Tag Archives: females (demographic group)

Health

Complications during pregnancy linked to a higher risk of heart disease, study finds

Leave a comment



CNN
 — 

Five major pregnancy complications are strong lifelong risk factors for ischemic heart disease, a new study finds, with the greatest risk coming in the decade after delivery.

Ischemic heart disease refers to heart problems, including heart attack, caused by narrowed or dysfunctional blood vessels that reduce blood and oxygen flow to the heart.

Gestational diabetes and preeclampsia increased the risk of ischemic heart disease in the study by 54% and 30%, respectively, while other high blood pressure disorders during pregnancy doubled the risk. Delivering a baby early – before 37 weeks – or delivering a baby with a low birth weight were associated with a 72% and 10% increased risk, respectively.

The study, published in Wednesday in the BMJ, followed a cohort of more than 2 million women in Sweden with no history of heart disease who gave birth to single live infants between 1973 and 2015.

Roughly 30% of the women had at least one adverse pregnancy outcome. Those who had multiple adverse outcomes – whether in the same or different pregnancies – showed further increased risk of ischemic heart disease.

“These pregnancy outcomes are early signals for future risk of heart disease and can help identify high-risk women earlier and enable earlier interventions to improve their long-term outcomes and help prevent the development of heart disease in these women,” said Dr. Casey Crump, an author of the study and professor of family medicine at the Icahn School of Medicine at Mount Sinai.

Heart disease is the leading cause of death among women in the United States and accounts for 1 in 5 female deaths, according to the US Centers for Disease Control and Prevention. This research adds to mounting evidence that pregnancy provides important information about a woman’s cardiovascular health.

“What happens to a woman during pregnancy is almost like a stress test or a marker for her future cardiovascular risk after pregnancy. And unfortunately, a lot of women don’t get told this by anybody,” said CNN Medical Correspondent Dr. Tara Narula, an associate professor of cardiology and the associate director of the Women’s Heart Program at Lenox Hill Hospital. She was not involved in the new study.

Although it’s not completely clear why, experts say the normal changes that occur during pregnancy may unmask underlying health issues in some women with certain risk factors.

Experiencing an adverse pregnancy outcome – even temporarily – could result in changes to blood vessels and the heart that may persist or progress after delivery, increasing a woman’s risk for cardiovascular disease.

This heightened risk is a particular concern for women in the US, experts say, where the maternal mortality rate is several times higher than in other high-income countries.

“There’s been a change in the birthing population. US women are getting pregnant at a later age, and they have already accrued maybe one or two cardiovascular risk factors. Perhaps there are other stressors in life – depression, stress, isolation, obesity – lots of different things that are impacting women in the US,” said Dr. Garima Sharma, associate professor of cardiology and director of the Cardio-Obstetrics Program at Johns Hopkins University School of Medicine, who also was not involved in the new study.

Pregnancy complications are carefully monitored during pregnancy, but there is little evaluation of and education about the effects on cardiovascular health after delivery for women, experts say.

“And so they have their delivery, they’ve had maybe preeclampsia or gestational diabetes, and nobody really follows up with them. They are not told that, in fact, they are at increased risk,” Narula said.

Gestational diabetes is a marker not only for increased risk of diabetes but also for general cardiovascular disease. Preeclampsia and eclampsia are markers for hypertension risk as well as general cardiovascular risks.

Narula, a cardiologist who specializes in caring for women, regularly considers adverse pregnancy outcomes when evaluating patients and emphasizes the continued need for this.

“The classic risk calculator that we use doesn’t have anything in there for pregnancy complications, but you know, it should for women, and hopefully someday, they will start to take that into account,” she said.

The American Heart Association recommends that all health care professionals take a detailed history of pregnancy complications when assessing a woman’s heart disease risk, but this is not consistently done in clinical practice, especially in primary care, where most women are seen, Crump says.

“Raising awareness of these findings among physicians as well as women hopefully will enable more of these women to be screened early and hopefully improve their long-term outcomes,” he said.

Roughly 1 in 3 women will have an adverse pregnancy outcome. Experts say that improving your health before getting pregnant can help avoid these issues.

“Reducing your risk should start preconception, and so getting your body and yourself into the healthiest state possible before you ever even get pregnant is really the first step,” Narula said.

This includes achieving and maintaining a healthy body weight with a good diet and regular exercise, controlling high blood pressure and diabetes, quitting smoking and managing stress.

Taking action after pregnancy is equally important, as research has estimated that only 30% to 80% of women have a postpartum checkup 6 to 8 weeks after delivery.

“Making sure that these women actually are appropriately followed after their delivery and that there is a warm handoff between [obstetrics] and [maternal-fetal medicine] to their primary care doctors or preventive cardiologists who can then talk about optimizing cardiovascular risks and reduction of these risk factors post-pregnancy in the postpartum time frame is crucial,” Sharma said.

