When a woman has a mammogram, the most important finding is whether there’s any sign of breast cancer.

The second most important finding is whether her breasts are dense.

Since early September, a new U.S. rule requires mammography centers to inform women about their breast density — information that isn’t entirely new for some women because many states already had similar requirements.

Here’s what to know about why breast density is important.

Are dense breasts bad?

No, dense breasts are not bad. In fact, they’re quite normal. About 40% of women ages 40 and older have dense breasts.

Women of all sizes can have dense breasts. It has nothing to do with breast firmness. And it only matters in the world of breast cancer screening, said Dr. Ethan Cohen of MD Anderson Cancer Center in Houston.

With the new rule, “there are going to be a lot of questions to a lot of doctors and there’s going to be a lot of Googling, which is OK. But we want to make sure that people don’t panic,” Cohen said.

How is breast density determined?

Doctors who review mammograms have a system for classifying breast density.

There are four categories. The least dense category means the breasts are almost all fatty tissue. The most dense category means the breasts are mostly glandular and fibrous tissue.

Breasts are considered dense in two of the four categories: “heterogeneously dense” or “extremely dense.” The other two categories are considered not dense.

Dr. Brian Dontchos of the Seattle-based Fred Hutchinson Cancer Center said the classification can vary depending on the doctor reading the mammogram “because it’s somewhat subjective.”

Why am I being told I have dense breasts?

Two reasons: For one, dense breasts make it more difficult to see cancer on an X-ray image, which is what a mammogram is.

“The dense tissue looks white on a mammogram and cancer also looks white on a mammogram,” said Dr. Wendie Berg of the University of Pittsburgh School of Medicine and chief scientific adviser to DenseBreast-info.org. “It’s like trying to see a snowball in a blizzard.”

Second, women with dense breast tissue are at a slightly higher risk of developing breast cancer because cancers are more likely to arise in glandular and fibrous tissue.

Reassuringly, women with dense breasts are no more likely to die from breast cancer compared to other women.

What am I supposed to do?

If you find out you have dense breasts, talk to your doctor about your family history of breast cancer and whether you should have additional screening with ultrasound or MRI, said Dr. Georgia Spear of Endeavor Health/NorthShore University Health System in the Chicago area.

Researchers are studying better ways to detect cancer in women with dense breasts. So far, there’s not enough evidence for a broad recommendation for additional screening. The U.S. Preventive Services Task Force called for more research in this area when it updated its breast cancer screening recommendations earlier this year.

Do I still need a mammogram?

Yes, women with dense breasts should get regular mammograms, which is still the gold standard for finding cancer early. Age 40 is when mammograms should start for women, transgender men and nonbinary people at average risk.

“We don’t want to replace the mammogram,” Spear said. “We want to add to it by adding a specific other test.”

Will insurance cover additional screening?

For now, that depends on your insurance, although a bill has been introduced in Congress to require insurers to cover additional screening for women with dense breasts.

Additional screening can be expensive — from $250 to $1,000 out of pocket, so that’s a barrier for many women.

“Every woman should have equal opportunity to have their cancer found early when it’s easily treated,” Berg said. “That’s the bottom line.”
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WINDHOEK, NAMIBIA — Namibians who are part of the LGBTQ+ community often find it difficult to get decent health care and many report discriminatory practices within the health care system.

For example, when 20-year-old Immanuel Uirab sought contraception at a health facility, the nurse on duty would not assist him.

“I don’t know if it’s the shorts I was wearing or you can generally just tell by looking at me that I am gay,” he said, “but then this particular nurse … came out and she was, like, ‘No, we don’t offer contraceptives for people who practice sodomy. We can’t do that for you. … You can go buy them if you want to use them in your private space, but we … won’t give them to you because our government does not support homosexuality.’”

A recent two-day training workshop facilitated by the group Our Equity Advocacy was aimed at encouraging health care practitioners in Namibia to not discriminate against sexual minorities.

Discrimination in health care services violates the right to health care and the human rights principles of equity, privacy and dignity, said the United Nation’s special rapporteur on the right to health, Dr. Tlaleng Mofokeng.

Mofokeng held a workshop last weekend in Windhoek where she trained health care practitioners and young people about the role of health care in human rights.

There are many opportunities in which health care workers “can take a seat at the table,” she said. “Not just in policymaking, but importantly in advocacy … also in understanding human rights.”

The executive director of Namibia’s Ministry of Health, Ben Nangombe, said that discrimination in health care based on sexual orientation is against the law and that practitioners who refuse health care to patients for any reason can lose their jobs.

“The official position [of the] government on this matter is that the Namibian government provides health care services to all Namibians who need it without any discrimination whatsoever,” he said.

One theme from last weekend’s workshop was the need for nurses to become agents of change and advocates for their patients.

