Day: May 9, 2023

An unmarried Chinese woman on Tuesday began her final appeal of a hospital’s denial of access to freeze her eggs five years ago in a landmark case of female reproductive rights in the country. 

Teresa Xu’s case has drawn broad coverage in China, including by some state media outlets, since she first brought her case to court in 2019. She lost her legal challenge last year at another Beijing court, which ruled the hospital did not violate her rights in its decision. 

The upcoming judgment will have strong implications for the lives of many unmarried women in China and the country’s demographic changes, especially after the world’s second-largest economy recorded its first population decline in decades. 

In China, the law does not explicitly ban unmarried people from services such as fertility treatments and simply states that a “husband and wife” can have up to three children. But hospitals and other institutions, in practice, implement the regulations in a way that requires people to present a marriage license. 

Xu, who wanted to preserve her eggs so she could have the option to bear children later, is one of those facing difficulties in accessing fertility treatment. 

In 2018, Xu, then 30 years old, had gone to a public hospital in Beijing to ask about freezing her eggs. But after an initial check-up, she was told she could not proceed without a marriage certificate. 

According to the judgment she received last year, the hospital argued that egg freezing poses certain health risks. It said that egg-freezing services were only available to women who could not get pregnant in the natural way, and not for healthy patients. 

But it also stated that delaying pregnancy could bring risks to the mother during pregnancy and “psychological and societal problems” if there is a large age gap between parents and their child. 

After Tuesday’s hearing, Xu told reporters that the denial constituted a violation of her right to bodily autonomy, and she chose to fight on because this matter is very important to single women. 

“I also have grown up a lot as the case evolves, I don’t want to give up easily,” she said. 

It is unclear when the court will hand down the judgment, she said. 
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A report by leading United Nations agencies says global progress in reducing maternal and newborn deaths has stalled for nearly a decade largely due to underinvestment in providing the health care.

The report shows more than 4.5 million women and babies die every year in pregnancy, childbirth or the first weeks after birth — equivalent to one death every seven seconds — “mostly from preventable or treatable causes if proper care was available.”

Allisyn Moran, unit head for maternal health at the World Health Organization, said all the deaths have similar risk factors and causes.

While the trends pre-date the coronavirus pandemic, she said “COVID-19-related service disruptions and funding diversions, rising poverty and worsening humanitarian crises are intensifying pressures on already overstretched maternity and newborn health services.”

Since 2018, the report finds, more than three-quarters of all conflict-affected and sub-Saharan African countries report funding for maternal and newborn health has declined and that only one in 10 of more than 100 countries surveyed reported they had the money needed to implement their current plans.

Speaking in Cape Town, South Africa, the site of a major global conference on maternal health, Moran said that a lack of investment in primary health care risked lowering survival prospects.

“For instance, while prematurity is now the leading cause of all under-5 deaths globally, less than a third of countries report having sufficient newborn care units to treat small and sick babies,” she said. “Two-thirds of emergency childbirth facilities in sub-Saharan Africa lack essential resources like medicines and supplies, water, electricity or staffing for 24-hour care.”

Steven Lauwerier, UNICEF director of health, agreed with that assessment. Since the COVID-19 pandemic, he said “babies, children, and women who were already exposed to threats to their well-being, especially those living in fragile countries and emergencies, are facing the heaviest consequences of decreased spending and efforts on providing quality and accessible healthcare.”

The report, “Improving Maternal and Newborn Health and Survival and Reducing Stillbirth,” found that in sub-Saharan Africa and central and southern Asia, the regions with the greatest number of newborn and maternal deaths, fewer than 60 percent of women receive even four of the WHO’s recommended eight prenatal checks.

“The death of any woman or young girl during pregnancy or childbirth is a serious violation of their human rights,” said Julitta Onabanjo, director of the technical division at the U.N. Population Fund.  “It also reflects the urgent need to scale-up access to quality sexual and reproductive health services as part of universal health coverage and primary health care, especially in communities where maternal mortality rates have stagnated or even risen during recent years.”

The authors of the report agree that women and babies must have quality, affordable health care before, during and after childbirth, as well as access to family planning services to increase survival rates.

They add that “more skilled and motivated health workers, especially midwives, are needed, alongside essential medicine and supplies, safe water, and reliable electricity.”