Experts hope that increased patient and provider awareness of the connection between pregnancy and heart health will keep birth from being a cause of death.

“Cardiovascular disease is preventable. It’s a leading cause of maternal mortality, but it doesn’t have to be. If we do a better job at screening patients before they get pregnant, if we do a better job of treating them during pregnancy and postpartum, we can improve women’s outcomes,” Narula said. “It’s a tragedy to bring a new life into the world, and then the mother suffers some horrible complication and/or death that could have been prevented.”

Read original article here

Health

Many women underestimate breast density as a risk factor for breast cancer, study shows

Leave a comment



CNN
 — 

Dense breast tissue has been associated with up to a four times higher risk of breast cancer. However, a new study suggests few women view breast density as a significant risk factor.

The study, published in JAMA Network Open, surveyed 1,858 women ages 40 to 76 years from 2019 to 2020 who reported having recently undergone mammography, had no history of breast cancer and had heard of breast density.

Women were asked to compare the risk of breast density to five other breast cancer risk factors: having a first-degree relative with breast cancer, being overweight or obese, drinking more than one alcoholic beverage per day, never having children and having a prior breast biopsy.

“When compared to other known and perhaps more well-known breast cancer risks, women did not perceive breast density as significant of a risk,” said Laura Beidler, an author of the study and researcher at the Dartmouth Institute for Health Policy and Clinical Practice.

For example, the authors report that dense breast tissue is associated with a 1.2 to four times higher risk of breast cancer compared with a two times higher risk associated with having a first-degree relative with breast cancer – but 93% of women said breast density was a lesser risk.

Dense breasts tissue refers to breasts that are composed of more glandular and fibrous tissue than fatty tissue. It is a normal and common finding present in about half of women undergoing mammograms.

The researchers also interviewed 61 participants who reported being notified of their breast density and asked what they thought contributes to breast cancer and how they could reduce their risk. While most women correctly noted that breast density could mask tumors on mammograms, few women felt that breast density could be a risk factor for breast cancer.

Roughly one-third of women thought there was nothing they could do to reduce their breast cancer risk, although there are several ways to reduce risk, including maintaining a healthy, active lifestyle and minimizing alcohol consumption.

Breast density changes over a woman’s lifetime, and is generally higher in women who are younger, have a lower body weight, are pregnant or breastfeeding, or are taking hormone replacement therapy.

The level of breast cancer risk increases with the degree of breast density; however, experts aren’t certain why this is true.

“One hypothesis has been that women who have more dense breast tissue also have higher, greater levels of estrogen, circulating estrogen, which contributes to both the breast density and to the risk of developing breast cancer,” said Dr. Harold Burstein, a breast oncologist at the Dana-Farber Cancer Institute who was not involved in the study. “Another hypothesis is that there’s something about the tissue itself, making it more dense, that somehow predisposes to the development of breast cancer. We don’t really know which one explains the observation.”

Thirty-eight states currently mandate that women receive written notification about their breast density and its potential breast cancer risk following mammography; however, studies have shown that many women find this information confusing.

“Even though women are notified usually in writing when they get a report after a mammogram that says, ‘You have increased breast density,’ it’s kind of just tucked in there at the bottom of the report. I’m not sure that anyone is explaining to them, certainly in person or verbally, what that means,” said Dr. Ruth Oratz, a breast oncologist at NYU Langone’s Perlmutter Cancer Center who was not involved in the study.

“I think what we’ve learned from this study is that we have to do a better job of educating not only the general public of women, but the general public of health care providers who are doing the primary care, who are ordering those screening mammograms,” she added.

Current screening guidelines recommend women of average risk of breast cancer undergo breast cancer screening every one to two years between ages 50 to 74 with the option of beginning at age 40.

Because women with dense breast tissue are considered to have higher than average cancer risks, the authors of the study suggest women with high breast density may benefit from supplemental screening like breast MRI or breast ultrasound, which may detect cancers that are missed on mammograms. Currently, coverage of supplemental screening after the initial mammogram varies, depending on the state and insurance policy.

The authors warn that “supplemental screening not only can lead to increased rates of cancer detection but also may result in more false-positive results and recall appointments.” They say clinicians should use risk assessment tools when discussing tradeoffs associated with supplemental screening.

“Usually, it’s a discussion between the patient, the clinical team, and the radiologist. And it’ll be affected by prior history, by whether there’s anything else of concern on the mammogram, by the patient’s family history. So those are the kinds of things we discuss frequently with patients who are in such situations,” Burstein said.

Breast cancer screening recommendations differ between medical organizations, and experts say women at higher risk due to breast density should discuss with their doctor what screening method and frequency are most appropriate.

“I think it’s really, really important that everyone understands – and this is the doctors, the nurses, the women themselves – that screening is not a one size fits all recommendation. We cannot just make one general recommendation to the entire population because individual women have different levels of risks of developing breast cancer,” Oratz said.

