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Tag: population and demographics

  • 7 dead after car plows into a crowd in front of a Texas shelter that was housing migrants | CNN

    7 dead after car plows into a crowd in front of a Texas shelter that was housing migrants | CNN

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    CNN
     — 

    A driver plowed into a group outside a shelter that had been housing migrants in a Texas border town on Sunday, leaving seven people dead – including several immigrants – and others injured, authorities say.

    Authorities in Brownsville, Texas say they got a call around 8:30 am CT about a Land Rover that hit multiple people who were waiting at a bus stop across the street from the Bishop Enrique San Pedro Ozanam Center, a non-profit homeless shelter that has been helping house migrants.

    The crash left seven dead and others injured, Martin Sandoval, a Brownsville police spokesperson, told CNN. Sandoval added that several migrants were among the dead and Border Patrol was working to confirm the identities of the victims. It’s unclear whether the crash was intentional.

    CNN interviewed migrants staying at the center in December. At the time, the center’s director told CNN that migrants from all over the world were beginning to stay at the shelter and they were seeing an uptick in stays. The shelter is equipped to house and feed 200 people, according to its website.

    Witnesses at the scene detained the driver until officers arrived, Sandoval said during a Sunday news conference. He said the driver of the vehicle received medical care and has been arrested on a reckless driving charge. “More than likely” there will be other charges added, Sandoval said.

    Police have not released the name of the driver, but say it was a Hispanic man, Sandoval told CNN. Brownsville police are investigating with the help of Border Patrol, he added.

    Sandoval said authorities are still investigating whether the crash was intentional or accidental. He said witnesses described seeing the driver ignore a red light, drive up on a curb and run over a group of people waiting at the bus stop. Police are checking the driver’s toxicology, Sandoval added.

    The shelter has been housing immigrants while they wait for more permanent housing, he said.

    Brownsville, Texas is located on the southern tip of Texas, just across the Rio Grande River. The town’s population is nearly 95% Hispanic or Latino, according to the 2022 census.

    The crash happened just days before a Trump-era immigration restriction dubbed Title 42 is set to expire. The pandemic-era policy allowed immigration agents to swiftly return migrants to their home countries. Officials have predicted a rise in immigration in coming weeks when the restrictions are lifted Thursday.

    Victor Maldonado, the director of the Ozanam Center, told CNN that about 20 to 25 migrants were sitting on the curb waiting for a bus across the street from the shelter. He said surveillance video captured the deadly wreck with footage showing a vehicle driving very quickly, crashing about 30 feet from where the migrants were sitting and then losing control.

    Police took Maldonado’s copy of the surveillance video, he said.

    The migrants were from Venezuela and had arrived at the shelter about two or three days ago, Maldonado said.

    Maldonado said after the crash, he and a staff member at the shelter ran outside to find a very graphic scene, with body parts spread across the area.

    “I’ve got a staff [member] who is in shock,” Maldonado said, adding that he, too, was in shock.

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    May 7, 2023
  • Breast density changes over time could be linked to breast cancer risk, study finds | CNN

    Breast density changes over time could be linked to breast cancer risk, study finds | CNN

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    CNN
     — 

    Breast density is known to naturally decrease as a woman ages, and now a study suggests that the more time it takes for breast density to decline, the more likely it is that the woman could develop breast cancer.

    Researchers have long known that women with dense breasts have a higher risk of breast cancer. But according to the study, published last week in the journal JAMA Oncology, the rate of breast density changes over time also appears to be associated with the risk of cancer being diagnosed in that breast.

    “We know that invasive breast cancer is rarely diagnosed simultaneously in both breasts, thus it is not a surprise that we have observed a much slower decline in the breast that eventually developed breast cancer compared to the natural decline in density with age,” Shu Jiang, an associate professor of surgery at Washington University School of Medicine in St. Louis and first author of the new study, wrote in an email.

    Breast density refers to the amount of fibrous and glandular tissue in a person’s breasts compared with the amount of fatty tissue in the breasts – and breast density can be seen on a mammogram.

    “Because women have their mammograms taken annually or biennially, the change of breast density over time is naturally available,” Jiang said in the email. “We should make full use of this dynamic information to better inform risk stratification and guide more individualized screening and prevention approaches.”

    The researchers, from Washington University School of Medicine in St. Louis and Brigham and Women’s Hospital in Boston, analyzed health data over the course of 10 years among 947 women in the St. Louis region who completed routine mammograms. A mammogram is an X-ray picture of the breast that doctors use to look for early signs of breast cancer.

    The women in the study were recruited from November 2008 to April 2012, and they had gotten mammograms through October 2020. The average age of the participants was around 57.

    Among the women, there were 289 cases of breast cancer diagnosed, and the researchers found that breast density was higher at the start of the study for the women who later developed breast cancer compared with those who remained cancer-free.

    The researchers also found that there was a significant decrease in breast density among all the women over the course of 10 years, regardless of whether they later developed breast cancer, but the rate of density decreasing over time was significantly slower among breasts in which cancer was later diagnosed.

    “This study found that evaluating longitudinal changes in breast density from digital mammograms may offer an additional tool for assessing risk of breast cancer and subsequent risk reduction strategies,” the researchers wrote.

    Not only is breast density a known risk factor for breast cancer, dense breast tissue can make mammograms more difficult to read.

    “There are two issues here. First, breast density can make it more difficult to fully ‘see through’ the breast on a mammogram, like looking through a frosted glass. Thus, it can be harder to detect a breast cancer,” Dr. Hal Burstein, clinical investigator in the Breast Oncology Center at Dana-Farber Cancer Institute, who was not involved in the new study, said in an email. “Secondly, breast density is often thought to reflect the estrogen exposure or estrogen levels in women, and the greater the estrogen exposure, the greater the risk of developing breast cancer.”

    In March, the US Food and Drug Administration published updates to its mammography regulations, requiring mammography facilities to notify patients about the density of their breasts.

    “Breast density can have a masking effect on mammography, where it can be more difficult to find a breast cancer within an area of dense breast tissue,” Jiang wrote in her email.

    “Even when you take away the issue of finding it, breast density is an independent risk factor for developing breast cancer. Although there is lots of data that tell us dense breast tissue is a risk factor, the reason for this is not clear,” she said. “It may be that development of dense tissue and cancer are related to the same biological processes or hormonal influences.”

    The findings of the new study demonstrate that breast density serves as a risk factor for breast cancer – but women should be aware of their other risk factors too, said Dr. Maxine Jochelson, chief of the breast imaging service at Memorial Sloan Kettering Cancer Center in New York, who was not involved in the study.

    “It makes sense to some extent that the longer your breast stays dense, theoretically, the more likely it is to develop cancer. And so basically, it expands on the data that dense breasts are a risk,” Jochelson said, adding that women with dense breasts should ask for supplemental imaging when they get mammograms.

    But other factors that can raise the risk of breast cancer include having a family history of cancer, drinking too much alcohol, having a high-risk lesion biopsied from the breast or having a certain genetic mutation.

    For instance, women should know that “density may not affect their risk so much if they have the breast cancer BRCA 1 or 2 mutation because their risk is so high that it may not make it much higher,” Jochelson said.

    Some ways to reduce the risk of breast cancer include keeping a healthy weight, being physically active, drinking alcohol in moderation or not at all and, for some people, taking medications such as tamoxifen and breastfeeding your children, if possible.

    “Breast density is a modest risk factor. The ‘average’ woman in the US has a 1 in 8 lifetime chance of developing breast cancer. Women with dense breasts have a slightly greater risk, about 1 in 6, or 1 in 7. So the lifetime risk goes up from 12% to 15%. That still means that most women with dense breasts will not develop breast cancer,” Burstein said in his email.

    “Sometimes radiologists will recommend additional breast imaging to women with dense breast tissue on mammograms,” he added.

    The US Preventive Services Task Force – a group of independent medical experts whose recommendations help guide doctors’ decisions – recommends biennial screening for women starting at age 50. The task force says that a decision to start screening earlier “should be an individual one.” Many medical groups, including the American Cancer Society and Mayo Clinic, emphasize that women have the option to start screening with a mammogram every year starting at age 40.

    “It’s also very clear that breast density tends to be highest in younger women, premenopausal women, and for almost all women, it tends to go down with age. However, the risk of breast cancer goes up with age. So these two things are a little bit at odds with each other,” said Dr. Freya Schnabel, director of breast surgery at NYU Langone’s Perlmutter Cancer Center and professor of surgery at NYU Grossman School of Medicine in New York, who was not involved in the new study.

    “So if you’re a 40-year-old woman and your breasts are dense, you could think about that as just being really kind of age-appropriate,” she said. “The take-home message that’s very, very practical and pragmatic right now is that if you have dense breasts, whatever your age is, even if you’re postmenopausal – maybe even specifically, if you are postmenopausal – and your breasts are not getting less dense the way the average woman’s does, that it really is a reason to seek out adjunctive imaging in addition to just mammography, to use additional diagnostic tools, like ultrasound or maybe even MRI, if there are other risk factors.”

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    May 2, 2023
  • Big banks are bidding for troubled First Republic as FDIC deadline looms | CNN Business

    Big banks are bidding for troubled First Republic as FDIC deadline looms | CNN Business

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    New York
    CNN
     — 

    Federal regulators are holding an auction for ailing regional bank First Republic, a person familiar with the matter tells CNN.

    Final bids are due for First Republic Bank at 4 p.m. ET on Sunday, the source said.

    The Federal Deposit Insurance Corporation, the independent government agency that insures deposits for bank customers, is running the auction.

    Neither First Republic nor the FDIC were immediately available for comment.

    Shares of First Republic

    (FRC)
    plunged from $122.50 on March 1 to around $3 a share as of Friday on expectations that the FDIC would step in by end of day and take control of the San Francisco-based bank, its deposits and assets. But that never happened.

    The FDIC had already done so with two other similar sized banks just last month — Silicon Valley Bank and Signature Bank — when runs on those banks by their customers left the lenders unable to cover customers’ demands for withdrawals.

    The Wall Street Journal previously reported that JPMorgan Chase and PNC Financial are among the big banks bidding on First Republic in a potential deal that would follow an FDIC seizure of the troubled regional bank.

    PNC declined to comment. JPMorgan did not respond to requests for comment.

    “We are engaged in discussions with multiple parties about our strategic options while continuing to serve our clients,” First Republic said in a statement Friday night.

    If there is a buyer for First Republic, the FDIC would likely be stuck with some money-losing assets, as was the case after it found buyers for the viable portions of SVB and Signature after it took control of those banks.

    A kind of shotgun marriage, arranged by regulators who didn’t want a significant bank to end up in the hands of the FDIC before it was sold, occurred several times during the financial crisis of 2008 that sparked the Great Recession. Notably, JPMorgan bought Bear Stearns for a fraction of its earlier value in March of 2008, and then in September bought savings and loan Washington Mutual, soon after Bank of America bought Merrill Lynch.

    The failure of Washington Mutual in 2008 was the nation’s largest bank failure ever. First Republic, which is bigger than either SVB or Signature Bank, would be the second largest.

