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Tag: children

  • ‘Ramadan Camp’ reaches Muslim children across the globe

    ‘Ramadan Camp’ reaches Muslim children across the globe

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    Amin Aaser remembers as a child growing up in Minnesota that his Muslim faith often made him feel like an outsider, and being required to follow its practices and tenets “sometimes felt like going to the dentist.”

    Those memories are part of what spurred Aaser, now a married man with a 5-year-old daughter and 2-year-old son, to spend Ramadan producing an online, interactive “Ramadan Camp” for Muslim children ages 5-12 throughout the world.

    The Noor Kids Ramadan Camp started two years ago during the COVID-19 pandemic. This year, about 90,000 families have signed up, and about 3,000 families join live every night, he said.

    The camp is streamed from a warehouse in Brooklyn Park that is designed to resemble a treehouse. Children spend between 30 minutes and an hour hearing stories, playing games, making projects, listening to guest speakers and sharing prayers.

    It’s all intended to find fun ways to help the children learn and discuss the tenets of their faith while meeting other Muslim children around the world.

    Aaser said Ramadan is the most important time of the year for Muslims, who fast from sunup to sundown while focusing on improving themselves and building their faith. Busy Muslim parents who are fasting can often struggle to bring the spirit of Ramadan into their hearts and homes, he said, and the camp is designed to ease that burden.

    Anum Ahmad, the mother of a 6-year-old son and 2-year-old daughter in Toronto, said the camp has become an almost daily ritual for her family. Although Toronto has a large Muslim population, her son attends a public school with only one other Muslim child, she said.

    “It makes a big difference for him to see other kids his age, speaking the same terms we use at home,” Ahmad said. “I can see in his expression how excited he is to see that there are so many other people like him around the world. For the first time I’ve seen a spark related to his religious identity.”

    The camp is a continuation of Aaser’s mission since 2012 to help Muslim children embrace their faith and feel accepted, particularly in areas where they are a religious minority.

    He said that as a child he was so embarrassed when his friends laughed at his mother’s hijab while he played baseball that he asked her to pick him up 15 minutes after the game ended. And the only other Muslims he saw were at a mosque or on television.

    As he grew, he wondered how he could help other Muslim children — including his niece and two children — to be confident and accept their Islamic beliefs.

    In 2012, he and his brother, Mohammed, began Noor Kids, which has grown to provide child-centered books and online programs that emphasize building character with age-appropriate stories about traits such as gratitude, resilience and courage.

    In 2016, after his mother died and in the midst of a divisive U.S. presidential election, Aaser decided to leave a career in venture capital and, with his wife, focus solely on building the Noor Kids brand.

    Today, Noor Kids has a team of about 15 people across the world, with most concentrated in Brooklyn Park.

    Ahmad said her family has read the Noor Kids books for years because they contain analogies that explain Islamic teachings in a colorful way that appeals to children.

    “Sometimes when parents try to explain difficult concepts, it may become a bit preachy, so I feel like I’m maybe not doing the best job of that” she said. “And sometimes if (her son) hears the teaching from someone that he thinks is really cool, like Amin, it can have a very different impact. It’s important to hear it from someone other than parents.”

    Aaser said he doesn’t want the interaction in Ramadan Camp to stop when the holiday ends this week, so Noor Kids has launched Muslim Treehouse, which will provide twice-a-week programs to his young audience.

    “I hope that through Noor Kids and our online programs we can build a better future for kids,” he said. “The mind of a child is where change begins, and if you can plant the seeds of character and citizenship, my hope is it will pay off for these individuals in the long term.”

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  • Hospital sues Missouri’s top prosecutor over trans care data

    Hospital sues Missouri’s top prosecutor over trans care data

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    KANSAS CITY, Mo. — A Kansas City hospital is suing Missouri Attorney General Andrew Bailey over what it calls his “burdensome” requests for records on gender-affirming care.

    In a lawsuit filed Friday in Jackson County, attorneys for Children’s Mercy Hospital asked a judge to deny Bailey’s 54 investigative demands for records and testimony despite the hospital facing no allegations of wrongdoing, The Kansas City Star reported.

    Bailey has demanded that the hospital provide records on any prescriptions for hormone blockers as well as surgeries for transgender patients, the lawsuit said. He’s also asking for information on when the hospital has reported child abuse.

    Bailey’s spokeswoman, Madeline Sieren, questioned the hospital’s contention that its gender transition practices are evidence-based and said the facility is refusing to provide “even a single document” to explain its practices.

    “That is very concerning,” Sieren said. “We look forward to prevailing in this request for information and learning what is truly going on with Children’s Mercy in connection with gender transition issues.”

    In February, Bailey, a Republican who was appointed attorney general in November, announced he was investigating the Washington University Transgender Center at St. Louis Children’s Hospital after an employee alleged the center was providing children with gender-affirming care without informed consent.

    Bailey has since expanded the investigation to other health care providers in Missouri.

    On Thursday, Bailey introduced an emergency rule that will impose several restrictions before adults and children can receive drugs, hormones or surgeries “for the purpose of transitioning gender.”

    Republican lawmakers across the country, including Missouri, have proposed hundreds of laws aimed at transgender people, with a particular emphasis on health care.

    At least 13 states have enacted laws restricting or banning gender-affirming care for minors.

    Children’s Mercy argues in its lawsuit that releasing the information sought by Bailey would violate state and federal laws, including those involving private medical decisions made between patients and doctors.

    The hospital also contends Bailey doesn’t have the jurisdiction to investigate health care companies and physicians, which are regulated by the Missouri Board of Healing Arts.

    The lawsuit also argues many of Bailey’s requests are “poorly disguised interrogatories” that have nothing to do with gender-affirming care.

    The hospital acknowledges the attorney general has the authority to investigate deceptive business practices under the state’s merchandise protection act but said the authority to use the law as an investigative tool has its limits.

    The demand letter sent to Children’s Mercy “far exceeds those limits,” the lawsuit said. The facility also contends that hospitals are not regulated under that law, and said the hospital “cannot in good faith attempt to comply.”

    Earlier this month, Planned Parenthood of the St. Louis Region and Southwest Missouri sued over Bailey’s document demands to that organization as part of its investigation.

    Planned Parenthood also argued in its lawsuit that Bailey has no authority to investigate its clinic, which is inspected by the state health department.

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  • Hospital sues Missouri’s top prosecutor over trans care data

    Hospital sues Missouri’s top prosecutor over trans care data

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    KANSAS CITY, Mo. — A Kansas City hospital is suing Missouri Attorney General Andrew Bailey over what it calls his “burdensome” requests for records on gender-affirming care.

    In a lawsuit filed Friday in Jackson County, attorneys for Children’s Mercy Hospital asked a judge to deny Bailey’s 54 investigative demands for records and testimony despite the hospital facing no allegations of wrongdoing, The Kansas City Star reported.

    Bailey has demanded that the hospital provide records on any prescriptions for hormone blockers as well as surgeries for transgender patients, the lawsuit said. He’s also asking for information on when the hospital has reported child abuse.

    Bailey’s spokeswoman, Madeline Sieren, did not immediately return a request for comment Saturday.

    In February, Bailey, a Republican who was appointed attorney general in November, announced he was investigating the Washington University Transgender Center at St. Louis Children’s Hospital after an employee alleged the center was providing children with gender-affirming care without informed consent.

    Bailey has since expanded the investigation to other health care providers in Missouri.

    On Thursday, Bailey introduced an emergency rule that will impose several restrictions before adults and children can receive drugs, hormones or surgeries “for the purpose of transitioning gender.”

    Republican lawmakers across the country, including Missouri, have proposed hundreds of laws aimed at transgender people, with a particular emphasis on health care.

    At least 13 states have enacted laws restricting or banning gender-affirming care for minors.

    Children’s Mercy argues in its lawsuit that releasing the information sought by Bailey would violate state and federal laws, including those involving private medical decisions made between patients and doctors.

    The hospital also contends Bailey doesn’t have the jurisdiction to investigate health care companies and physicians, which are regulated by the Missouri Board of Healing Arts.

    The lawsuit also argues many of Bailey’s requests are “poorly disguised interrogatories” that have nothing to do with gender-affirming care.

    The hospital acknowledges the attorney general has the authority to investigate deceptive business practices under the state’s merchandise protection act but said the authority to use the law as an investigative tool has its limits.

    The demand letter sent to Children’s Mercy “far exceeds those limits,” the lawsuit said. The facility also contends that hospitals are not regulated under that law, and said the hospital “cannot in good faith attempt to comply.”

    Earlier this month, Planned Parenthood of the St. Louis Region and Southwest Missouri sued over Bailey’s document demands to that organization as part of its investigation.

    Planned Parenthood also argued in its lawsuit that Bailey has no authority to investigate its clinic, which is inspected by the state health department.

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  • On one of the world’s most dangerous migrant routes, a cartel makes millions off the American dream | CNN

    On one of the world’s most dangerous migrant routes, a cartel makes millions off the American dream | CNN

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    Editor’s Note: “The Trek: A Migrant Trail to America” premieres on April 16 at 8 p.m. ET/PT on CNN’s new Sunday primetime series, The Whole Story with Anderson Cooper.

    Darién Gap, Colombia and Panama (CNN) — There is always a crowd, but it can feel very lonely.

    To get closer to freedom, they have risked it all.

    Masked robbers and rapists. Exhaustion, snakebites, broken ankles. Murder and hunger.

    Having to choose who to help and who to leave behind.

    The trek across the Darién Gap, a stretch of remote, roadless, mountainous rainforest connecting South and Central America, is one of the most popular and perilous walks on earth.

    Almost 250,000 people made the crossing in 2022, fueled by economic and humanitarian disasters – nearly double the figures from the year before, and 20 times the annual average from 2010 to 2020. Early data for 2023 shows six times as many made the trek from January to March, 87,390 compared to 13,791 last year, a record, according to Panamanian authorities.

    They all share the same goal: to make it to the United States.

    And they keep coming, no matter how much harder that dream becomes to realize.

    A team of CNN journalists made the nearly 70-mile journey by foot in February, interviewing migrants, guides, locals and officials about why so many are taking the risk, braving unforgiving terrain, extortion and violence.

    The route took five days, starting outside a Colombian seaside town, traversing through farming communities, ascending a steep mountain, cutting across muddy, dense rainforest and rivers before reaching a government-run camp in Panama.

    Along the way, it became evident that the cartel overseeing the route is making millions off a highly organized smuggling business, pushing as many people as possible through what amounts to a hole in the fence for migrants moving north, the distant American dream their only lodestar.

    At dusk, the arid, dusty camp on the banks of the Acandí Seco river near Acandí, Colombia, hums with expectation.

    Hundreds of people are gathered in dozens of tiny disposable tents on a stretch of farmland controlled by a drug cartel, close to the Colombian border with Panama. The route ahead of them will be arduous and life-threatening.

    But many are naïve to what lies ahead. They’ve been told that the days of trekking are few and easy, and they can pack light.

    But money, not prayer, will decide who will survive the journey.

    People are the new commodity for cartels, perhaps preferable to drugs. These human packages move themselves. Rivals do not try to steal them. Each migrant pays at least $400 for access to the jungle passage and absorbs all the risks themselves. According to CNN’s calculations, the smuggling trade earns the cartel tens of millions of dollars annually.

    The US, Panama and Colombia announced on April 11 that they will launch a 60-day campaign aimed at ending illegal migration through the Darién Gap, which they said “leads to death and exploitation of vulnerable people for significant profit.” In a joint statement, the countries added that they will also use “new lawful and flexible pathways for tens of thousands of migrants and refugees as an alternative to irregular migration,” but did not elaborate any further.

    A senior US State Department official declined to give a figure for cartel earnings. “This is definitely big business, but it is a business that has no thought towards safety or suffering or well-being… just collecting the money and moving people,” the official said.

