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Islamabad — Authorities in Pakistan reported Monday that gunmen targeted vaccination teams in northwestern districts during a nationwide campaign against the paralytic poliovirus, resulting in the deaths of at least one health worker and two police officers.

The violence in the militancy-hit Khyber Pakhtunkhwa province, which borders Afghanistan, also injured several polio workers and police force members escorting them. There were no immediate claims of responsibility for the attacks.

Pakistan has reported a significant surge in poliovirus infections in 2024, confirming 63 cases so far, compared to only six cases in 2023.

On Monday, the country launched a weeklong house-to-house vaccination campaign, culminating the year’s anti-polio efforts. Officials said the campaign aims to inoculate more than 44 million children under five to protect them against polio.

Ayesha Raza Farooq, the prime minister’s adviser for the polio eradication program, emphasized parental cooperation to help achieve a polio-free Pakistan.

“We strongly encourage all parents to welcome our dedicated polio workers when they visit your residence and ensure that your children under the age of five receive the necessary two doses of the polio vaccine,” she said.

The World Health Organization lists Pakistan and Afghanistan as the only two countries where the potentially fatal poliovirus continues to cripple children.

WHO officials have cited multiple factors for the resurgence of polio cases in Pakistan. They noted that false propaganda that anti-polio campaigns are a Western plot to sterilize Muslim children has led to vaccine boycotts in some Pakistani districts.

Additionally, insurgents in violence-hit regions occasionally stage deadly attacks on polio teams, suspecting them of spying for the Pakistani security forces, routinely disrupting vaccination drives.

“There are concerning numbers of missed children during the recent campaigns (ranging from 5,000 to 700,000) due to insecurity, boycotts, and program quality issues,” the WHO reported in a statement in August after an emergency committee meeting under the International Health Regulations.

Pakistani authorities have reported the killings of more than 200 polio workers and police personnel escorting them since the country launched vaccination campaigns in the 1990s to control infections.

WHO and officials in Afghanistan have reported at least 23 polio cases in 2024, up from six last year.

In September, the de facto Taliban government abruptly banned the house-to-house vaccination campaign in parts of the war-torn country, permitting only site-to-site and mosque-to-mosque vaccinations of Afghan children.

The WHO committee meeting lamented in its December 3 statement that the Taliban’s ban dealt a setback to the “very encouraging progress” made in Afghanistan during the first half of 2024.

“The committee was concerned about this recent development since site-to-site campaigns are not able to reach all the children in Afghanistan, especially those of younger age and girls,” said the statement. It warned that the restriction poses a substantial risk of a further resurgence of paralytic poliovirus in Afghanistan and beyond.
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VIENNA — Three years ago, Andrea Vanek was studying to be an arts and crafts teacher when spells of dizziness and heart palpitations suddenly started to make it impossible for her to even take short walks.

After seeing a succession of doctors she was diagnosed with long COVID and even now spends most of her days in the small living room of her third-floor Vienna apartment, sitting on the windowsill to observe the world outside.

“I can’t plan anything because I just don’t know how long this illness will last,” the 33-year-old Austrian told AFP.

The first cases of COVID-19 were detected in China in December 2019, sparking a global pandemic and more than seven million reported deaths to date, according to the World Health Organization.

But millions more have been affected by long COVID, in which some people struggle to recover from the acute phase of COVID-19, suffering symptoms including tiredness, brain fog and shortness of breath.

Vanek tries to be careful not to exert herself to avoid another “crash”, which for her is marked by debilitating muscle weakness and can last for months, making it hard to even open a bottle of water.

“We know that long COVID is a big problem,” said Anita Jain, from the WHO’s Health Emergencies Programme.

About six percent of people infected by coronavirus develop long COVID, according to the global health body, which has recorded some 777 million COVID cases to date.

Whereas the rates of long COVID after an initial infection are declining, reinfection increases the risk, Jain added.

‘Everything hurts’

Chantal Britt, who lives in Bern, Switzerland, contracted COVID in March 2020. Long COVID, she said, has turned her “life upside down” and forced her to “reinvent” herself. 

“I was really an early bird…. Now I take two hours to get up in the morning at least because everything hurts,” the 56-year-old former marathon runner explained.

