the autumn.”

Jack was more pessimistic as he walked with his family along the dried-up riverbed, where a wooden measuring stick gauges nonexistent water levels.

“I think there are lots of English people who think, ‘Great, let’s have some European weather,’ ” he said. “But we actually shouldn’t, and it means that something’s changed and something has gone wrong.

“I’m concerned that it’s only going to get worse and that the U.K. is going to have to adapt to hotter weather as we have more and more summers like this.”

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North Korea’s Kim Declares Victory in Battle Against COVID-19

North Korean leader Kim Jong Un declared victory in the battle against the novel coronavirus, ordering a lifting of maximum anti-epidemic measures imposed in May, state media said on Thursday.

North Korea has not revealed how many confirmed infections of the virus it has found, but since July 29, it has reported no new suspected cases with what international aid organizations say are limited testing capabilities.

While lifting the maximum anti-pandemic measures, Kim said North Korea must maintain a “steel-strong anti-epidemic barrier and intensifying the anti-epidemic work until the end of the global health crisis,” according to a report by state news agency KCNA.

Analysts said that although the authoritarian North has used the pandemic to tighten social controls, its victory declaration could be a prelude to restoring trade hampered by border lockdowns and other restrictions.

Observers have also said it may clear the way for the North to conduct a nuclear weapon test for the first time since 2017.

North Korea’s official death rate of 74 people is an “unprecedented miracle” compared with those of other countries, KCNA reported, citing another official.

Instead of confirmed cases, North Korea reported the number of people with fever symptoms. Those daily cases peaked at more than 392,920 on May 15, prompting health experts to warn of an inevitable crisis.

The World Health Organization has cast doubts on North Korea’s claims, saying last month it believed the situation was getting worse, not better, amid an absence of independent data.

Pyongyang’s declaration of victory comes despite rolling out no known vaccine program. Instead, the country says it relied on lockdowns, homegrown medicine treatments, and what Kim called the “advantageous Korean-style socialist system.”

The North has said it was running intensive medical checks nationwide, with daily PCR tests on water collected in borderline areas among the measures.

It also said it has been developing new methods to better detect the virus and its variants, as well as other infectious diseases, such as monkeypox.

Kim’s sister, Kim Yo Jong, said the North Korean leader himself had suffered from fever symptoms, and blamed leaflets from South Korea for causing the outbreak, KCNA reported.

“Even though he was seriously ill with a high fever, he could not lie down for a moment thinking about the people he had to take care of until the end in the face of the anti-epidemic war,” she said in a speech praising his efforts.