    This cash has made an already omnipotent cartel even more powerful. This seems to be a no-go area for the Colombian government. Their last visible presence was in Necoclí, a tiny beachfront town miles away, packed with migrants, overseen by a few police.

    Migrants at the Acandí Seco camp are given pink wristbands – like those handed out in a nightclub – denoting their right to walk here. The level of organization is palpable and parading that sophistication may in fact be the reason the cartel has granted us permission to walk their route.

    CNN has changed the names of the migrants interviewed for this report for their safety.

    Manuel, 29, and his wife Tamara, finally decided to flee Venezuela with their children, after years scrabbling to secure food and other basic necessities. A socioeconomic crisis fueled by President Nicolás Maduro’s authoritarian government, worsened by the global pandemic and US sanctions, has led one in four Venezuelans to flee the country since 2015.

    “It’s thanks to our beautiful president … the dictatorship – why we’re in this sh*t… We had been planning this for a while when we saw the news that the US was helping us – the immigrants. So here we are now. Living the journey,” Manuel said. But it was unclear what help he was referring to.

    “Trusting in God to leave,” interrupted Tamara. “It’s all of us, or no one,” added Manuel, on the decision to bring their two young children.

    Their fate will be impacted by Washington’s recent changes in immigration policy.

    Last October, the US government blocked entry to Venezuelans arriving “without authorization” on its southern border, invoking a Trump-era pandemic restriction, known as Title 42. The Biden administration has since expanded Title 42, allowing migrants who might otherwise qualify for asylum to be swiftly expelled, turned back to Mexico or sent directly to their home countries. The measure is expected to expire in early May.

    The government has said it will allow a small number to apply for legal entry, if they have an American sponsor – 30,000 individuals per month from Venezuela, Nicaragua, Haiti and Cuba.

    Like many others CNN interviewed, those policy changes had not impacted Manuel and Tamara’s decision to go north.

    The scramble of toddlers, parents and the vulnerable is harrowing, but there are also moments of hope, with many helping one another.

    Hundreds of thousands of people made the crossing last year, and they keep coming despite the dangers. (Natalie Gallón/CNN)

    As dawn drags people from their tents, the cartel’s mechanics pick up. Christian pop songs are played to rally those at the start line, where cartel guides dispense advice. “Please, patience is the virtue of the wise,” says one organizer through a megaphone. “The first ones will be the last. The last ones will be the first. That is why we shouldn’t run. Racing brings fatigue.”

    But no one is paying attention. Everyone is jostling as though they’re sprinters preparing to step into starting blocks. Small backpacks, one bottle of water, sneakers – what is comfortable to move with now, won’t suffice in the days of dense jungle ahead.

    There is a call for attention, a pause, and then they are allowed to begin walking.

    Sunlight reveals a crowd of over 800 this morning alone – the same as the daily average for January and February, according to the United Nation’s International Organization for Migration (IOM). These months in the dry season are normally the slowest on the route, because the rivers are too low to ferry migrants on boats, and the huge uptick is raising fears of more record-breaking numbers ahead.

    The volume of children is staggering. Some are carried, others dragged by the hand. The 66-mile route through the Darién Gap is a minefield of lethal snakes, slimy rock, and erratic riverbeds, that challenges most adults, leaving many exhausted, dehydrated, sick, injured, or worse.

    Yet the number of children is growing. A record 40,438 crossed last year, Panamanian migration data shows. UNICEF reported late last year that half of them were under five, and around 900 were unaccompanied. In January and February of this year, Panama recorded 9,683 minors crossing, a seven-fold increase compared to the same period in 2022. In March, the number hit 7,200.

    Jean-Pierre is carrying his son, Louvens, who was sick before he’d even started. Strapped to his father’s chest, he’s weak and coughing. But Jean-Pierre pushes on, their fee already paid. There is no going back. Their home of Haiti – where gang violence, a failed government and the worst malnutrition crisis in decades make daily life untenable – is behind them. And impossible choices lie ahead.

    Within minutes, the first obstacle is clear: water. The route, which crisscrosses the Acandí Seco, Tuquesa, Cañas Blancas and Marraganti rivers, is constantly wet, muddy, and humid. Most migrants wear cheap rain boots and synthetic socks, in which their feet slowly curdle. They provide little ankle support and fill with water, leading some to cut holes in the rubber to let it drain out.

    Physical distress is a business opportunity for the cartel. Once the riverbeds turn to an ascent up a mountain to the Panamanian border, porters offer their services. Each wear either the yellow or blue Colombian team’s national soccer jersey with a number, to ease identification, and charge $20 to move a bag uphill – or even for $100, a child.

    “Hey, my kings, my queens! Whoever feels tired, I’m here,” one shouts.

    The route they are walking is new, opened by the cartel just 12 days earlier. The main, older route, via a crossing called Las Tecas, had become littered with discarded clothes, tents, refuse and even corpses. The cartel, locals tell us, sought a more organized, less dangerous alternative – more opportunities to earn more cash.

    At one of several huts where locals sell cold soda or clean water with cartel permission at a mark-up, is Wilson. Aged about five, he has been separated from his parents. They gave him to a porter to carry, who raced ahead.

    Wilson shakes his head emphatically when asked if he is going to the US. “To Miami,” he says. “Dad is going to build a swimming pool.” Asked about his future there, he says: “I want to be a fireman. And my sister has chosen to be a nurse.” He calls back down the trail: “Papa, Papa!” His father is nowhere to be seen.

    A Peruvian woman and baby pause for a moment on the trek.

    In the background is the constant advice of the cartel guides. “Gentlemen take your time,” says one named Jose. “We won’t get to the border today. We have two hours of climbing left.” He urges them to make use of the stream nearby, already crowded with people. “Fill up your water. One bottle of water up there costs you five dollars,” he says pointing up the hill. “I know that a lot of you don’t have the money to buy that, so better to take your water here.”

    The terrain is unforgiving, and the steep climb is particularly punishing on Jean-Pierre and his sick son Louvens, for whom breathing is audibly hard work. Other migrants offer suggestions: “Perhaps he is overheating in his thick wool hat. Maybe he needs more water?” His father struggles to move even himself uphill.

    Six hundred meters up the slope, bright light pierces the jungle canopy. Wooden platforms cover the clearing floor, and the buzz of chainsaws blends with music better suited to a festival. Drinks, shoes, and food are on sale. The route is so new, the cartel is cutting space for its clients into the forest as fast as they can arrive.

    The Darién's rugged, mountainous rainforest made construction of the Pan-American Highway untenable, leaving a

    Tents are pitched on fallen branches. Gatorades are cheerfully sold for $4. “Keep a lookout for the snake,” one machete-wielding guide warns. Dusk is a clatter of late arrivals, new tents being pitched, and attempts to sleep. The next day, and those after it, will be arduous.

    The second dawn breaks and the hillside is a mess of tents and anticipation. Water, hot rice, coffee – people buy what they can, many still unaware this will be their last chance to get food on the route.

    The size of the group has swollen and there is a jostle to get into position, as they wait for the guide Jose’s signal to start. They have learned that being last means you have to wait for everyone ahead of you to clear any obstacles.

    Jose barks chilling advice: “Take care of your children! A friend or anyone could take your child and sell their organs. Don’t give them over to a stranger.”

    As the crowd moves up the slope, the mist clings to the trees, making the climb feel steeper still. Some children embrace the challenge, bounding upwards playfully.

    A group of three Venezuelan siblings make light work of the muddy slope together. “I have to hold the stick so that you guys can grab me,” says the youngest to her brother and sister. The older sister strips to her socks when the viscous mud starts claiming shoes. Their mother adds: “You’re my warrior, you hear baby?”

    This morning, Louvens is looking worse. The difficulty of the climb seems to have left Jean-Pierre too exhausted to fully intervene. “He’s sleeping,” he says of his slumped son, whose breathing is labored over the sound of boots in the mud.

    Some walkers appear to have come to the jungle with little bar their will to keep moving. One Haitian man is wearing only flimsy rubber shoes, a wool sweater draped across his shoulders, and carrying three ruffled trash bags.

    Others are propelled by the horrors of what they have fled. Yendri, 20, and her mother Maria, 58, left Venezuela when Yendri’s university friends were shot dead in criminal attacks commonplace in the country, where the murder rate is one of the highest in the world. “It’s so hard to live there. It’s very dangerous – we live with a lot of violence. I studied with two people that were killed.”

    Her mother Maria was a professor, earning $16 a month – barely enough to eat. “I’m going, little by little,” she says. “I sat down to rest and to eat breakfast so that we continue to have strength.”

    Another is Ling, from Wuhan, the epicenter of the Covid-19 pandemic. He learned about the Darién Gap by evading the Chinese firewall, and then researching the walk on TikTok. “Hong Kong, then Thailand, then Turkey and then Ecuador,” he rattles off his route to the riverbank where we meet.

    “Many Chinese come here … Because Chinese society is not very good for life,” Ling adds while pausing to rest. He has also run out of food already. His move split his parents, he says. His father was for it; his mother wanted a traditional life and marriage for him. Around 2,200 Chinese citizens made the trek in January and February this year – more than in all of 2022, according to Panamanian government data.

    The last bit of Colombian territory grates, one father slipping as he carries his son on his back. Then the sky clears. The summit of the hill is the border between Panama and Colombia, marked with a hand-daubed sign of two flags. A canopy provides some shelter, and parents rest on logs. Younger walkers take smiling selfies. There is a sense of euphoria, which will evaporate within a few hundred yards.

    Most migrants are ill-equipped to hike the unforgiving terrain. It's dry season, yet the ground still sucks you in with every step.

    They are about to leave the grasp of the cash-hungry Colombian cartel and set off alone into Panama. The porters offer parting wisdom: “The blessing of the almighty is with you,” says one. “Don’t fight on the way. Help whoever is in need, because you never know when you’re going to need help.”

    During this pause they can take stock of who is suffering most acutely. Anna, 12, who is disabled and has epileptic convulsions, lies shaking on the chest of her mother, Natalia. “Her fever hasn’t dropped,” she says. “I didn’t bring a thermometer.”

    Like many here, Natalia says she was told the walk would be a lot shorter – only two hours’ descent ahead, she says. The scale of the deceit has begun to emerge, and the ground is about to literally turn on them.

    Once in Panama, the cartel falls away, reaching the end of their territory, as does the firm terrain. On the other side of the border lies a steep drop down the mountain, interrupted by roots, trees and rocks. Many stumble or slide uncontrollably. Mud grips your feet.

    Maria moves forwards slowly. “Don’t take me through the high parts,” she begs Yendri.

    Natalia has asked a Haitian migrant to carry her sick daughter ahead, but he soon tires. Anna sits by the side of the trail, alone, shivering.

    The man who was carrying her has started to make a stretcher from nearby canes cut from the jungle but needs help. They cannot move her further away from her mother, who is back down the trail and knows what Anna needs. But they cannot take her back to Natalia for help, as the climb up has already exhausted him.

    Although the trail has been open for less than two weeks, the path is already littered with refuse. An abandoned bow tie, empty tents, clothing, used diapers, personal documents – all scattered across the foliage, fragments of lives abandoned on the move.

    In one clearing, there is finally a moment of hope. Louvens, whose deterioration we had seen throughout the first days of the walk, is alert and smiling again after a miraculous recovery. He clambers over his father’s friends as they rest by the path.

    It is another two hours’ hard scrabble until the sound of the water surges. The forest opens, and the jungle floor is awash with tent poles, children, makeshift pots and stoves. People perch on every rock in the river, the sheer volume of migrants laid bare in one confluence. This is just the tail end of this morning’s group.

    There is a race to finish eating and washing before dark. Yet even in the night, new arrivals to the camp are cheered as they emerge from the path.