    Soon after collapses of SVB and Signature in March, First Republic received a $30 billion lifeline in the form of deposits from a collection of the nation’s largest banks, including JPMorgan Chase

    (JPM)
    , Bank of America

    (BAC)
    , Wells Fargo

    (WFC)
    , Citigroup

    (C)
    and Truist

    (TFC)
    , which came together after Treasury Secretary Janet Yellen intervened.

    The banks agreed to take the risk and work together to keep First Republic flush with the cash in the hopes it would provide confidence in the nation’s suddenly battered banking system. The banks and federal regulators all wanted to reduce the chance that customers of other banks would suddenly start withdrawing their cash.

    But while the cash allowed First Republic to make it through the last six weeks, its quarterly financial report Monday evening, with the disclosure of massive withdrawals by the end of March, spurred new concerns about its long-term viability.

    The financial report showed depositors had withdrawn about 41% of their money from the bank during the first quarter. Most of the withdrawals were from accounts with more than $250,000 in them, meaning those excess funds were not insured by the FDIC.

    Uninsured deposits at the bank fell by $100 billion during the course of the first quarter, a period during which total net deposits fell by $102 billion, not including the infusion of deposits from other banks.

    The uninsured deposits stood at 68% of its total deposits as of December 31, but only 27% of its non-bank deposits as of March 31.

    In its earnings statement, the bank said insured deposits declined moderately during the quarter and have remained stable from the end of last month through April 21.

    Banks never have all the cash on hand to cover all deposits. They instead take in deposits and use the cash to make loans or investments, such as purchasing US Treasuries. So when customers lose confidence in a bank and rush to withdrawal their money, what is known as a “run on the bank,” it can cause even an otherwise profitable bank to fail.

    First Republic’s latest earnings report showed it was still profitable in the first quarter — its net income was $269 million, down 33% from a year earlier. But it was the news on the loss of deposits that worried investors and, eventually, regulators.

    While some of those who had more than $250,000 in their First Republic accounts were likely wealthy individuals, most were likely businesses that often need that much cash just to cover daily operating costs. A company with 100 employees can easily need more than $250,000 just to cover a biweekly payroll.

    First Republic’s annual report said that as of December 31, 63% of its total deposits were from business clients, with the rest from consumers.

    First Republic started operations in 1985 with a single San Francisco branch. It is known for catering to wealthy clients in coastal states.

    It has 82 branches listed on its website, spread across eight states, in high-income communities such as Beverly Hills, Brentwood, Santa Monica and Napa Valley, California; in addition to San Francisco, Los Angeles and Silicon Valley. Outside of California, branches are in other high-income communities such as Palm Beach, Florida; Greenwich, Connecticut; Bellevue, Washington; and Jackson, Wyoming.

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    April 30, 2023
  • Biden calls for release of wrongfully detained Americans abroad during White House Correspondents Dinner | CNN Politics

    Biden calls for release of wrongfully detained Americans abroad during White House Correspondents Dinner | CNN Politics

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    CNN
     — 

    President Joe Biden called for the release of detained journalists and citizens abroad at the White House Correspondents Dinner on Saturday, before poking fun at everything from his age to Elon Musk.

    “Let me start on a serious note,” Biden said, “members of our administration are here to send a message to the country and, quite frankly, to the world. The free press is a pillar, maybe the pillar of a free society, not the enemy.”

    The audience at the Washington Hilton represented a “who’s who” of officials within the Biden administration, with some top White House officials seated at the dais. First Lady Jill Biden, Vice President Kamala Harris and second gentleman Doug Emhoff were all in attendance Saturday evening. The event also boasted a number of high-profile celebrity guests like Chrissy Teigen and John Legend.

    Beyond one-liners, the president’s remarks were calibrated to his reelection campaign priorities and the topical issues he often discusses at the podium – such as the economy and the ongoing war in Ukraine.

    But Biden took special care to address the issue of wrongfully detained Americans abroad.

    Saturday’s dinner took place about a month after the arrest of American citizen Evan Gershkovich, a Wall Street Journal correspondent based in Moscow. The United States has designated him as wrongfully detained by Russia.

    “Tonight, our message is this: Journalism is not a crime,” Biden said Saturday.

    Earlier this week, the US issued new sanctions on groups in Russia and Iran accused of taking Americans hostage as the Biden administration works to prevent more captive-taking and potentially secure the release of citizens currently being detained.

    This year’s dinner also comes amid a media industry reckoning. The state of the economy, fears of a recession and dried up investment capital have played a large part in what’s driven the dramatic industry changes over the last several months. But other struggles, like high-profile legal issues and ratings woes, have also been apparent.

    Typically, presidential speechwriters work through remarks for a few weeks. Last year, at his first correspondents dinner since becoming president, Biden told his team he envisioned an address that went beyond just a series of one-liners, wisecracks and gags – a tactic he employed again Saturday night.

    Still, the dinner gave Biden a rare chance to flex his comedic muscles in front of entertainers and members of the media, an opportunity he used to make jokes about his predecessor’s recent scandals.

    Biden joked he was offered $10 to keep his speech under ten minutes. “That’s a switch, a president being offered hush money,” he quipped in reference to Trump’s indictment in an alleged hush money scheme.

    In just the last two weeks, the media industry has been hit by multiple high-profile terminations, layoffs and the complete shut down of a news organization.

    Host Tucker Carlson and Fox News severed ties. Anchor Don Lemon and CNN parted ways. Comcast announced NBCUniversal CEO Jeff Shell was leaving company after an outside investigation “into a complaint of inappropriate conduct.” Vice Media announced layoffs and the cancellation of its acclaimed program “Vice News Tonight.” BuzzFeed News shut down.

    In pictures: The history of the White House Correspondents’ Dinner

    The event raises funds for the White House Correspondents’ Association scholarship fund and offers a rare opportunity for journalists and politicians to rub elbows – but also features remarks from a comedian often tasked with walking a fine line between gentle ribbing and legitimate criticism.

    This year’s dinner headliner was “Daily Show” correspondent Roy Wood Jr., who took aim at both parties and the media as he criticized politics in Washington.

    As Biden stepped away from the podium to make room for Wood, the comedian quipped: “Real quick, Mr. President. I think you left some of your classified documents up here,” in reference to the classified documents found in Biden’s Delaware home.

    Wood also joked about Fox News’ settlement with Dominion Voting Systems, the oustings of Carlson and Lemon, the ethics scandal around Supreme Court Justice Clarence Thomas, and Trump, who he dubbed the “king of scandals.”

    “Keeping up with Trump scandals is like watching Star Wars movies,” he said. “You got to watch the third one to understand the first one, then you got – you can’t miss the second one because it’s got Easter eggs for the fifth one.”

    In 2018, comedian Michelle Wolf drew fire after she delivered a brutal monologue taking the Trump administration to task for its positions on abortion, press access and coverage of the beleaguered White House.

    This year’s dinner comes weeks after Biden signed legislation to end the national emergency for Covid-19. Attendees were still required to submit proof of a negative Covid test before the event.

    Last year’s dinner was the first time the gala had been held since the start of the Covid-19 pandemic.

    Biden was the first president to address the dinner’s attendees in six years, after former President Donald Trump famously boycotted the event throughout his tenure in office.

    Biden last year used the appearance to loudly affirm his belief in a free press – a bold contrast to a predecessor who labeled reporters the “enemy of the people.”

    This story has been updated with additional information Saturday.

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    April 29, 2023
  • A Texas family fought for weeks to regain custody of their newborn. Experts say the case shows how Black parents are criminalized. | CNN

    A Texas family fought for weeks to regain custody of their newborn. Experts say the case shows how Black parents are criminalized. | CNN

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    CNN
     — 

    A Black Texas couple has been reunited with their newborn daughter after authorities removed the baby and placed her in foster care last month citing a doctor’s concerns about how they were treating a jaundice diagnosis.

    Rodney and Temecia Jackson of DeSoto, Texas, regained custody of their daughter, Mila, on April 20 following a nearly month-long battle with the state’s Child Protective Services, according to The Afiya Center, a reproductive justice advocacy group.

    A spokesperson for the Texas Department of Family Protective Services, which includes CPS, confirmed to CNN that the office had recommended a dismissal of the case to an assistant district attorney. Mila’s release was granted on Thursday, according to a court filing.

    The Jacksons had been pleading for Mila’s return in videos posted to social media, and news conferences as reproductive justice activists protested and rallied behind the family.

    The removal, the Jacksons say, was sparked by their decision to let their midwife treat Mila’s jaundice instead of taking her to the hospital for care as their doctor had recommended. Temecia Jackson said during a news conference earlier this month that she gave birth to Mila at home on March 21 with the help of a midwife and wanted that same trusted midwife to provide medical care for her baby. But Mila’s pediatrician disagreed with this decision and ultimately contacted CPS, Temecia Jackson said.

    “We’ve been treated like criminals,” Rodney Jackson said during the news conference. “This is a nightmare that I wouldn’t wish on anyone.”

    Reproductive justice advocates say Mila’s removal is just the latest example of the criminalization of Black parents, who lose their children to the child welfare system at disproportionate rates. In the US in 2018, Black children made up 23% of youth in foster care, but only 14% of the nation’s child population, according to the Annie E. Casey Foundation. Additionally, one study found that between 2003-2014, 53% of Black children were the subjects of child welfare investigations by the time they reached age 18.

    Marsha Jones, executive director of The Afiya Center – a Dallas, Texas, based non-profit that advocates for Black women and girls – said there is a systemic problem with the child welfare system that unfairly targets Black parents. In many cases, Black families have their first experiences with the criminal justice system in family court, Jones said.

    “It’s almost unspoken and unseen because there is just this thought that Black women are not good parents and that we are criminalized because of poverty,” Jones told CNN. “This is not new.”

    Jones said the center stepped in last month to support the Jackson family and put pressure on public officials to return Mila home. She believes this played a role in reuniting the family last week.

    “There’s no reason this baby should have been removed from her home,” Jones told CNN. “This family was not being heard. The Black midwife wasn’t being heard.”

    Rodney and Temecia Jackson could not be reached for comment.

    In a letter to CPS obtained by CNN affiliate WFAA, the family’s pediatrician, Dr. Anand Bhatt, who is with the Baylor Scott & White healthcare system, wrote that while the Jacksons “are very loving and they care dearly” about Mila, “their distrust for medical care and guidance has led them to make a decision for the baby to refuse a simple treatment that can prevent brain damage.”

    “I authorized the support of CPS to help get this baby the care that was medically necessary and needed,” the letter continued.

    CBS News, which obtained a copy of the affidavit filed by the Texas Department of Family and Protective Services, reported that Bhatt reached out to a DFPS investigator on March 25 and indicated that Mila’s bililrubin test showed levels of 21.7 milligrams.

    A bilirubin test can screen for jaundice and other conditions. That level was “cause for a lot of concern,” Bhatt told the investigator, according to CBS News, and could lead to brain damage, he said, “because the bilirubin can cross the blood brain barrier.”