For the nearly one-third of women with dense breast tissue that reported there was nothing they could do to prevent breast cancer, experts say there are some steps you can take to reduce your risk.

“Maintaining an active, healthy lifestyle and minimizing alcohol consumption address several modifiable factors. Breastfeeding can decrease the risk. On the other hand, use of hormone replacement therapy increases breast cancer risk,” said Dr. Puneet Singh, a breast surgical oncologist at the MD Anderson Cancer Center who was not involved in the study.

The researchers add that there are approved medications, such as tamoxifen, that can be given for those at significantly increased risk that may reduce the chances of breast cancer by about half.

Finally, breast cancer doctors say that in addition to appropriate screening, knowing your risk factors and advocating for yourself can be powerful tools in preventing and detecting breast cancer.

“At any age, if any woman feels uncomfortable about something that’s going on in her breast, if she has discomfort, notices a change in the breast, bring that to the attention of your doctor and make sure it gets evaluated and don’t let somebody just brush you off,” Oratz said.

Read original article here

World

Jacinda Ardern: New Zealand PM to resign before upcoming election

Leave a comment



CNN
 — 

New Zealand Prime Minister Jacinda Ardern announced Thursday she will stand aside for a new leader within weeks, saying she doesn’t believe she has the energy to seek re-election in the October polls.

Speaking at a news conference, Ardern said her term would end by February 7, when she expects a new Labour prime minister will be sworn in – though “depending on the process that could be earlier.”

“The decision was my own,” Ardern said. “Leading a country is the most privileged job anyone could ever have, but also the most challenging. You cannot and should not do the job unless you have a full tank, plus a bit in reserve for those unplanned and unexpected challenges.”

“I no longer have enough in the tank to do the job justice,” she added.

When Ardern became prime minister in 2017 at the age of 37, she was New Zealand’s third female leader and one of the youngest leaders in the world. Within a year, she had given birth in office – only the second world leader ever to do so.

– Source:
CNN
” data-fave-thumbnails=”{“big”:{“uri”:”https://media.cnn.com/api/v1/images/stellar/prod/221201092006-finland-nz-vpx.jpg?c=16×9&q=h_540,w_960,c_fill”},”small”:{“uri”:”https://media.cnn.com/api/v1/images/stellar/prod/221201092006-finland-nz-vpx.jpg?c=16×9&q=h_540,w_960,c_fill”}}” data-vr-video=”” data-show-name=”” data-show-url=”” data-check-event-based-preview=”” data-network-id=”” data-details=””>

See the moment Jacinda Ardern fired back at reporter’s question about gender

She was re-elected for a second term in 2020, the victory buoyed by her government’s “go hard and go early” approach to the Covid-19 pandemic, which saw New Zealand impose some of the world’s strictest border rules, separating families and shutting out almost all foreigners for almost two years.

On Thursday, Ardern spoke candidly about the toll the job has taken and reflected on the various crises her government has faced, including both the pandemic and the 2019 Christchurch terror attack, which killed 51 people at two mosques.

The attack was a defining moment of Ardern’s leadership, and her rapid response won widespread praise. She swiftly introduced gun law reforms, wore a hijab to show her respect for the Muslim community and publicly said she would never speak the name of the alleged attacker.

“The only interesting angle that you will find is that after going on six years of some big challenges, I am human. Politicians are human,” she said. “We give all that we can for as long as we can, and then it’s time. And for me, it’s time.”

Ardern also highlighted achievements made during her tenure, including legislation on climate change and child poverty. “I wouldn’t want this last five and a half years to simply be about the challenges. For me, it’s also been about the progress,” she said.

Bryce Edwards, a political scientist at New Zealand’s Victoria University of Wellington, said Ardern’s resignation was “shocking” but not a complete surprise.

“She is celebrated throughout the world but her government has plummeted in the polls,” he said.

New Zealand’s next general election will be held on October 14.

A former DJ and lapsed Mormon, Ardern was the closest thing New Zealand had to a rockstar politician, attracting mass rallies and wall-to-wall press coverage. She enjoyed particular support among young people, in a wave dubbed “Jacindamania” during her first election.

That popularity has extended overseas, with Ardern gracing the covers of Vogue and Time magazine, and hosting American TV personality Stephen Colbert at her suburban Auckland home.

But while Ardern gained supporters globally for her fresh and empathetic approach to the role, her popularity has waned in New Zealand in recent years, with some critics arguing she has done little to deliver the transformational government she promised when first elected.

Several polls in late 2022 showed falling support for Ardern and her Labour Party, with some at the lowest level since she took office in 2017, according to CNN affiliate Radio New Zealand.

Edwards, the political analyst, said Ardern’s decision to stand down perhaps spares her a disappointing election result.

“Leaving now is the best thing for her reputation … she will go out on good terms rather than lose the election,” he said.