Letlhogonolo Mokgoroane, a legal practitioner and health rights activist from South Africa who co-facilitated the workshop, said members of sexual minority groups in Africa often face intrusive questioning when they seek medical care.

“Let’s say you are going to a hospital or a clinic for a broken arm or a headache, some tummy ache, whatever,” Mokgoroane said. “What often happens is when you are trans or when you are gender nonconforming or when you are a member of the LGBTI community, immediately what happens is that the questions veer away from why you are actually there to really invasive and discriminatory questions, right? ‘I have a headache, why are you asking me about my sex life? … I have a headache, why are you asking me about my genitalia?’”

Mokgoroane said the issue can be addressed by training health care workers to affirm the gender of their patients when they treat them.

However, Mokgoroane expressed worry that the rise of anti-LGBTQ+ laws in Africa will further drive discriminatory practices in the health care system and undermine public health altogether.
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washington — The Orionids — one of two annual meteor showers from Halley’s comet — peak early Monday. A bright waning moon may make them difficult to spot.

The Orionid meteor shower can be unpredictable. It shines like a fireworks display in some years but is fairly slow in other years.

This highly variable shower may result in anywhere from 20 to 60 visible meteors per hour under ideal viewing conditions, said NASA’s Bill Cooke.

This year’s peak activity happens on a night when a waning moon is 83% full. The shower lasts through November 22.

Here’s what to know about the Orionids and other meteor showers.

What is a meteor shower?

Multiple meteor showers occur annually and don’t require special equipment to see them.

Most meteor showers originate from the debris of comets. The source of the Orionids is Halley’s comet.

When rocks from space enter Earth’s atmosphere, the resistance from the air makes them very hot. This causes the air to glow around them and briefly leaves a fiery tail behind them — the end of a “shooting star.”

The glowing pockets of air around fast-moving space rocks, ranging from the size of a dust particle to a boulder, may be visible in the night sky.

“Halley’s comet does not leave the same numbers of particles behind each year,” making it hard to predict what kind of show viewers will see, said Cooke.

How to view a meteor shower

Meteor showers are usually most visible between midnight and predawn hours.

It’s easier to see shooting stars under dark skies, away from city lights. Meteor showers also appear brightest on cloudless nights when the moon wanes smallest.

And your eyes will better adapt to seeing meteors if you aren’t checking your phone.

“It ruins your night vision,” said Cooke.

When is the next meteor shower?

October has been an active time for celestial sightings including the latest supermoon and the comet Tsuchinshan-Atlas.

The meteor society keeps an updated list of upcoming large meteor showers, including the peak viewing days and moonlight conditions.

The next big one is the Southern Taurid meteor shower, which peaks in early November.
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Scientists say beef production takes a heavy toll on the environment. Cattle produce methane, a powerful planet-warming gas, and forests get cut down for pastures. But one farm in northern Colombia hopes to show ranching can have a lighter footprint on the planet. Austin Landis travelled to Montería in northern Colombia for a closer look at what could be a revolution in sustainable cattle ranching.
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The U.S. Supreme Court declined on Wednesday to put on hold a new federal rule targeting carbon pollution from coal- and gas-fired power plants at the request of numerous states and industry groups in another major challenge to President Joe Biden’s efforts to combat climate change.

The justices denied emergency requests by West Virginia, Indiana and 25 other states — most of them Republican led — as well as power companies and industry associations, to halt the Environmental Protection Agency rule while litigation continues in a lower court. The regulation, aimed at cutting greenhouse gas emissions that drive climate change, took effect July 8.

The rule would require existing coal and new natural gas-fired plants eventually to reduce emissions including by capturing and storing carbon dioxide.

The EPA’s new rule, issued under the landmark Clean Air Act anti-pollution law, was issued two years after a major ruling by the Supreme Court in 2022 undercut the agency’s power to issue sweeping regulations to force an electricity-generation shift from coal to cleaner energy sources.

The EPA has said efforts to address climate change and its impacts such as extreme weather and rising sea levels must include the power sector because fossil fuel-fired plants make up 25% of overall domestic greenhouse gas emissions.

Notably, the rule mandates that coal plants operating past 2038 and certain new gas plants reduce emissions by 90% by 2032 including by using carbon capture and storage systems that extract carbon dioxide from plant exhaust and sequester it underground.

The EPA has called the technology proven and technically feasible. The rule’s challengers have said it has not been shown effective at the scale predicted by the EPA.

The rule’s requirements are “really a backdoor avenue to forcing coal plants out of existence,” West Virginia, a major coal producer, and other state challengers said in a written filing.

The Supreme Court’s 2022 ruling was based on what is called the “major questions” legal doctrine embraced by its conservative justices that requires explicit congressional authorization for action on issues of broad importance and societal impact.

The states and certain other challengers contend that the EPA’s new rule likewise implicates a major question and exceeds the agency’s authority.