    Bhatt said he reserved a bed for Mila at Children’s Medical Center of Dallas and asked the Jacksons to take her there or he would call police for a welfare check, according to court documents obtained by CBS News. WFAA reported that Bhatt wanted Mila to receive phototherapy – a common treatment for jaundice.

    But court documents, according to CBS News, say Rodney Jackson told Bhatt he and Temecia Jackson planned to treat their baby “naturally” and didn’t believe in “modern medicine.”

    The midwife, Cheryl Edinbyrd, told CBS News the family had ordered a blanket and goggles to provide light therapy to treat Mila’s jaundice.

    When the Jacksons didn’t show up at the hospital, a CPS investigator and police went to the Jackson’s home at 4 a.m. on March 25 but Rodney Jackson declined to speak with them, according to court documents obtained by CBS News. An hour later, authorities returned with an ambulance and fire truck and Rodney Jackson still denied them entry.

    Authorities returned to the home on March 30 with a warrant and arrested Rodney Jackson on charges of preventing the execution of a civil process, according to CBS News. Police entered the home and took Mila from Temecia Jackson. According to CBS News, the Jacksons’ other two children were not removed.

    Temecia Jackson said in a press conference that when she asked to see the affidavit, she noticed it had the name of a different mother on it.

    “Instantly I felt like they had stolen my baby as I had had a home birth and they were trying to say that my baby belonged to this other woman,” Temecia Jackson.

    Marissa Gonzales, a spokesperson from the Texas Department of Family and Protective Services, said in an email to CNN that her department was given an incorrect name for the initial affidavit. The mistake, she said, was corrected in the case filings.

    Gonzales declined an interview with CNN to discuss the case further, citing “state confidentiality restrictions.”

    “It is always the goal of DFPS to safely reunite children with their parents,” Gonzales also said. “The decision about when that happens rests with the judge who ordered the removal.”

    CNN’s request to interview Bhatt was also denied by Baylor Scott & White.

    “In respect of patient privacy, it is inappropriate to provide comment on this matter,” the health system said in an emailed statement. “We do abide by reporting requirements set forth in the Texas Family Code and any other applicable laws.”

    Advocates say the racial bias of professionals such as teachers, doctors and social workers has created inequity in the child welfare system.

    Dorothy Roberts, a law professor and sociologist at the University of Pennsylvania, said decisions to report neglect and abuse are largely shaped by racist stereotypes of Black families.

    The child welfare system, she said, needs to consider the trauma inflicted on children when they are separated from their families.

    “We have to ask whether there is a better way of addressing children’s medical needs instead of the system we have now where doctors are reporting suspicions, which we know is highly biased, and investigating families, which we know is very traumatic,” said Roberts, author of “Torn Apart: How the Child Welfare System Destroys Black Families – and How Abolition Can Build a Safer World.” “Hospitals should not be places of fear for parents.”

    Roberts said there is also a longstanding cultural conflict between the healthcare system and midwives who are often devalued. Black midwives provided care for mothers for hundreds of years, delivering the babies of enslaved women and even slave owners’ wives. But as medicine became more professionalized in the late 1800s, male doctors wanted to take control of childbirth, with some suggesting midwives were unfit, according to a report by Vox.

    Monica Simpson, executive director of Sistersong, a reproductive justice organization advocating for women of color, said many Black women are choosing midwives because they have lost trust in doctors and hospitals.

    Much of that is driven by the harrowing statistics: Black women are 2.6 times likelier to die of pregnancy-related complications than White women, according to the most recent data from the National Center for Health Statistics.

    Black infants also die at more than twice the rate of White infants, according to the Centers for Disease Control and Prevention.

    Simpson said the child welfare system is broken. She said racism has played a part in the continued criminalization and separation of Black families.

    “There’s been this narrative that Black women can’t parent their children properly,” Simpson said. “We have been battling these narratives for decades. The way that Black women are criminalized around their motherhood, it’s horrible.”

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    April 24, 2023
  • A Black teen’s murder sparked a crisis over racism in British policing. Thirty years on, little has changed | CNN

    A Black teen’s murder sparked a crisis over racism in British policing. Thirty years on, little has changed | CNN

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    London
    CNN
     — 

    Neville Lawrence sometimes imagines walking through London and looking at buildings his son Stephen might have worked on, had he lived long enough to fulfill his dream of becoming an architect. The closest he ever got to that was building a miniature.

    “He did his work experience with an architect and he built a model of a building down in Deptford. So, every time I pass Deptford and see the building, it reminds me of him,” Lawrence told CNN, referring to a neighborhood in southeast London. It’s been 30 years, but he still gets emotional speaking about Stephen.

    Stephen Lawrence was murdered when he was just 18 years old in a racially motivated attack on April 22, 1993. His killing and the subsequent failure of the London Metropolitan Police Service to properly investigate the crime sparked a national outcry. It culminated in a landmark official inquiry that concluded the force was institutionally racist.

    But despite decades of promises, reviews and reforms, a new government report published last month, just four weeks before the 30th anniversary of Stephen’s murder, reached the same conclusion. The Met is still institutionally racist.

    Raju Bhatt, a civil liberties lawyer who has dedicated his career to representing people making claims of wrongful conduct against the police, said nothing in the new report – the Baroness Casey Review – came as a surprise.

    “What our clients see is a machinery which just doesn’t want to hear what they have to say and as a result, what happens is a failure to address the cultural problems, that culture of impunity, which arises when police officers know that they won’t be brought to account – when [they] know that whatever they do, their managers will be there to back them up, or, at the very least, their managers will look away,” he said.

    The Met Police chief Mark Rowley has acknowledged “systemic” problems in the force but has so far declined to use the word “institutional.”

    Protesters demonstrate outside the Lawrence inquiry  in south London in June 1998.

    For Bhatt, the Casey report was just the latest development in a familiar cycle of events that began when he graduated from university in 1981.

    That summer, racial tensions in Britain boiled over and sparked violent clashes between mostly Black protesters and the police, in south London’s Brixton neighborhood and elsewhere. Bhatt worked as a community volunteer, helping people who were arrested during the protests.

    An official government inquiry into the riots and the police response concluded there was an “urgent need for changes in training and law enforcement and the recruitment of more ethnic minorities into the police force.” It also found that there was “evidence of harassment of minorities by some policemen.”

    Stephen Lawrence was murdered 12 years after the Brixton riots. Within days of his killing at a bus stop in southeast London, five White teens were identified as being involved. They were arrested, but none was successfully prosecuted at the time.

    It took years of campaigning by the Lawrence family — and public support from the likes of Nelson Mandela and the national press — to get the investigation moving. A 1997 inquest into Lawrence’s death found that he was unlawfully killed in a “completely unprovoked racist attack by five white youths.”

    A wave of protests forced the then-government to commission an inquiry into the murder and the Met’s handling of it, which concluded in 1999 that “professional incompetence, institutional racism and failure of leadership by senior officers” was to be blamed for the botched investigation.

    The review, known as the Macpherson report, made 70 recommendations on how to improve the police force and increase the public’s trust in the force. They included recruiting more Black and other minority ethnic officers to make sure the force reflects the communities it serves, taking steps to tackle disparities in the use of police powers against people from minority groups and developing specific guidelines on how to investigate and tackle racist crimes.

    The Macpherson report was damning, but like the Brixton riots review, it failed to result in lasting and substantive reform of the Met Police.

    As a Black man who grew up in 70s and 80s Britain, Leslie Thomas says he knows what it’s like to be on the receiving end of police racism. He recounts how he has been racially profiled and stopped and searched by officers several times in the past, including once when he was driving with his wife and baby in the back of his car and once when he was just 14 years old.

    “I was 14, in school uniform, coming home from school and a police van pulls up alongside me. Four officers jump out [and say] ‘you look suspicious’,” he said.

    Like Bhatt, Thomas is a lawyer who has spent decades representing people in claims against the police and other public authorities. And, just like Bhatt, he has little faith that the latest report will lead to much change.

    “Here’s the thing. You can’t hit a target unless you acknowledge the target itself. The Metropolitan Police have said, ‘oh, we want to be a more inclusive organization,’ but steadfastly, they refuse to acknowledge through their leadership that they’ve got a problem with institutional racism,” Thomas said.

    “If it were just a few bad apples, then you wouldn’t expect, as we have seen, repetition after repetition, generation after generation,” he added.

    The Met has not yet responded to CNN’s request for comment. But speaking to the London Assembly Police and Crime Committee last month, Rowley refused to label the Met Police “institutionally” racist, saying the word “institutional” is ambiguous and politicized.

    In a statement released when the Casey report was published, Rowley said it “must be a catalyst for police reform” and “needs to lead to meaningful change.” He added: “I want us to be anti-racist, anti-misogynist and anti-homophobic. In fact, I want us to be anti-discrimination of all kinds.”

    Thomas specializes in representing families of people who have died in police custody – an issue that disproportionately affects people of color.

    Black people in the UK are seven times more likely to die from police restraint than White people, according to statistics compiled by Inquest, a charity that focuses on deaths in police and prison custody, immigration detention, mental health settings and other state settings.

    stephen lawrence file polglase

    The legacy of Stephen Lawrence’s murder, 30 years later

    At a protest in London, Marcia Rigg embraces Carole Duggan, whose nephew Mark Duggan was shot dead by the police in 2011.

    Thomas represented the family of Sean Rigg, who died in 2008 after being pinned down in a police arrest while experiencing a mental health crisis. While an initial investigation by then-police watchdog the Independent Police Complaints Commission cleared the police of any wrongdoing, the Rigg family kept fighting.

    In 2012, an inquest jury found that Rigg died of cardiac arrest after being restrained in a prone position for approximately eight minutes and said the level and length of restraint used by the police was “unsuitable” and “unnecessary” and that this “more than minimally” contributed to his death.

    In light of the findings, the police watchdog re-examined the case. But a police misconduct panel cleared five officers of gross misconduct in connection to Rigg’s death in 2019. One of those officers had earlier been acquitted of perjury relating to his account of events on the night Rigg died.

    Marcia Rigg, Sean’s sister, is still fighting. She and her family have spent years watching CCTV footage of Sean’s last moments, trying to piece together what really happened. The process has been deeply upsetting and it hasn’t, so far, led to the justice she wants for her brother.

    “It was four years before we had an inquest. And basically myself and my family, particularly me and my brother Wade, we had to become investigators ourselves … to see your loved one being treated in that way by officers that should be helping us. It’s traumatizing, it makes you angry,” she told CNN.

    Rigg said she still dreads the police. “I hate the sound of (the sirens), I hate the sight of the uniform, what it represents.”

    The death of George Floyd in Minneapolis in May 2020 brought back all of the trauma for Rigg. Like Sean, Floyd was held face down by police in a prone position. Former Minneapolis police officer Derek Chauvin kneeled on Floyd’s neck for more than nine minutes and was ultimately found guilty of murdering him.

    But it also made her even more determined to fight. “When George Floyd died, and everybody witnessed that murder, (British politicians) were on the side of the people, (saying) that this can’t happen. I said, well, they need to look in their own backyard,” she said.

