Month: February 2023

The big beasts of the telecom industry kicked off their most important annual get-together in Barcelona on Monday, promising to lead a “tsunami of innovation”, as they try to shrug off a major slump across the technology sector.

Some 80,000 delegates are expected at the four-day Mobile World Congress (MWC), which is back to near full strength following years of pandemic-related disruption.

Industrial titans like Huawei, Nokia and Samsung are set to showcase their latest innovations, flanked by smartphone makers like Oppo and Xiaomi and network operators like Orange, Verizon and China Mobile.

“We are at the doors of a new change of era driven by the intersection of Telco, Computing, Artificial Intelligence and Web3,” said Jose Maria Alvarez-Pallete, boss of Spanish operator Telefonica and current chairman of industry body GSMA, which organizes the Barcelona event.

He promised the telecoms industry would be at the forefront of the “tsunami of innovation”, adding: “Without telcos there is no digital future.”

But many of the firms are more concerned with finding a path back to profit as the global economy stutters and the wider tech sector slashes thousands of jobs.

In the first clear sign that the ills of the wider tech sector are reaching telecoms, equipment maker Ericsson announced 8,500 layoffs last week.

Overall sales of smartphones last year slumped by 11.3 percent compared with 2021, according to the IDC consultancy.

Research firm Gartner reckons sales of smartphones, tablets and computers will fall again by four percent this year.

And network operators are still struggling to make 5G pay, years after they spent billions in government auctions for the right to use the bandwidth.

‘Unsustainable situation’ 

A hugely popular idea for many at the show is to get the owners of bandwidth-hungry platforms like YouTube, Netflix and Facebook to pay network operators a “fair share”.

Christel Heydemann, boss of French operator Orange, said the five largest users — which she did not name — account for 55% of daily traffic on European networks, costing telecoms firms 15 billion euros ($16 billion) a year.

She said it was an “unsustainable situation” and welcomed a public consultation launched by EU commissioner Thierry Breton last week.

But Breton told the MWC on Monday that it was not a “binary choice” or a battle between telecoms and big tech.

He said the idea was for everyone to make sure Europe had the best possible network by 2030 and warned that telecoms firms “will have to adapt to survive”.

Critics of the “fair share” narrative point out that customers already pay the operators for use of their networks.

Netflix boss Greg Peters, who is unlikely to be enthusiastic about the fair share proposal, is expected at the MWC on Tuesday.

Huawei center stage 

The organizers are trumpeting the return of Chinese delegates as a vital boon to the event.

Chinese firms heavily sponsor the MWC and Huawei is once again getting pride of place, this time hosting the biggest dedicated pavilion in the event’s decades-long history.

The Chinese tech giant was the second biggest smartphone maker in the world in 2020 but retreated after US regulators accused it of being controlled by Beijing.

The firm is now under pressure in Europe, where Breton and other commissioners are pushing for its equipment to be removed from 5G network infrastructure.

Huawei boss Eric Xu said before the event he would use the MWC to display products that would “help carriers meet evolving demand and unleash more opportunities for new growth”.

In total, GSMA said the four-day show would host almost 750 operators and manufacturers and 2,000 exhibitors.
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Two experts appointed by the World Health Organization to investigate allegations that some of its staffers sexually abused women during an Ebola outbreak in Congo have dismissed the U.N. agency’s own efforts to excuse its handling of such misconduct as “an absurdity.”

Some of the victimized women say — nearly four years later — they are still waiting for WHO to fire those responsible or be offered any financial compensation.

In October 2020, Aichatou Mindaoudou and Julienne Lusenge were named by WHO Director-General Tedros Adhanom Ghebreyesus to head a panel investigating reports that some WHO staffers sexually abused or exploited women in a conflict-ridden region of Congo during the 2018-2020 Ebola outbreak.

Their review found there were at least 83 perpetrators of abuse who worked for WHO and partners, including complaints of rape, forced abortions and the sexual assault of a 13-year-old girl, in the biggest known sex abuse scandal in the U.N. health agency’s history.