    On the third morning, the real length of the journey comes into focus.

    Jean-Pierre was told the whole walk would last 48 hours. “Right now, I don’t have enough food,” he says.

    Natalia, who has been reunited with her daughter, Anna, says she was told the descent to the boats from the summit would last only two days. It will be at least three. “‘No, your daughter can walk, this is easy,’” she says she was told by a Colombian guide. “But it’s not… since then, all I do is pay and pay,” she sobs. She and Anna are unable to move forward and are running short on food.

    On the winding route, chokepoints emerge at tree roots and pinnacles. Traffic jams form, with whole families spending hours on their feet waiting. In about an hour we move only a hundred meters.

    People pay around $400 to cross the Darién Gap, which is controlled by a local drug cartel. They bring little with them besides what they can carry on their backs.

    Tempers fray. “Why can’t you hurry the f**k up bitch,” a man shouts. He is reprimanded by an older lady in the same line, who reminds him a “proper father” would not talk that way.

    Yet at other moments, the sense of community – of spontaneous care for strangers – is startling. One river crossing is deep and marked by a rope. You must carry your bag overhead, and many stumble. Younger Haitian men stay behind to help others cross, forming a human chain.

    But this generosity can’t help with the physical pain or blunt the anxiety about what lies ahead.

    Standing on the riverbank, watching others stumble through the water, Carolina, from Venezuela, weeps. “Had I known, I would not have come or let my son come through here,” she says. “This is horrible. You have to live this to realize crossing through this jungle is the worst thing in the world.”

    Exhaustion is beginning to dictate every move. We stop next to the river to camp, and after an hour the site is overflowing with migrants, seeking safety in numbers and a pause. Dusk is setting in.

    In one of the tents is Wilson, the five-year-old. He has reunited with his parents again, who caught up with him on the route. His father says his son is in good health, despite having surgery nine months earlier.

    Outside another tent is Yendri, tending to her mother, whose right hand is raw with blisters after walking with a stick and wet leather gloves. She and Maria are also out of food, having given it away to other migrants, as they too thought the trek was just two or three days long.

    But deprivation is not new to so many on the riverbank. Venezuelans talk around the campfires of waiting in line from 1 a.m. to buy groceries but leaving empty-handed at 6 p.m.

    Stopping to camp overnight, people burn plastic to cook what they've carried with them. Many have fled countries where food and other basic goods are in short supply.

    “You’d get to the end of the line and there was no food. Nothing. We’d last two, three nights and that’s when I decided [to leave],” Lisbeth, a mother from Caracas says, as she begins to cry.

    Some even joke they are eating better in the jungle than in the Venezuelan capital.

    The next morning, the migrants pass a black plastic canopy stretched across four poles. Locals tell us that before this new route opened, it was an overnight stop for thieves. It’s close to Tres Bocas, a busy confluence in the rivers, where an old migrant route meets this new one.

    The two routes are now, it seems, competing, with safety and speed their rivaling commodities. Locals tell us the cartel has been fighting internally and fracturing. The new path was created as part of that fissure, but it is unclear whether it will be any more secure. Known as one of the world’s most dangerous migrant routes, the Darién Gap exposes those who cross it not only to natural hazards, but criminal gangs known for inflicting violence, including sexual abuse and robbery.

    The crowds fall away at the mouth of the old route, a riverbed leading to Cañas Blancas, a mountain crossing into Colombia. It’s lined with trash – ghostly plastic hangs from the trees, left there when the river flowed higher in rainy seasons past.

    Clothes are still hanging from hastily erected washing lines. A child’s doll and rucksack lie abandoned. The density of refuse reflects the number of people who’ve walked the route over the last decade – some of whom did not make it out.

    We soon stumble upon a few of them. A corpse wearing a yellow soccer jersey and wristband, his skull exposed. Further up the path, a foot can be seen sticking out from under a tent – a makeshift cross left nearby in hurried memorial. Elsewhere, the body of a woman, her arm cradling her head. According to the IOM, 36 people died in the Darién Gap in 2022, but that figure is likely only a fraction of the lives lost here – anecdotal reports suggest that many who die on the route are never found or reported.

    The old route, near Tres Bocas, is covered in garbage, camping tents and clothing abandoned by migrants.

    Another mile upstream is what appears to be a crime scene. Three bodies lie on the ground, each about 100 yards from each other. The first is a man, face down on the roots of a tree, rotting on a pathway. The other two are women. One is inside a tent, on her back, her legs spread apart. The third is concealed from the other two behind a fallen tree along the riverbank. She lies face down, found by migrants, according to photographs taken three weeks earlier, with her bra pushed up around her head. There are injuries around her groin and a rope by her body.

    A forensic pathologist who studied photographs of the scene at CNN’s request and didn’t want to be named discussing a sensitive issue, said there were likely signs of a violent death in the case of the one woman with a rope near her body, and the other two bodies – the man and woman – likely, “did not die of natural causes.”

    Yet there is unlikely to be an investigation. Panamanian authorities were told by journalists about the incident weeks prior, but there is no indication they have been here. Migrants just walk by the scene, a cautionary tale. No graves, just a moment of respect – afforded by discarded tent poles, fashioned into a cross.

    Known as one of the world’s most dangerous migrant routes, some never make it out of the Darién.

    Vultures circle above what appears to be a crime scene. Three bodies lying on the ground serve as a warning. (Natalie Gallón/CNN)

    Nearby is Jorge, who is on his second bid to cross into the US, where his brother lives in New Jersey. His first attempt ended with deportation back to Venezuela. Both of his journeys have been marred by violence. Just days earlier, further up the old route near the Colombian border, men in ski masks robbed his group.

    “When we were coming down Cañas Blancas, three guys came out, hooded, with guns, knives, machetes. They wanted $100 and those that didn’t have it had to stay. They hit me and another guy – they jumped on him and kicked him,” he said, adding the group had to borrow from other walkers to pay the $100. “That’s the story of the Darién. Some of us run with luck. Others with God’s will. And those that don’t pass, well they stay and that’s the way of the jungle.”

    At night, talk of the violence and robbery spreads through the group. Their tents are pitched closer together, and they burn plastic to heat food, choking the air, at times risking catching the trees alight.

    The closing hours of the walk, that next dawn, see great sacrifice among the migrants. And with the end in sight, nobody is willing to leave anyone else behind.

    Along one riverbed, a crowd has formed around a Venezuelan man in his early 20s, named Daniel. His ankle has swollen red from injury. Of the 10 days he’s spent in the wild, he’s been here for four.

    Other Venezuelans are busy around him, finding food and medicine. One injects him with antibiotics. Four other men, strangers to Daniel until 30 minutes earlier, fashion a stretcher from nearby branches, and carry him on, constantly joking among themselves. “That man is crazy. In the US, don’t they have psychologists to help this guy?” one says.

    A Venezuelan man, who was injured and stuck on the route for days, is carried on a makeshift stretcher made by other migrants.

    A woman from Haiti, Belle, is five months pregnant and quiet. She is shaking from hunger and thirst. She too gets help – food and water from other migrants.

    Anna, the 12-year-old girl who is disabled, and was stranded on a hillside after being separated from her mother, is still moving forwards. For a day now, she has been carried on the back of one man: Ener Sanchez, 27, from a Venezuelan-Colombian border town. Exhausted, he says: “I have to wait for her mother because we can’t leave her.”

    The heat is extreme, and the boats appear to always be further than imagined along the rocky, impassable riverbed. One Haitian woman lies on the path, water poured on her head by friends to cool her down.

    And when they finally reach the boats, their ordeal is not over, but extended. Lines curve along the riverbank for each canoe – wooden vessels known as “piraguas” crammed full of migrants each paying $20 a head. The boats arrive constantly, perhaps six at a time, to cater to the volume of migrants – each making $300 when full.

    Fights break out among the exhausted over who is first in line. A medical rescue helicopter passes overhead, the first sign of a government presence since we entered Panama three days earlier.

    Carolina is here, trying to board. Fatigue overshadows her relief. “Nobody knows but this jungle is hell; it’s the worst. At one point on the mountains, my son was behind me, and he would say, ‘Mom, if you die, I’ll die with you.’” She says she told her son to relax. “My legs would tremble, and I would grab on to tree roots. There was a moment when the river was too deep for me. I saw my son put a child on his shoulders and he told me, ‘Mom, I am going to help. Don’t worry, I am okay.’”

    “I regret putting my son through this jungle of hell so much that I have had to cry to let it all out because I risked his life and mine,” she adds, gazing toward the river.

    The boats struggle to float, each too weighed down by passengers in the shallow water of the dry season. Only when some migrants get out to push can they progress, and even that causes a jam. They pass a human skull on a log. And an hour down the river, they arrive in Bajo Chiquito, the first immigration station in Panama, where they are offered first aid, basic services and are processed by authorities.

    The government-run station is not designed for this many. Processing is meant to take a matter of hours before they are moved to camps while they await passage onwards to Costa Rica, Panama’s neighbor to the north. But many are stuck here with the backlog. Sodas cost $2. Some hurriedly buy new shoes or flip-flops for $5.

    Even if you are lucky enough to leave this crowded center, there is no respite. Panamanian authorities are keen to show us two migration reception centers, which wildly differ.

    One is San Vicente, a recently renovated facility with windows, clean beds, and plumbing, that separates women from men. Water springs from the faucets and shade from the sun is plentiful. The only complaints we hear are between different nationalities about who is treated better. But it hasn’t always been this nice.

    The camp was mentioned in a UN report released in December of last year, which strongly criticized the conditions in Panamanian immigration centers and even accused Panamanian officials of soliciting sexual favors from migrants in exchange for a seat on the buses headed north.

    According to the report, the UN received complaints that employees from the SNM [National Migration Service of Panama] and SENAFRONT, the Panamanian national border force, “requested sexual exchanges from the women and girls housed in the San Vicente Migration Reception Center who lack the money to cover the aforementioned transportation costs, with the promise of allowing them to get on the coordinated buses by the Panamanian authorities so that they can continue their journey to the border with Costa Rica.”

    The Panamanian government did not respond to CNN’s request for comment on allegations that SNM and SENAFRONT employees sexually exploited women and girls at San Vicente.

    The other camp, called Lajas Blancas, is an extension of the migrants’ suffering. There, the next day, we meet Manuel and Tamara again.

    Lajas Blancas also cannot cope with the numbers. Lines form for lunch, yet a loudspeaker soon says portions have finished. The couple got here early in the morning, walking at night from Bajo Chiquito. Now they are reeling from how poor the conditions are in this place they have fought to reach. Buses go from here to the border if you have the money.

    “When I got here in the early morning, only four buses left,” Manuel says. Next to him, one of his sons vomits onto the plastic mattress they are all trying to rest on. “The oldest, 5-year-old, has diarrhea, fever and [has been] throwing up since yesterday. Our 1-year-old has heat stroke. All that we want is a bus,” he says.

    Other migrants have endured weeks at the camp, some even working as cleaners in filthy conditions to earn a seat on a bus. “They put us to clean two weeks ago,” said a Colombian man of the camp, which is run by SENAFRONT. “But the buses came last night, and they took everyone with money.”

    SENAFRONT did not reply to CNN’s request for comment regarding the conditions at Lajas Blancas.

    A pregnant woman adds: “We’ve been here for nine days. I’ll be close to giving birth here. They don’t give us answers. They have us working and don’t give us a ‘yes, it’s [time] for you to leave.’ In the end, they lie to us.”

    Diarrhea, lice, colds – the complaints grow. They point towards the appalling hygiene of the shower blocks, where dirty water just drains onto the ground outside. The nearby wash basins are worse: no water and human feces on the floor.