“I’m not even hoping anymore that I’m well in the morning but I’m still kind of surprised how old and how broken I feel.”

About 15 percent of those who have long COVID have persistent symptoms for more than one year, according to the WHO, while women tend to have a higher risk than men of developing the condition.

Britt, who says she used to be a “workaholic”, now works part-time as a university researcher on long COVID and other topics. 

She lost her job in communications in 2022 after she asked to reduce her work hours.

She misses doing sports, which used to be like “therapy” for her, and now has to plan her daily activities more, such as thinking of places where she can sit down and rest when she goes shopping.

A lack of understanding by those around her also make it more difficult.

“It’s an invisible disease…. which connects to all the stigma surrounding it,” she said.

“Even the people who are really severely affected, who are at home, in a dark room, who can’t be touched anymore, any noise will drive them into a crash, they don’t look sick,” she said.

Fall ‘through the cracks’

The WHO’s Jain said it can be difficult for healthcare providers to give a diagnosis and wider recognition of the condition is crucial.

More than 200 symptoms have been listed alongside common ones such as fatigue, shortness of breath and cognitive dysfunction.

“Now a lot of the focus is on helping patients, helping clinicians with the tools to accurately diagnose long COVID, detect it early,” she said.

Patients like Vanek also struggle financially. She has filed two court cases to get more support but both are yet to be heard.

She said the less than $840 she gets in support cannot cover her expenses, which include high medical bills for the host of pills she needs to keep her symptoms in check.

“It’s very difficult for students who get long COVID. We fall right through the cracks” of the social system, unable to start working, she said.

Britt also wants more targeted research into post-infectious conditions like long COVID.

“We have to understand them better because there will be another pandemic and we will be as clueless as ever,” she said.
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President-elect Donald Trump has nominated Brendan Carr to lead the Federal Communications Commission, which regulates communications in the United States. Carr, an FCC commissioner since 2017, has taken aim at big tech and China’s influence on U.S. communications. VOA’s Dora Mekouar reports.
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A large number of mysterious drones have been reported flying over parts of New Jersey and the East Coast in recent weeks, sparking speculation and concern over who sent them and why.

New Jersey Gov. Phil Murphy wrote to President Joe Biden asking for answers. New Jersey’s new senator, Andy Kim, spent Thursday night on a drone hunt in rural northern New Jersey, and posted about it on X.

Murphy and law enforcement officials have stressed that the drones don’t appear to be a threat to public safety, but many state and municipal lawmakers have nonetheless called for stricter rules about who can fly the unmanned aircraft.

The FBI is among several agencies investigating and has asked residents to share videos, photos and other information they may have about the drones.

What’s the deal with the drones in New Jersey?

Dozens of witnesses have reported seeing them in the state starting in November.

At first they were spotted flying along the scenic Raritan River, which feeds the Round Valley Reservoir, the state’s largest aquifer, about 50 miles (80 kilometers) west of New York City.

But soon sightings were reported statewide, including near the Picatinny Arsenal, a military research and manufacturing facility, and over President-elect Donald Trump’s golf course in Bedminster.

The aircraft have also recently been spotted in coastal areas.

Republican U.S. Rep. Chris Smith said a Coast Guard commanding officer told him a dozen drones closely followed a Guard lifeboat near Barnegat Light and Island Beach State Park in Ocean County over the weekend.

Federal officials offer assurances that drones don’t pose a threat

The growing anxiety among some residents is not lost on the Biden administration, which has faced criticism from Trump for not dealing with the matter more aggressively.

In a call with reporters Saturday that was organized by the White House, senior officials from the FBI, Pentagon, FAA and other agencies sought to assure people that the drones are not a national security or public safety threat or the handywork of a malicious foreign actor.

An FBI official, who spoke on condition of anonymity under ground rules set by the White House, said the public concern is understandable but added, “I think there has been a slight overreaction.”

Pentagon spokesperson Maj. Gen. Pat Ryder said Thursday that the military’s initial assessment after consulting with the Department of Homeland Security and the National Security Council — that the drones are not of foreign origin — remained unchanged.