The panel also found that three WHO managers mismanaged a sexual misconduct case first reported by the Associated Press, involving a U.N. doctor signing a contract to buy land for a woman he allegedly impregnated.

A confidential U.N. report submitted to WHO last month concluded that the managers’ handling of that case didn’t violate WHO’s sexual exploitation policies, because the woman wasn’t considered a “beneficiary” of WHO aid, since she didn’t receive any humanitarian assistance.

“The restrictive approach favored by WHO is an absurdity,” Mindaoudou and Lusenge said in a statement, adding that beneficiaries of WHO “should only be interpreted in favor of potential victims of sexual exploitation and abuse, with the view of maintaining accountability.”

Anifa, a Congolese woman who worked at an Ebola clinic in northeastern Congo, said she was offered a job at double her salary in exchange for sex with a WHO doctor and was still traumatized by the experience.

“How many times do I have to speak before [the doctors] at WHO responsible for the sexual abuse are punished?” she asked. “If WHO does not take radical measures, we will conclude that the organization has been made rotten by rapists.”

Anifa, who didn’t share her last name for fear of reprisals, said she didn’t expect any financial compensation from WHO, explaining that “money will not erase the wounds I have in my heart.” She reported the alleged misconduct to WHO in 2019, but never received a response.

Mindaoudou, a former government minister in Niger and Lusenge, a human rights activist in Congo, also slammed WHO for its failure to punish any senior staffers linked to the abuse, saying there was a “culture of impunity” at the organization.

When allegations of sexual abuse and exploitation surfaced in the press in September 2020, Tedros said he was “outraged” and that anyone found to be involved would face serious consequences. WHO emergencies chief Dr. Michael Ryan claimed the agency had “absolutely no details” of the abuse.

But the internal U.N. report noted that Tedros was informed of sexual abuse allegations in 2019 and that some cases of alleged misconduct were discussed by senior WHO staff shortly after they occurred. Tedros himself travelled to Congo 14 times during the outbreak and said he was personally responsible for WHO’s Ebola response.

To date, no senior managers at WHO linked to the sexual misconduct have been fired; Tedros said last month that because the U.N. report found there was no evidence managers acted improperly, three suspended officials returned to work.

WHO has refused to comment on the internal U.N. report, but Tedros has said repeatedly that he has “zero tolerance” for sexual abuse and exploitation, pointing to the creation of a new department to prevent misconduct. Dr. Gaya Gamhewage, who heads that work, told U.N. investigators that prior to being appointed, “sexual exploitation and abuse were not familiar terms to her.”

Tedros said earlier this month that the agency has established a $2 million fund to help survivors of sexual abuse in Congo, but it’s unclear how many women have obtained assistance.

Jeanette, a woman who says she was impregnated by a WHO doctor while working at an Ebola center in Butembo, said she was pressured into having an abortion, which nearly killed her. She said she is waiting for WHO to punish the doctor responsible for her pregnancy and has had no offers of financial compensation.

“I don’t have the strength to work since the abortion,” she said. “WHO should know that their staffers are flatterers, freeloaders and liars.”
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Twitter Inc has laid off at least 200 employees, or about 10% of its workforce, the New York Times reported late on Sunday, in its latest round of job cuts since Elon Musk took over the micro-blogging site last October. 

The layoffs on Saturday night impacted product managers, data scientists and engineers who worked on machine learning and site reliability, which helps keep Twitter’s various features online, the NYT report said, citing people familiar with the matter. 

Twitter did not immediately respond to a Reuters request for comment. 

The company has a headcount of about 2,300 active employees, according to Musk last month. 

The latest job cuts follow a mass layoff in early November, when Twitter laid off about 3,700 employees in a cost-cutting measure by Musk, who had acquired the company for $44 billion. 

Musk said in November that the service was experiencing a “massive drop in revenue” as advertisers pulled spending amid concerns about content moderation. 