    A protester holds a picture of Sean Rigg during a 2021 demonstration in London.

    Deborah Coles, Inquest’s executive director, said the struggles of the Lawrences and the Riggs to get justice for their loved ones mirror the experiences of nearly everyone she’s worked with.

    She said the “cultures of denial and defensiveness and delay” within official government agencies, as well as victim blaming and the tendency to demonize the victim’s family and community, add to families’ suffering in such cases, as does “this ongoing institutional denial about the fact that institutional racism is a live and enduring issue.”

    Successive governments and police chiefs have dismissed the severity of the issue, she told CNN. “We’ve always said that one of the problems is that when it comes to looking at deaths (in custody), they see them as isolated incidents, rather than being evidence of a systemic, enduring issue. This is a systemic issue across police forces.”

    The UK’s largest police force commissioned the latest independent inquiry in 2021, after a serving Metropolitan Police officer was convicted of the kidnapping, raping and murdering Sarah Everard, a 33-year-old London woman. The eventual Casey report was damning, finding the Met not just institutionally racist, but also institutionally misogynistic, sexist and homophobic.

    According to a separate parliamentary report published last year, Black people are more than nine-and-a-half times more likely to be stopped and searched than White people, even though the vast majority of “stop and search” actions don’t result in any further action.

    The Met is still overwhelmingly White, with only 17% of officers identifying themselves as non-White in 2022, despite the city they police being far more diverse.

    While that is more than the 3% figure recorded in the early 2000s, it is still well below its own targets and not at all reflective of the communities the police serve.

    “We see time and again critical reviews, inquiries, inquest findings, coroner’s recommendations, a whole wealth of potentially lifesaving recommendations, but also very critical recommendations about structural changes needed. And yet there is no enforcement of those recommendations,” Coles said.

    Inquest and other organizations are calling for a new oversight mechanism that would follow up and report on whether correct actions have been taken in response to the numerous inquiries, she added.

    Neville Lawrence, speaking to CNN, says the family has had to fight for justice itself.

    As the Lawrence family and their supporters mark the 30th anniversary of Stephen’s killing, they are still fighting for his killers to face justice.

    It wasn’t until 2012, 19 years after the murder, that two of the five attackers – Gary Dobson and David Norris – were finally convicted and sent to prison. It took a change in law that allowed for a retrial in cases where new evidence is found.

    To date, the other three people allegedly involved in the killing have not been brought to justice.

    Neville Lawrence remains determined to keep fighting – although he said that the publication of the Casey report has made it clear to him, once again, that the family is on its own in this.

    “If you want justice, you have to try and fight for it yourself, you don’t have anybody who is going to be doing it the way they should be doing it,” he said.

    After years of being consumed by grief and anger, Lawrence decided to move back to Jamaica, where his son is buried. “I accept the situation where I had to leave this place so I can have some peace,” he told CNN.

    “I couldn’t even bury my son here because of the vandalism that would have taken place. The amount of times that they vandalized the (memorial) plaque where he fell, that they had to put a camera on it to stop people going there and desecrating it … so just imagine Stephen, if he was here, what they would have done,” he said.

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    April 22, 2023
  • Sudan’s paramilitary RSF announces 72-hour ceasefire ahead of Muslim holiday | CNN

    Sudan’s paramilitary RSF announces 72-hour ceasefire ahead of Muslim holiday | CNN

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    CNN
     — 

    One of Sudan’s two warring factions has declared a 72-hour truce after nearly a week of fierce fighting, which has left more than 330 people dead and pushed tens of thousands of refugees to flee the country.

    The paramilitary Rapid Support Forces (RSF) announced the ceasefire in a statement on Twitter early Friday morning local time. The ceasefire is due to begin at 6 a.m., the statement added.

    The ceasefire comes just ahead of the Muslim holiday of Eid al-Fitr, which marks the end of the Islamic holy month of Ramadan.

    “The truce coincides with the blessed Eid al-Fitr … to open humanitarian corridors to evacuate citizens and give them the opportunity to greet their families,” the RSF said.

    However it is not yet clear whether the announcement will bring fighting to a halt. The rival Sudan Armed Forces (SAF) have yet to comment on the announcement.

    World leaders and international organizations have been urging the RSF and SAF to strike a deal since clashes began on Saturday – but several temporary ceasefires have repeatedly broken down, with both sides trading blame for violating the terms.

    US Secretary of State Antony Blinken spoke to the heads of both factions earlier this week, and again on Thursday to urge a ceasefire through at least the end of the Eid weekend.

    UN Secretary General António Guterres also called for a ceasefire on Thursday “for at least three days marking the Eid al Fitr celebrations to allow civilians trapped in conflict zones to escape and to seek medical treatment, food and other essential supplies.”

    The pleas for a ceasefire have grown more urgent in recent days as the death toll climbs. Most hospitals in the capital Khartoum are out of operation, with many having come under attack by shelling; meanwhile, those still operating are rapidly running out of supplies to treat survivors.

    Residents have been stranded at home and in shelters without food or water, surrounded by the threat of gunfire and artillery outside.

    The fighting could force millions into hunger, the World Food Program (WFP) warned on Thursday.

    “Record numbers of people were already facing hunger in Sudan before the conflict erupted on April 15,” it said in a statement, adding that the fighting was preventing the organization from delivering emergency food to civilians.

    The ceasefire could provide a crucial window not just for aid distribution and medical care – but for foreign governments to reach their citizens stranded in Sudan.

    The US Defense Department said on Thursday it was deploying “additional capabilities” nearby Sudan to secure the US Embassy in the country and assist with a potential evacuation, if the situation calls for it. It includes hundreds of Marines who are already in nearby Djibouti, a US defense official told CNN, with aircraft capable of bringing in ground units to secure an embassy.

    US President Joe Biden had “authorized the military to move forward with pre-positioning forces and to develop options in case – and I want to stress right now – in case there’s a need for an evacuation,” National Security Council spokesman John Kirby said Thursday.

    Officials told staffers Wednesday that there are an estimated 16,000 American citizens in Sudan, most of whom are dual nationals. Roughly 500 had contacted the US Embassy since the outbreak of fighting, though only around 50 of those people had asked for help, according to the staffers.

    Some countries have already begun the evacuation process, with Japan announcing it would send its Self-Defense Forces to evacuate 60 Japanese nationals, including embassy staff, from Sudan.

    Sudan’s army also said Thursday that 177 Egyptian soldiers who had been trapped in the country were evacuated and safely returned to Egypt.

    Local residents, too, are fleeing the country in huge numbers. Eyewitnesses in Khartoum describe growing lines of people at bus stops, hoping to escape the fighting. And up to 20,000 refugees from Sudan’s Darfur region have fled to neighboring Chad in recent days, according to a statement from the UN Refugee Agency.

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    April 20, 2023
  • Children’s cat-killing contest axed following backlash in New Zealand | CNN

    Children’s cat-killing contest axed following backlash in New Zealand | CNN

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    CNN
     — 

    A contest planned for children in New Zealand to hunt and kill feral cats as part of a drive to protect native species has been axed following backlash from the public and animal rights groups.

    The event would have been part of a fundraiser organized by the North Canterbury Hunting Competition for the Rotherham School, located in the Canterbury region of South Island.

    Organizers on Saturday had announced a new junior category for children under 14 in the annual competition – to hunt feral cats for a top prize of 250 New Zealand dollars ($150).

    The announcement drew public anger leading organizers to withdraw the event on Monday.

    In a statement issued Wednesday, organizers said “vile and inappropriate emails and messages had been sent to the school and others involved.”

    “We are incredibly disappointed in this reaction and would like to clarify that this competition is an independent community run event,” the statement read.

    While cats are a popular and beloved pet among many New Zealanders, feral cats have been a long-standing issue between animal lovers and authorities because of the impact they can have other wild animals.

    In neighboring Australia, authorities say feral cats threaten the survival of more than 100 native species. Feral cats are blamed for killing millions of birds, reptiles, frogs and mammals, every day, prompting authorities to arrange regular culls.

    Organizers of the contest in Canterbury maintained that the junior hunting tournament to kill feral cats, using a firearm or other means, was about “protecting native birds and other vulnerable species.”

    “Our sponsors and school safety are our main priority, so the decision has been made to withdraw this category for this year to avoid further backlash at this time,” it said.

    “To clarify, for all hunting categories, our hunters are required to abide by firearms act 1983 and future amendments as well as the animal welfare act 1999.”

    Addressing concerns from the public, organizers had earlier announced rules to discourage young participants from targeting pets.

    Any child who brought in a microchipped cat would have been disqualified, organizers said.

    The group also noted that scheduled hunts for other categories like local pigs and deer would still proceed.

    The New Zealand Society for the Prevention of Cruelty to Animals said it was “both pleased and relieved” that the cat-killing contest for children had been removed. “Children, as well as adults, will not be able to tell the difference between a feral, stray or a frightened domesticated cat,” the SPCA said.

    “There is a good chance someone’s pet may be killed during this event. In addition, children often use air rifles in these sorts of event which increase the likelihood of pain and distress and can cause a prolonged death,” it added.

    Animals rights group PETA also welcomed the decision to cancel the event.

    In a statement,Jason Baker, the group’s Asia Vice President said,”Encouraging kids to hunt down and kill animals is a sure-fire way to raise adults who solve problems with violence … We need to foster empathy and compassion in kids, not lead them to believe animals are ‘less than’ humans while rewarding them for brutality.”

    The event attracted significant overseas attention, including from British comedian Ricky Gervais, a known animal lover with more than 15 million followers on Twitter.

    He slammed the proposed cat hunt in a sarcastic tweet, saying: “Right. We need some new PR ideas to make the world love New Zealand. Maybe something involving kids & kittens. Yes, Hargreaves?”

    New Zealand is one of the world’s last remote island nations and has no native land mammals besides bats.

    There have been official campaigns against cats in previous years – including one that encouraged cat lovers to avoid replacing their pets when they die.

    “Cats are the only true sadists of the animal world, serial killers who torture without mercy,” said then-Prime Minister John Key, who himself had a cat named Moonbeam.

    “Historically, we know that feral cats were responsible for the extinction of six bird species and are leading agents of decline in populations of birds, bats, frogs and lizards,” Helen Blackie, a biosecurity consultant at Boffa Miskell told CNN affiliate RNZ.

    Blackie, who has studied feral cats for two decades, said numbers had exploded in the last decade, and in some areas where pests were tracked by camera, feral cats outnumbered other species like possums.

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    April 19, 2023
  • Top US Navy admiral defends non-binary sailor amid some Republican criticism | CNN Politics

    Top US Navy admiral defends non-binary sailor amid some Republican criticism | CNN Politics

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    CNN
     — 

    The top US Navy admiral ardently defended a non-binary sailor on Tuesday amid some criticism from Republican lawmakers, saying he is “particularly proud of this sailor.”