New Jersey congressman wants the military to take action

A New Jersey congressman has urged the Pentagon to authorize the use of force to bring down one or more drones to try to figure out who deployed them.

The objects could be downed over the ocean or in an unpopulated area on land, Smith said Saturday at a news conference.

“Why can’t we bag at least one of these drones and get to the bottom of it?” Smith said.

Rep. Jeff Van Drew, another Republican Jersey Shore-area congressman, has also called for the military to shoot down the drones.

Monmouth County Sheriff Shaun Golden said people should not take it into their own hands to shoot down drones, which would break state and federal laws.

Drones have been spotted over New York City

Drone sightings have now been reported in New York, where a permit is required, and Mayor Eric Adams said the city was investigating and collaborating with New Jersey and federal officials.

The runways at Stewart International Airport — about 60 miles (100 kilometers) north of the city — were shut down for about one hour Friday night because of drone activity in the airspace, Gov. Kathy Hochul said.

“This has gone too far,” she said in a statement.

The governor called on Congress to strengthen the FAA’s oversight of drones and give more investigative authority to state and local law enforcement.

“Extending these powers to New York State and our peers is essential,” she said. “Until those powers are granted to state and local officials, the Biden administration must step in by directing additional federal law enforcement to New York and the surrounding region to ensure the safety of our critical infrastructure and our people.”

Are these drones dangerous?

The White House has said that a review of the reported sightings shows that many of them are actually manned aircraft being flown lawfully, echoing the opinion of officials and drone experts.

The federal Homeland Security Department and FBI also said in a joint statement they have no evidence that the sightings pose “a national security or public safety threat or have a foreign nexus.”

Assemblywoman Dawn Fantasia, who was briefed by the Department of Homeland Security, said the reported drones have been up to 6 feet (1.8 meters) in diameter and sometimes travel with their lights switched off. This is much larger than those typically flown by drone hobbyists, and she said they appear to avoid detection by traditional methods such as helicopter and radio.

Who sent the drones?

Authorities say they do not know.

The FBI, Homeland Security and state police are investigating the sightings. Authorities say they don’t know if it is one drone that has been spotted many times or if there are multiple aircraft being flown in a coordinated effort.

Speculation has raged online, with some expressing concerns that the drone or drones could be part of a nefarious plot by foreign agents.

Officials stress that ongoing state and federal investigations have found no evidence to support those concerns, but Rep. Smith on Saturday echoed such speculation.

“The elusive maneuvering of these drones suggests a major military power sophistication that begs the question whether they have been deployed to test our defense capabilities — or worse — by violent dictatorships, perhaps maybe Russia, or China, or Iran, or North Korea,” he said.

Pentagon spokeswoman Sabrina Singh said Wednesday that the aircraft are not U.S. military drones.

What have officials said about the sightings?

Trump has said he believes the government knows more than it’s saying. “Let the public know, and now. Otherwise, shoot them down!!!” he posted on his social media site.

Sen. Richard Blumenthal of Connecticut said Thursday that the drones should be “shot down, if necessary.”

“We should be doing some very urgent intelligence analysis and take them out of the skies, especially if they’re flying over airports or military bases,” Blumenthal said.

Experts, however, warn not to shoot at anything in the sky.

Trisha Bushey, 48, of Lebanon Township, New Jersey, lives near Round Valley Reservoir where there have been numerous sightings and said she doesn’t believe the assertion that the drones aren’t a risk to public safety.

“How can you say it’s not posing a threat if you don’t know what it is?” she said. “I think that’s why so many people are uneasy.”

Are drones allowed in New Jersey?

The flying of drones for recreational and commercial use is legal in the state, but it is subject to local and Federal Aviation Administration regulations and flight restrictions.

In New York City, a permit is required to take off or land an unmanned aircraft.

Operators must be FAA-certified.

Have drones been spotted anywhere else?

Sightings also have been reported in Virginia and elsewhere.

Two people said they spotted an aircraft Thursday night near Virginia Beach that was unlike any other they’ve seen.

The object was over the ocean, and they watched as it slowly moved over an Army National Guard facility, John Knight told The Virginian-Pilot.

“It was definitely different,” said Knight, who took videos of what he thinks was a drone the size of a small truck.