Twitter recently started sharing revenue from advertisements with some of its content creators. 

Earlier in the day, The Information reported that the social media platform laid off dozens of employees on Saturday, aiming to offset a plunge in revenue. 
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NASA and SpaceX postponed a planned Monday launch of a four-member crew to the International Space Station due to a ground systems issue. 

The decision came less than three minutes before the spacecraft was due to lift off from NASA’s Kennedy Space Center in Cape Canaveral, Florida. 

A backup launch date had already been set for early Tuesday. 

The four-person crew includes two Americans, one Russian and one astronaut from the United Arab Emirates. 

NASA said their planned six-month mission includes a range of scientific experiments including studying how materials burn in microgravity, collecting microbial samples from outside the space station and “tissue chip research on heart, brain, and cartilage functions.” 
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Elon Musk’s rocket company SpaceX was set to launch early Monday the International Space Station’s next long-duration team into orbit, with an astronaut from the United Arab Emirates and a Russian cosmonaut joining two NASA crewmates for the flight.

The SpaceX launch vehicle, consisting of a Falcon 9 rocket topped with an autonomously operated Crew Dragon capsule called Endeavour, was set for liftoff at 1:45 a.m. EST (0645 GMT) from NASA’s Kennedy Space Center in Cape Canaveral, Florida.

The four-member crew should reach the International Space Station (ISS) about 25 hours later, Tuesday morning, to begin a six-month mission in microgravity aboard the orbiting laboratory some 250 miles (420 km) above Earth.

Designated Crew 6, the mission marks the sixth long-term ISS team that NASA has flown aboard SpaceX since the private rocket venture founded by Musk – billionaire CEO of electric car maker Tesla and social media platform Twitter – began sending American astronauts to orbit in May 2020.

NASA said the mission’s launch readiness review was completed Saturday, and that the flight was given a “go” to proceed to liftoff as planned.

“All systems and weather are looking good for launch,” Musk wrote on Twitter Sunday.

The latest ISS crew is led by mission commander Stephen Bowen, 59, a onetime U.S. Navy submarine officer who has logged more than 40 days in orbit as a veteran of three space shuttle flights and seven spacewalks.

Fellow NASA astronaut Warren “Woody” Hoburg, 37, an engineer and commercial aviator designated as the Crew 6 pilot, will be making his first spaceflight.

The Crew 6 mission also is notable for its inclusion of UAE astronaut Sultan Alneyadi, 41, only the second person from his country to fly to space and the first to launch from U.S. soil as part of a long-duration space station team. UAE’s first-ever astronaut launched to orbit in 2019 aboard a Russian spacecraft.

Rounding out the four-man Crew 6 is Russian cosmonaut Andrey Fedyaev, 41, who like Alneyadi is an engineer and spaceflight rookie designated as a mission specialist for the team.

Fedyaev is the latest cosmonaut to fly aboard an American spacecraft under a ride-sharing deal signed in July by NASA and the Russian space agency Roscosmos, despite heightened tensions between Washington and Moscow over Russia’s invasion of Ukraine.

The Crew 6 team will be welcomed aboard the space station by seven current ISS occupants – three U.S. NASA crew members, including commander Nicole Aunapu Mann, the first Native American woman to fly to space, along with three Russians and a Japanese astronaut.

The ISS, about the length of a football field and the largest artificial object in space, has been continuously operated by a U.S.-Russian-led consortium that includes Canada, Japan and 11 European countries.

The outpost was conceived in part as a venture to improve relations between Washington and Moscow following the Soviet Union’s collapse and the end of Cold War rivalries that gave rise to the original U.S.-Soviet space race in the 1950s and 1960s.

NASA-Roscosmos cooperation has been tested as never before since Russia invaded Ukraine a year ago, leading the United States to impose sweeping sanctions against Moscow while steadily increasing military aid to the Ukrainian government.

