Day: February 24, 2022

More than half of U.S. abortions are now done with pills rather than surgery, an upward trend that spiked during the pandemic with the increase in telemedicine, a report released Thursday said.  

In 2020, pills accounted for 54% of all U.S. abortions, up from roughly 44% in 2019.  

The preliminary numbers come from the Guttmacher Institute, a research group that supports abortion rights. The group, by contacting providers, collects more comprehensive abortion data than the U.S. government.  

Use of abortion pills has been rising since 2000 when the Food and Drug Administration approved mifepristone, the main drug used in medication abortions.  

The new increase “is not surprising, especially during COVID,” said Dr. Marji Gold, a family physician and abortion provider in New York City. She said patients seeking abortions at her clinic have long chosen the pills over the medical procedure. 

The pandemic prompted a rise in telemedicine and FDA action that allowed abortion pills to be mailed so patients could skip in-person visits to get them. Those changes could have contributed to the increase in use, said Guttmacher researcher Rachel Jones. 

The FDA made the change permanent last December, meaning millions of women can get prescriptions via online consultations and receive the pills through the mail. That move led to stepped-up efforts by abortion opponents to seek additional restrictions on medication abortions through state legislatures. 

How it works

The procedure includes mifepristone, which blocks a hormone needed for pregnancy to continue, followed one or two days later by misoprostol, a drug that causes cramping that empties the womb. The combination is approved for use within the first 10 weeks of pregnancy, although some health care providers offer it in the second trimester, a practice called off-label use. 

So far this year, 16 state legislatures have proposed bans or restrictions on medication abortion, according to the Guttmacher report. 

It notes that in 32 states, medication abortions must be prescribed by physicians even though other health care providers including physician assistants can prescribe other medicines. And mailing abortion pills to patients is banned in Arizona, Arkansas and Texas, the report said. 

According to the World Health Organization, about 73 million abortions are performed each year. About 630,000 abortions were reported to the U.S. Centers for Disease Control and Prevention in 2019, although information from some states is missing. Guttmacher’s last comprehensive abortion report dates to 2017; the data provided Thursday came from an update due out later this year. 

Global numbers on the rates of medication versus surgical abortions are limited. Data from England and Wales show that medication abortions have outpaced surgical abortions for about 10 years.
…

A space policy expert says that despite the unfolding Russian invasion in Ukraine, the International Space Station should remain at peace. Plus, a delivery of science experiments to the ISS, and a piece of Earth art bound for the moon. VOA’s Arash Arabasadi brings us The Week in Space.
…

With the global vaccine supply exceeding distribution capacity, the Biden administration is acknowledging a need to adjust its pandemic response strategy to address hurdles faced by lower-income countries to vaccinate their citizens.

“It is clear that supply is outstripping demand and the area of focus really needs to be that ‘shots in arms’ work,” said Hilary Marston, White House senior policy adviser for global COVID, to VOA. “That’s something that we are laser-focused on for 2022.”

Marston said that the administration has helped boost global vaccine supply through donations, expanding global manufacturing capacity and support for COVAX, the international vaccine-sharing mechanism supported by the United Nations and health organizations Gavi and CEPI.

Following supply setbacks in 2021, COVAX’s supply is no longer a limiting factor, a Gavi spokesperson told VOA. He said COVAX now has the flexibility to “focus on supporting the nuances of countries’ strategies, capacity, and demand.”

However, the pivot from boosting vaccine supply to increasing delivery capacity depends on whether the administration can secure funding from Congress, including funds for the U.S. government’s Initiative for Global Vaccine Access, or Global VAX, a program launched in December by USAID, the U.S. Agency for International Development.

Global VAX is billed as a whole-of-government effort to turn vaccines in vials into vaccinations in arms around the world. It includes bolstering cold chain supply and logistics, service delivery, vaccine confidence and demand, human resources, data and analytics, local planning, and vaccine safety and effectiveness.

Four-hundred-million dollars from the American Rescue Plan Act has been put aside for this initiative, on top of the $1.3 billion for global vaccine readiness the administration has committed. Activists say this is not nearly enough, but USAID says it’s a good first step.

“The U.S. government will surge support for an initial subset of countries in sub-Saharan Africa that have demonstrated the potential for rapid acceleration of vaccine uptake with intensive financial, technical, and diplomatic support,” a USAID spokesperson told VOA.