    The sailor, LTJG Audrey Knutson, had their story shared on the Navy’s Instagram page last week. In a short video, Knutson said they are proud to serve as non-binary, especially because their grandfather served in the Navy as a gay man in World War II. During a deployment last fall aboard the aircraft carrier USS Gerald R. Ford, Knutson said their highlight was reading a poem to the whole ship at an LGBTQ spoken word night. The Instagram video garnered nearly 17,000 likes.

    Subsequently, Sen. Marco Rubio, a Republican from Florida, tweeted a portion of the clip with the caption, “While China prepares for war, this is what they have our US Navy focused on.” On Tuesday, Sen. Tommy Tuberville, a Republican from Alabama, continued attacking the video, telling the Senate Armed Services Committee he had “a lot of problems with the video.”

    But Chief of Naval Operations Adm. Michael Gilday defended the sailor, emphasizing that it’s the job of a commanding officer to build a warfighting team.

    “I’ll tell you why I’m particularly proud of this sailor,” Gilday told the hearing. “So, her grandfather served during World War II, and he was gay and he was ostracized in the very institution that she not only joined and is proud to be a part of, but she volunteered to deploy on Ford and she’ll likely deploy again next month when Ford goes back to sea.”

    Gilday used female pronouns to refer to Knutson but the Navy told CNN Knutson’s pronouns of choice are non-binary.

    “We ask people from all over the country, from all walks of life, from all different backgrounds to join us,” Gilday said, “and then it’s the job of a commanding officer to build a cohesive warfighting team that’s going to follow the law, and the law requires that we be able to conduct prompt, sustained operations at sea. That level of trust that a commanding officer develops across that unit has to be able to be grounded on dignity and respect, and so … if that officer can lawfully join the United States Navy, is willing to serve and willing to take the same oath that you and I took to put their life on the line, then I’m proud to serve beside them.”

    Some Republican lawmakers on Capitol Hill have attacked the military for being too “woke,” claiming it has been one of the causes of the military’s poor recruiting numbers, despite a recent Army survey showing only 5% of potential recruits were concerned about “wokeness.”

    Last month, Republican Rep. Cory Mills and several others went after the Defense Department on its diversity, equity and inclusion training at a House Armed Services Subcommittee hearing on military personnel. Mills said, “We absolutely 150% can out-pronoun every single one of our adversaries, and China and Russia I’m sure are quaking in their boots over this.”

    In response, Under Secretary of Defense for Personnel and Readiness Gil Cisneros said diversity and equal opportunity training have been a part of the military for decades.

    At another hearing in early-March with the military’s top enlisted leaders, Sgt. Maj. Of the Army Michael Grinston stressed that the military’s focus remains on combat lethality, even with additional training on diversity and inclusion.

    “There is one hour of equal opportunity training in basic training, and 92 hours of rifle marksmanship training,” Grinston said at the time. “And if you go to [One Station Unit Training], there is 165 hours of rifle marksmanship training and still only one hour of equal opportunity training.”

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    April 18, 2023
  • Two Russians claiming to be former Wagner commanders admit killing children and civilians in Ukraine | CNN

    Two Russians claiming to be former Wagner commanders admit killing children and civilians in Ukraine | CNN

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    CNN
     — 

    Two Russian men who claim to be former Wagner Group commanders have told a human rights activist that they killed children and civilians during their time in Ukraine.

    The claims were made in video interviews with Gulagu.net, a human rights organization targeting corruption and torture in Russia.

    In the video interviews posted online, former Russian convicts Azamat Uldarov and Alexey Savichev – who were both pardoned by Russian presidential decrees last year, according to Gulagu.net – described their actions in Ukraine, during Russia’s invasion.

    CNN cannot independently verify their claims or identities in the videos but has obtained Russian penal documents showing they were released on presidential pardon in September and August of 2022.

    Uldarov, who appears to have been drinking, details how he shot and killed a five- or six-year-old girl.

    “(It was) a management decision. I wasn’t allowed to let anyone out alive, because my command was to kill anything in my way,” he said.

    According to Gulagu.net, the testimonies were given to founder and Russian dissident Vladimir Osechkin over the span of a week. It said Uldarov and Savichev were in Russia when they spoke.

    “I want Russia and other nations to know the truth. I don’t want war and bloodshed. You see I’m holding a cigarette in this hand. I followed orders with this hand and killed children,” Uldarov said, describing his motivation for the interview.

    The Wagner Group is a Russian private mercenary organization fighting in Ukraine, headed by Russian oligarch Yevgeny Prigozhin.

    It has recruited tens of thousands of fighters from Russian jails, offering freedom and cash after a six-month tour. It’s estimated by Western intelligence officials and prison advocacy groups that between 40,000 and 50,000 men were recruited.

    Uldarov said in the eastern Ukrainian cities of Soledar and Bakhmut – which have seen some of the fiercest fighting – Wagner mercenaries “were given the command to annihilate everyone.”

    “There is a superior over all the commanders – it’s Prigozhin, who told us not to let anyone get out of there and annihilate everyone,” he added. CNN has previously reported on former Wagner fighters making similar claims.

    Uldarov has since appeared to recant his account in a video call with Prigozhin-linked Russian news agency RIA-FAN.

    At one point in the interview, Savichev described how they “got the order to execute any men who were 15 years or older.”

    He also talked about getting orders to ‘sweep’ a house. “It doesn’t matter whether there is a civilian there or not. The house needs to be swept. I didn’t give a f**k who was inside,” he said.

    “Whether a hut or a house, the point was to make sure that there wasn’t a single living person left inside,” he said. “You can condemn me for this. I will not object. It’s your right. But I wanted to live, too.”

    Savichev said Wagner fighters who did not follow orders were killed.

    Wagner Group chief Prigozhin confirmed on his Telegram channel that he had watched parts of the video, and threatened retribution against the two former Wagner fighters. “As for what (Osechkin) filmed, I looked at the pieces of video I managed to see,” he said. “I can say the following: if at least one of these accusations against me is confirmed, I am ready to be held accountable according to any laws.”

    But Prigozhin said that “if none is confirmed, I will send a list of 30-40 people who are spitting at me like Osechkin (there is a whole list of them, including the scum that fled Russia) that the Prosecutor General’s Office of Ukraine is obligated to hand over to me for a ‘fair trial,’ so to speak.”

    “They will not be “civilians” for us, and especially not children, whom we have never touched and do not touch. This is a flagrant lie. These people (spreading the lies) are our enemies, and we will deal with them in a special way.”

    Earlier, Prigozhin said on Telegram: “Regarding the execution of children, of course, no one ever shoots civilians or children, absolutely no one needs this. We came there to save them from the regime they were under.”

    Andriy Yermak, head of the Ukrainian president’s office, said in a tweet Monday that the group must be held accountable.

    “Russian terrorists confessed to numerous murders of Ukrainian children in Bakhmut and Soledar. Confession is not enough. There must be a punishment. Tough and fair. And it will definitely be. How many more crimes like these have been committed?” he said.

    In February, CNN spoke to two former Wagner fighters who described how recruited Wagner convicts are pushed to the front lines in a human wave, reminiscent of World War I charges. Deserters, or those who refuse orders are killed and there was no evacuation of the wounded, they said.

    In January, US Treasury Department designated Wagner Group as a significant transnational criminal organization, and imposed a slew of fresh sanctions on a transnational network that supports it.

    The US Department of State concurrently announced a number of sanctions meant to “target a range of Wagner’s key infrastructure – including an aviation firm used by Wagner, a Wagner propaganda organization, and Wagner front companies,” according to US Secretary of State Antony Blinken.

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    April 18, 2023
  • ADHD medication abuse in schools is a ‘wake-up call’ | CNN

    ADHD medication abuse in schools is a ‘wake-up call’ | CNN

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    CNN
     — 

    At some middle and high schools in the United States, 1 in 4 teens report they’ve abused prescription stimulants for attention deficit hyperactivity disorder during the year prior, a new study found.

    “This is the first national study to look at the nonmedical use of prescription stimulants by students in middle and high school, and we found a tremendous, wide range of misuse,” said lead author Sean Esteban McCabe, director of the Center for the Study of Drugs, Alcohol, Smoking and Health at the University of Michigan in Ann Arbor.

    “In some schools there was little to no misuse of stimulants, while in other schools more than 25% of students had used stimulants in nonmedical ways,” said McCabe, who is also a professor of nursing at the University of Michigan School of Nursing. “This study is a major wake-up call.”

    Nonmedical uses of stimulants can include taking more than a normal dose to get high, or taking the medication with alcohol or other drugs to boost a high, prior studies have found.

    Students also overuse medications or “use a pill that someone gave them due to a sense of stress around academics — they are trying to stay up late and study or finish papers,” said pediatrician Dr. Deepa Camenga, associate director of pediatric programs at the Yale Program in Addiction Medicine in New Haven, Connecticut.

    “We know this is happening in colleges. A major takeaway of the new study is that misuse and sharing of stimulant prescription medications is happening in middle and high schools, not just college,” said Camenga, who was not involved with the study.

    Published Tuesday in the journal JAMA Network Open, the study analyzed data collected between 2005 and 2020 by Monitoring the Future, a federal survey that has measured drug and alcohol use among secondary school students nationwide each year since 1975.

    In the data set used for this study, questionnaires were given to more than 230,000 teens in eighth, 10th and 12th grades in a nationally representative sample of 3,284 secondary schools.

    Schools with the highest rates of teens using prescribed ADHD medications were about 36% more likely to have students misusing prescription stimulants during the past year, the study found. Schools with few to no students currently using such treatments had much less of an issue, but it didn’t disappear, McCabe said.

    “We know that the two biggest sources are leftover medications, perhaps from family members such as siblings, and asking peers, who may attend other schools,” he said.

    Schools in the suburbs in all regions of the United States except the Northeast had higher rates of teen misuse of ADHD medications, as did schools where typically one or more parent had a college degree, according to the study.

    Schools with more White students and those who had medium levels of student binge drinking were also more likely to see teen abuse of stimulants.

    On an individual level, students who said they had used marijuana in the past 30 days were four times as likely to abuse ADHD medications than teens who did not use weed, according to the analysis.

    In addition, adolescents who said they used ADHD medications currently or in the past were about 2.5% more likely to have misused the stimulants when compared with peers who had never used stimulants, the study found.

    “But these findings were not being driven solely by teens with ADHD misusing their medications,” McCabe said. “We still found a significant association, even when we excluded students who were never prescribed ADHD therapy.”

    Data collection for the study was through 2020. Since then, new statistics show prescriptions for stimulants surged 10% during 2021 across most age groups. At the same time, there has been a nationwide shortage of Adderall, one of the most popular ADHD drugs, leaving many patients unable to fill or refill their prescriptions.

    The stakes are high: Taking stimulant medications improperly over time can result in stimulant use disorder, which can lead to anxiety, depression, psychosis and seizures, experts say.

    If overused or combined with alcohol or other drugs, there can be sudden health consequences. Side effects can include “paranoia, dangerously high body temperatures, and an irregular heartbeat, especially if stimulants are taken in large doses or in ways other than swallowing a pill,” according to the Substance Abuse and Mental Health Services Administration.

    Research has also shown people who misuse ADHD medications are highly likely to have multiple substance use disorders.