    “The whole point of surviving the jungle was for an easier way forwards, and now all we are is stuck,” says Manuel. “I was starting to have nightmares. My wife was the strong one. I collapsed.”

    Their dream of freedom must wait, for now replaced by servitude to a system designed to make them pay, wait, and risk – each in enough measure to drain their cash slowly from them, and keep them moving forward to the next hurdle.

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  • Transgender adults brace for treatment cutoffs in Missouri

    Transgender adults brace for treatment cutoffs in Missouri

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    Ellie Bridgman spent her Thursday night shift at a local gas station in Union, Missouri, planning for the day she’ll lose access to gender-affirming treatments the transgender and nonbinary 23-year-old credits with making “life worth living.”

    A first-of-its-kind emergency rule introduced this week by Missouri’s Republican Attorney General Andrew Bailey will impose numerous restrictions on both adults and children before they can receive puberty-blocking drugs, hormones or surgeries “for the purpose of transitioning gender.”

    Transgender rights advocates have vowed to challenge the rule in court before it takes effect April 27. But promises of swift legal action have done little to ease the worries of trans Missourians like Bridgman who say it may be time to flee the state.

    Before gender-affirming medical treatments can be provided by physicians, the regulation requires people to have experienced an “intense pattern” of documented gender dysphoria for three years and to have received at least 15 hourly sessions with a therapist over at least 18 months. Patients also would first have to be screened for autism and “social media addiction,” and any psychiatric symptoms from mental health issues would have to be treated and resolved.

    Some individuals will be allowed to maintain their prescriptions while they promptly receive the required assessments.

    Bridgman, who uses she/they pronouns, is autistic and has depression. She said she sees only two options: move across the country, away from all her friends and family, to a state that protects access to gender-affirming care, or accept the serious health risks that could come with illegally buying hormones online.

    She headed to a pharmacy Friday afternoon to pay out of pocket for all her remaining refills.

    “Placing restrictions on transitioning for people with depression is just a way for them to completely bar us from transitioning at all,” Bridgman said. “For lots of trans people, dysphoria is the cause of depression. You can’t treat the depression without treating the underlying dysphoria.”

    Before Bridgman started hormone replacement therapy last summer, she said “life felt meaningless” and suicidal thoughts crowded her head. Gender-affirming care was her “last chance at life,” she said.

    The regulation comes as Republican lawmakers across the country, including in Missouri, have advanced hundreds of measures aimed at nearly every facet of transgender existence, with a particular emphasis on health care.

    At least 13 states have enacted laws restricting or banning gender-affirming care for minors. Bills await action from governors in Montana, North Dakota and neighboring Kansas, and nearly two dozen other states are considering legislation to restrict or ban care.

    National groups advocating for LGBTQ+ rights contend the Missouri regulation — based on a state law against deceptive and unfair business practices — goes further than most restrictions enacted elsewhere.

    Three states have imposed restrictions on gender-affirming care via regulation or administrative order, but Missouri’s regulation is the only one that also limits treatments for adults.

    Cathy Renna, a spokesperson for the National LGBTQ Task Force, said the rule demonstrates how Republicans are now successfully broadening the scope of gender-affirming care restrictions beyond minors, which advocates had been warning about for months.

    “When they see one thing work in one state, they’ll try to replicate it in another,” Renna warned.

    Bailey’s restriction comes after a former employee at a transgender youth clinic in St. Louis alleged that physicians at the Washington University Transgender Center were rushing to provide treatment without appropriate patient assessment.

    Bailey said he is investigating the clinic but has not yet issued a report. The claims of mistreatment have been disputed by others, including another former employee and patients. Neither Bailey nor the university responded to phone and email messages seeking comment.

    Dr. Meredithe McNamara, an assistant professor of pediatrics specializing in adolescent medicine at the Yale School of Medicine, said evidence widely supports maintaining access to hormone therapy and other gender-affirming care.

    As part of a consent process, Bailey’s rule requires that patients be shown materials containing nearly two dozen specific statements raising concerns about gender-affirming treatments — a practice doctors like McNamara have denounced as a form of conversion therapy.

    “There is no evidence that shows that psychotherapy as the only treatment is effective,” she said.

    Stacy Cay, an autistic trans woman in Kansas City, has been stockpiling vials of injectable estrogen in anticipation of restrictions. The 30-year-old comedian and model realized she only required a small dose and has saved up enough estrogen to last about a year. When that runs out, she will have to travel across state lines to fill prescriptions or consider moving elsewhere.

    Cay said her persistent depression will cut off her access to hormones under the regulation and that her autism diagnosis could complicate her path to receiving future care. While the regulation does not specify whether autism disqualifies a person for gender-affirming care, it does mandate an assessment.

    A 2020 study from natural sciences journal Nature Communications estimated that transgender and gender-diverse people, or those whose gender expressions do not conform to gender norms, are 3-6 times more likely to be autistic compared to cisgender people. They were also more likely to have other developmental and psychiatric conditions, including depression.

    “They know a lot of us are autistic, and it’s part of their strategy to paint us as unstable — that we can’t be trusted to make our own medical decisions,” Cay said.

    Attorneys from Lambda Legal and the American Civil Liberties Union say they plan to challenge the new rule in court.

    Missouri falls under the 8th U.S. Circuit Court of Appeals — the same court that upheld a preliminary injunction last year preventing Arkansas from enforcing a first-in-the-nation ban on trans children receiving gender-affirming treatments. Federal judges have also blocked enforcement of a similar law in Alabama.

    Republican legislators leading Missouri’s effort to ban gender-affirming treatments for minors said Friday that they have no plans to expand their legislation to include adults.

    Separate bills passed by the Missouri House and Senate would ban treatments for children younger than 18 but would impose no restrictions for adults who are covered by private insurance or willing to pay for their own health care.

    “I believe it is detrimental to a person’s body, probably even their psyche, to go through treatments like that,” said state Sen. Mike Moon, lead sponsor of the Senate legislation. “Adults have the opportunity to make decisions such as these.”

    ___

    Schoenbaum reported from Raleigh, North Carolina, and Lieb reported from Jefferson City. Associated Press editor Jeff McMillan contributed from Scranton, Pennsylvania.

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  • Rutgers Launches Lyme Disease Vaccine Study

    Rutgers Launches Lyme Disease Vaccine Study

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    Newswise — Rutgers has been selected as a clinical trial site for the national research study by drug company Pfizer Inc. and French vaccine maker Valneva SE to evaluate the safety and efficacy of a vaccine for the prevention of Lyme disease in children over the age of 5. 

    Lyme disease is caused by a bacterium called Borrelia burgdorferi that is transferred to humans through the bite of an infected tick. If left untreated, the bacteria can spread through the bloodstream and cause serious problems in the brain, joints and heart. According to the Centers for Disease Control and Prevention, about 476,000 Americans are diagnosed and treated for Lyme disease, which is more common in children and teens. Currently, there are no approved vaccines to prevent Lyme disease. 

    The Pediatric Clinical Research Center at Rutgers Robert Wood Johnson Medical School in New Brunswick — one of approximately 50 research sites nationwide and the only clinical trial site in New Jersey — is enrolling 50 to 100 children ages 5 to 17 who have not been diagnosed with Lyme disease in the past three months for the two-year study, which will include 3,000 children.

    Three out of four participants who meet the eligibility requirements for the study will be provided doses of the vaccine while one-fourth will receive a placebo. Three doses will be given in the first six months, with a booster shot one year later.

    Participants will be required to have six follow-up visits with the study team in New Brunswick, where there will be clinical evaluation as well as blood tests and two follow-up phone calls over the course of the study.

    “Developing a vaccine is important because currently the only prevention is protecting children from tick bites through clothing and insect repellant and then checking them for ticks after they play outside, especially if they are in the woods or in grassy areas,” said Sunanda Gaur, director of the Pediatric Clinical Research Center. “They are most at risk during the spring and summer when ticks are most active.”

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    Rutgers University-New Brunswick

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  • Missouri to restrict transgender care for minors, adults

    Missouri to restrict transgender care for minors, adults

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    COLUMBIA. Mo. — Missouri’s attorney general announced new restrictions Thursday on transgender care for adults in addition to minors in a move that is believed to be a first nationally and has advocacy groups threatening to sue.

    Attorney General Andrew Bailey announced plans to restrict transgender health care weeks ago, when protesters rallied at the Capitol to urge lawmakers to pass a law banning puberty blockers, hormones and surgeries for children. But the discussion was focused on minors, not adults.

    Missouri Attorney General spokeswoman Madeline Sieren clarified in a statement later in the day that adults also would be covered.

    “We have serious concerns about how children are being treated throughout the state, but we believe everyone is entitled to evidence-based medicine and adequate mental health care,” Sieren said.

    The rule, which incudes a required 18 months of therapy before receiving gender-affirming health care, is set to take effect April 27 and expire next February.

    The ACLU and Lambda Legal said in a joint statement that they would “take any necessary legal action” and urged those affected to call.

    “The Attorney General’s so-called emergency rule is based on distorted, misleading, and debunked claims and ignores the overwhelming body of scientific and medical evidence supporting this care,” the statement said.

    Robert Fischer, the spokesman for the LGBT rights groups PROMO, said he was not aware of similar restrictions elsewhere.

    “He’s essentially attacking the entire trans community at this point,” Fischer said of Bailey. “It’s no longer just about children.”

    The National Center for Transgender Equality called the order “deeply wrong” in a tweet, adding that “trans people of all ages across the state of Missouri deserve access to health care.”

    The restrictions are in response to a former employee’s allegations of mistreatment at a transgender youth clinic in St. Louis run by Washington University. Bailey is investigating the center.

    “My office is stepping up to protect children throughout the state while we investigate the allegations and how they are harming children,” Bailey said in a statement.

    University spokespeople didn’t immediately respond to phone or email messages from The Associated Press seeking comment.

    Moving forward, doctors who provide gender-affirming health care must first provide them a lengthy list of potential negative side effects and information warning against those treatments, according to a copy of the rule released Thursday.

    Health care providers will need to ensure “any psychiatric symptoms from existing mental health comorbidities of the patient have been treated and resolved” before providing gender-affirming treatments under the new rule. Physicians also must screen patients for social media addiction, autism and signs of “social contagion with respect to the patient’s gender identity.”

    The FDA approved puberty blockers 30 years ago to treat children with precocious puberty — a condition that causes sexual development to begin much earlier than usual. Sex hormones — synthetic forms of estrogen and testosterone — were approved decades ago to treat hormone disorders or as birth control pills.

    The FDA has not approved the medications specifically to treat gender-questioning youth, but they have been used for many years for that purpose “off label,” a common and accepted practice for many medical conditions. Doctors who treat transgender patients say those decades of use are proof the treatments are not experimental.

    Critics have raise concerns about children changing their minds. Yet the evidence suggests detransitioning is not as common as opponents of transgender medical treatment for youth contend, though few studies exist and they have their weaknesses.

    Bailey’s rule was released the same day Missouri’s Republican-led House voted to ban access to transgender-related health care for minors.

    The House voted 103-52 along mostly party lines in favor of the ban, although the bill’s passage seems uncertain in the Senate.

    The House proposal is stricter than what was passed by the GOP-led Senate, where Democrats have more influence through the use of stall tactics.

    Senators compromised to exempt care for minors whose treatment is already underway. The Senate bill also would expire after four years.

    The House version includes no exceptions for current treatments and would remain in effect indefinitely.

    Republican Senate leaders said it’s unlikely that the House version will make it through the Senate.

    “We’ve already passed legislation on this issue out of the Senate,” Senate President Pro Tem Caleb Rowden said. “We would expect the House to appreciate how hard and difficult it was and to take up our bill and pass it.”

    Both the House and Senate proposals would ban inmates and prisoners from accessing gender-affirming surgeries and would end coverage of any gender-affirming treatments for Missouri patients on Medicaid, the federal health insurance program.