Those countries include Angola, Côte d’Ivoire, Eswatini, Ghana, Lesotho, Nigeria, Senegal, South Africa, Tanzania, Uganda, and Zambia.

Critical bottleneck

In January, COVAX had 436 million doses of COVID-19 vaccines to allocate to lower-income countries, according to a document published in mid-February. Those countries, however, only asked for 100 million doses to be distributed by the end of May – the first time in 14 allocation rounds that supply has outstripped demand, the document from the COVAX Independent Allocation of Vaccines Group said.

“We’ve seen now 11 billion plus doses of vaccine being manufactured,” said Krishna Udayakumar to VOA. “We’re estimating 14- to 16- plus billion doses of vaccine being available in 2022,” added Udayakumar, who is founding director of the Duke Global Health Innovation Center and leads a team that tracks global vaccine production and distribution.

But rather than fulfilment of vaccination targets, the oversupply highlights a weakness in global distribution capacity, which Udayakumar said is becoming “the critical bottlenecks.”

Only 12% percent of people in low-income countries have received at least one dose, according to country data compiled by Our World in Data. Many countries still face massive hurdles to get those shots in arms, including gaps in cold-chain storage, and lack of funding to support distribution networks.

Global COVID funding

As the administration prepares to pivot its global pandemic response, humanitarian organizations are criticizing it for requesting insufficient funding from Congress.

“After two devastating years of this pandemic, U.S. leaders are dropping the ball on fighting COVID-19. Today we learned the Biden administration briefed Congress on the need for $5 billion in funding from Congress to fight COVID-19,” said Tom Hart, president of the ONE Campaign, in a statement to VOA last week. “What the world needs, though, is a formal request for $17 billion.”

Hart argued the $5 billion funding would be insufficient to provide critical resources needed to deliver vaccines, tests, and life-saving treatments to low-income countries, and achieve the administration’s goal of 70% global vaccination by September – a goal that is already far below pace.

The White House said the number is not final. “I don’t have any specific numbers; we’re still in conversation with the Hill (Congress) at this point about funding and funding needs, both domestically and internationally,” press secretary Jen Psaki told VOA on Wednesday.

In a statement to VOA, the chair of the House Appropriations Committee, Rosa DeLauro, said they are still reviewing the funding request. “I will work with my colleagues to meet these important public health needs at home and around the world,” she said.

Meanwhile, Gavi, a COVAX co-sponsor, said it has only raised $195 million out of the $5.2 billion it asked for this quarter. The Gavi spokesperson told VOA the call to donors only went out in January and typically campaigns such as this require extensive rounds of consultation.

“The reason we launched a campaign to raise US $5.2 billion in additional funding is to ensure countries are able to roll out vaccines rapidly and at scale and have the resources on hand to be able to immediately step in as and when countries’ needs change,” the spokesperson said. “We need resources available now to prevent lower income countries once again finding themselves at the back of the queue. This is the only way we will break this pandemic.”­

TRIPS waiver

Humanitarian organization Oxfam also argues that $5 billion dollars is not enough.

“We need to do much more to vaccinate the world, including investing in local manufacturing and most importantly, sharing the vaccine recipe,” Robbie Silverman, Oxfam’s senior advocacy manager told VOA.

Sharing vaccine recipes essentially means implementing a temporary TRIPS (Trade-Related Aspects of Intellectual Property Rights) waiver at the World Trade Organization to allow the generic production of current vaccines, as proposed by South Africa and India in October 2021. The proposal is supported by the Biden administration but rejected by the European Union.

Following a summit between European Union and African Union leaders last week, European Commission President Ursula von der Leyen offered a compromise and said that the EU and AU will work together to deliver a solution within the next few months.

The U.S. is by far the biggest vaccine donor. The administration is sending 3 million doses of COVID-19 vaccines to Angola, Sierra Leone, Rwanda, Zambia and Uganda this week, bringing the total shipped globally to 470 million doses out of 1.2 billion doses pledged.

 
…

Hong Kong rolled out vaccine passports on Thursday requiring people aged 12 and above to have at least one COVID-19 jab, and paved the way for mainland China manpower to help bring a worsening outbreak under control.

Residents will have to show their vaccine record to access venues including supermarkets, shopping malls and restaurants, a major inconvenience in a city where malls link train stations to residences and office buildings.

Separately, city leader Carrie Lam used emergency powers granted under British colonial-era laws to exempt mainland Chinese staff and projects from any licensing or other legal requirements to operate in Hong Kong.