The Crew 6 mission also follows two recent mishaps in which Russian spacecraft docked to the orbiting laboratory sprang coolant leaks apparently caused micrometeoroids, tiny grains of space rock, streaking through space and striking the craft at high velocity.

One of the affected Russian vehicles was a Soyuz crew capsule that had carried two cosmonauts and an astronaut to the space station in September for a six-month mission now set to end in March. An empty replacement Soyuz to bring them home blasted off Friday and arrived at the space station Saturday.
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Mexico is undergoing a fevered competition among states to win a potential Tesla facility in jostling reminiscent of what happens among U.S. cities and states vying to win investments from tech companies.

Mexican governors have gone to extremes, like putting up billboards, creating special car lanes or creating mock-ups of Tesla ads for their states.

And there’s no guarantee Tesla will build a full-fledged factory. Nothing is announced, and the frenzy is based mainly on Mexican officials saying Tesla boss Elon Musk will have a phone call with Mexican President Andrés Manuel López Obrador.

The northern industrial state of Nuevo Leon seemed to have an early edge in the race.

It painted the Tesla logo on a lane at the Laredo-Colombia border crossing into Texas last summer and is erecting billboards in December in the state capital, Monterrey, that read “Welcome Tesla.”

The state governor’s influencer wife, Mariana Rodriguez, was even shown in leaked photos at a get-together with Musk.

However, López Obrador appeared to exclude the semi-desert state from consideration Monday, arguing he wouldn’t allow the typically high water use of factories to risk prompting shortages there.

That set off a competitive scramble among other Mexican states. The governors’ offers ranged from crafty proposals to near-comic ones.

“Veracruz is the only state with an excess of gas,” quipped Gov. Cuitláhuac García of the Gulf Coast state, before quickly adding “gas … for industrial use, for industrial use!”

A latecomer to the race, García had to try harder: He noted Veracruz was home to Mexico’s only nuclear power plant. And he claimed Veracruz had 30% of Mexico’s water, though the National Water Commission puts the state’s share at around 11%.

The governor of the western state of Michoacan wasn’t going to be left out. Gov. Alfredo Ramírez Bedolla quickly posted a mocked-up ad for a Tesla car standing next to a huge, car-sized avocado — Michoacan’s most recognizable product — with the slogan “Michoacan — The Best Choice for Tesla.”

“We have enough water,” Ramírez Bedolla said in a television interview he did between a round of meetings with auto industry figures and international business representatives.

Michoacan also has an intractable problem of drug cartel violence. But similar violence in neighboring Guanajuato state hasn’t stopped seven major international automakers from setting up plants there.

Nuevo Leon Gov. Samuel García had to think fast to avoid being shut out entirely.

García reached out to the western state of Jalisco, whose governor, Enrique Alfaro, belongs to the same small Citizen’s Movement party. Together, the two came up with an alliance Thursday that would allow trucks from Jalisco preferential use of Nuevo Leon’s border crossing, the same one where a “Tesla” lane appeared last year.

Jalisco has a healthy foreign tech sector, but most importantly, it has more water than Nuevo Leon.

López Obrador’s focus on water might be more about politics than about droughts, said Gabriela Siller, chief economist at Nuevo Leon-based Banco Base. She said the president appeared to be trying to steer Tesla investment to a state governed by his own Morena party, like Michoacan or Veracruz.

That could be a dangerous game, Siller said.

“Tesla could say it’s not somebody’s toy to be moved around anywhere, and it could decide not to come to Mexico,” she said.

There are doubts that whatever Musk eventually does announce will be an auto assembly plant. Foreign Relations Secretary Marcelo Ebrard said his understanding is that it won’t be a plant, but rather an ecosystem of suppliers.

Musk at times has floated the idea of building a $25,000 electric vehicle that would cost about $20,000 less than the current Model 3, now Tesla’s least-expensive car. Many automakers build lower-cost models in Mexico to save on labor costs and protect profit margins.