Numerous states and industry players filed multiple lawsuits challenging the rule in the U.S. Court of Appeals for the District of Columbia Circuit, which on July 19 denied requests to pause the regulation pending its review.

The case did not implicate a major question because the EPA’s actions setting plant limits were “well within” its statutory authority, the D.C. Circuit stated.
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A nationwide recall of meat and poultry products potentially contaminated with listeria has expanded to nearly 15.4 million kilograms (12 million pounds) and now includes ready-to-eat meals sent to U.S. schools, restaurants and major retailers, federal officials said.

The updated recall includes prepared salads, burritos and other foods sold at stores including Costco, Trader Joe’s, Target, Walmart and Kroger. The meat used in those products was processed at a Durant, Oklahoma, manufacturing plant operated by BrucePac. The Woodburn, Oregon-based company sells precooked meat and poultry to industrial, foodservice and retail companies across the country.

Routine testing found potentially dangerous listeria bacteria in samples of BrucePac chicken, officials with the U.S. Agriculture Department said. No illnesses have been confirmed in connection with the recall, USDA officials said. The U.S. Centers for Disease Control and Prevention has not launched an outbreak investigation, a spokesperson said.

The recall, issued on October 9, includes foods produced between May 31 and October 8. The USDA has posted a 342-page list of hundreds of potentially affected foods, including chicken wraps sold at Trader Joe’s, chicken burritos sold at Costco and many types of salads sold at stores such as Target and Walmart. The foods were also sent to school districts and restaurants across the country.

The recalled foods can be identified by establishment numbers “51205 or P-51205” inside or under the USDA mark of inspection. Consumers can search on the USDA recall site to find potentially affected products. Such foods should be thrown away or returned to stores for refunds, officials said.

Eating foods contaminated with listeria can cause potentially serious illness. About 1,600 people are infected with listeria bacteria each year in the U.S. and about 260 die, according to the U.S. Centers for Disease Control and Prevention.

Listeria infections typically cause fever, muscle aches and tiredness and may cause stiff neck, confusion, loss of balance and convulsions. Symptoms can occur quickly or to up to 10 weeks after eating contaminated food. The infections are especially dangerous for older people, those with weakened immune systems or who are pregnant.

The same type of bacteria is responsible for an outbreak tied to Boar’s Head deli meat that has killed at least 10 people since May.
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Since the U.S. Supreme Court sent the issue of abortion back to the states in 2022, Democrats have mobilized to protect abortion rights while Republicans have worked to restrict the procedure on religious and moral grounds. The issue is motivating voters to go to the polls this election year. VOA Congressional Correspondent Katherine Gypson has more from Nevada. Videographer: Mary Cieslak
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Geneva — The World Health Organization said on Tuesday it had been able to start its polio campaign in central Gaza and vaccinate tens of thousands of children despite Israeli strikes in the designated protected zone hours before.

As part of an agreement between the Israeli military and Palestinian militant group Hamas, humanitarian pauses in the year-long Gaza war had been due to begin early on Monday to reach hundreds of thousands of children.

However, hours before then, the U.N. humanitarian office said Israeli forces struck tents near al Aqsa hospital, inside in the zone, where it said four people were burned to death.  

The U.N. Palestinian refugee agency UNRWA said one of its schools in the central Gazan city of Nuseirat, intended as a vaccination site, was hit overnight between Sunday and Monday, killing up to 22 people.

WHO spokesperson Tarik Jasarevic told a Geneva press briefing that over 92,000 children, or around half of the children targeted for polio vaccines in the central area, had been inoculated on Monday.

“What we have received from colleagues is that the vaccination went without a major issue yesterday, and we hope It will continue the same way,” he said.

Other humanitarian agencies have previously voiced concerns about the viability of the polio campaign in northern Gaza, where an Israeli offensive is under way.

Aid groups carried out an initial round of vaccinations last month, after a baby was partially paralyzed by the type 2 polio virus in August, in the first such case in the territory in 25 years.
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CAPE CANAVERAL, Florida — A NASA spacecraft rocketed away Monday on a quest to explore Jupiter’s tantalizing moon Europa and reveal whether its vast hidden ocean might hold the keys to life.

It will take Europa Clipper 5 1/2 years to reach Jupiter, where it will slip into orbit around the giant gas planet and sneak close to Europa during dozens of radiation-drenched flybys.

Scientists are almost certain a deep, global ocean exists beneath Europa’s icy crust. And where there is water, there could be life, making the moon one of the most promising places out there to hunt for it.

Europa Clipper won’t look for life; it has no life detectors. Instead, the spacecraft will zero in on the ingredients necessary to sustain life, searching for organic compounds and other clues as it peers beneath the ice for suitable conditions.

SpaceX started Clipper on its 3 billion-kilometer (1.8 million-mile) journey, launching the spacecraft on a Falcon Heavy rocket from Florida’s Kennedy Space Center. An hour later, the spacecraft separated from the upper stage, floated off and called home.