    The Human Rights Campaign have condemned the legislation in a statement, describing gender-affirming care as medically necessary.

    At least 13 states have now enacted laws restricting or banning gender-affirming care for minors: Alabama, Arkansas, Arizona, Georgia, Idaho, Indiana, Iowa, Kentucky, Mississippi, Tennessee, Utah, South Dakota and West Virginia. Bills are awaiingt action from governors in Kansas, Montana and North Dakota. Federal judges have blocked enforcement of laws in Alabama and Arkansas, and nearly two dozen states are considering bills this year to restrict or ban care.

    House debate on the bill became emotional as some Democrats argued the ban on health care will hurt transgender children.

    “You are erasing my grandchild,” said St. Louis Democratic Rep. Barbara Phifer, whose grandson is transgender.

    Republican sponsor Rep. Brad Hudson, of Cape Fair, criticized Democrats for threatening to end political partnerships and friendships with Republicans over the bill.

    Hudson said his bill “seeks to protect kids” and that it’s unfair that Democrats are describing it as hateful towards transgender children.

    “A yes vote is a vote to protect kids from sex-change drugs and surgeries,” Hudson said.

    ——

    Associated Press writer David A. Lieb contributed to this report from Jefferson City, Missouri.

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  • Father of Madeline Kingsbury’s children denies involvement in missing Minnesota mother’s disappearance | CNN

    Father of Madeline Kingsbury’s children denies involvement in missing Minnesota mother’s disappearance | CNN

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    CNN
     — 

    The father of a missing Minnesota mother’s children said he is cooperating with law enforcement “at every turn,” nearly two weeks after the disappearance of 26-year-old Madeline Kingsbury.

    Adam Fravel denied any involvement in Kingsbury’s disappearance in a statement Wednesday.

    “Over the course of the last 12 days my family and I have been subject to a myriad of accusations regarding the disappearance of the mother of my children, Maddi Kingsbury. During these last 12 days I have cooperated with law enforcement at every turn, including sitting down for multiple interviews with Winona County law enforcement.

    “I did not have anything to do with Maddi’s disappearance. I want the mother of my 5-year-old and 2-year-old to be found and brought home safely. I want that more than anything,” said Fravel.

    Fravel said he had been advised by law enforcement on April 2 not to attend news conferences or assist in searches for Kingsbury due to safety concerns.

    “My non-attendance and silence has been inferred by many as a sign of apathy, or worse. That could not be further from the truth. I want Maddi home and for her to be able to be with our two children,” said Fravel.

    Bonney Bowman, a spokesperson for the Minnesota Bureau of Criminal Apprehension, told CNN on Thursday she is not aware of any law enforcement agencies advising Fravel not to attend news conferences or organized searches for Kingsbury.

    Asked whether Fravel has cooperated with law enforcement, Bowman said, “I’m not able to share that information at this time.”

    Kingsbury was last seen on the morning of March 31.

    She did not show up at work as expected the day she disappeared, and did not answer calls from family and friends, police said. She didn’t pick up her children from day care that afternoon or make other arrangements.

    The Winona County Health and Human Services Department was notified by police on April 4 that the two children “are in need of protection or services” after their mother was designated an endangered missing person, according to court documents obtained and reviewed by CNN.

    The agency took custody of the children – who were located with their father at their grandparent’s residence – after their mother was deemed an endangered missing person, according to court documents obtained by CNN.

    Fravel doesn’t have custodial rights to his children, but he had his children at his home and his parent’s home, according to the documents.

    When social workers confronted Fravel at the home last week, he was not cooperative with officials and initially did not allow them access to his children before he eventually placed them in HHS custody, the court documents say.

    Evidence suggests Kingsbury’s disappearance was “involuntary and suspicious,” the Winona Police Department said in a Wednesday update.

    “We remain extremely concerned for her safety,” police said in their update.

    “We have drafted and served numerous search warrants as part of our search efforts.”

    The update didn’t address whether Fravel has been cooperating with authorities.

    Kingsbury’s family said in a statement Wednesday they have been working with investigators in the search for her. “Members of our family and close friends coordinate closely with law enforcement and send out search teams day after day, every day,” the statement said.

    “We will find Madeline. This is our mission and we will not falter.”

    Police have said they believe her vehicle, a 2014 dark blue Chrysler Town and Country, may have traveled from Winona to eastern Fillmore County on the day of her disappearance.

    They have asked residents in that area to check their “video cameras, doorbell cameras, game cameras … for any signs of the van passing through or stopping.”

    Winona is in southeastern Minnesota, near the Wisconsin border.

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  • Newly active Texas sinkhole unearths forgotten fears in some

    Newly active Texas sinkhole unearths forgotten fears in some

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    DAISETTA, Texas — When the massive sinkhole first appeared in Daisetta in May 2008, some residents had feared it might engulf their small Southeast Texas town.

    But after growing to 900 feet (274 m) across and 260 feet (79 m) deep, it stabilized, swallowing up some oil tanks and several vehicles but sparing nearby homes. Some residents used humor to calm their fears, making “Sinkhole de Mayo” T-shirts, a reference to Cinco de Mayo. For others, the sinkhole, which eventually filled with water, became a new fishing spot.

    “It was just a pond after that, just a story that we told our kids. We just learned how to live with it,” Krystal Parrish, one of the approximately 1,000 residents who live in the town located about 60 miles (97 km) northeast of Houston, said Tuesday.

    But earlier this month, city officials announced the sinkhole had expanded after a long hibernation, renewing fears from some residents. Officials say there hasn’t been any significant expansion since the new growth was detected April 2, but they’re monitoring the sinkhole and keeping the public informed.

    “I don’t think (residents) should panic or anything. But it’s something that they should watch,” said Richard Howe, a private geologist with Houston-based Terra Cognita who’s helping Daisetta officials monitor the sinkhole.

    But Parrish and some other residents say the city hasn’t sufficiently updated the public.

    “I’m not gonna lie, I’m pretty creeped out by it because it’s twice in my lifetime and my house is like a quarter mile from the sinkhole,” said Parrish as she watched her son during a high school baseball game.

    Daisetta sits on a salt dome, a natural formation created below the ground over millions of years where oil brine and natural gas accumulate.

    Salt domes create good conditions where oil can migrate and accumulate, Howe said. This was the reason Daisetta became a booming oil town in the early 1900s. The sustained oil drilling along the salt dome over decades could have contributed to creating the sinkhole, Howe said. Investigators had also considered saltwater waste that was being stored underground by an oil and gas waste well business next to the sinkhole as a possible cause.

    But Howe said a cause for the 2008 sinkhole was never determined. A more comprehensive study could be done, but it would be costly and “a small town like this is not flush with cash,” he said. Howe, who also helped Daisetta in 2008, is working for the city on a volunteer basis.

    Howe suggested the underground cavern in the salt dome that first collapsed and formed the 2008 sinkhole likely expanded, creating a new sinkhole that seems to have merged with the original one. Howe said he’s not had a chance to determine the size of the expanded sinkhole.

    Sinkholes tend to be common in regions where soluble rocks, including salt domes and limestone, can be dissolved by groundwater, according to the U.S. Geological Survey. Florida, for example, sits above limestone and is highly susceptible to sinkholes.

    Howe said officials have placed steel posts 50 feet (15 m) apart in a pasture area near the sinkhole to monitor any changes in their elevation and to act “as an early warning if this thing continues to move south toward homes and buildings.”

    “This thing could be like this for another 15 years … or it could be 100 years, or it could change tomorrow. It’s just no way to predict it,” said Howe, adding nothing can be done to stop the sinkhole if it continues expanding.

    The expanding sinkhole is located near the high school campus, as well as various homes and a new Family Dollar/Dollar Tree store that opened just days after the new growth was discovered.

    At the site of the shuttered oil and gas waste well business that’s been taken over by the expanding sinkhole, a road that connected one end of the location to the other has been washed away. Several large tanks, which officials say are empty, were in the water. A portion of a metal warehouse was being consumed by the sinkhole, while large cracks could be seen on the ground around the building.

    Officials with the U.S. Environmental Protection Agency and the Texas Commission on Environmental Quality, or TCEQ, had relocated six large tanks with an unknown substance from the cracked earth and asphalt near the sinkhole so they could be tested, the TCEQ said in an email Wednesday.

    “Due to the imminent threats to human health and the environment, TCEQ and U.S. EPA proceeded quickly to mitigate the potential for chemical releases,” TCEQ said.

    Daisetta resident Alexis Laird, 25, a mother of three kids, said she hadn’t really thought much about the sinkhole since first seeing it as a fourth-grader in 2008. Now she’s worried about it, as her apartment is located less than two blocks away from it. She said she wants officials to be more proactive in their updates to residents.

    “It doesn’t matter whether it’s good or bad or a minuscule amount of information. … Tell the people that live here,” she said.

    Daisetta City Secretary Joan Caruthers said officials are working to set up a website that will provide updates and are planning to hold a public meeting in the future. Caruthers said they want “a little more information” before scheduling the public meeting.

    After the sinkhole appeared in 2008, county commissioners asked the state to set up monitoring devices that could be an early warning system.

    Caruthers said she’s not aware if any such monitoring system from the state was ever set up. The sinkhole was monitored for several years after 2008, but there was no recent active monitoring by the city, she said.

    Christine Bautsch, Laird’s mother, described Daisetta as a friendly town where “everybody pretty much knows everybody” and residents come together in a time of crisis, including a growing sinkhole.

    “There is really good people here and they take care of each other. … We’ll pull together,” Bautsch said. ___ Follow Juan A. Lozano on Twitter at https://twitter.com/juanlozano70.

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  • Whitmer signs stricter gun background check, storage bills

    Whitmer signs stricter gun background check, storage bills

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    EAST LANSING, Mich. — Anyone who wants to buy a gun in Michigan will have to undergo a background check, and gun owners will be required to safely store all firearms and ammunition when around minors under new laws signed Thursday by Gov. Gretchen Whitmer.

    The signing took place on the Michigan State University campus in East Lansing, where a gunman killed three students and injured five others two months ago. Flanked by students and gun safety advocates, Whitmer, a graduate of MSU, told the more than 100 people in attendance to “buckle up, we’re going to continue this work.”

    “Gun violence is a scourge that is unique to this country,” Whitmer said. “We don’t have to live like this and today, we are showing we are not going to anymore.”

    The legislation is part of a sweeping 11-bill gun safety package that was introduced in the weeks following the MSU shooting but was predominately drafted after the 2021 Oxford High School shooting in which four students were killed. The bills saw little movement at the time with Republicans in control of the Legislature.

    The Michigan House is expected to vote Thursday on proposed red flag laws, also known as extreme risk protection orders, that are intended to temporarily remove guns from people with potentially violent behavior to stop them from hurting themselves or others. The Senate passed the measures in March. Whitmer said she would sign the package if and when it gets to her desk.

    Under the legislation signed Thursday, criminal background checks will be required for anyone buying a rifle or shotgun, which had previously only been required for purchases of pistols. The safe storage bills will require gun owners to keep unloaded firearms in a locked storage box or container when it is “reasonably known that a minor is or is likely to be present on the premises.” The laws will go into effect next year.

    Safe storage requirements gained momentum after Ethan Crumbley, who was 15 years old at the time, killed four classmates and wounded seven other people at Oxford High School. Afterward, he admitting using a gun that was not locked in a box at home and had been purchased for him by his father. His parents, James and Jennifer Crumbley, have been charged with involuntary manslaughter for the acts of Ethan, who has pleaded guilty to terrorism and first-degree murder charges.

    Supporters have also said the safe storage requirements will protect teenagers from using firearms in suicide attempts.