A Tesla investment could be part of “near shoring” by U.S. companies that once manufactured in China but now are leery of logistical and political problems there. That those companies will now turn to Mexico represents the Latin American country’s biggest foreign investment hope.

“The fight among states to attract investments from this nearshoring phenomenon is going to be tough, complicated,” Michoacan’s Ramírez Bedolla said.

As Ramírez Bedolla put it, “wherever Tesla sets up, it is going to be big news in Mexico.”
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The latest folding-screen smartphones, immersive metaverse experiences, AI-powered chatbot avatars and other eye-catching technology are set to wow visitors at the annual MWC wireless trade fair that kicks off Monday.

The four-day show, held in a vast Barcelona conference center, is the world’s biggest and most influential meeting for the mobile tech industry. The range of technology set to go on display illustrates how the show, also known as Mobile World Congress, has evolved from a forum for mobile phone standards into a showcase for new wireless tech.

Organizers are expecting as many as 80,000 visitors from as many as 200 countries and territories as the event resumes at full strength after several years of pandemic disruptions.

Here’s a look at what to expect:

Metaverse

There was a lot of buzz around the metaverse at last year’s MWC and at other recent tech fairs like last month’s CES in Las Vegas. Expect even more at this event.

Several companies are planning to show off their metaverse experiences that will allow users to connect with each other, attend events far away, or enter fantastical new online worlds.

Software company Amdocs will use virtual and augmented reality to give users a “metatour” of Dubai. Other tech and telecom companies promise metaverse demos to help with physical rehab, virtually try on clothes, or learn how to fix aircraft landing gear.

The metaverse’s popularity exploded after Facebook founder Mark Zuckerberg in late 2021 exalted it as the next big thing for the internet and his company. Lately, though, doubts have started to creep in.

“All the business models around the metaverse are a big question mark right now,” said John Strand, a veteran telecom industry consultant.

Artificial intelligence

AI has caught the tech world’s attention thanks to the dramatic advances in new tools like ChatGPT that can hold conversations and generate readable text. Expect artificial intelligence to be deployed as an “overused buzzword” at MWC, said Ben Wood, principal analyst at CCS Insight.

Companies are promising to show how they’re using AI to make home Wi-Fi networks more energy efficient or sniff out fakes.

Microsoft’s press representatives have hinted that they might have a demonstration of ChatGPT but haven’t provided any details. The company added AI chatbot technology to its Bing search engine but scrambled to make fixes after it responded with insults or wrong answers to some users who got early access.

Startups will demo their own AI-powered chat technology: D-ID will show off their eerie “digital human” avatars, while Botslovers says its service promises to “free humans from boring tasks.”

Not just smartphones

MWC hit its stride in the previous decade as the smartphone era boomed, with device makers competing for attention with glitzy product launches. Nowadays, smartphone innovation has hit a plateau and companies are increasingly debuting phones in other ways.

Attention at the show is focusing on potential uses for 5G, the next generation of ultrafast wireless technology that promises to unlock a wave of innovation beyond just smartphones, such as automated factories, driverless cars and smart cities.

“Mobile phones will still be a hot topic at MWC, but they’ve become a mature, iterative and almost boring category,” Wood said. “The only excitement will come from the slew of foldable designs and prototypes, but the real size of the market for these premium products remains unclear.”

Device launches will be dominated by lesser-known Chinese brands such as OnePlus, Xiaomi, ZTE and Honor looking to take market share from the market leaders, Apple and Samsung.

Chinese presence

Chinese technology giant Huawei will have a major presence at MWC, despite being blacklisted by the Western governments as part of a broader geopolitical battle between Washington and Beijing over technology and security.

Organizers say Huawei will have the biggest presence at the show among some 2,000 exhibitors. That’s even after the U.S. pushed allies to get their mobile phone companies to block or restrict Huawei’s networking equipment over concerns Beijing could induce the company to carry out cybersnooping or sabotage critical communications infrastructure.