Edwards said there isn’t “anyone obvious” to replace her, though potential candidates include Police and Education Minister Chris Hipkins, who has a strong relationship with Ardern, and Justice Minister Kiri Allan.

Ardern said she has no firm plans about what she’ll do next – but she is looking forward to spending more time with her family again. “Arguably, they’re the ones that have sacrificed the most out of all of us,” said Ardern.

Addressing her child and fiance, she said: “For Neve, Mom is looking forward to being there when you start school this year, and to Clarke, let’s finally get married.”

Ardern has been engaged to television host Clarke Gayford since 2019.

– Source:
CNN
” data-fave-thumbnails=”{“big”:{“uri”:”https://media.cnn.com/api/v1/images/stellar/prod/201009112846-new-zealand-prime-minister.jpg?q=x_165,y_80,h_890,w_1582,c_crop/h_540,w_960″},”small”:{“uri”:”https://media.cnn.com/api/v1/images/stellar/prod/201009112846-new-zealand-prime-minister.jpg?q=x_165,y_80,h_890,w_1582,c_crop/h_540,w_960″}}” data-vr-video=”” data-show-name=”” data-show-url=”” data-check-event-based-preview=”” data-network-id=”” data-details=””>

A look at Prime Minister Jacinda Ardern’s profile

Ardern gained a reputation as a trailblazer while in office, speaking frequently about gender equality and women’s rights.

For instance, when announcing her pregnancy in 2018, she underlined women’s ability to balance work with motherhood.

“I am not the first woman to multi-task, I’m not the first woman to work and have a baby, I know these are special circumstances but there will be many women who will have done this well before I have,” she said at the time, with Gayford taking on the role of a stay-at-home dad.

After giving birth, she and Gayford brought their 3-month-old baby to the United Nations General Assembly, with Ardern telling CNN she wanted to “create a path for other women” and help make workplaces more open.

In a 2021 interview with CNN, she reflected on her rise to power, saying: “It was not so long ago that being a woman in politics was a very isolating experience.”

The announcement of her impending resignation on Thursday spurred a wave of support on social media, including from other political leaders, with many pointing out the legacy she is leaving for women in politics.

Australian Prime Minister Anthony Albanese tweeted praise for Ardern, saying she “has shown the world how to lead with intellect and strength” and has been “a great friend to me.”

Australian Foreign Minister Penny Wong also tweeted her best wishes for Ardern, saying she was “a source of inspiration to me and many others.”

Canadian Prime Minister Justin Trudeau shared a photo on Twitter of him and Ardern walking together, thanking her for her friendship and “empathic, compassionate, strong, and steady leadership over these past several years.”

“The difference you have made is immeasurable,” he added.

Read original article here

US

Women living in states with abortion bans suffer greater economic insecurity

Leave a comment


New York
CNN
 — 

Women living in states that restrict or ban abortion face greater economic insecurity than those living in states where they have access, new research finds.

Since the nearly seven months since the Supreme Court overturned Roe v. Wade, half of all states – 26 in total – have implemented new abortion restrictions or all-out bans.

In nearly all 26 states, there are lower minimum wages, unionization levels, access to Medicaid and unemployment benefits, as well as higher rates of incarceration than states with more lenient abortion policies, according to new research by the Economic Policy Institute.

“These economic policies all compound on each other. And you add to that an abortion ban, it just compounds this financial stress, this economic insecurity,” said Asha Banerjee, an economic analyst with the institute and the author of the report.

Last year, Treasury Secretary Janet Yellen made a similar argument to the Financial Oversight Council.

“I believe that eliminating the right of women to make decisions about when and whether to have children would have very damaging effects on the economy and would set women back decades,” Yellen told lawmakers in May.

The lack of abortion access has the greatest economic impact on women of color, especially those already in dire financial conditions, according to Banerjee.

“In many of these states, especially the states which have banned abortion, many of the women who are facing economic challenges already are also women of color,” she said.

Raising the minimum wage is a powerful tool that has been known to have significant impact on closing racial income gaps. But nearly two-thirds of abortion restrictive states have a $7.25 minimum wage, the lowest legal hourly wage for most workers in the United States.

The average minimum wage across the 26 states is $8.17, lower than the average $11.92 for states with no restrictions. (Many of those states also have a higher cost of living, however.)

“If the person denied an abortion is also working a minimum wage job, the negative economic effect is compounded,” the report states.

Many of those low-wage jobs also do not offer benefits like health care, which is why access to Medicaid is critical.

“Medicaid is a lifeline for low-income families and low-income women when jobs might not offer adequate healthcare. Medicaid in the immediate postpartum period is especially important,” said Banerjee.

Just 12 states have not expanded Medicaid benefits since the 2010 Obamacare law, and all of them have restrictive abortion policies.