“Please say goodbye to Clipper on its way to Europa,” NASA’s Jet Propulsion Laboratory’s flight director Pranay Mishra announced from Southern California.

“The science on this is really captivating,” NASA Associate Administrator Jim Free told The Associated Press back at the launch site. Scientists are still learning about the depths of our own ocean, “and here we are looking that far out.”

The $5.2 billion mission almost got derailed by transistors.

NASA didn’t learn until spring that Clipper’s transistors might be more vulnerable to Jupiter’s intense radiation field than anticipated. Clipper will endure the equivalent of several million chest X-rays during each of the 49 Europa flybys. The space agency spent months reviewing everything before concluding in September that the mission could proceed as planned.

Hurricane Milton added to the anxiety, delaying the launch by several days.

“What a great day. We’re so excited,” JPL Director Laurie Leshin said after liftoff.

About the size of a basketball court with its solar wings unfurled, Clipper will swing past Mars and then Earth on its way to Jupiter for gravity assists. The nearly 5,700-kilogram (13,000-pound) probe should reach the solar system’s biggest planet in 2030.

Clipper will circle Jupiter every 21 days. One of those days will bring it close to Europa, among 95 known moons at Jupiter and close to our own moon in size.

The spacecraft will skim as low as 25 kilometers (16 miles) above Europa — much closer than the few previous visitors. Onboard radar will attempt to penetrate the moon’s ice sheet, believed to be 15 kilometers to 24 kilometers (10 miles to 15 miles or more) thick. The ocean below could be 120 kilometers (80 miles) or more deep.

The spacecraft holds nine instruments, with its sensitive electronics stored in a vault with dense zinc and aluminum walls for protection against radiation. Exploration will last until 2034.

“Ocean worlds like Europa are not only unique because they might be habitable, but they might be habitable today,” NASA’s Gina DiBraccio said on the eve of launch.

If conditions are found to be favorable for life at Europa, then that opens up the possibility of life at other ocean worlds in our solar system and beyond, according to scientists. With an underground ocean and geysers, Saturn’s moon Enceladus is another top candidate. 
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CAPE CANAVERAL, Fla. — A NASA spacecraft is ready to set sail for Jupiter and its moon Europa, one of the best bets for finding life beyond Earth.

Europa Clipper will peer beneath the moon’s icy crust where an ocean is thought to be sloshing fairly close to the surface. It won’t search for life, but rather determine whether conditions there could support it. Another mission would be needed to flush out any microorganisms lurking there.

“It’s a chance for us to explore not a world that might have been habitable billions of years ago, but a world that might be habitable today — right now,” said program scientist Curt Niebur.

Its massive solar panels make Clipper the biggest craft built by NASA to investigate another planet. It will take 5 1/2 years to reach Jupiter and will sneak within 16 miles (25 kilometers) of Europa’s surface — considerably closer than any other spacecraft.

Liftoff is targeted for this month aboard SpaceX’s Falcon Heavy rocket from NASA’s Kennedy Space Center. Mission cost: $5.2 billion.

Europa, the superstar among Jupiter’s many moons

One of Jupiter’s 95 known moons, Europa is almost the size of our own moon. It’s encased in an ice sheet estimated to be 10 miles to 15 miles or more (15 kilometers to 24 kilometers) thick. Scientists believe this frozen crust hides an ocean that could be 80 miles (120 kilometers) or more deep. The Hubble Space Telescope has spotted what appear to be geysers erupting from the surface. Discovered by Galileo in 1610, Europa is one of the four so-called Galilean moons of Jupiter, along with Ganymede, Io and Callisto.

Seeking conditions that support life

What type of life might Europa harbor? Besides water, organic compounds are needed for life as we know it, plus an energy source. In Europa’s case that could be thermal vents on the ocean floor. Deputy project scientist Bonnie Buratti imagines any life would be primitive like the bacterial life that originated in Earth’s deep ocean vents. “We will not know from this mission because we can’t see that deep,” she said. Unlike missions to Mars where habitability is one of many questions, Clipper’s sole job is to establish whether the moon could support life in its ocean or possibly in any pockets of water in the ice.

Supersized spacecraft

When its solar wings and antennas are unfurled, Clipper is about the size of a basketball court — more than 100 feet (30 meters) end to end — and weighs nearly 13,000 pounds (6,000 kilograms). The supersized solar panels are needed because of Jupiter’s distance from the sun. The main body — about the size of a camper — is packed with nine science instruments, including radar that will penetrate the ice, cameras that will map virtually the entire moon and tools to tease out the contents of Europa’s surface and tenuous atmosphere. The name hearkens to the swift sailing ships of centuries past.