Huawei, which has repeatedly denied those allegations, also has been squeezed by Western sanctions aimed at starving it of components like microchips.

Analysts say one message that Huawei could be sending with its oversized display is defiance to the West.
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A man in Spain who was suspected of having the deadly Marburg disease tested negative Saturday and does not have the virus, the health ministry said.

Health authorities in Valencia earlier said they had detected the country’s first suspected case of the infectious disease that has led to the quarantining of more than 200 people in Equatorial Guinea.

The 34-year-old man, who had recently been in Equatorial Guinea, had been given the all-clear but would be tested again in the coming weeks, officials said.

He had been transferred from a private hospital to an isolation unit at the Hospital La Fe in Valencia while tests were being conducted, the Valencian regional health authorities said.

Three health staff who are treating the man were also isolated as a precautionary measure, authorities said.

Marburg virus can have a fatality rate of up to 88%, according to the World Health Organization. There are no vaccines or antiviral treatments approved to treat it.

Equatorial Guinea quarantined more than 200 people and restricted movement February 13 in its Kie-Ntem province, where the hemorrhagic fever was first detected.

The small central African country has so far reported nine deaths as well as 16 suspected cases of the disease, with symptoms including fever, fatigue, blood-stained vomit and diarrhea, according to the WHO.

Cameroonian authorities detected two suspected cases of Marburg disease February 13 in Olamze, a commune on the border with Equatorial Guinea, the public health delegate for the region, Robert Mathurin Bidjang, said February 14.

Cameroon had restricted movement along the border to try to avoid contagion.
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Spain has identified its first suspected case of Marburg disease. 

The Spanish patient is a 34-year-old man who had recently traveled to the Central African nation of Equatorial Guinea.  He was in a private hospital but has been transferred to an isolation unit at Hospital La Fe in Valencia for further tests, regional medical officials said.

Marburg virus disease, or MVD, according to the Centers for Disease Control and Prevention, “is a rare but severe hemorrhagic fever which affects both people and non-human primates … Primates [including people] can become infected with Marburg virus, and may develop serious disease with high mortality.” 

Spanish health officials said Saturday that more than 200 people in Equatorial Guinea have recently been quarantined because of Marburg disease.  

Earlier this month, two suspected cases of Marburg were detected in Cameroon near its border with Equatorial Guinea.  

The World Health Organization says that the “highly virulent disease” can have “a fatality ratio of up to 88%” and “is in the same family as the virus that causes Ebola virus disease.” 

There are no vaccines or antiviral treatments for Marburg.
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Uber Technologies Inc. said on Friday plans by the local government in India’s Delhi city to only allow electric vehicles to function as bike taxis would risk “finishing off the sector” and impact the mobility needs of millions.

Delhi’s plans, part of a new policy to regulate vehicles used by ride-hailing companies like Uber and rival Ola, are being finalized and will be rolled out soon, the Economic Times reported earlier this week.

Reuters could not immediately confirm those plans.

If implemented, this would mark an aggressive step towards the country’s ambitions to ramp up the transition to vehicles that run on clean energy to reduce oil imports and curb pollution.

Uber, in a blogpost, said any such move would put at risk the livelihood of over 100,000 drivers in the city.

“Steep and infeasible EV mandates risk finishing off the sector as we know it. The impact of such a decision on the livelihoods and mobility needs of millions of Delhiites is clear,” San Francisco-headquartered Uber said, urging the government to initiate industry dialog.

Uber has set a 2040 target for 100% of its rides to be in zero-emission vehicles, public transport or with micro-mobility, including in India.

Earlier this month, Uber announced plans to introduce 25,000 EVs over three years in India. Electric cars will however still be a fraction of Uber’s current overall active fleet of 300,000 vehicles in India.

On Sunday, the Delhi government in newspaper ads said digital platforms offering two-wheeler bike taxi rides should not do so as it violates certain existing transport rules.