    Calling gun violence a “uniquely American problem,” Whitmer drew attention to mass shootings across the country during her remarks Thursday, specifically referencing recent shootings in Nashville and Louisville.

    Numerous state legislatures across the country are debating ways to address gun violence. A shooting in downtown Louisville this week was the 15th mass killing of the year in the U.S. in which four or more people were killed other than the perpetrator. That is the most during the first 100 days of a calendar year since 2009.

    The U.S. is sharply divided over what steps, if any, to take in the face of violence that involves firearms. Florida Gov. Ron DeSantis, an expected Republican presidential candidate who visited Michigan last week, signed a bill this month that allows people in his state to carry concealed firearms without a permit, and without training or a background check. It takes effect July 1.

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  • Biden says he’s expanding some migrants’ health care access

    Biden says he’s expanding some migrants’ health care access

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    WASHINGTON — President Joe Biden announced Thursday that hundreds of thousands of immigrants brought to the U.S. illegally as children will be able to apply for Medicaid and the Affordable Care Act’s health insurance exchanges.

    The action will allow participants in the Obama-era Deferred Action for Childhood Arrivals program, or DACA, to access government-funded health insurance programs.

    “They’re American in every way except for on paper,” Biden said in a video released on his Twitter page. “We need to give Dreamers the opportunities and support they deserve.”

    The action is likely to generate significant pushback from conservative leaders of states that have been have been reluctant to expand Medicaid and critical of the Biden administration’s response to migrants who enter the U.S. illegally. While the federal government provides funding and guidelines for Medicaid, the program is administered by the states.

    Then-President Barack Obama launched the 2012 DACA initiative to shield from deportation immigrants who were brought to the U.S. illegally by their parents as children and to allow them to work legally in the country. However, the immigrants, known as “Dreamers,” were still ineligible for government-subsidized health insurance programs because they did not meet the definition for having “lawful presence” in the U.S. Biden’s Department of Health and Human Services will aim to change that by the end of the month.

    The White House action comes as the DACA program is in legal peril and the number of people eligible is shrinking.

    An estimated 580,000 people were still enrolled in DACA at the end of last year, according to U.S. Citizenship and Immigration Services. That number is down from previous years. Court orders currently prevent the U.S. Department of Homeland Security from processing new applications. The DACA program has been mired in legal challenges for years, while Congress has been unable to reach consensus on broader immigration reforms.

    DACA recipients can work legally and must pay taxes, but they don’t have full legal status and are denied many benefits, including access to federally funded health insurance, available to U.S. citizens and foreigners living in the U.S.

    During the COVID-19 pandemic, many people signed up for Medicaid, the program that provides health care coverage for the poorest Americans. And the government increased federal subsidies to drive down the cost of insurance plans on the Affordable Care Act’s marketplace. As of last year, just 8% of Americans were without health insurance, according to Health and Human Services.

    But immigrants living in the U.S. without documentation are far more likely than others to not have health insurance. More than a third of DACA recipients are estimated to be without health care coverage, HHS said. About half of the roughly 20 million immigrants who are living in the U.S. without documentation are uninsured, according to research from the Kaiser Family Foundation.

    Providing more people with insurance could have a positive impact on the entire health care system because it would give more people access to routine checkups and avoid emergency visits, said Jamila Michener, associate professor of government and policy at Cornell University.

    “Having sizeable groups of people who live, work, go to school and make their home in the U.S. but cannot access vital health benefits is bad for everyone,” Michener said in an email. “It makes preventive care less accessible thus driving up the cost of emergency care.”

    While there’s bipartisan support to enact some sort of protections for the immigrants, negotiations have often broken down over in debates about border security and whether an expansion of protections might induce others to try to enter the U.S. without permission. Biden, a Democrat, has repeatedly called on Congress to provide a pathway to citizenship for immigrants brought to the U.S. illegally as children.

    Other classes of immigrants — including asylum seekers and people with temporary protected status — are already eligible to purchase insurance through the marketplaces of the ACA, Obama’s 2010 health care law, often called “Obamacare.”

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  • US urges meat companies to ensure they don’t use child labor

    US urges meat companies to ensure they don’t use child labor

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    OMAHA, Neb. — The Biden administration is urging U.S. meat processors to make sure children aren’t being illegally hired to perform dangerous jobs at their plants.

    The call comes after an investigation found more than 100 kids working overnight for a company that cleans slaughterhouses, handling dangerous equipment like skull splitters and razor-sharp bone saws.

    Agriculture Secretary Tom Vilsack sent a letter Wednesday to the 18 largest meat and poultry producers urging them to examine the hiring practices at their companies and suppliers. The letter is part of a broader effort by the administration to crack down on the use of child labor. The Labor Department has reported a 69% increase since 2018 in the number of children being employed illegally in the U.S.

    “The use of illegal child labor — particularly requiring that children undertake dangerous tasks — is inexcusable, and companies must consider both their legal and moral responsibilities to ensure they and their suppliers, subcontractors, and vendors fully comply with child labor laws,” Vilsack said in the letter.

    Just last year, the Labor Department found that more than 3,800 children had been working illegally at 835 companies in various industries. In the most egregious recent case, Packers Sanitation Services Inc., or PSSI, agreed earlier this year to pay a $1.5 million fine and reform its hiring practices after investigators confirmed that at least 102 kids were working for the company at 13 meat processing plants nationwide.

    PSSI, which is based in Wisconsin, employs about 17,000 people working at more than 700 locations, making it one of the largest food-processing-plant cleaning companies. The plants where PSSI was found to be employing minors were in Arkansas, Colorado, Indiana, Kansas, Minnesota, Nebraska, Tennessee and Texas.

    The Labor Department says it has more than 600 child labor investigations underway and officials are concerned about the exploitation of children, particularly migrants who may not even have a parent in the United States.

    Several federal agencies launched a broad effort to combat child labor earlier this year, and officials asked Congress to increase the penalty for violations because the current maximum fine of $15,138 per child isn’t enough of a deterrent to big companies.

    One major meat producer, Smithfield Foods, said Wednesday it was not aware of any violations at its facilities. “Smithfield Foods and all of its affiliates comply with all child labor laws, both federal and state,” the company said. “We require all of our contractors to do so as well.”

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  • Community Physicians Use Innovative Project to Diagnose Autism in Young Kids

    Community Physicians Use Innovative Project to Diagnose Autism in Young Kids

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    Newswise — As the number of children in need of access to timely evaluation and intervention for autism spectrum disorder (ASD) continues to rise, new research is showing how barriers to diagnoses and treatment can be reduced through an innovative training program first developed at the University of Missouri.

    ASD can be identified and diagnosed in young children by a well-trained clinician, and early diagnosis is vital to quickly establishing access to evidence-based therapies and interventions. However, long specialty center waitlists, distance, and cost often hinder early diagnosis.

    The Extension for Community Healthcare Outcomes (ECHO) Autism STAT model shows promise at eliminating these barriers. The program leverages the existing Project ECHO model to build the capacity of primary care physicians and clinicians to evaluate and diagnose children in local communities. The University of Missouri’s ECHO program uses video-conferencing technology to create learning communities that promote best practices among primary care clinicians through case-based learning and guided practice. The ECHO Autism STAT model builds on the existing ECHO Autism framework by adding more intensive training elements specifically focused on the diagnostic assessment of young children.

    “By adding to and using the skills of community-based primary care doctors and advanced practice providers, there exists the potential to drastically increase critical access to diagnostic assessment for ASD among children in underserved areas,” said lead researcher Kristin Sohl, MD,  professor, Department of Child Health at the University of Missouri School of Medicine and the founder of ECHO Autism. “This accelerates the process for these children to receive the essential therapies and services, while allowing autism specialty centers to focus on care for those with more complex diagnostic needs.”

    Through an evaluation of participants in the program, the researchers found that the ECHO Autism STAT primary care physician diagnoses were congruent with gold-standard evaluations completed at autism specialty centers. Likert scale surveys showed families were overwhelmingly pleased with their experiences and preferred to undergo diagnostic assessments in their local communities with local doctors.

    “These results support the ECHO Autism STAT model as an effective means to advance the skills of community doctors and strengthen their confidence to diagnose young children with obvious signs of autism,” said Alexandra James, MD, assistant professor of clinical child health University of Missouri School of Medicine. “Training and supporting primary care clinicians to diagnose ASD builds capacity and expertise in underserved areas, such as rural communities, which in turn decreases wait times at specialty centers and speeds access to care.”

    The University of Missouri researchers recently published “ECHO (Extension for Community Healthcare Outcomes) Autism STAT: A Diagnostic Accuracy Study of Community-Based Primary Care Diagnosis of Autism Spectrum Disorder” in the Journal of Developmental and Behavioral Pediatrics.

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    University of Missouri, Columbia

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  • Prolonged Inactivity Linked to Increased Heart Size in Teens

    Prolonged Inactivity Linked to Increased Heart Size in Teens

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    Newswise — In adolescents, sedentary time may increase heart size three times more than moderate-to-vigorous physical activity, a paper published in the Scandinavian Journal of Medicine & Science in Sports concludes. The study was conducted in collaboration between the University of Bristol in the UK, the University of Exeter in the UK, and the University of Eastern Finland. The researchers explored the associations of sedentary time, light physical activity, and moderate-to-vigorous physical activity with cardiac structure and function.

    Recent World Health Organization reports and guidelines note that more than 80% of adolescents across the globe have insufficient physical activity per day. Physical inactivity has been associated with several non-communicable diseases in adults such as cardiovascular diseases, type 2 diabetes, and cancer. In the pediatric population, the majority of movement behaviour studies have focused on the effect of sedentary behaviour and physical activity on cardiometabolic health which includes blood pressure, insulin resistance, blood lipids, and body mass index.

    There has been a gap in knowledge on the effect of sedentary time and moderate-to-vigorous physical activity on cardiac structure and function in large adolescent populations due to the scarcity of device-measured movement behaviour and echocardiography assessment in the pediatric population. A higher left ventricular mass, which indicates an enlarged or hypertrophied heart, and a reduced left ventricular function, which indicates decreased heart function, may in combination or independently lead to an increased risk of heart failure, myocardial infarction, stroke, and premature cardiovascular death.

    The current study, which used data from the University of Bristol study Children of the 90s (also known as the Avon Longitudinal Study of Parents and Children) included 530 adolescents aged 17 years who had complete measurements of fat mass, muscle mass, glucose, lipids, an inflammation marker, insulin, smoking status, socio-economic status, family history of cardiovascular disease, echocardiographic cardiac function and structure measures, and accelerometer-based measure of sedentary time, light physical activity, and moderate-to-vigorous physical activity.

    On average, adolescents spent almost 8 hours/day sedentary and about 49 minutes/day in moderate-to-vigorous physical activity in this new study. It was observed that both sedentary time and moderate-to-vigorous physical activity were associated with higher left ventricular mass. However, the increase in cardiac mass (3.8 g/m2.7) associated with sedentary time was three times higher than the cardiac mass increase (1.2 g/m2.7) associated with moderate-to-vigorous physical activity. This finding was observed in adolescents irrespective of their obesity status, i.e among adolescents who had normal weight and those who were overweight or obese. Importantly, light physical activity was not associated with an increase in cardiac mass but was associated with better cardiac function estimated from left ventricular diastolic function.

    “This novel evidence extends our knowledge of the adverse effects of sedentary time on cardiac health. It is known among adults that a 5 g/m increase in cardiac mass may increase the risk of cardiovascular disease and death by 7 – 20%. Engaging in moderate-to-vigorous physical activity also slightly enlarged the heart but it seems an acceptable negative side effect considering several other health benefits of moderate-to-vigorous exercise. Hence, public health experts, health policymakers, high school administrators and teachers, pediatricians, and caregivers are encouraged to facilitate adolescent participation in physical activity to enable a healthy heart,” says Andrew Agbaje, a physician and clinical epidemiologist at the University of Eastern Finland.