However, some states with total abortion bans, with few exceptions, have expanded Medicaid, including Missouri. And in five other abortion restrictive states (Idaho, Missouri, Nebraska, Oklahoma and South Dakota later this year) residents voted to expand the benefit.

Access to unemployment insurance is another key indicator of a state’s commitment to economic support for residents. Forty-two percent of residents have access to unemployment benefits in states that have abortion protections. Compare that to 30% in states with abortion restrictions.

Even if unemployment is accessible, the amount differs from state to state. For example, in Mississippi, a state with a total abortion ban with limited exceptions, weekly unemployment checks average $217. Meanwhile in Massachusetts, which has a more protective 24-week abortion ban – checks average $556 weekly.

“When you have unemployment insurance it helps create financial stability. These states which have abortion bans also have really terrible unemployment insurance systems with really low benefits which do not help one support oneself,” said Banerjee.

Although women make up a smaller percentage of those incarcerated than men, it is the economic category with the greatest difference between abortion protected and abortion-restricted states. The rate of incarceration in states with restrictive or total bans on abortion is more than one and a half times higher than the rate of incarceration for states with abortion protections.

“It’s very much a racial justice issue because Black and Hispanic women are very disproportionately incarcerated. And that has huge economic impacts on future earnings and the ability to get a job,” said Banerjee.

In some states with abortion restrictions and higher rates of incarceration – legislation has suggested also criminalizing women, doctors or anyone aiding a woman in seeking an abortion.

“The incarceration argument is especially important because in these states where abortion bans have come into play, there’s a huge criminalization aspect,” said Banerjee.

Read original article here

World

David Carrick: London Metropolitan Police officer admits to dozens of offenses against women, including 24 cases of rape

Leave a comment


London
CNN
 — 

A serving officer in London’s Metropolitan Police has admitted to 49 offenses, including 24 counts of rape over an 18-year period, reigniting calls for urgent reform in the United Kingdom’s largest police force.

David Carrick appeared at Southwark Crown Court in the British capital Monday to plead guilty to four counts of rape, false imprisonment and indecent assault relating to a 40-year-old woman in 2003, the UK’s PA Media news agency reported.

At the Old Bailey criminal court in London last month, Carrick admitted to 43 charges against 11 other women, including 20 counts of rape, between March 2004 and September 2020, according to PA.

A series of recent scandals has shed light on what the UK police watchdog called a culture of misogyny and racism in London’s police service.

In September 2021, Metropolitan Police officer Wayne Couzens was sentenced to life in prison without parole for the abduction, rape and murder of Sarah Everard, a case that horrified the nation and sparked debate about violence against women.

The Metropolitan Police Service Commissioner Cressida Dick resigned from her post in 2022, after a damning review by the Independent Office for Police Conduct issued 15 recommendations “to change policing practice” in the country.

London’s Metropolitan Police are now investigating as many as 1,000 sex offenses and domestic abuse claims involving approximately 800 of its officers, the force’s Commissioner Mark Rowley admitted Monday.

“That’s 1,000 cases to look at. Some of those will be things of no concern in the end when we look at them because it will be an argument overheard by neighbors where inquiries show there’s nothing to be concerned about,” Rowley said in an interview with UK media.

“But in there, I’m sad to say, there will be some cases where in the past we should have been more assertive and looked to throw officers out and we haven’t done.”

“We are going to turn all those stones over, we’re going to come to the right conclusions and we’ll be ruthless about rooting out those who corrupt our integrity. You have my absolute assurance on that,” he said.

The UK’s Crown Prosecution Service (CPS) called Carrick’s case one of the “most shocking” it’s ever seen.

“The scale of the degradation Carrick subjected his victims to is unlike anything I have encountered in my 34 years with the Crown Prosecution Service,” CPS Chief Crown Prosecutor Jaswant Narwal said.

“I commend every single woman who courageously shared their traumatic experience and enabled us to bring this case to court and see justice served,” Narwal continued while speaking outside Southwark Crown Court Monday.

The senior investigating officer in the case, Detective Chief Inspector Iain Moor, called Carrick’s crimes “truly shocking.”

“The police service is committed to tackling violence against women and girls in all its forms,” Moor said, adding “no one is above the law.”

Assistant Commissioner for the Metropolitan Police Barbara Gray also apologized on behalf of the police force to all the victims.

Gray said Monday that Carrick “should have been dismissed from the police service a long time ago.”

She later added: “We should have spotted his pattern of abusive behavior and because we didn’t, we missed opportunities to remove him from the organization. We are truly sorry that Carrick was able to continue to use his role as a police officer to prolong the suffering of his victims.”

“The duration and nature of Carrick’s offending is unprecedented in policing. But regrettably he is not the only Met officer to have been charged with serious sexual offences in the recent past,” she said.