City authorities have asked their mainland Chinese counterparts for help to build additional isolation, treatment and testing facilities, and boost the workforce as Hong Kong’s health system is increasingly overwhelmed.

“Hong Kong’s healthcare system, manpower, anti-epidemic facilities and resources … will soon be insufficient to handle the huge number of newly confirmed cases detected every day,” the government said in a statement.

On Wednesday, Hong Kong reported a record 8,674 new COVID-19 infections as the global financial hub prepares for compulsory testing of its 7.4 million people – part of its “dynamic zero COVID” strategy similar to mainland China.

Allowing mainland doctors to practice in Hong Kong has been a controversial issue in the global financial hub, which for decades had some of the toughest licensing standards as a way to preserve excellence in its public health system.

The city last year passed a law allowing overseas-trained doctors to practice without taking a local licensing exam, in a move contested by many local doctors.

Hong Kong’s medical front lines have been weakened sharply by the latest outbreak, with some 1,200 medical staff infected as of Wednesday.

Authorities also tightened restrictions from Thursday in a city that already has some of the most stringent rules in the world. Residents will have to wear masks for all outdoor  exercise and will not be allowed to remove them to eat or drink on public transport.

With bars, gyms and other businesses already closed and shopping malls deserted while many residents work from home, the government said on Tuesday schools would break early for summer and resume the new year in August.

Many in the city are growing fatigued with the situation, as most other major cities learn to live with the virus.

As the urgency grows, construction work has started on a facility on Lantau Island to build about 10,000 isolation units, while private hospitals will take in patients from public hospitals.

With the city’s testing, treatment and isolation capacity already stretched to the maximum, University of Hong Kong researchers predicted new infections could peak at 180,000 a day next month.
…

Tensions in eastern Ukraine and heightened Western fears of a Russian invasion should not have a significant impact on the International Space Station or U.S.-Russia cooperation in space, the former head of the National Space Council told The Associated Press.

Four NASA astronauts, two Russian cosmonauts and one European astronaut are currently on the space station.

Scott Pace, who served as executive secretary of the space council under President Donald Trump and is now the director of the Space Policy Institute at George Washington University, said the space station “has been largely isolated” from political events.

“It’s possible to imagine a break with Russia that would endanger the space station, but that would be at the level of a dropping diplomatic relations,” said Pace. “That would be something that would be an utterly last resort so I don’t really see that happening unless there is a wider military confrontation.”

The space station, an international partnership of five space agencies from 15 countries, including Canada, several countries in Europe, Japan, Russia and the United States, launched in 1998 and morphed into a complex that’s almost as long as a football field, with eight miles of electrical wiring, an acre of solar panels and three high-tech labs.

It marked two decades of people continuously living and working in orbit in 2020.

The first crew — American Bill Shepherd and Russians Sergei Krikalev and Yuri Gidzenko — blasted off from Kazakhstan on Oct. 31, 2000. Two days later, they swung open the space station doors, and clasped their hands in unity.

The three astronauts got along fine but tension sometimes bubbled up with the two mission controls, in Houston and outside Moscow.

Shepherd, during a NASA panel discussion with his crewmates, said he got so frustrated with the “conflicting marching orders” that he insisted they come up with a single plan.

Russia kept station crews coming and going after NASA’s Columbia disaster in 2003 and after the space shuttles retired in 2011.

In 2020, SpaceX ended a nine-year launch drought for NASA and became the first private company to launch Americans to the space station.

“It is a way of undertaking common endeavors, but that power is not infinite and terrestrial conflicts on Earth can still get in the way,” said Pace. “Space is ever more critical to our daily life and it’s something everybody should be aware of.”

Earlier this year, NATO Secretary-General Jens Stoltenberg, who chaired a meeting of the NATO-Russia Council in Brussels, said he was keen to discuss ways to prevent dangerous military incidents or accidents involving Russia and the Western allies, reducing space and cyber threats, as well as setting limits on missile deployments and other arms control initiatives.

There have been concerns raised in Congress about the impact that conflict over Ukraine could have on the International Space Station.

Lawmakers have specifically exempted space cooperation from previous sanctions and can be expected to make similar arguments against targeting it as the administration considers its next steps over Ukraine.

On Wednesday, Russia began evacuating its embassy in Kyiv, and Ukraine urged its citizens to leave Russia.