“It flew like a helicopter but made no noise,” he added.

The Virginia National Guard did not have any aircraft operating in the area Thursday night, according to spokesperson A.A. “Cotton” Puryear. Its leadership is aware of the incident and it’s under investigation.

Another military installation in the area is Naval Air Station Oceana Dam Neck Annex. NAS Oceana, the East Coast master jet base in Virginia Beach, is aware of recent reports of sightings in the area and is coordinating with federal and state agencies to ensure the safety of its personnel and operations, Katie Hewett, public affairs officer, said Friday by email.

Knight submitted the videos Thursday night to the FBI tip line.

In Massachusetts, 10 to 15 drones were reported hovering over a home Thursday night in Harwich on Cape Cod. A resident told police they were bright and she observed them for more than an hour.

Earlier that evening, an off-duty police officer in the same town noticed similar activity near a public safety complex, police said. The information was forwarded to the FBI and Massachusetts State Police.

Drones were also spotted last month in the U.K. The U.S. Air Force said several small unmanned aircraft were detected near four military bases in England that are used by American forces.
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Hundreds of thousands of Rhode Island residents’ personal and bank information, including Social Security numbers, were likely hacked by an international cybercriminal group asking for a ransom, state officials said on Saturday. 

In what Rhode Island officials described as extortion, the hackers threatened to release the stolen information unless they were paid an undisclosed amount of money. 

The breached data affects people who use the state’s government assistance programs and includes the Supplemental Nutrition Assistance Program, or SNAP, Temporary Assistance for Needy Families and healthcare purchased through the state’s HealthSource RI, Governor Dan McKee announced on Friday. 

Hackers gained access to RIBridges, the state’s online portal for obtaining social services earlier this month, the governor’s office said in a statement, but the breach was not confirmed by its vendor, Deloitte, until Friday. 

“Deloitte confirmed that there is a high probability that a cybercriminal has obtained files with personally identifiable information from RIBridges,” the governor’s office said in a statement on Saturday. 

A representative from McKee’s office was not immediately available to Reuters for comment. 

Anyone who has applied for or received benefits through those programs since 2016 could be affected. 

The state directed Deloitte to shut down RIBridges to remediate the threat, and for the time being, anyone applying for new benefits will have to do so on paper applications until the system is back up. 

Households believed to have been affected will receive a letter from the state notifying them of the problem and explaining steps to be taken to help protect their data and bank accounts. 
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Americans should eat more beans, peas and lentils and cut back on red and processed meats and starchy vegetables, all while continuing to limit added sugars, sodium and saturated fat.

That’s the advice released Tuesday by a panel of nutrition experts charged with counseling the U.S. government about the 2025 edition of the dietary guidelines that will form the cornerstone of federal food programs and policy.

But the 20-member panel didn’t weigh in on the growing role of ultraprocessed foods that have been linked to health problems, saying there’s not enough evidence to tell people to avoid them. And the group steered clear of updating controversial guidance on alcohol consumption, leaving that analysis to two outside reports expected to be released soon.

Overall, the recommendations for the 2025-30 Dietary Guidelines for Americans sound familiar, said Marion Nestle, a food policy expert.

“This looks like every other set of dietary guidelines since 1980: eat your veggies and reduce consumption of foods high in salt, sugar and saturated fat,” Nestle said in an email. “This particular statement says nothing about balancing calories, when overconsumption of calories, especially from ultra-processed foods, is the biggest challenge to the health of Americans.”

What the scientific panel said about healthy diets

The nutrition panel concluded that a healthy diet for people aged 2 years and older is higher in vegetables, fruits, legumes, nuts, whole grains, fish and vegetable oils that are higher in unsaturated fat.

It is lower in red and processed meats, sugar-sweetened foods and beverages, refined grains and saturated fat. It may also include fat-free or low-fat dairy and foods lower in sodium and may include plant-based foods.

The panel, which met for nearly two years, was the first to focus on the dietary needs of Americans through what they called a “health equity lens,” said Dr. Fatima Cody Stanford, a Massachusetts General Hospital obesity expert who was part of the group. That meant considering factors such as household income, race, ethnicity and culture when recommending healthy diets. It will help ensure that the guidance “reflects and includes various population groups,” she said in an email.