The Mayor of London, Sadiq Khan, said: “Londoners will be rightly shocked that this man was able to work for the Met for so long and serious questions must be answered about how he was able to abuse his position as an officer in this horrendous manner.”

Khan commented that work to reform the culture and standards of the Met has already started following an interim review and that a new, anonymous police complaints hotline and anti-corruption team has recently been established by Metropolitan Police Commissioner Mark Rowley.

“But more can and must be done,” added Khan on Twitter. “It’s vital that all victims of crime have confidence in our police, and we simply must do more to raise standards and empower police leaders to rid the Met and all other police services of those officers who are clearly unfit to serve.”

Women’s rights organizations called for an inquiry into the Met following Carrick’s case.

UK domestic abuse charity Refuge called Carrick’s crimes “utterly abhorrent.”

“When a man who has been charged with 49 offences, including 24 charges of rape, is a serving police officer, how can women and girls possibly be – or feel – safe,” Refuge tweeted Monday.

UK organization End Violence Against Women also posted on Twitter: “This is an institution in crisis. That Carrick’s pattern of egregious behaviour was known to the Met and they failed to act speaks more loudly than their empty promises to women.”

“Solidarity with the victims & all who are feeling the weight of the traumatic details being reported,” it added.

The British Women’s Equality Party tweeted: “The Met knew about the allegations for TWENTY years. They did nothing as a serial rapist abused his power. They are complicit. Misogyny will never be stripped from the police without a nationwide, statutory inquiry.”

The Fawcett Society, which campaigns for gender equality and women’s rights, said on Twitter: “Any act of sexual violence is a disgrace. But it is particularly harmful when, yet again, these crimes have been perpetrated by a person who has additional responsibilities to keep the public safe.”

Read original article here

US

Missouri lawmakers adopt stricter dress code for women in state House

Leave a comment


Washington
CNN
 — 

Lawmakers in the Missouri House of Representatives this week adopted a stricter dress code for women as part of a new rules package, and now requires them to cover their shoulders by wearing a jacket like a blazer, cardigan or knit blazer.

The addition, which was proposed by Republican state Rep. Ann Kelley, sparked outrage from some Democrats who said the change was sexist because the dress code for men was not altered.

Men in the Missouri House of Representatives are required to wear a jacket, shirt and a tie. The previous dress code for women required “dresses or skirts or slacks worn with a blazer or sweater and appropriate dress shoes or boots.”

Kelley, speaking on the House floor, said she felt compelled to offer the change that “cleans up some of the language … by mirroring the language in the gentleman’s dress code.”

“Men are required to wear a jacket, a shirt and a tie, correct? And if they walked in here without a tie, they would get gaveled down in a heartbeat. If they walked in without a jacket, they would get gaveled down in a heartbeat. So, we are so interested in being equal,” Kelley said on Wednesday during the floor debate.

Women hold less than a third of the seats in the Missouri House, which is made up of 116 men and 43 women, according to the state House site.

The dress code amendment was passed in a voice vote and the rules package was later adopted by the GOP-controlled legislature in a 105-51 vote, but not without pushback and debate from House Democrats.

“Do you know what it feels like to have a bunch of men in this room looking at your top trying to determine if it’s appropriate or not?” Democratic state Rep. Ashley Aune proclaimed from the House floor.

Republicans altered their amendment to include cardigans after Democratic state Rep. Raychel Proudie criticized the impact requiring blazers could have on pregnant women.

Democratic state Rep. Peter Merideth refused to vote on the amendment, telling his colleagues on the floor, “I don’t think I’m qualified to say what’s appropriate or not appropriate for women and I think that is a really dangerous road for us all to go down.”

“Y’all had a conniption fit the last two years when we talked about maybe, maybe wearing masks in a pandemic to keep each other safer. How dare the government tell you what you have to wear over your face? Well, I know some governments require women to wear things over their face, but here, oh, it’s OK because we’re just talking about how many layers they have to have over their shoulders,” Merideth added.

In the US Congress, up until 2017, reporters and lawmakers were required to wear dresses and blouses with sleeves if they wanted to enter the House chamber. A group of bipartisan female lawmakers protested over their “right to bare arms,” prompting then-Speaker Paul Ryan’s office to concede that the dress code “could stand to be a bit modernized.” The US Senate later amended its rules as well, The New York Times reported.

Aune told CNN Friday afternoon the change signals that Republicans in the state aren’t focused on “important issues.”

“In 2019 House Republicans passed the abortion ban that went into effect this summer after the Dobbs decision came down, fully restricting a women’s right to choose in this state, and on day one in our legislature they’re doubling down on controlling women,” she said on “CNN Newsroom.”

“It’s wild to me. I think it’s sending a message that the Republican Party, the Missouri GOP, doesn’t have the best interest in mind and (is) not focused on the important issues.”

This story has been updated with additional details.