Circling Jupiter to fly by Europa

The roundabout trip to Jupiter will span 1.8 billion miles (3 billion kilometers). For extra oomph, the spacecraft will swing past Mars early next year and then Earth in late 2026. It arrives at Jupiter in 2030 and begins science work the next year. While orbiting Jupiter, it will cross paths with Europa 49 times. The mission ends in 2034 with a planned crash into Ganymede — Jupiter’s biggest moon and the solar system’s too.

Europa flybys pose huge radiation risk

There’s more radiation around Jupiter than anywhere else in our solar system, besides the sun. Europa passes through Jupiter’s bands of radiation as it orbits the gas giant, making it especially menacing for spacecraft. That’s why Clipper’s electronics are inside a vault with dense aluminum and zinc walls. All this radiation would nix any life on Europa’s surface. But it could break down water molecules and, perhaps, release oxygen all the way down into the ocean that could possibly fuel sea life.

Earlier this year, NASA was in a panic that the spacecraft’s many transistors might not withstand the intense radiation. But after months of analysis, engineers concluded the mission could proceed as planned.

Other visitors to Jupiter and Europa

NASA’s twin Pioneer spacecraft and then two Voyagers swept past Jupiter in the 1970s. The Voyagers provided the first detailed photos of Europa but from quite a distance. NASA’s Galileo spacecraft had repeated flybys of the moon during the 1990s, passing as close as 124 miles (200 kilometers). Still in action around Jupiter, NASA’s Juno spacecraft has added to Europa’s photo album. Arriving at Jupiter a year after Clipper will be the European Space Agency’s Juice spacecraft, launched last year.

Ganymede and other possible ocean worlds

Like Europa, Jupiter’s jumbo moon Ganymede is thought to host an underground ocean. But its frozen shell is much thicker — possibly 100 miles (160 kilometers) thick — making it tougher to probe the environment below. Callisto’s ice sheet may be even thicker, possibly hiding an ocean. Saturn’s moon Enceladus has geysers shooting up, but it’s much farther than Jupiter. Ditto for Saturn’s moon Titan, also suspected of having a subterranean sea. While no ocean worlds have been confirmed beyond our solar system, scientists believe they’re out there — and may even be relatively common.

Messages in a cosmic bottle

Like many robotic explorers before it, Clipper bears messages from Earth. Attached to the electronics vault is a triangular metal plate. On one side is a design labeled “water words” with representations of the word for water in 104 languages. On the opposite side: a poem about the moon by U.S. poet laureate Ada Limon and a silicon chip containing the names of 2.6 million people who signed up to vicariously ride along.
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WASHINGTON — As if the largest bug to ever live – a monster about 2.7 meters long with several dozen legs – wasn’t terrifying enough, scientists could only just imagine what the extinct beast’s head looked like.

That’s because many of the fossils of these creatures are headless shells that were left behind when they molted, squirming out of their exoskeletons through the head opening as they grew ever bigger — 2.4 to 2.7 meters and more than 50 kilograms.

Now, scientists have produced a mug shot after studying fossils of juveniles that were complete and very well preserved, if not quite cute.

The giant bug’s topper was a round bulb with two short bell-shaped antennae, two protruding eyes like a crab, and a rather small mouth adapted for grinding leaves and bark, according to new research published Wednesday in Science Advances.

Called Arthropleura, these were arthropods — the group that includes crabs, spiders and insects – with features of modern-day centipedes and millipedes. But some of them were much, much bigger, and this one was a surprising mix.

“We discovered that it had the body of a millipede, but head of a centipede,” said study co-author and paleobiologist Mickael Lheritier at the University Claude Bernard Lyon in Villeurbanne, France.

The largest Arthropleura may have been the biggest bugs to ever live, although there is still a debate. They may be a close second to an extinct giant sea scorpion.

Researchers in Europe and North America have been collecting fragments and footprints of the huge bugs since the late 1800s.

“We have been wanting to see what the head of this animal looked like for a really long time,” said James Lamsdell, a paleobiologist at West Virginia University, who was not involved in the study.

To produce a model of the head, researchers first used CT scans to study fossil specimens of fully intact juveniles embedded in rocks found in a French coal field in the 1980s.

This technique allowed the researchers to scrutinize “hidden details like bits of the head that are still embedded in the rock” without marring the fossil, Lamsdell said.

“When you chip away at rock, you don’t know what part of a delicate fossil may have been lost or damaged,” he said.

The juvenile fossil specimens only measured about 6 centimeters and it’s possible they were a type of Arthropleura that didn’t grow to enormous sizes. But even if so, the researchers said they are close enough kin to provide a glimpse of what adults looked like – whether giant or of a less nightmarish size — when they were alive 300 million years ago.
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PHNOM PENH, Cambodia — Thirteen pregnant Philippine women accused of illegally acting as surrogate mothers in Cambodia after being recruited online could face prison terms after giving birth, a senior Interior Ministry official said Saturday. 