    Dr Agbaje’s research group (urFIT-child) is supported by research grants from Jenny and Antti Wihuri Foundation, the Finnish Cultural Foundation Central Fund, the Finnish Cultural Foundation North Savo Regional Fund, the Orion Research Foundation sr, the Aarne Koskelo Foundation, the Antti and Tyyne Soininen Foundation, the Paulo Foundation, the Yrjö Jahnsson Foundation, the Paavo Nurmi Foundation, the Finnish Foundation for Cardiovascular Research and the Foundation for Pediatric Research.

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    University of Eastern Finland

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  • In Ukrainian village, a family lives under cloud of shelling

    In Ukrainian village, a family lives under cloud of shelling

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    BOHOYAVLENKA, Ukraine — In a small village in eastern Ukraine the sounds of war echo in the distance while 10-year old Khrystyna Ksenofontova plays. She pets the neighborhood cats, paints and, like everyone else here, hopes the fighting will end soon.

    The small village of Bohoyavlenka, in Donetsk province, lies 20 kilometers (13 miles) from the active front line. Khrystyna’s days are spent scrounging the bits of childhood she still can. Her family refuses to evacuate and lives under a cloud of constant shelling. She wears headphones to block out the booms of the explosions.

    ”(I feel) fear, trembling,” she says. The explosions resound at night most of the time, she says, brushing aside her sandy blond hair. But sometimes they come in the morning, too.

    Her mother, Yulia, and grandmother chose not to leave the village, which had a pre-war population of 1,400, after her father died from a brain injury suffered in an attack that destroyed one of their homes. They prefer to bear the brunt of the war in their hometown rather than be displaced and penniless, Yulia says.

    It’s a common story along the dozens of towns and villages that span the 1,000-kilometer (more than 600-mile) front line in eastern Ukraine. Despite the severity of the fighting, many families have refused to leave their homes, rejecting evacuation attempts and choosing to risk their lives under bombardment. Aid groups concentrate on delivering food and supplying heating to these areas, where supplies are difficult to access.

    The majority of those who stay are the elderly, many of whom rarely ventured outside their homes before the war. It is increasingly rare to find families with young children choosing to live so close to combat lines.

    But Khrystyna still finds moments of delight amid the devastation.

    In the basement, a litter of kittens was recently born. Picking up two, she smiles as their newborn eyes struggle to adjust to the light. She dreams of being a veterinarian.

    All her friends have gone. The child finds ways to occupy her time by studying — when the power is on she studies online — and taking care of the cats.

    Her grandmother — the mother of Khrystyna’s dead father — weeps, praying for normalcy to return to their lives.

    Yulia strategizes ways to gather food to last the week. Sometimes the family travels to a nearby town where the supermarkets are still open. The shops, hospitals and schools in their village closed several months ago.

    Like many residents in the area, her husband was a coal miner. Before the war he worked in the nearby hilltop town of Vuhledar, which has been the site of fierce fighting for months with Ukrainian forces still holding the town.

    Yulia fears a much anticipated Russian counteroffensive expected in the spring will finally push them to leave. But where? She doesn’t know. She wishes she could see her mother in Russian-occupied Crimea, but that is impossible now.

    “Everyone is worried about it (the potential counteroffensive),” she said. “Who knows, anything could happen.”

    While she speaks, a distant boom thunders. She brushes it off. “It’s normal.”

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  • America funded nationwide child care during WWII. Here’s how Biden is trying to revive that effort | CNN Politics

    America funded nationwide child care during WWII. Here’s how Biden is trying to revive that effort | CNN Politics

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    Washington
    CNN
     — 

    During World War II, the federal government spent more than $1 billion in today’s dollars to help provide affordable child care for mothers who entered the workforce in droves to support the war effort.

    Child care centers in more than 635 communities across the country received funds. Many stayed open late and on weekends to match workers’ factory schedules.

    The World War II-era child care program was the first and only federally administered child care for all families, regardless of their income – a qualifying factor for many of today’s federal child care subsidies.

    But the federal funding abruptly expired when the war ended, and now, roughly 80 years later, many American families struggle to find affordable, high-quality child care that meets their needs. The private market simply does not provide adequate child care options.

    President Joe Biden, who could not get his universal pre-K proposal through Congress, is now taking a different, more limited approach. He’s requiring companies applying for certain federal grants meant to boost domestic manufacturing of semiconductor chips to also have a plan to provide access to affordable child care for their workers.

    The policy is designed to make sure workers as well as companies benefit from this federal investment, said Betsey Stevenson, a professor of public policy and economics at the University of Michigan who previously served as an adviser to former President Barack Obama.

    “Another way to think about it is that we really need government involved in child care,” she said.

    As men went overseas to fight in World War II and the federal government’s “Rosie the Riveter” campaign encouraged women to join the workforce, it became clear that child care was sorely needed.

    The money came from the National Defense Housing Act of 1940, more widely known as the Lanham Act, which was meant to fund infrastructure projects deemed critical to the war effort. The Federal Works Agency decided in 1942 that child care services fell in that category.

    The FWA allowed the funds to be used for the construction and maintenance of child care facilities, to train and pay teachers, and to provide meals for communities that were directly involved in the war effort. The child care money was disbursed to centers in nearly every state.

    Parents typically had to chip in, paying less than $1 a day for the child care services.

    “It’s quite remarkable. The country essentially stood up an entire child care program in a matter of months,” said Chris Herbst, an associate professor at Arizona State University who published a study in 2013 on the Lanham Act child care program.

    Herbst found that mothers’ paid work increased substantially following the child care subsidies. He also found that those mothers were more likely to be working 20 years later.

    The program had a long-term impact on the children, too, whom Herbst found to be more likely to achieve higher levels of education and to be employed in the future, and less likely to receive other kinds of government aid throughout their lives.

    Currently, the federal government subsidizes child care for low-income families through programs like the Child Care and Development Fund and Head Start programs.

    But many families still struggle to afford child care, and those that can afford it have trouble finding it. After the Covid-19 pandemic dealt a huge blow to the child care sector, the federal government provided funds to help keep child care centers operating. But long-lasting, sweeping reform has repeatedly failed to pass Congress.

    Last year, lawmakers passed the CHIPS and Science Act, which invests more than $200 billion over five years to help the US bring back semiconductor chip manufacturing from places like China. The law is not specifically about child care, but now the Commerce Department is requiring some companies to also provide access to child care in order to be eligible for the money.

    The CHIPS law creates incentives for companies to build, expand and modernize US facilities and equipment and is already spurring private investment. Wolfspeed, a North Carolina semiconductor manufacturer that Biden visited late last month, announced a $5 billion investment to build a facility, expecting to create 1,800 jobs there.

    In February, the Biden administration added the child care provision. Companies seeking certain grants over $150 million must also submit a plan to provide their facility and construction workers with access to affordable, high-quality child care, according to the government’s guidance.

    “The first thing I thought was that this was ‘Lanham Part Two,’” said Kathryn Edwards, an adjunct economist at the RAND Corporation.

    “We want to make sure we have workers for this critical industry, so we are going to have child care,” she said.

    Like the Lanham Act, the child care program is supported by a law primarily focused on industrial policy. But the CHIPS law is putting the onus on the employer to provide the service, rather than deliver funding directly to local child care centers.

    “Here’s the truth: CHIPS won’t be successful unless we expand the labor force. We can’t do that without affordable child care,” Commerce Secretary Gina Raimondo tweeted in February.

    Herbst believes it could be a few years before workers see how the child care requirement plays out and how each employer decides to structure the benefit. They may choose to provide child care on-site or offer employees child care vouchers.

    “The administration has, I think, a commitment to child care. I think the question is whether this is the best way to manifest that commitment,” Herbst said.

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  • Northern Ireland’s ‘peace babies’ say sectarianism lives on, thwarting progress | CNN

    Northern Ireland’s ‘peace babies’ say sectarianism lives on, thwarting progress | CNN

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    Belfast
    CNN
     — 

    Cori Conlon grew up thinking Protestants were “the bad guys.”

    They went to different schools, played different sports, had different flags, and sang different songs. She said she was oblivious to the complexities of Northern Irish politics, but knew only one thing: to stay away from the Protestant children living at the bottom of the street.

    Raised in a predominantly Catholic area in west Belfast, she spoke Irish, sang Irish ballads and attended Irish Catholic school. Her routine was punctuated by “peace walls,” the towering metal barricades built during the conflict that separate communities into Catholic and Protestant. .

    Her views were shaped by the folklore of her family, tales that her “Great Granny Kitty” would tell of the violence between Catholic nationalists and Protestant unionists, or the British Army, known as the Troubles, that racked daily life for 30 years and left more than 3,600 people dead.

    In 1971, her grandparents provided a safe-haven to neighbors after the British army shot and killed 10 people in their district, a series of incidents known as the Ballymurphy massacre, she said. That and other stories left their mark on her.

    She didn’t meet a Protestant until she was 11.

    Conlon is one of Northern Ireland’s “peace babies,” those born after the Good Friday Agreement was signed in 1997, ending decades of violence and raising hopes of a brighter future for the next generation. But 25 years on, young people like Conlon are still exposed to the trauma of the Troubles, as clashes over identity and constitutional issues continue to dictate political discourse.

    The anniversary of the agreement comes as the power-sharing system of government it created, designed to end decades of violence, is failing. The Democratic Unionist Party (DUP) collapsed the government in protest against the Brexit settlement, which it says drives a wedge between Northern Ireland and Britain. Meanwhile, Sinn Fein, a political party dedicated to Irish reunification, is now the most popular across the island of Ireland.

    Caught in the middle of this constitutional tug of war are young people, whose minds are preoccupied with pressing social issues: a largely segregated education and housing system, poor health care and high levels of poverty. CNN spoke with three “peace babies” living in Belfast, who dream of living in a future free from sectarianism, and say that political discord is stifling their futures.

    “I grew up in a segregated society, in my own community. I went to an Irish primary school and an Irish Catholic secondary school. I thought Protestants were the bad guys – because that’s what you were told – through history, parents and the murals you see in your area,” Conlon, 22, an Irish-language campaigner who works in theater, told CNN.

    But Cori’s perception of Protestants began to change when she joined a cross-community performing arts project, learning to act and sing with young people from the other side of Belfast.

    “If it wasn’t for the Rainbow Factory, I wouldn’t have met a Protestant until I was an adult. Now as an adult, because of the Rainbow Factory, I have a lot of friends from all communities, but still anytime I go to east Belfast my parents are traumatized,” she said. “The older generations have not healed, and that’s why it keeps getting passed on to the younger generation.”

    Like many others in her generation, Conlon emigrated from Northern Ireland, moving away to study drama in England. But unlike the 88% of young people who never return home – she moved back to Belfast.

    Now, she works for YouthAction Northern Ireland, teaching theater to children from Protestant and Catholic backgrounds at the Rainbow Factory, the same performing arts school that she said opened her eyes to the fissures within Northern Ireland’s society. An advocate for better peace and reconciliation, she is adamant that another generation is not condemned to the same fate of sectarianism.

    Joel Keys, a 21-year-old loyalist activist from east Belfast, lives on the other side of the peace walls, where many curbs are still painted in the colors of the British Union Jack flag – red, white and blue – to mark out unionist territory.

    Many of the loyalist murals in the area were painted by his father. One pays homage to the east Belfast Protestant Boys Flute Band, who march through the streets of the city every year on July 12, celebrating the anniversary of the Battle of the Boyne in 1690, when King William of Orange secured a victory over the deposed Catholic monarch James II – leading to the discrimination of Irish Catholics for centuries. The streets are lined with murals showing men wearing balaclavas pointing guns, with the words: “if you are attacked, defend yourself.”