Read original article here

Health

US cancer death rate drops 33% since 1991, partly due to advances in treatment, early detection and less smoking, new report says

Leave a comment



CNN
 — 

The rate of people dying from cancer in the United States has continuously declined over the past three decades, according to a new report from the American Cancer Society.

The US cancer death rate has fallen 33% since 1991, which corresponds to an estimated 3.8 million deaths averted, according to the report, published Thursday in CA: A Cancer Journal for Clinicians. The rate of lives lost to cancer continued to shrink in the most recent year for which data is available, between 2019 and 2020, by 1.5%.

The 33% decline in cancer mortality is “truly formidable,” said Karen Knudsen, chief executive officer of the American Cancer Society.

The report attributes this steady progress to improvements in cancer treatment, drops in smoking and increases in early detection.

“New revelations for prevention, for early detection and for treatment have resulted in true, meaningful gains in many of the 200 diseases that we call cancer,” Knudsen said.

In their report, researchers from the American Cancer Society also pointed to HPV vaccinations as connected to reductions in cancer deaths. HPV, or human papillomavirus, infections can cause cervical cancer and other cancer types, and vaccination has been linked with a decrease in new cervical cancer cases.

Among women in their early 20s, there was a 65% drop in cervical cancer rates from 2012 through 2019, “which totally follows the time when HPV vaccines were put into use,” said Dr. William Dahut, the society’s chief scientific officer.

“There are other cancers that are HPV-related – whether that’s head and neck cancers or anal cancers – so there’s optimism this will have importance beyond this,” he said.

The lifetime probability of being diagnosed with any invasive cancer is estimated to be 40.9% for men and 39.1% for women in the US, according to the new report.

The report also includes projections for 2023, estimating that there could be nearly 2 million new cancer cases – the equivalent of about 5,000 cases a day – and more than 600,000 cancer deaths in the United States this year.

During the early days of the Covid-19 pandemic, many people skipped regular medical exams, and some doctors have seen a rise in advanced cancer cases in the wake of pandemic-delayed screenings and treatment.

The American Cancer Society researchers were not able to track “that reduction in screening that we know we all observed across the country during the pandemic,” Knudsen said. “This time next year, I believe our report will give some initial insight into what the impact was in the pandemic of cancer incidence and cancer mortality.”

The new report includes data from national programs and registries, including those at the National Cancer Institute, the US Centers for Disease Control and Prevention and the North American Association of Central Cancer Registries.

Data showed that the US cancer death rate rose during most of the 20th century, largely due to an increase in lung cancer deaths related to smoking. Then, as smoking rates fell and improvements in early detection and treatments for some cancers increased, there was a decline in the cancer death rate from its peak in 1991.

Since then, the pace of the decline has slowly accelerated.

The new report found that the five-year relative survival rate for all cancers combined has increased from 49% for diagnoses in the mid-1970s to 68% for diagnoses during 2012-18.

The cancer types that now have the highest survival rates are thyroid at 98%, prostate at 97%, testis at 95% and melanoma at 94%, according to the report.

Current survival rates are lowest for cancers of the pancreas, at 12%.

The finding about a decreasing cancer death rate shows “the continuation of good news,” said Dr. Otis Brawley, an oncology professor at Johns Hopkins University who was not involved in the research.

“The biggest reason for the decline that started in 1991 was the prevalence of smoking in the United States started going down in 1965,” said Brawley, a former chief medical officer of the American Cancer Society.

“That’s the reason why we started having a decline in 1991, and that decline has continued because the prevalence of people smoking in the United States has continued to go down,” he said. “Now, in certain diseases, our ability to treat has improved, and there are some people who are not dying because of treatment.”

Although the death rate for cancer has been on a steady decline, the new report also highlights that new cases of breast, uterine and prostate cancer have been “of concern” and rising in the United States.

Incidence rates of breast cancer in women have been increasing by about 0.5% per year since the mid-2000s, according to the report.

Uterine corpus cancer incidence has gone up about 1% per year since the mid-2000s among women 50 and older and nearly 2% per year since at least the mid-1990s in younger women.

The prostate cancer incidence rate rose 3% per year from 2014 through 2019, after two decades of decline.

Knudsen called prostate cancer “an outlier” since its previous decline in incidence has reversed, appearing to be driven by diagnoses of advanced disease.

On Thursday, the American Cancer Society announced the launch of the Impact initiative, geared toward improving prostate cancer incidence and death rates by funding new research programs and expanding support for patients, among other efforts.

“Unfortunately, prostate cancer remains the number one most frequently diagnosed malignancy amongst men in this country, with almost 290,000 men expected to be diagnosed with prostate cancer this year,” Knudsen said. Cancer diagnosed when it is confined to the prostate has a five-year survival rate of “upwards of 99%,” she said, but for metastatic prostate cancer, there is no durable cure.