Interior Ministry Secretary of State Chou Bun Eng, who leads the country’s fight against human trafficking and sexual exploitation, said police found 24 foreign women, 20 Philippine and four Vietnamese, when they raided a villa in Kandal province, near the capital of Phnom Penh, on September 23. 

Thirteen of the Philippine women were found to be pregnant and were charged in court on October 1 under a provision in the law on Suppression of Human Trafficking and Sexual Exploitation, she said. 

The law was updated in 2016 to ban commercial surrogacy after Cambodia became a popular destination for foreigners seeking women to give birth to their children. 

Developing countries have been popular for surrogacy because costs are much lower than in countries such as the United States and Australia, where surrogate services could cost around $150,000. 

The surrogacy business boomed in Cambodia after it was put under tight restrictions in neighboring Thailand, as well as in India and Nepal. 

In July 2017, a Cambodian court sentenced an Australian woman and two Cambodian associates to 1 1/2 years in prison for providing commercial surrogacy services. 

The new case is unusual because surrogates normally are employed in their own countries, not transported elsewhere. 

Cambodia already has a bad reputation for human trafficking, especially in connection with online scams in which foreigners recruited for work under false pretenses are kept in conditions of virtual slavery and help perpetrate criminal fraud online against targets in many countries. 

Details of the new surrogacy case remain murky, and officials have not made clear whether the women were arrested or whether anyone involved in organizing the scheme has been identified. 

Chou Bun Eng told The Associated Press that the business that recruited the surrogates was based in Thailand, and their food and accommodation in Cambodia were arranged from there. She said the authorities had not yet identified the business. 

She said the seven Philippine women and four Vietnamese women who were caught in the raid but who were not pregnant would be deported soon. 

The 13 pregnant women have been placed under care at a hospital in Phnom Penh, said Chou Bun Eng. She added that after they give birth, they could be prosecuted on charges that could land them in prison for two to five years. 

She said that Cambodia considered the women not to have been victimized but rather offenders who conspired with the organizers to act as surrogates and then sell the babies for money. Her assertion could not be verified, as the women could not be contacted, and it is not known if they have lawyers. 

The Philippine Embassy in Cambodia, in response to a local news account of the affair, issued a statement Wednesday confirming most of the details related to what it called the “rescue of 20 Filipino women.” 

“The Philippine Embassy ensured that all 20 Filipinos were interviewed in the presence of an Embassy representative and an interpreter in every step of the investigation process,” it said. 
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washington — The Federal Aviation Administration approved a license Saturday for the launch of SpaceX’s Starship 5 on Sunday after earlier saying it did not expect to make a decision until late November.

Reuters first reported this week the faster than expected timetable after the FAA in September had suggested a much longer review. 

SpaceX is targeting Sunday for the launch and said a 30-minute launch window opens at 7 a.m. CT (1200 GMT) 

The FAA said Saturday that SpaceX had “met all safety, environmental and other licensing requirements for the suborbital test flight” for the fifth test of the Starship and has also approved the Starship 6 mission profile. 

The Starship spacecraft and Super Heavy rocket are fully reusable systems designed to carry crew and cargo to Earth orbit, the Moon and beyond. 

The fifth test flight of the Starship/Super Heavy from Boca Chica, Texas, includes a return to the launch site of the Super Heavy booster rocket for a catch attempt by the launch tower, and a water landing of the Starship vehicle in the Indian Ocean west of Australia. 

The FAA said if SpaceX chooses an uncontrolled entry “it must communicate that decision to the FAA prior to launch, the loss of the Starship vehicle will be considered a planned event, and a mishap investigation will not be required.” 

On Friday, the FAA approved the return to flight of the SpaceX Falcon 9 vehicle after it reviewed and accepted the SpaceX-led investigation findings and corrective actions for the mishap that occurred September 28. 

SpaceX CEO Elon Musk has harshly criticized the FAA, including for proposing a $633,000 fine against SpaceX over launch issues and for the delay in approving the license for Starship 5, which the company said has been ready to launch since August. Musk has called for the resignation of FAA Administrator Mike Whitaker and threatened to sue the agency. 
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The American Psychiatric Association says that as elections approach, stress levels go up, regardless of political affiliation. The constant stream of news, stressful arguments and concerns about the country’s future all put pressure on mental well-being. Some psychologists call it election stress disorder. Maxim Adams has the story. Videographer: Andre Sergunin
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YAOUNDE, CAMEROON — Humanitarian groups in Cameroon are visiting homes and villages in remote areas this week to mark Breast Cancer Awareness Month, advising women to go to hospitals for free screening and treatment.

About 60% of the more than 7,000 women diagnosed with breast cancer in Cameroon this year have died because they were late in getting to hospitals, officials say. Breast cancer deaths are highly unreported because families abandon women to die at home.