The stated aim of health leaders from over 30 countries attending the week-long conference is to develop plans that accelerate progress where it is most needed.

Anshu Banerjee, the WHO director of maternal, newborn, child and adolescent health and aging, is in no doubt as to where that is. “Pregnant women and newborns continue to die at unacceptably high rates worldwide,” he said, “and the COVID-19 pandemic has created further setbacks to providing them with the healthcare they need.”

“If we wish to see different results, we must do things differently,” he said. “More and smarter investments in primary health care are needed now so that every woman and baby — no matter where they live — has the best chance of health and survival.”
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Providing simple and cheap healthcare measures to pregnant women — such as offering aspirin — could prevent more than a million babies from being stillborn or dying as newborns in developing countries every year, new research said on Tuesday.   

An international team of researchers also estimated that one quarter of the world’s babies are born either premature or underweight, adding that almost no progress is being made in this area.    

The researchers called for governments and organizations to ramp up the care women and babies receive during pregnancy and birth in 81 low- and middle-income countries.   

SEE ALSO: A related video by VOA’s Timothy Obiezu

Eight proven and easily implementable measures could prevent more than 565,000 stillbirths in these countries, according to a series of papers published in the Lancet journal.    

The measures included providing micronutrient, protein and energy supplements, low-dose aspirin, the hormone progesterone, education on the harms of smoking, and treatments for malaria, syphilis and bacteria in urine.   

If steroids were made available to pregnant women and doctors did not immediately clamp the umbilical cord, the deaths of more than 475,000 newborn babies could also be prevented, the research found.    

Implementing these changes would cost an estimated $1.1 billion, the researchers said.   

This is “a fraction of what other health programs receive”, said Per Ashorn, a lead study author and professor at Finland’s Tampere University.    

‘Shockingly’ common 

Another study author, Joy Lawn of the London School for Hygiene and Tropical Medicine, told AFP that the researchers used a new definition for babies born premature or underweight.   

She said the traditional way to determine a baby had a low birthweight — if it was born weighing under 2.5 kilograms — was “a bit randomly selected” by a Finnish doctor in 1919.   

 This “very blunt measure” has remained the benchmark for more than a century, despite plentiful evidence that “those babies are not all the same”, Lawn said.   

The researchers analyzed a database that included 160 million live births from 2000 to 2020 to work out how often babies are born “too soon and too small”, she said.   

“Quite shockingly, we found that this is much more common once you start to think about it in a more nuanced way.”   

The researchers estimated that 35.3 million — or one in four — of the babies born worldwide in 2020 were either premature or too small, classifying them under the new term “small vulnerable newborns.”   

While most of the babies were born in southern Asia and sub-Saharan Africa, Lawn emphasized that every country was affected.    

One reason progress has flatlined is that these problems tend “to be something that happens to families and women with less of a voice”, Lawn said.   

For example, pregnant African American women in the United States received a lower level of care than other groups, she added. 
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Tesla Inc on Monday broke ground on a Texas lithium refinery that CEO Elon Musk said should produce enough of the battery metal to build about 1 million electric vehicles (EVs) by 2025, making it the largest North American processor of the material. 

The facility will push Tesla outside its core focus of building automobiles and into the complex area of lithium refining and processing, a step Musk said was necessary if the auto giant was to meet its ambitious EV sales targets. 

“As we look ahead a few years, a fundamental choke point in the advancement of electric vehicles is the availability of battery grade lithium,” Musk said at the ground-breaking ceremony on Monday, with dozers and other earth-moving equipment operating in the background. 

Musk said Tesla aimed to finish construction of the factory next year and then reach full production about a year later. 

The move will make Tesla the only major automaker in North America that will refine its own lithium. Currently, China dominates the processing of many critical minerals, including lithium. 

“Texas wants to be able to be self-reliant, not dependent upon any foreign hostile nation for what we need. We need lithium,” Texas Governor Greg Abbott said at the ceremony. 

Musk did not specify the volume of lithium the facility would process each year, although he said the automaker would continue to buy the metal from its vendors, which include Albemarle Corp and Livent Corp. 

“We intend to continue to use suppliers of lithium, so it’s not that Tesla will do all of it,” Musk said. 

Albemarle plans to build a lithium processing facility in South Carolina that will refine 100,000 tons of the metal each year, with construction slated to begin next year and the facility coming online sometime later this decade. 