    Abuse of stimulant drugs has grown over the past two decades, experts say, as more adolescents are diagnosed and prescribed those medications — studies have shown 1 in every 9 high school seniors report taking stimulant therapy for ADHD, McCabe said.

    For children with ADHD who use their medications appropriately, stimulants can be effective treatment. They are “protective for the health of a child,” Camenga said. “Those adolescents diagnosed and treated correctly and monitored do very well — they have a lower risk of new mental health problems or new substance use disorders.”

    The solution to the problem of stimulant misuse among middle and high school teens isn’t to limit use of the medications for the children who really need them, McCabe stressed.

    “Instead, we need to look very long and hard at school strategies that are more or less effective in curbing stimulant medication misuse,” he said. “Parents can make sure the schools their kids attend have safe storage for medication and strict dispensing policies. And ask about prevalence of misuse — that data is available for every school.”

    Families can also help by talking to their children about how to handle peers who approach them wanting a pill or two to party or pull an all-night study session, he added.

    “You’d be surprised how many kids do not know what to say,” McCabe said. “Parents can role-play with their kids to give them options on what to say so they are ready when it happens.”

    Parents and guardians should always store controlled medications in a lockbox, and should not be afraid to count pills and stay on top of early refills, he added.

    “Finally, if parents suspect any type of misuse, they should contact their child’s prescriber right away,” McCabe said. “That child should be screened and assessed immediately.”

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    April 18, 2023
  • Tiny troubles: Toddler infiltrates White House grounds | CNN Politics

    Tiny troubles: Toddler infiltrates White House grounds | CNN Politics

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    Washington
    CNN
     — 

    A tiny intruder infiltrated White House grounds Tuesday, prompting a swift response from the US Secret Service.

    Anthony Guglielmi, chief of communications for the Secret Service, said a toddler crawled through the fence on the north side of the White House, setting off security alerts.

    “The Secret Service Uniformed Division today encountered a curious young visitor along the White House north fence line who briefly entered White House ground,” Gugliemli said. “The White House security systems instantly triggered Secret Service officers and the toddler and parents were quickly reunited.”

    It’s not the first time a toddler has crawled through the White House fence. There was a similar incident in 2014 when a toddler squeezed through the White House fence just before then-President Barack Obama was about to address the nation on Iraq. The breach prompted a temporary lockdown and delayed the briefing.

    “We were going to wait until he learned to talk to question him, but in lieu of that, he got a timeout and was sent on way with parents,” Edwin Donovan, then a spokesman for the United States Secret Service, said.

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    April 18, 2023
  • FDA clears the way for additional bivalent boosters for certain vulnerable individuals | CNN

    FDA clears the way for additional bivalent boosters for certain vulnerable individuals | CNN

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    CNN
     — 

    The U.S. Food and Drug Administration amended the terms of its emergency use authorizations for the Pfizer and Moderna bivalent vaccines on Tuesday, allowing people ages 65 and older and certain people with weakened immunity to get additional doses before this fall’s vaccination campaigns.

    The bivalent vaccines made by Pfizer and Moderna carry instructions for fighting both the original strain of the Covid-19 virus as well as Omicron and its spinoffs.

    They have been available in the United States since September under emergency use authorizations, or EUAs, which tightly restrict how the vaccines may be given.

    On Tuesday, the FDA changed the terms of the authorizations for those vaccines so that certain individuals could get an additional dose ahead of most others.

    Namely, adults ages 65 and older who have received a single dose of a bivalent vaccine may receive an additional dose at least four months following their first dose.

    Most individuals with certain degrees of immunocompromise who have received a first dose of a bivalent vaccine can get a second at least 2 months later. Additional doses may be administered at the discretion of their healthcare provider.

    Dr. Peter Hotez, who co-directs the Center for Vaccine Development at Texas Children’s Hospital, has been calling on the FDA to increase access to the bivalent boosters for those who want them. He says for the most part, today’s guidance from the agency makes sense.

    “My only question is why the 65 year age cutoff? What was that based on? Ordinarily I would have preferred that it be brought down to 60 or even 50,” Hotez said in an email to CNN.

    “For those Americans who understand its importance, we should make second bivalent boosters available. Finally, we’ll soon need guidance about another annual fall booster. Presumably that information comes sometime this summer,” he added.

    For immunocompromised children ages 6 months through 4 years, eligibility for additional bivalent doses will depend on the vaccine previously received, the FDA said in a news release.

    Another big change is that most unvaccinated individuals may now receive a single dose of a bivalent vaccine, rather than mutiple doses of the original single-strain vaccines, the agency said. The FDA simplified its recommendation for unvaccinated individuals after recognizing that most Americans now have some immunity against Covid-19, even if its just through past infections.

    “Evidence is now available that most of the U.S. population 5 years of age and older has antibodies to SARS-CoV-2, the virus that causes COVID-19, either from vaccination or infection that can serve as a foundation for the protection provided by the bivalent vaccines. COVID-19 continues to be a very real risk for many people, and we encourage individuals to consider staying current with vaccination, including with a bivalent COVID-19 vaccine. The available data continue to demonstrate that vaccines prevent the most serious outcomes of COVID-19, which are severe illness, hospitalization, and death,” said Dr. Peter Marks, head of FDA’s Center for Biologics Evaluation and Research, in a news release.

    Children ages 6 months through 5 years who have not yet been vaccinated may now receive a two-dose series of the Moderna bivalent vaccine as their primary series, or a three-dose series of the Pfizer-BioNTech bivalent vaccine if they are 6 months through 4 years of age. Children who are age 5 may receive two doses of the Moderna bivalent or a single dose of the Pfizer-BioNTech bivalent vaccine.

    Children ages 6 months through 5 years who got started on their monovalent vaccines, can now get a dose of a bivalent vaccine, but the number of doses they qualify for will depend on the number of doses they’ve already had and what kind of vaccine they got.

    The agency stressed that most people who have gotten one dose of a bivalent vaccine are not currently eligible for a second dose.

    And they encouraged everyone who hasn’t yet gotten their first dose of a bivalent vaccine to do so, and many Americans are still in that bucket.

    Only about 17% of those eligible, less than 1 in 5 Americans, has gotten a recommended dose.

    As time has passed, adults with reduced immune function because of their age or an underlying health problem have been asking doctors whether they need another dose of the bivalent vaccines.

    The United States Center for Disease Control and Prevention has reported early data showing that the effectiveness of the bivalent vaccines, even against emergency room visits and hospitalizations, has already started to wane.

    But the agency has not been free to make what’s known as a “permissive use” recommendation about the boosters, which would allow doctors to offer additional doses to vulnerable patients because of the terms of the EUA.

    The updated terms give the CDC and its Advisory Committee on Immunization Practices (ACIP) greater freedom to recommend additional doses of the bivalent vaccines. The ACIP is holding a meeting on the Covid-19 vaccines Wednesday and is expected to endorse the FDA’s changes.

    For everyone not covered by today’s changes, the FDA says it intends to make decisions about future vaccinations after receiving recommendations on the fall strain composition from its advisory committee in June.

    Both Canada and the United Kingdom have offered another round of bivalent boosters to those at highest risk from Covid-19 this spring.

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    April 18, 2023
  • Opinion: Mifepristone saved my life | CNN

    Opinion: Mifepristone saved my life | CNN

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    Editor’s Note: Roxanne Jones, a founding editor of ESPN The Magazine and former vice president at ESPN, has been a producer, reporter and editor at the New York Daily News and The Philadelphia Inquirer. Jones is co-author of “Say it Loud: An Illustrated History of the Black Athlete.” She talks politics, sports and culture weekly on Philadelphia’s 900AM WURD. The views expressed here are solely hers. Read more opinion on CNN.



    CNN
     — 

    The ruling earlier this month by a Texas federal judge to suspend the US Food and Drug Administration’s approval of a drug that is used frequently for medication abortions, is very personal for me.

    That’s because I took mifepristone years ago during a miscarriage, and it saved my life.

    When I was prescribed mifepristone, it had not yet taken center stage in America’s abortion wars. I did not have to make a rushed road trip across state lines to get my medicine, unlike many women who need the drug but live in one of the many states that have restricted access to medication abortion or passed near-total bans on abortion.

    I was not forced to set up a secret meet-up with a stranger in order to buy my medicine on the black market, as several women I spoke to recently said they planned to do. Nor did I have to order mifepristone online and find myself navigating the many scammers taking advantage of the current patchwork of state abortion laws in the US.

    Mifepristone is one of two drugs used in a medication abortion and the other, misoprostol, was not subject to the ruling by the Texas judge. The two drugs can be administered to someone having a miscarriage, allowing them to terminate the pregnancy when the fetus is not viable.

    It happened some years ago: After experiencing more than a day of hemorrhaging during the first trimester of my pregnancy, I visited my ob-gyn, who explained after examining me that my blood pressure was dropping rapidly and the heavy bleeding I was experiencing was an unmistakable sign of a miscarriage.

    For many women, being prescribed mifepristone is part of their routine medical care. Not so in my case: As my doctor explained, I was facing a dire medical emergency. I was grateful for the medication that saved my life.

    My miscarriage took me by surprise. I had loved being pregnant the first time around, about a decade earlier. And as a healthy woman, I had no reason for fear when I became pregnant again. By the time I was administered mifepristone, I was losing a life that I had already begun to love. And like many other women, despite my level of education or economic status, I could not outrun the statistics that put Black women at higher risk.

    Up to one in four known pregnancies will end in a miscarriage. And for Black women, the numbers are alarmingly higher. According to an analysis of 4.6 million pregnancies in seven countries, the risk of a miscarriage for Black women is 43% higher than for White women.

    In the Black community, women have traditionally been taught to bear their burdens silently — keep your business to yourself — even after something as devastating as pregnancy loss. We are conditioned to do as I did back then, and keep it moving as we try to outrun the long list of statistics that tell us our lives are in danger from every direction, whether it be from health care risks to societal injustices or other stressors.

    During my miscarriage, I was a woman who was afraid, hemorrhaging and in excruciating pain, in desperate need of safe, emergency medical care. Thanks to the administration of mifepristone, I was allowed dignity during my miscarriage. It’s what every woman deserves — whether it be facing a potentially life-threatening miscarriage or seeking an abortion.

    I learned from my experience that every miscarriage matters. Women must have access to whatever medicines and counseling we need to help us heal and that includes mifepristone. What we don’t need is to be criminalized by politicians and punitive reproductive laws that have long been out of step with public opinion. Despite the continuing political attacks on women’s reproductive rights, more than 61% of US adults say abortion should be legal in all or most cases, according to Pew Research Center.

    After the US Justice Department asked the Supreme Court to intervene, Justice Samuel Alito issued a temporary order to preserve the status quo, ensuring access to the drug while giving the justices more time to study the issue.

    I am hoping the justices can put politics aside and focus on the science surrounding the safety of mifepristone, a drug that, thankfully, I had access to when my life was in danger. Mifepristone, a synthetic steroid, is even safer than common prescription drugs including penicillin and Viagra.