Thirty-year-old history student Emilie Nadege Atangana told a group of women and girls at the University of Yaounde 1 campus how she was psychologically and emotionally traumatized after receiving a diagnosis of breast cancer in 2020.

Most of her relatives, friends and fellow students said she would not live long and abandoned her, she said.

Atangana said she found hope when medical staff members of the Yaounde Gynaecology, Obstetrics and Pediatrics Hospital told her that 90% of early-stage breast cancers are curable.

Cameroonian government officials and humanitarian groups say cancer survivors such as Atangana have been sent to towns and villages as part of activities marking “Pink Month.”

The World Health Organization designates October as Pink Month, a time to teach people about cancer, including early identification and signs and symptoms.

Forty-two-year-old Mesode Ngwese Agbaw, a cancer survivor, said people should stop hiding cancer patients at home to die because of the false belief that cancer cannot be treated.

“You don’t need to hide alone with your pain,” she said. “Share it with somebody, and the people will be ready to help you. I was operated on and after the operation, I have been following treatment and till now, I am fine.”

This year’s theme for the month in Cameroon is “No one Should Face Breast Cancer Alone and Yes, No One is Expected to Fight Breast Cancer Alone.”

Ruth Amin, a public health specialist and project manager at the Yaounde-based Lifafa Research Foundation, said that sending people suspected of having breast cancer to hospitals would prevent many of the deaths caused because the women were abandoned or got to a hospital too late.

“We are calling on the men to support their spouses, to support their mothers, to support their sisters in raising awareness, in carrying them to the hospitals to be clinically examined by professionals,” she said.

“Women should speak up,” she said. “Women should go toward the health facilities to get examined because the earlier they are being diagnosed, the easier it would be for them to be treated.”

Amin spoke to VOA via a messaging app from Buea, a southern commercial city where humanitarian caravans were educating residents about breast cancer on Saturday.

Cameroon says it has equipped all hospitals with qualified medical staff members and equipment to diagnose breast cancer.

The World Health Organization estimates that Cameroon has about 20,000 new cancer cases, including breast cancers, each year, with 65% related deaths.
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chicago — With a neon-green net in hand, Annette Prince briskly walks a downtown Chicago plaza at dawn, looking left and right as she goes.

It’s not long before she spots a tiny yellow bird sitting on the concrete. It doesn’t fly away, and she quickly nets the bird, gently places it inside a paper bag and labels the bag with the date, time and place.

“This is a Nashville warbler,” said Prince, director of the Chicago Bird Collision Monitors, noting that the bird must have flown into a glass window pane of an adjacent building. “He must only weigh about two pennies. He’s squinting his eyes because his head hurts.”

For rescue groups like the Chicago Bird Collision Monitors, this scene plays out hundreds of times each spring and fall after migrating birds fly into homes, small buildings and sometimes Chicago’s skyscrapers and other hulking buildings.

A stark sign of the risks came last fall, when 1,000 migrating birds died on a single night after flying into the glass exterior of the city’s lakefront convention center, McCormick Place. This fall, the facility unveiled new bird-safe window film on one of its glass buildings along the Lake Michigan shore.

The $1.2 million project installed tiny dots on the exterior of the Lakeside Center building, adorning enough glass to cover two football fields.

Doug Stotz, senior conservation ecologist at the nearby Field Museum, hopes the project will be a success. He estimated that just 20 birds have died after flying into the convention’s center’s glass exterior so far this fall, a hopeful sign.

“We don’t have a lot of data since this just started this fall, but at this point, it looks like it’s made a huge difference,” Stotz said.

But for the birds that collide with Chicago buildings, there is a network of people waiting to help. They also are aiming to educate officials and find solutions to improve building design, lighting and other factors in the massive number of bird collision deaths in Chicago and worldwide.

Prince said she and other volunteers walk the streets downtown to document what they can of the birds that are killed and injured.

“We have the combination of the millions of birds that pass through this area because it’s a major migratory path through the United States, on top of the amount of artificial lighting that we put out at night, which is when these birds are traveling and getting confused and attracted to the amount of glass,” Prince said.

Dead birds are often saved for scientific use, including by Chicago’s Field Museum of Natural History. Rescued birds are taken to local wildlife rehabilitation centers to recover, such as the DuPage Wildlife Conservation Center in suburban Illinois.

On a recent morning, veterinarian Darcy Stephenson at DuPage gave a yellow-bellied sapsucker anesthetic gas before taping its wings open for an X-ray. The bird arrived with a note from a rescue group: “Window collision.”

Examining the results, she found the bird had a broken ulna — a bone in the wing.

The center takes in about 10,000 species of animals annually and 65% of them are avian. Many are victims of window collisions and during peak migration in the fall, several hundred birds can show up in one day.

“The large chunk of these birds do actually survive and make it back into the wild once we’re able to treat them,” said Sarah Reich, head veterinarian at DuPage. “Fractures heal very, very quickly in these guys for shoulder fractures. Soft tissue trauma generally heals pretty well. The challenging cases are going to be the ones where the trauma isn’t as apparent.”