    “There were no Catholics in my area or school. For most of my life, I thought, we are the good guys – and all of them Catholics were evil, scary and wanted to kill us,” Keys told CNN. “But it’s not that young loyalists are running around with a hatred of Catholics in their hearts.”

    These divisions are reinforced throughout society. Across Northern Ireland, 93% of children go to a school that is segregated by religion, per a UNESCO report from Ulster University in 2021. And more than 90% of social housing estates remain segregated into single identity communities, with that number rising to 94% in Belfast, according to 2016 figures from the Housing Executive.

    Joel Keys:

    In 2021, unionists held rallies and marches to protest the Northern Ireland protocol – recently rebranded as the “Windsor Framework – part of the Brexit deal that saw the United Kingdom leave the European Union, leading to a customs border in the Irish Sea in order to avoid having one across the island of Ireland. Loyalists’ anger boiled over and spilled into the streets. Adults cheered on children as they threw petrol bombs at police. Eight people were arrested for rioting, including Keys.

    The teenage supermarket worker-turned aspiring politician was released from jail after his arrest, and shortly after was invited to appear before the Northern Ireland affairs committee to discuss loyalist anger. He stunned members of the Northern Ireland Assembly, known as Stormont, and faced media backlash, after claiming that sometimes violence is “the only tool you have left.”

    But he has since spoken out against the renewed loyalist violence in his area, saying those who have accused him of supporting it misunderstood him.

    “The Northern Ireland Protocol is interesting because I think loyalism has a point – and I think there’s a legitimate argument to be made that a customs border between Northern Ireland and Britain – similar to the way a border across the island, is wrong. But is it the case that these are the issues that people in my community are discussing? No. If you went out and did a survey and asked people in loyalist areas what is the Protocol – I’d be willing to bet that over half of them wouldn’t be able to tell you – there’s more important issues,” Keys told CNN.

    More than anything, Keys is furious at how the current political impasse has left the people of east Belfast in poverty, adding that leaders of the Democratic Unionist parties need to understand that the new generation want better jobs and education, not the same tired sectarian politics pitting orange (Protestant) against green (Catholic).

    “People in my community, they’re not lazy or stupid – so why are they stuck in the position they’re in? Why are they struggling to find employment? Why are some of them struggling to find a house?” Keys queried. “Because our schools have failed, and our political system is failing. But instead of addressing these problems, people are still in war mode. The Good Friday Agreement may have taken away the bombs and the bullets, but all this means is that we’re now at war with our words instead.”

    In 2012, there were loyalist riots when the number of days that the Union flag flies over Belfast City Hall was limited from 365 days a year to 18 — the minimum required for UK government buildings. Protesters, angered over what they saw as an attack on British culture, threw petrol bombs, bricks and stones at police, burning the offices of political parties that voted for the decision.

    “I remember running down to Belfast city center with my friends to riot. I picked up a bin and threw it. I looked across the street and saw a woman looking at me, an ordinary person going about their day. She was so appalled at what was going on – and I remember thinking, what am I doing?” Andrew Clarke, a 27-year-old Protestant from east Belfast, told CNN.

    Andrew Clarke studies history at Queen's University Belfast.

    Clarke said that his identity at the time was firmly rooted in unionism, born out of his childhood and nurtured in a Protestant state school.

    But at 16, after the 2012 riots he said his view of the issues facing his generation shifted dramatically when he changed schools from a Protestant state school to an integrated college. The move opened his eyes to other, more pressing issues, which he says he feels aren’t represented adequately by politicians today.

    “I was a supporter of LGBT rights and abortion access for women, but the DUP opposed that. Growing up in a loyalist area, I’ve seen how loyalist communities are controlled by unionist politicians who don’t care about them – who use the constitutional question to ignore social issues, where social deprivation is tolerated because politics is seen as green and orange,” Clarke said, adding that he now aligns more with Irish Republicanism.

    “There is a cost-of-living crisis, homelessness crisis and Belfast is the suicide capital of western Europe. There is nothing here for young people – so they flee abroad.”

    In 2022, after the latest round of rioting subsided, the Democratic Unionist Party collapsed the power-sharing deal designed to stop the bloody conflict, in protest over the Northern Ireland protocol. It is the fifth time since the Good Friday Agreement was signed that sectarian politics has left the Northern Irish people without a government.

    Without a body to allocate funding, Youth Action Northern Ireland, which runs the Rainbow Factory, may be forced to close some of their cross-community projects, one less opportunity for Catholic and Protestant children to meet, according to Conlon.

    Northern Ireland has the highest levels of child poverty per head of population in the UK, with 100,000 born into poverty, according to the Joseph Rowntree foundation. And, last week, Northern Ireland’s Department of Education announced that they were scrapping Holiday Hunger, a free school meal program, and a school counseling scheme due to budget cuts.

    “Youth organizations are crying out for government support. There’s funding there that can’t be given out – because there’s no government – and these youth services are going to close. Young people rely on it so much. I honestly can’t even begin to imagine the impact this will have on their lives,” Conlon said.

    “It feels like all these issues are more important than sectarian politics – but it feels like if we don’t address sectarianism – then we can’t deal with these issues.”

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  • ‘I cried when I saw my mom’: Ukrainian children on return to Kyiv after time in Russian hands | CNN

    ‘I cried when I saw my mom’: Ukrainian children on return to Kyiv after time in Russian hands | CNN

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    Kyiv
    CNN
     — 

    A group of 31 Ukrainian children have been reunited with their families months after they were taken from their homes and moved to Russian-occupied territories.

    A CNN team on the ground in Kyiv watched as the last of the children climbed off a bus on Saturday to embrace waiting family members, many unable to hold back the tears as months of separation came to an end.

    “We went to the summer camp for two weeks but we got stuck there for six months,” one of the homecoming teenagers, Bogdan, 13, said as he hugged his mother. “I cried when I saw my mom from the bus. I’m very happy to be back.”

    Bogdan’s mother, Iryna, 51, said she had received very little information about her son in the six months they were apart.

    “There was no phone connection. I was very worried. I didn’t know anything, whether he was being abused, what was happening to him. … My hands are still shaking,” she said.

    The reunions were coordinated by the humanitarian organization Save Ukraine. The group says it has now completed five missions bringing home Ukrainian children it says were forcibly deported by Russia.

    The children – pulling suitcases and bags of belongings, with some clutching stuffed animals – accompanied by family members, had crossed the border by foot a day earlier and were met by volunteers before being put on the bus to the Ukrainian capital.

    “It is thanks to our joint and coordinated work that we once again experience these incredible emotions when, after a long separation, children run across their native land into the arms of their families. When you see tears of joy on the faces of young Ukrainians, you realize that it is not all in vain,” Save Ukraine founder Mykola Kuleba said in a press conference earlier Saturday.

    Kuleba said tragedy had struck during the latest rescue mission: One of the women traveling with the party – a grandmother – passed away during the journey. The woman had been due to pick up two children on the mission, but because of her death, the pair were not permitted to travel back to Ukraine.

    The founder earlier said the mission comprised a group of 13 mothers, who left Ukraine a little over a week ago, many of them granted power of attorney which allowed them to collect other parents’ children in addition to their own.

    The group crossed into Poland before traveling through Belarus, Russia and finally entering Russian-occupied Crimea, where they were reunited with 24 of the children.

    The other seven children were collected in Voronezh, Rostov and Belgorod, all inside Russia, she said.

    Allegations of widespread forced deportation of children from Ukraine to Russia form the basis of war crimes charges brought against Russian President Vladimir Putin and a senior official, Maria Lvova-Belova, by the International Criminal Court last month.

    A report released in February detailed allegations of an expansive network of dozens of camps where kids underwent “political reeducation,” including Russia-centric academic, cultural and, in some cases, military education.

    Ukraine’s head of the Office of the President recently estimated the total number of children forcibly removed from their homes is at least 20,000. Kyiv has said thousands of cases are already under investigation.

    Russia has denied it is doing anything illegal, claiming it is bringing Ukrainian children to safety.

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  • Police: Fleeing father dropped toddler who died in brook

    Police: Fleeing father dropped toddler who died in brook

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    Police say a 2-year-old boy from Vermont found dead in a brook may have been dropped there by his father as he fled the scene of a car crash in northwestern Massachusetts

    CLARKSBURG, Mass. — A 2-year-old boy from Vermont found dead in a brook early Saturday may have been dropped there by his father as he fled the scene of a car crash in northwestern Massachusetts, police said.

    Massachusetts State Police troopers were called to the site of the crash in Clarksburg just before 2 a.m. Authorities learned that the child was missing and searched the Hudson Brook. Police and Clarksburg firefighters pulled the child from the brook and took him to a hospital where he was pronounced dead.

    A preliminary police investigation concluded that the boy’s father, later identified as Darel A. Galorenzo, a 35-year-old man from Readsboro, Vermont, likely dropped him into the waterway as he was fled the crash scene on foot.

    Galorenzo was found nearby, taken into custody and charged with operating under the influence. He was later charged also with manslaughter, reckless endangerment of a child and negligent operating of a motor vehicle.

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  • Report: Florida officials cut key data from vaccine study

    Report: Florida officials cut key data from vaccine study

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    An analysis that was the basis of a highly criticized recommendation from Florida’s surgeon general cautioning young men against getting the COVID-19 vaccine omitted information that showed catching the virus could increase the risk of a cardiac-relate…

    TAMPA, Fla. — An analysis that was the basis of a highly criticized recommendation from Florida’s surgeon general cautioning young men against getting the COVID-19 vaccine omitted information that showed catching the virus could increase the risk of a cardiac-related death much more than getting the mRNA shot, according to drafts of the analysis obtained by the Tampa Bay Times.

    The nonbinding recommendation made by Florida Surgeon General Joseph Ladapo last fall ran counter to the advice provided by the federal Centers for Disease Control and Prevention. Ladapo, a Harvard-trained medical doctor who was appointed by Florida Gov. Ron DeSantis in 2021 to head the Florida Department of Health, has drawn intense scrutiny over his shared resistance with the Republican governor to COVID-19 mandates for vaccines and masks and other health policies endorsed by the federal government.

    The early drafts of the analysis obtained by the Times through a records request showed that catching COVID-19 could increase the chances of a cardiac-related death much more than getting the vaccine, but that information was missing from the final version put out by the Florida Department of Health last October.

    Ladapo said that the risk of men ages 18 to 39 having cardiac complications outweighed the benefits of getting the mRNA vaccine.

    Matt Hitchings, an infectious disease epidemiologist and professor of biostatistics at the University of Florida, told the Times that it seems that sections of the analysis were omitted because they did not fit the narrative the surgeon general wanted to push.

    “This is a grave violation of research integrity,” Hitchings said. “(The vaccine) has done a lot to advance the health of people of Florida and he’s encouraging people to mistrust it.”

    In a statement on Twitter posted Saturday in response to the Times’ story, Ladapo said, “It’s not only unfortunate that COVID has corrupted scientists’ ability to think clearly about epidemiology but also sad that people rush to defend a vaccine that has shown increased cardiovascular risk in multiple studies.”

    Last year, Ladapo released guidance recommending against vaccinations for healthy children, contradicting federal public health leaders whose advice says all kids should get the shots. In response, the American Academy of Pediatrics and its Florida chapter issued written statements reiterating support for vaccinating eligible children age 5 and older against COVID-19.

    DeSantis, who is contemplating a run for the GOP presidential nomination, also has requested that a grand jury be convened to investigate any wrongdoing with respect to the COVID-19 vaccines. DeSantis’ request argues that pharmaceutical companies had a financial interest in creating a climate in which people believed that getting a coronavirus vaccine would ensure they couldn’t spread the virus to others.

    The Florida Supreme Court agreed to the request last December.

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