The panel didn’t come to conclusions on ultraprocessed foods or alcohol

Ultraprocessed foods include the snacks, sugary cereals and frozen meals that make up about 60% of the American diet.

The panel considered more than 40 studies, including several that showed links between ultraprocessed foods and becoming overweight or developing obesity. But the nutrition experts had concerns with the quality of the research, leaving them to conclude that the evidence was too limited to make recommendations.

That decision is likely to bump up against the views of Robert F. Kennedy Jr., the nominee to lead the U.S. Health and Human Services Department, who has questioned potential conflicts of interest among members of the dietary guidelines panel and vowed to crack down on ultraprocessed foods that contribute to chronic disease.

The panel also didn’t revise recommendations that suggest limiting alcohol intake to two drinks or less a day for men and one drink or less a day for women.

In 2020, the last time the guidance was updated, the government rejected the advice of scientific advisers to recommend less alcohol consumption.

Two groups — the National Academies of Science, Engineering and Medicine and a committee of the government agency that oversees substance abuse — are expected to release reports in the coming months on the effects of moderate alcohol use to inform the guidelines.

Do Americans follow dietary guidelines?

The advisory panel acknowledged that the diets of most Americans don’t meet the current guidelines. More than half of all U.S. adults have one or more diet-related chronic health conditions and 18 million U.S. households have insecure sources of food, according to the report.

“Nutrition-related chronic health conditions and their precursors continue to threaten health through the lifespan,” the report concludes. “Which does not bode well for the future of health in the United States.”

What happens next?

The scientific report informs the dietary guidelines, which are updated every five years. Tuesday’s recommendations now go to HHS and the Agriculture Department, where officials will draft the final guidance set for release next year.

Starting Wednesday, the public will have 60 days to comment on the guidance. HHS and USDA officials will hold a public meeting January 16 to discuss the recommendations.

The new guidance, which will be finalized by the incoming Trump administration, is consistent with decades of federal efforts to reduce diet-related disease in the U.S., said Dr. Peter Lurie, president of the advocacy group Center for Science in the Public Interest.

“Broadly, I think these are well-formulated recommendations that the incoming administration would do well to adopt,” Lurie said. 
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Texas Attorney General Ken Paxton on Friday sued a New York doctor for allegedly providing a Texas woman with abortion pills by telemedicine.

The lawsuit by the Republican attorney general, which appeared to be the first of its kind, could offer a test of conservative states’ power to stop abortion pills from reaching their residents.

New York is among the Democratic-led states that have passed so-called shield laws aiming to protect doctors who provide abortion pills to patients in other states. The law says New York will not cooperate with another state’s effort to prosecute, sue or otherwise penalize a doctor for providing the pills, as long as the doctor complies with New York law.

“As other states move to attack those who provide or obtain abortion care, New York is proud to be a safe haven for abortion access,” New York Attorney General Letitia James said in a statement. “We will always protect our providers from unjust attempts to punish them for doing their job and we will never cower in the face of intimidation or threats.”

In the lawsuit, filed in the District Court of Collin County, Paxton said that New Paltz, New York, Dr. Margaret Carpenter prescribed and provided mifepristone and misoprostol, the two drugs used in medication abortion, to a Texas woman via telemedicine.

Medication abortion accounts for more than half of U.S. abortions. It has drawn increasing attention since the U.S. Supreme Court’s 2022 decision allowing states to ban abortion, which more than 20 have done.

The woman went to the hospital after experiencing bleeding as a complication of taking the drugs, which were subsequently discovered by her partner, according to the lawsuit.

Paxton claimed that Carpenter violated Texas’s abortion law and its occupational licensing law by practicing medicine in the state despite not being licensed there. He is seeking an injunction barring her from further violations of Texas’s abortion ban and at least $100,000 in civil penalties for each past violation.

Carpenter is a member of the Abortion Coalition for Telemedicine, which supports nationwide access to abortion through telemedicine, and helped start Hey Jane, an online telehealth clinic offering abortion pills, according to the coalition’s website. She could not immediately be reached for comment. 
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WASHINGTON — A U.S. appeals court on Friday rejected an emergency bid by TikTok to temporarily block a law that would require its Chinese parent company ByteDance to divest the short-video app by January 19 or face a ban on the app.