Uber, which offers bike rides in Delhi and many other states in India, did not respond to a Reuters request for a comment on the advertisement.
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The Biden administration is preparing for a worst-case scenario if a conservative federal judge rules in favor of a lawsuit seeking to restrict access to one of the two drugs typically used to induce a medicated abortion.

Two drugs, mifepristone and misoprostol, can be taken by women at home and are used for just over half of U.S. abortions. But that could be quickly changed by a lawsuit filed by an anti-abortion group in Texas that claims the Food and Drug Administration wrongly approved mifepristone for use more than 23 years ago.

The case is before a federal judge appointed by former President Donald Trump. A ruling in favor of the abortion opponents could immediately shut down the sale of the drug, but women would still have access to medicated abortions with a regimen of misoprostol.

Vice President Kamala Harris promised on Friday that the White House would push back on efforts to ban the drug, as she gathered a group of nearly a dozen doctors and abortion rights advocates to discuss a plan for responding to the looming threat to access to medical abortions.

“There are now partisan and political attacks attempting to question the legitimacy of a group of scientists and doctors who have studied the significance of this drug,” Harris said. “There is now an attempt by politicians to remove it from the ability of doctors to prescribe and the ability of people to receive.”

The lawsuit against mifepristone was filed by the Alliance for Defending Freedom, which was also involved in the Mississippi case that led to Roe v. Wade being overturned. It’s the latest fallout in the struggle over reproductive care that the Democratic administration must grapple with since the Supreme Court overturned the constitutional right to an abortion last year.

Harris did not publicly lay out how the administration plans to respond if a ruling that halts the sale of the drug nationwide comes down on Friday.

‘Medication abortion is not going away’

Health and Human Services Secretary Xavier Becerra, meanwhile, was in California on Friday to meet leaders from Planned Parenthood to talk about access to the abortion drugs.

Dr. Kristyn Brandi said she told the vice president on Friday that the ruling could trigger widespread confusion over the accessibility of medicated abortion in the U.S. Brandi, who is chair of the Physicians for Reproductive Health, said she already fields calls at her New Jersey clinic from women asking if medicated abortion is legal in the state.

“It’s a really important thing to communicate with people: medication abortion is not going away,” Brandi said.

She added that Harris expressed support for immediately challenging the ruling if it shuts down access to mifepristone.

Clinics and telehealth providers have been preparing for a ruling that shuts down access to mifepristone, ordering more doses of misoprostol so they can offer medication abortions with just that one drug. They will have to change the way they counsel patients, telling them that misoprostol-only abortions are slightly less effective and sometimes more painful than abortions done with both drugs.

Abortions using both drugs “can be as effective as 98% or more,” while misoprostol-only abortions are up to about 95% effective, Melissa Grant, chief operating officer of the Carafem abortion clinic, told The Associated Press.

Mifepristone dilates the cervix and blocks the action of the hormone progesterone, which enables a pregnancy to continue. Misoprostol causes contractions that empty the uterus. Typically, mifepristone is taken by mouth first, followed by misoprostol a day or two later.

Studies show medication abortions are safe and effective, though with a slightly lower success rate than ones done by procedure in a clinic.

Another lawsuit filed

With the Texas decision pending, a dozen Democratic-controlled states filed their own lawsuit in federal court against the FDA on Thursday in Washington. The lawsuit seeks to make it easier for woman to access the drug and alleges that several FDA requirements for prescribing and dispensing it are “burdensome, harmful and unnecessary.”

When the FDA approved mifepristone in 2000 it placed several safety restrictions on its use, including limiting dispensing to specialty clinics and requiring women to pick up the drug in person. The Biden administration had sought to expand access to medicated abortions in light of the Supreme Court’s ruling, with an FDA announcement this year that broadened the pill’s access through retail and mail-order pharmacies.

But several limitations remain, such as one that doctors must be specially certified to prescribe the drug.

Several medical groups have long opposed those requirements, pointing to the low rate of side effects seen with mifepristone compared with other medications that don’t carry any certification requirements.
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