Musk did not say where Tesla will source the rough form of lithium known as spodumene concentrate that will be processed at the facility, although Tesla has supply deals with Piedmont Lithium Inc and others. 

‘Clean operations’

Tesla said it would eschew the lithium industry’s conventional refining process, which relies on sulfuric acid and other strong chemicals, in favor of materials that were less harsh on the environment, such as soda ash. 

“You could live right in the middle of the refinery and not suffer any ill effect. So they’re very clean operations,” Musk said, although local media reports said some environmental advocates had raised concerns over the facility. 

Monday’s announcement was not the first time that Tesla has attempted to venture into lithium production. Musk in 2020 told shareholders that Tesla had secured rights to 10,000 acres in Nevada where it aimed to produce lithium from clay deposits, which had never been done before on a commercial scale. 

While Musk boasted that the company had developed a proprietary process to sustainably produce lithium from those Nevada clay deposits, Tesla has not yet deployed the process. 

Musk has urged entrepreneurs to enter the lithium refining business, saying it is like “minting money.” 

“We’re begging you. We don’t want to do it. Can someone please?” he said during a conference call last month. 

Tesla said last month a recent plunge in prices of lithium and other commodities would aid Tesla’s bruised margins in the second half of the year. 

The refinery is the latest expansion by Tesla into Texas after the company moved its headquarters there from California in 2021. Musk’s other companies, including SpaceX and The Boring Company, also have operations in Texas. 

SEE ALSO: A related video by VOA’s Arash Arabasadi

“We are proud that he calls Texas home,” Abbott said, saying Tesla and Musk are “Texas’s economic juggernauts.” 
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Mexican officials and the conservation group Sea Shepherd said Monday that experts would set out in two ships in a bid to locate the few remaining vaquita marina, the world’s most endangered marine mammal. 

Mexico’s environment secretary said experts from the United States, Canada and Mexico will use binoculars, sighting devices and acoustic monitors to try to pinpoint the location of the tiny elusive porpoises. The species cannot be captured, held or bred in captivity. 

The trip will start Wednesday and run to May 26 in the Gulf of California, also known as the Sea of Cortez, the only place the vaquita lives. The group will travel in a Sea Shepherd vessel and a Mexican boat and try to sight vaquitas. As few as eight of the creatures are believed to remain. 

SEE ALSO: A related video by VOA’s Annika Hammerschlag

Illegal gillnet fishing traps and kills the vaquita. Fishermen set the nets to catch totoaba, a fish whose swim bladder is considered a delicacy in China and can fetch thousands of dollars per pound (0.45 kilograms). 

Sea Shepherd has been working in the Gulf alongside the Mexican navy to discourage illegal fishing in the one area where vaquitas were last seen. The area is known as the “zero tolerance” zone, and fishing is supposedly not allowed there. However, illegal fishing boats are regularly seen there, and so Mexico has been unable to completely stop them. 

Pritam Singh, Sea Shepherd’s chairman, said that a combination of patrols and the Mexican navy’s sinking of concrete blocks with hooks to snare illegal nets has reduced the number of hours that fishing boats spend in the restricted zone by 79% in 2022, compared with the previous year. 

Singh said that “the last 18 months have been incredibly impactful and encouraging,” while noting that “the road ahead for saving this species is long.” 

SEE ALSO: A related video by VOA’s Henry Wilkins

The last such sighting expedition in 2021 yielded probable sightings of between five and 13 vaquitas, a decline from the previous survey in 2019. The porpoises are so small and so elusive, and are usually seen from so far away, that it is hard for observers to be certain that they saw a vaquita, count how many they saw or determine whether they saw the same animal twice. 

Illegal fishing itself has impeded population calculations in the past. 

According to a report published in 2022, both the 2019 and 2021 surveys “were hindered by the presence of many illegal fishing boats with gillnets in the water. Some areas could not be surveyed at all on some days due to the density of illegal fishing.” 

The government’s protection efforts have been uneven, at best, and often face violent opposition from local fishermen. 

President Andrés Manuel López Obrador’s administration has largely declined to spend money to compensate fishermen for staying out of the vaquita refuge and not using gillnets, or to monitor the fishing boats or the areas they launch from. 
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