    Following the science demands that, regardless of where you stand on the issue of abortion, consideration must be made for cases like mine and the millions of other women who for years have safely used this medication for complications surrounding miscarriages.

    We do not know how the legal fight over medication abortion will unfold. But women across the nation – in blue and red states alike – are watching. Punitive laws like the one signed last week by Florida Gov. Ron DeSantis seek to criminalize reproductive care providers. And worse, they are stripping us of rights that men take for granted – it’s unlikely they will be prohibited by the law from making health care decisions about their own bodies.

    It must end. And I’m betting that whether it be with our voice or our votes, women will have the last word.

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    April 18, 2023
  • No words were exchanged before a White homeowner shot a Black teen who rang his doorbell, according to statements to police | CNN

    No words were exchanged before a White homeowner shot a Black teen who rang his doorbell, according to statements to police | CNN

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    CNN
     — 

    A White, 84-year-old homeowner charged with shooting Ralph Yarl after the Black teen went to the wrong Kansas City address to pick up his siblings told police they didn’t exchange words before he fired at him through a locked glass door – and that he did so because he thought the teen was trying to break in.

    Homeowner Andrew Lester – who faces two felony charges, for assault in the first degree and armed criminal action – told police he fired immediately after answering the doorbell when he saw 16-year-old Ralph pulling on an exterior door handle, according to the probable cause document obtained by CNN.

    Lester said he was “scared to death” due to the boy’s size, according to the document.

    After the April 13 shooting, which left the teenage boy with gunshot wounds to his head and arm, Ralph told police while he was hospitalized that he did not pull on the door, according to the document.

    It was “nothing short of a miracle” that Ralph was discharged from the hospital, but “he’s not out of the woods yet,” his attorney Ben Crump told CNN on Monday.

    The shooting of the unarmed Black teenager captured national attention as it drew outrage online and fueled protests in Kansas City. Protesters have marched through the city chanting, “Justice for Ralph” and calling for the shooter’s arrest.

    Clay County Prosecuting Attorney Zachary Thompson has said that “there was a racial component to this case,” but did not elaborate.

    Lester was not in custody as of Monday night, though a warrant has been issued for his arrest, according to authorities.

    Andrew Lester was charged for shooting 16-year-old Ralph Yarl.

    On the night of the shooting, the 84-year-old man was taken into custody but was released less than two hours later, two representatives at the Kansas City Police Department detention unit previously told CNN. Thompson said Lester was released because police recognized that more investigative work needed to be done.

    Attorney Crump told CNN’s Jake Tapper Monday that it makes no sense the shooter hasn’t been arrested.

    “Nobody can tell us if the roles were reversed, and you had a Black man shoot a White 16-year-old teenager for merely ringing his doorbell that he would not be arrested,” Crump said. “I mean, this citizen went home and slept in his bed at night after shooting that young Black kid in the head.”

    “He merely rang the doorbell. That was it,” Crump said. “And the owner of the home shoots through the door, hitting him in the head and then shoots him a second time.”

    CNN has not been able to reach the homeowner for comment. A lawyer was not listed in his previous booking report.

    On the night of the shooting, Lester was lying down in bed when he heard the doorbell ring and picked up his .32 caliber revolver, Lester told police, according to a probable cause statement.

    He then went to his home’s front entrance, which includes an interior door and a glass exterior door – both of which were locked.

    Lester opened the interior door and “saw a black male approximately 6 feet tall pulling on the exterior storm door handle,” Lester told police.

    “He stated he believed someone was attempting to break into the house, and shot twice within a few seconds of opening the door,” the probable cause statement reads.

    “He believed he was protecting himself from a physical confrontation and could not take the chance of the male coming in,” the document reads.

    Lester said he immediately called 911 after the shooting, according to the document.

    Police spoke with Ralph while he was being treated at a hospital, where he told them his mother asked him to pick up his brothers at 1100 NE 115th Street, according to the document, which notes the actual address they were staying at was 1100 NE 115th Terrace.

    When he arrived at the house on 115th Street, Ralph said he rang the doorbell and waited a while before a man eventually opened the door and immediately shot him in the head, causing him to fall, the document says.

    A police officer drives Monday past the house where 16-year-old Ralph Yarl was shot.

    While the teenager was still on the ground, the man then fired again, shooting him in the arm, Ralph told police.

    Ralph said he got up and ran to keep from being shot, and he heard the man say, “Don’t come around here,” the document says. He then went to multiple nearby homes asking for help and telling people to call police.

    The boy told police he did not pull on the door, according to the probable cause statement.

    Officers responded to the scene just before 10 p.m. after receiving reports of a shooting. When they arrived, they found the boy wounded in the street.

    Responding officers also found the front storm door glass at Lester’s home broken, with blood on the front porch and the driveway, according to the probable cause document.

    A neighbor, who asked not to be identified, told CNN she called 911 after Ralph came to her door, bleeding.

    Since the shooter’s location was unknown at the time, she was directed to stay inside her home by the emergency operator for her safety. She said she complied initially, then went outside with towels to help suppress the bleeding.

    “This is somebody’s child. I had to clean blood off of my door, off of my railing. That was someone’s child’s blood. I’m a mom … this is not OK,” she said.

    Protesters march Sunday in Kansas City.

    Crump said Ralph is still struggling with the trauma from the ordeal, but the family hopes for a full recovery because Ralph is young and strong.

    “He and his family are just happy that he’s alive after being shot in the head,” Crump told CNN.

    Ralph, a section leader in a marching band who could often be found with an instrument in hand, had been looking forward to graduating from high school and visiting West Africa before starting college, according to a GoFundMe started by Ralph’s aunt, Faith Spoonmore.

    “Life looks a lot different right now. Even though he is doing well physically, he has a long road ahead mentally and emotionally. The trauma that he has to endure and survive is unimaginable,” the aunt wrote in the fundraiser.

    The GoFundMe page, started to help the family with medical expenses, had garnered more than $2 million in donations by Monday night.

    Crump likened Ralph’s shooting to the shootings of 17-year-old Trayvon Martin in Florida and 25-year-old Ahmaud Arbery in Georgia – two unarmed Black Americans who were fatally shot by assailants who later claimed self defense.

    “We continue to fight to say you can’t profile and shoot our children, just because you have this ‘stand your ground’ law,” Crump said. “Unacceptable.”

    “Stand your ground” laws allow people to respond to threats or force without fear of criminal prosecution in any place where a person has the right to be. It remains unclear whether this will play a role in Lester’s case.

    Lee Merritt, another attorney representing Ralph and his family, told CNN Monday that the “stand your ground” action would not apply to Ralph’s case.

    “The stand your ground action, under the laws of Missouri, are completely inapplicable to this case, because there has been no conversation, not from the suspect, not from the victim and not from law enforcement, that Ralph Yarl, at 16 years old, ever posed a threat to this shooter,” Merritt said.

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    April 18, 2023
  • Sex positivity after 70: Marilyn Minter’s sensual photographs of couples in their golden years | CNN

    Sex positivity after 70: Marilyn Minter’s sensual photographs of couples in their golden years | CNN

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    CNN
     — 

    What does intimacy look like for seniors? There’s no end to sex scenes and other steamy content featuring the young and unwrinkled, but past a certain age, popular culture largely draws a blank — or treats sex as a punchline.

    Last year, the artist Marilyn Minter set out to change that, gathering a group of men and women aged 70 and older in her New York studio to showcase a lesser-seen side of sex and relationships. In erotic and colorful images, the seniors are stripped down to lingerie or briefs; they hug, kiss and caress each other in the heat of the moment. The photographs beckon our attention to challenge something still seen as taboo, showing playful, loving moments of pleasure.

    “There’s so much contempt for elder sex. Even one of the models that I worked with said, ‘Who wants to see all these?’” Minter recalled in a video call with CNN.

    “My whole thought process going into it was that we’re pioneers,” she continued of the unabashedly sexualized context. “Nobody’s ever shot elder people affectionately, and with any kind of elegance. And that was my goal — to make to make them look very desirable.”

    A handful of the ensuing images were originally published in the New York Times Magazine, accompanying a candid editorial feature about seniors’ sex lives. Minter is now publishing the series in full in the forthcoming book “Elder Sex,” and exhibiting them at New York gallery LGDR. The exhibition, which opened in April, is her first solo show in the city since the Brooklyn Museum mounted her retrospective “Pretty/Dirty” in 2016, and features highlights from her five-decade-long career, as well as other new bodies of work.

    In “Elder Sex,” Minter utilized one of her signature aesthetics, which she has explored in both hyperrealistic paintings and photographs: jewel-toned, close-cropped compositions of glistening bodies, seemingly shown through the glass of a steamed-up mirror or window. But despite her credentials as one of the most important and boundary-breaking artists today — and despite stars such as Lady Gaga and Lizzo posing for her — Minter couldn’t find enough real couples willing to participate.

    The images

    “We wanted to (include) all races, all types of sex,” Minter explained. “We had a lot of trouble getting models. I’m 74. I asked all my friends — in mixed-race relationships, in lesbian relationships — and none of them would do it.”

    In the end, Minter cast actors along with the few people who had agreed. She paired them together in her studio, photographing them behind a panel of frozen glass — a trick to achieve the steamy, wet look without battling the ephemerality of water vapor. During their shoots, Minter said all her models, who were as old as 89 years old, told her they still had regular, enjoyable sex lives. Their sentiments matched the people interviewed for the New York Times Magazine article, who described deepening intimacy with their partners later in life, as well as learning to navigate and appreciate their needs as their bodies aged.

    Seniors do have regular sex lives, but it's rarely discussed. Minter says all her models told her they still enjoy intimacy.

    Minter believes there’s a sense of freedom in sex later in life that, for many people, can take time to reach.

    “When you’re young and having sex, it’s a little more performative than it is when you’re 80,” she said. As an older person, “You’re thinking, ‘This is me. Take it or leave it. I’m just going to enjoy myself. I’m not going to fake anything here.’”

    Minter acknowledges that sex and self-image is fraught for women of all ages — older women are rarely seen or taken seriously as having intimate needs, while for younger women, sexual agency is often a tightrope walk — too much of it and you can be “excoriated and slut-shamed,” Minter said.

    “When you’re 25, there’s just so much fear about young women owning sexual agency — it’s just terrifying to people,” she said.

    Marilyn Minter unveils steamy ‘shower’ images

    But the artist sees some progress in who gets to be seen as desirable on our television screens, reflecting a burgeoning broader shift in cultural attitudes around sex. She pointed to photographs in People magazine comparing the characters of “The Golden Girls” and “Sex and the City,” who are the same age at the time of the latter’s reboot on HBO Max (which is owned by CNN’s parent company, Warner Bros. Discovery). “The 50s look a lot different in the 2020s!” a caption exclaimed.

    Though “The Golden Girls” also delved into romance and intimacy — and was widely-viewed as remarkably sex-positive for its time — there’s a stark contrast in how women in their 50s are presented across the two shows.