Russian lawmakers authorized President Vladimir Putin to use military force outside his country and President Joe Biden and European leaders responded by slapping sanctions on Russian oligarchs and banks.

Both leaders signaled that an even bigger confrontation could lie ahead.

Putin has yet to unleash the force of the 150,000 troops massed on three sides of Ukraine, while Biden held back on the toughest sanctions that could cause economic turmoil for Russia but said they would go ahead if there is further aggression.

The sanctions underscored the urgency felt by Western nations to blunt the conflict.  
…

The use of wind to generate electricity for the United States was thrust forward Wednesday with the largest-ever offering by the federal government of offshore development rights.

Bidding for the 197,000 hectares of the New York Bight — an area of shallow waters between the coasts of Long Island (in New York state) and the state of New Jersey — attracted record-setting prices, according to the federal Bureau of Ocean Energy Management.

“This auction today is a testament to how attractive the U.S. market is,” said Fred Zalcman, director of the New York Offshore Wind Alliance.

Europe is much further along than North America in developing lease areas for offshore wind farms.

There are two small offshore wind facilities in the United States off the coasts of the states of Rhode Island and Virginia. Two more commercial-scale projects were recently approved for development.

“We’re really just at the beginning of a process here. We hope to apply the lessons learned from Europe and take advantage of the cost savings achieved in Europe,” Zalcman told VOA.

Officials say turbines erected in the set of six leases that went up for bidding Wednesday, the first auction conducted during the administration of U.S. President Joe Biden, could eventually provide power for nearly 2 million residences.

Wednesday’s top bids totaled more than $1.5 billion. The largest single lease area offered — totaling nearly 51,000 hectares and located about 50 kilometers off the New Jersey coast — had attracted a record-busting $410 million, with bidding to resume Thursday morning.

The previous auction was held in 2018 during the administration of former President Donald Trump. It was considered a success, with three leases off the coast of the state of Massachusetts bringing in a collective record-breaking $405 million for rights to develop 158,000 hectares south of Martha’s Vineyard, with a potential generating capacity of more than 4.1 gigawatts, enough to supply power to about 1.5 million homes.

Trump, a Republican, repeatedly expressed, at best, skepticism toward wind as a viable renewable source to supply America’s energy needs. He derided “windmills,” saying he had been told the noise from their blades “causes cancer” and “it’s like a graveyard for birds.”

Biden, a Democrat, has veered in a different direction, embracing wind as part of his clean energy ambitions and setting a goal of 30 gigawatts of capacity in the United States by the year 2030.

In his first week in office in 2021, Biden signed an executive order to expand opportunities for the offshore wind industry, predicting, according to the White House, the projects “will create good-paying union jobs” and “spawn new supply chains that stretch into America’s heartland.”

The area included in the ongoing auction, which began with 25 qualified bidders, was cut back by about one-fourth from what was initially proposed last year due to concerns about the potential impact on commercial fishing and military interests.

State and federal officials, according to Zalcman, have been addressing concerns of other ocean users, including recreational and commercial fishers, navigators and the shipping industry, and taking into consideration visual impacts to coastal communities, and concerns of environmental groups about migratory species, such as the North Atlantic right whale.

A group of residents of the New Jersey summer colony of Long Beach last month sued BOEM over the New York Bight leasing plans, contending the massive wind farm would permanently mar their beautiful view from the beach, hurt the area’s tourism economy and harm property values.

Bob Stern, the president of Save Long Beach Island, told VOA on Wednesday that the organization “is not opposed to offshore wind energy but believes that the federal government’s process of selecting ocean areas for turbine placement is flawed.”

Stern explained that the group’s lawsuit challenges the federal government agency’s selection of “wind energy areas” for offshore wind turbines which “should have been preceded and supported by a structured regional environmental impact statement process with full disclosure of impacts and public input.”

The Sierra Club is terming the New York Bight auction a historic major stride forward for clean energy.

“This lease sale is the first to include stipulations setting out responsibilities for project developers to report on their engagement with stakeholders to minimize conflicting uses, negotiation of project labor agreements, and the development of offshore wind-related manufacturing and supply chain services,” said Allison Considine, a senior campaign representative of the national environmental organization.

A preeminent concern is ensuring that these projects are done responsibly, said Zalcman of the New York Offshore Wind Alliance, of which the Sierra Club is a member.

How developers configure the wind farms will be subject to another rigorous round of environmental review before they are able to erect the huge structures.
…