Injured birds go through a process of flight testing, then get a full physical exam by the veterinary staff and are rehabilitated before being set free.

“It’s exciting to be able to get these guys back out into the wild, especially some of those cases that we’re kind of cautiously optimistic about or maybe have an injury that we’ve never treated successfully before,” Reich said, adding that these are the cases “clinic staff get really, really excited about.”
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The power of simple prayer to heal illness is not clear, according to scientists, and is difficult to study. Whatever your faith, when you’re sick, you should seek treatment from a doctor. But in Nigeria, some people choose spiritual healers and miracle cures over orthodox medicine and hospitals. That creates some dangerous situations. Timothy Obiezu reports from Abuja.
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NEW YORK — Prepare to spot a rare, bright comet.

The space rock is slinging toward Earth from the outer reaches of the solar system and will make its closest pass Saturday. It should be visible through the end of October, clear skies permitting.

Comet Tsuchinshan-Atlas should be bright enough to see with the naked eye, but binoculars and telescopes will give a better view.

“It’ll be this fuzzy circle with a long tail stretching away from it,” said Sally Brummel, planetarium manager at the Bell Museum in Minnesota.

What is a comet?

Comets are frozen leftovers from the solar system’s formation billions of years ago. They heat up as they swing toward the sun, releasing their characteristic streaming tails.

In 2023, a green comet that last visited Earth 50,000 years ago zoomed by the planet again. Other notable flybys included Neowise in 2020, and Hale-Bopp and Hyakutake in the mid to late 1990s.

Where did comet Tsuchinshan-Atlas come from?

The comet, also designated C/2023 A3, was discovered last year and is named for the observatories in China and South Africa that spied it.

It came from what’s known as the Oort Cloud well beyond Pluto. After making its closest approach about 71 million kilometers of Earth, it won’t return for another 80,000 years — assuming it survives the trip.

Several comets are discovered every year, but many burn up near the sun or linger too far away to be visible without special equipment, according to Larry Denneau, a lead researcher with the Atlas telescope that helped discover the comet.

How to view the comet

Those hoping to spot comet Tsuchinshan-Atlas should venture outside about an hour after sunset on a clear night and look to the west.

The comet should be visible from both the northern and southern hemispheres.
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UNITED NATIONS — More than 370 million girls and women alive today, or one in every eight worldwide, experienced rape or sexual assault before the age of 18, the United Nations children’s agency said Wednesday.

The number rises to 650 million, or one in five, when taking into account “non-contact” forms of sexual violence, such as online or verbal abuse, UNICEF reported, in what it called the first global survey of the problem.

The report said that while girls and women were worst affected, 240 million to 310 million boys and men, or around 1 in 11, have experienced rape or sexual assault during childhood.

“The scale of this human rights violation is overwhelming, and it’s been hard to fully grasp because of stigma, challenges in measurement, and limited investment in data collection,” UNICEF said in releasing the report.

It comes ahead of an inaugural Global Ministerial Conference on Ending Violence Against Children in Colombia next month.

UNICEF said its findings highlight the urgent need for intensified global action, including by strengthening laws and helping children recognize and report sexual violence.

UNICEF said sexual violence cuts across geographical, cultural, and economic boundaries, but sub-Saharan Africa has the highest number of victims, with 79 million girls and women, or 22% affected. Eastern and South-Eastern Asia follow with 75 million, or 8%.

In its data for women and girls, UNICEF estimated 73 million, or 9%, were affected in Central and Southern Asia; 68 million, or 14%, in Europe and Northern America; 45 million, or 18%, in Latin America and the Caribbean, and 29 million, or 15%, in Northern Africa and Western Asia.

Oceania, with 6 million, had the highest number affected by percentage, at 34%.

Risks were higher, rising to 1 in 4, in “fragile settings,” including those with weak institutions, U.N. peacekeeping forces, or large numbers of refugees, the report found.

UNICEF Executive Director Catherine Russell called sexual violence against children “a stain on our moral conscience.”

“It inflicts deep and lasting trauma, often by someone the child knows and trusts, in places where they should feel safe.”

UNICEF said most childhood sexual violence occurs during adolescence, especially between ages 14 and 17, and those who suffer it face higher risks of sexually transmitted diseases, substance abuse and mental health issues.

“(T)he impact is further compounded when children delay disclosing their experiences … or keep the abuse secret altogether,” UNICEF said.

It said increased investment in data collection was needed to capture the full scale the problem, given persistent data gaps, particularly on boys’ experiences.

UNICEF said it based its estimates of girls’ and women’s experiences on nationally representative surveys conducted between 2010 and 2022 in 120 countries and areas. It said estimates for boys and men were derived from a broader range of data sources and applied some indirect methods.
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