    “I thought, ‘Okay, here’s why it’s different,” she said. “Number one: People live a lot longer, and they’re healthier… Number two: there’s this thing called Viagra.” Minter laughed, adding: “But who retired at 54? To a home in Florida with three other ladies? What?”

    Minter hopes

    She hopes “Elder Sex” will not only serve as a much-needed visual reference for what intimacy can look like at older ages, but will also resonate for people who feel like their desires — and lives — are overlooked.

    “It gives permission to people who feel shame about their sexual urges,” she said. “I want this to give them permission to explore that and erase the shame.”

    “Elder Sex,” published by JBE Books, is available now.

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    April 17, 2023
  • Opinion: Why millionaires like us want to pay more in taxes | CNN

    Opinion: Why millionaires like us want to pay more in taxes | CNN

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    Editor’s Note: Abigail Disney is an Emmy-winning documentary filmmaker, activist, and member of the Patriotic Millionaires. Her latest film, “The American Dream and Other Fairy Tales,” co-directed with Kathleen Hughes, made its world premiere at the 2022 Sundance Film Festival. Morris Pearl is the chair of Patriotic Millionaires, and former managing director of BlackRock. The opinions expressed in this commentary are their own. View more opinion on CNN.



    CNN
     — 

    Tuesday is Tax Day in America, one of the most stressful days of the year, when many taxpayers will finally end their procrastination, file their federal returns, and hope for a refund from the IRS. But for many of the nation’s wealthiest, it’s just another Tuesday.

    Morris Pearl

    Tax Day isn’t just a filing deadline — it’s also an annual reminder that the ultra-rich exist in an entirely separate world when it comes to taxes. For us, the loopholes are bigger and the rates are sometimes lower. Meanwhile, the rich keep getting richer, with the wealth of billionaires in particular growing by more than $1.5 trillion over the last few years.

    This status quo is unfair, but even more importantly, it’s unsustainable. Such high levels of inequality are pushing our economy and our democracy to their breaking points. That’s why we should examine how we can set our country up for long-term stability and prosperity. And we should start by ensuring that the ultra-rich pay more of what they owe the country that made their success possible.

    There are three changes to the tax code that would help us do just that:

    Right now, the US tax system values money over sweat. If you work hard for your money instead of earning it passively, you’re essentially penalized for it. People who earn a salary pay significantly higher tax rates on their income than wealthy investors who passively earn capital gains income.

    Inheriting money is an even better deal. Thanks to former president Donald Trump’s 2017 tax law, the first $12.92 million (or $25.84 million for a married couple) is completely exempt from any estate tax, and the stepped-up basis loophole allows wealthy families to permanently erase millions in capital gains taxes by resetting the market value of those assets to their value at the time of the original owner’s death. With this, it becomes relatively simple for the rich to inherit tens, even hundreds of millions of dollars, and pay almost nothing in taxes. Someone working for that money, on the other hand, would pay over a third of it in federal income taxes.

    Why do we have a tax code that says working people should be taxed more than wealthy investors and those who got rich just by virtue of being born into the right family? At the end of the day, money is money, whether you worked for it or whether you inherited it. As an heiress and an investor, we should not be paying lower tax rates than people who earn their money from working.

    It’s time for the tax code to treat all income equally by taxing all capital gains over $1 million at the same rates as ordinary income, and replacing our loophole-ridden estate tax with a simpler inheritance tax that treats inherited wealth as income.

    We can’t just focus on income, however, because many of the richest Americans earn basically no taxable income of any kind in a typical year. Capital gains are only taxed when assets are sold, so instead of selling them, the ultra-rich use their assets as collateral to borrow vast sums of money at extremely low interest rates to live on, and then declare little or even negative “income” on their tax forms. This “Buy, Borrow, Die” strategy is a major reason billionaires paid a lower effective tax rate over recent years than working-class families.

    By rethinking what is taxable, we can get access to the trillions of dollars of billionaire wealth that is untouchable under our current tax structure. That’s why President Biden has proposed the Billionaire Minimum Income Tax, which would tax the unrealized capital gains of the wealthiest households and why others have proposed wealth taxes on billionaires.

    Finally, one of the most straightforward changes needed is to simply tax the extremely rich more than the merely rich. Our income tax caps out at a top rate of 37% for any income over $578,125 (or $693,750 for married couples). No matter how much more someone makes, they’ll never pay more than 37% in federal income taxes.

    While someone earning $600,000 is certainly making enough to live a very comfortable life, they’re in a different world than someone making $600 million a year. In order to reflect the real differences between the rich and the ultra-rich, we need to return to the top rates we had through the most prosperous decades of the 20th century and add significantly more tax brackets. They should reach up to 90% for people making more than $100 million a year.

    These three changes certainly won’t fix all our country’s problems on their own, but they would go a long way in stopping the steady flow of our country’s wealth toward a smaller and smaller group of people, a change that would make both our democracy and our economy more stable. The tax code can be a powerful tool for both social and economic change. We just need to use it more effectively.

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    April 17, 2023
  • A teenager was shot by a homeowner after going to the wrong house to pick up siblings, Kansas City police say | CNN

    A teenager was shot by a homeowner after going to the wrong house to pick up siblings, Kansas City police say | CNN

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    CNN
     — 

    A teenager was shot and wounded by a homeowner after mistakenly going to the wrong home to pick up his siblings in Kansas City, Missouri, police said Sunday.

    Officers responded to reports of a shooting on the evening of April 13 and arrived to find a teenager who had been shot by a homeowner outside of a residence, according to Kansas City Police.

    The teen was taken to a local hospital, where he was in stable condition Sunday, police said.

    Police learned that the teenager’s parents had asked him to pick up his siblings at an address on 115th Terrace, but he accidentally went to a home on 115th Street, where was shot, according to police.

    The teen was identified as 16-year-old high school junior Ralph Yarl, according to a joint statement from civil rights attorneys S. Lee Merritt and Benjamin Crump, who have been retained by the victim and his family.

    “Despite the severity of his injuries and the seriousness of his condition, Ralph is alive and recovering,” the attorneys said in the statement.

    The homeowner – who has not been identified – was taken into custody and placed on a 24-hour hold, then released pending further investigation due to the need to obtain a formal statement from the victim and to gather additional forensic evidence, Kansas City Police Chief Stacey Graves said in a news conference Sunday.

    Under Missouri state law, a person can be held for up to 24 hours for investigation of a felony, at which time they are required to be charged or released, Graves said at the press conference.

    The shooting fueled a protest in Kansas City on Sunday, with hundreds gathering outside the home where Yarl was shot, according to CNN affiliate KSHB.

    Protesters marched as they chanted, “justice for Ralph” and “Black lives matter,” and carried signs reading, “Ringing a doorbell is not a crime” and “The shooter should do the time,” footage from CNN affiliate KMBC shows.

    “We demand swift action from Clay County prosecutors and law enforcement to identify, arrest and prosecute to the full extent of the law the man responsible for this horrendous and unjustifiable shooting,” the statement from the victim’s attorneys read.

    Asked whether the shooting may have been racially motivated, the police chief said, “the information that we have now, it does not say that that is racially motivated. That’s still an active investigation. But as a chief of police, I do recognize the racial components of this case.”

    Graves sought to assure the Kansas City community Sunday that the police department is committed to bringing justice to this case.

    “We recognize the frustration this can cause in the entire criminal justice process. The women and men of the Kansas City Police Department are working as expeditiously and as thoroughly as we can, to ensure the criminal justice process continues to advance as quickly as all involved and our community deserve,” Graves said.

    Kansas City Mayor Quinton Lucas said there will be a thorough investigation and review by the prosecutor’s office.

    “As a parent, I certainly feel for the mother of the victim and others in the family. My heart goes out to them,” the mayor added.

    A GoFundMe started by Faith Spoonmore, who identified herself as Yarl’s aunt, to help the family raise money for medical expenses had garnered more than $529,000 in donations as of Sunday night.

    Yarl had been looking forward to graduating high school and visiting West Africa before starting college, where he hopes to major in chemical engineering, his aunt wrote in the fundraiser.

    The teen is a section leader in a marching band and could often be found with a musical instrument in hand, Spoonmore wrote. Most recently, Yarl earned Missouri All-State Band honorable mention for playing the Bass Clarinet, according to a North Kansas City Schools’ newsletter in February.

    “Life looks a lot different right now. Even though he is doing well physically, he has a long road ahead mentally and emotionally. The trauma that he has to endure and survive is unimaginable,” the GoFundMe post reads.

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    April 17, 2023
  • Even when women make as much as their husbands, they still do more at home | CNN Business

    Even when women make as much as their husbands, they still do more at home | CNN Business

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    New York
    CNN
     — 

    Few women will be surprised to learn that even when wives earn about the same as their husbands or more, a new Pew Research Center study finds that they still spend more time on housework and child care, while their husbands spend more time on paid work and leisure.

    “Even as financial contributions have become more equal in marriages, the way couples divide their time between paid work and home life remains unbalanced,” Pew noted.

    So who’s earning what?

    Pew found that in 29% of heterosexual marriages today, women and men earn about the same (roughly $60,000 each). “Husbands in egalitarian marriages spend about 3.5 hours more per week on leisure activities than wives do. Wives in these marriages spend roughly 2 hours more per week on caregiving than husbands do and about 2.5 hours more on housework,” the study notes.

    In 55% of opposite-sex marriages, men are the primary or sole breadwinners, earning a median of $96,000 to their wives’ $30,000.

    Meanwhile, in 16% of marriages the wives outearn their husbands as the primary (10%) or sole breadwinner (6%). In these marriages women earn a median of $88,000 to their husbands’ $35,000.

    Of all of these categories, the only one in which men are reported to spend more time caregiving than their wives is when the woman is the sole breadwinner. And the time spent per week on household chores in those marriages is split evenly between husbands and wives.

    In all instances, it’s a big change from 50 years ago — when, for instance, husbands were the primary breadwinner in 85% of marriages.

    Today, which women are most likely to be the primary or sole breadwinners can vary by age, family status, education and race.

    For instance, Pew found Black women are “significantly more likely” than other women to earn more than their husbands. For instance, 26% of Black women bring home more than their husbands, while only 17% of White women and 13% of Hispanic women do.

    But Black women with a college degree or higher and few children at home are also among the most likely to earn about the same as their husbands.

    These numbers are reported against a backdrop of society’s attitudes about who should earn more and how caregiving should be divvied up between spouses.

    Nearly half of Americans (48%) in Pew’s survey said husbands prefer to earn more than their wives, while 13% said men would prefer their wives earn about the same as them.

    What do women want? Twenty-two percent of Americans said most women want a husband who earns more, while 26% said most would want a man who earns about the same.

    Meanwhile, when it comes to having a family, 77% said that children are better off when both parents focus equally on their job and on taking care of the kids. Only 19% said children are better off when their mother focuses more on home life and their father focuses more on his job.

    The Pew study is based on three data sources: earnings data from the US Census’ Current Population Survey; data from the American Time Use Survey and a nationally representative survey of public attitudes among 5,152 US adults conducted in January.

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    April 16, 2023
  • 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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    April 15, 2023
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