TikTok and ByteDance on Monday filed the emergency motion with the U.S. Court of Appeals for the District of Columbia, asking for more time to make its case to the U.S. Supreme Court. Friday’s ruling means that TikTok now must quickly move to the Supreme Court in an attempt to halt the pending ban.

The companies had warned that without court action, the law will “shut down TikTok — one of the nation’s most popular speech platforms — for its more than 170 million domestic monthly users.”

“The petitioners have not identified any case in which a court, after rejecting a constitutional challenge to an Act of Congress, has enjoined the Act from going into effect while review is sought in the Supreme Court,” the D.C. Circuit said.

TikTok did not immediately respond to a request for comment.

Under the law, TikTok will be banned unless ByteDance divests it by January 19. The law also gives the U.S. government sweeping powers to ban other foreign-owned apps that could raise concerns about collection of Americans’ data.

The U.S. Justice Department argues “continued Chinese control of the TikTok application poses a continuing threat to national security.”

TikTok says the Justice Department has misstated the social media app’s ties to China, arguing its content recommendation engine and user data are stored in the U.S. on cloud servers operated by Oracle while content moderation decisions that affect U.S. users are made in the U.S.
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ABUJA, NIGERIA — The World Health Organization (WHO) and public health experts are calling for increased political commitment and funding to fight malaria, especially in endemic regions like Africa. This week’s release of the 2024 World Malaria Report by the WHO said there were 11 million more malaria cases compared to the previous year and that Ethiopia and Nigeria recorded their highest death tolls from the disease since 2015.

According to Wednesday’s report, there were 263 million cases of the mosquito-borne disease and nearly 600,000 deaths worldwide last year.

The report indicates global malaria cases grew by about 11 million compared to the year prior while fatalities remained nearly the same.

The WHO report said Africa accounted for 95% of global malaria deaths. Most of the victims were children under 5 years of age.

Dr. Kehinde Ajayi, an expert on malaria epidemiology and control, said one issue is that since 2020, most developing nations have had a shortage of resources to combat the disease.

“Some of the resources like insecticide-treated nets and also funding towards the malaria control programs have been hampered because of … COVID-19 and the economic imbalance in developing countries,” Ajayi said.

Ajayi said climate change and declining effectiveness of anti-malaria drugs are threatening progress.

Nigeria bears the world’s highest burden of malaria with more than 27% of global malaria cases and 31% of deaths.

But the WHO report also showed some progress — estimating that about 2.2 billion cases of malaria and 12.7 million deaths were averted globally since 2000.

Ajayi said increased government funding for malaria interventions could change things.

“Mosquitoes thrive very well under temperatures that are more than 19 degrees Celsius, and the climate change has made [that] possible,” Ajayi said. “Also, the plasmodium parasite has gained a lot of resistance against malaria drugs. Also, the government needs to invest more in our health sector. Government also needs to fund research that will help us in discovering indigenous drugs.”

The WHO report said only about half of the $8.7 billion target for malaria intervention last year was achieved.

In Nigeria, spending on health care is about 4% of the national budget, much lower than the 15% agreed upon by the African Union in 2001 — in the so-called Abuja Declaration.

Authorities have pledged to improve spending on health. On Thursday, Nigeria signed a deal to promote local production of test kits for HIV and malaria.

Last week, Nigeria launched its malaria vaccination campaign — becoming the latest African country to provide malaria vaccines to young children.

There are now 17 countries giving new malaria vaccines.
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A landmark hearing into nation-states’ legal obligations over climate change wrapped up at the United Nations’ top court in The Hague on Friday. The outcome could have implications for the fight against global warming — and for the big polluters blamed for emitting most greenhouse gases. Henry Ridgwell has more.
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At least 2,400 children have been killed or injured since Russia invaded Ukraine in February 2022, according to the latest UNICEF reports. The U.N. agency says the war is creating a mental health crisis among Ukrainian children. VOA Russian has the story, narrated by Anna Rice.
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