“Prostate cancer is the second leading cause of cancer death for men in this country,” she said. “What we’re reporting is not only an increase in the incidence of prostate cancer across all demographics but a 5% year-over-year increase in diagnosis of men with more advanced disease. So we are not catching these cancers early when we have an opportunity to cure men of prostate cancer.”

Breast, uterine and prostate cancers also have a wide racial disparity, in which communities of color have higher death rates and lower survival rates.

In 2020, the risk of overall cancer death was 12% higher in Black people compared with White people, according to the new report.

“Not every individual or every family is affected equally,” Knudsen said.

For instance, “Black men unfortunately have a 70% increase in incidence of prostate cancer compared to White men and a two- to four-fold increase in prostate cancer mortality as related to any other ethnic and racial group in the United States,” she said.

The data in the new report demonstrates “important and consistent” advances against cancer, Dr. Ernest Hawk, vice president of cancer prevention and population sciences at the University of Texas MD Anderson Cancer Center, said in an email.

“Cancer is preventable in many instances and detectable at an early stage with better outcomes in many others. When necessary, treatments are improving in both their efficacy and safety. That’s all great news,” Hawk wrote.

“However, it’s well past time for us to take health inequities seriously and make them a much greater national priority. Inequities in cancer risks, cancer care and cancer outcomes are intolerable, and we should not be complacent with these regular reminders of avoidable inequities,” he said. “With deliberate and devoted effort, I believe we can eliminate these disparities and make even greater progress to end cancer.”

Read original article here

Entertainment

Barbara Walters, legendary news anchor, has died at 93

Leave a comment



CNN
 — 

Barbara Walters, the pioneering TV journalist whose interviewing skills made her one of the most prominent figures in broadcasting, has died, her spokesperson confirmed to CNN. She was 93.

“Barbara Walters passed away peacefully in her home surrounded by loved ones. She lived her life with no regrets. She was a trailblazer not only for female journalists but for all women,” Walters’ spokesperson Cindi Berger told CNN in a statement.

Walters began her national broadcast career in 1961 as a reporter, writer and panel member for NBC’s “Today” show before being promoted to co-hdst in 1974. In 1976, Walters joined ABC News as the first female anchor on an evening news program.

At that network, Walters launched “The Barbara Walters Specials” and “10 Most Fascinating People” before becoming a co-host and correspondent for ABC News’ “20/20” in 1984. Along the way, she interviewed every US president and first lady since Richard and Pat Nixon.

For more than five decades, Walters was a name to reckon with, whether speaking with world leaders on news programs, in celebrities’ homes for her regular “Barbara Walters Specials” or on “The View,” a daytime talk show in which a diverse panel of women discuss the latest headlines.

Her shows, some of which she produced, were some of the highest-rated of their type and spawned a number of imitators. Indeed, “The View” – which debuted in 1997 – paved the way for American talk shows “The Talk” and “The Chew,” as well as such entries as Britain’s “Loose Women” and Norway’s “Studio5.”

Walters left “The View” in 2014, but remained a part-time contributor to ABC News for two years.

“I knew it was time,” Walters told CNN’s Chris Cuomo at the time. “I like all the celebration, that’s great, but in my heart, I thought, ‘I want to walk away while I’m still doing good work.’ So I will.”

Looking upon the numerous women who had looked up to her throughout her career, Walters said they were her legacy.

“How do you say goodbye to something like 50 years in television?” she said in conclusion. “How proud when I see all the young women who are making and reporting the news. If I did anything to help make that happen, that is my legacy. From the bottom of my heart, to all of you with whom I have worked and who have watched and been by my side, I can say: ‘Thank you.’ “

Walters was married four times, to business executive Robert Katz, producer Lee Guber and twice to entertainment mogul Merv Adelson. The second marriage to Adelson ended in 1992. She is survived by her daughter, Jackie, whom she and Guber adopted in 1968.

Walters was born September 25, 1929, in Boston. Her father, Lou, was a nightclub owner and theatrical impresario, and young Barbara grew up around celebrities – one reason she never appeared fazed by interviewing them.

Walters earned her college degree from Sarah Lawrence College in 1953. 

Notoriously competitive, Walters was dogged in her pursuit of big “get” interviews, so much so that there were long-standing reports of rivalry between her and another of ABC’s news stars, such as Diane Sawyer, who joined the network in 1989. That included, most recently, jockeying to land the first interview with Caitlyn Jenner, which Sawyer conducted in 2015.

Walters, though, was no slacker in terms of landing major interviews, including presidents, world leaders and almost every imaginable celebrity, with a well-earned reputation for bringing her subjects to tears. Highlights included her 1999 interview with Monica Lewinsky – which was watched by an average of 48.5 million viewers – and a historic 1977 joint sit-down with Egypt’s Anwar Sadat and Israel’s Menachem Begin.

Walter’s first job on air was on NBC’s “Today” show in the 1960s, where she reported what were then perceived as “women’s stories.” In 1974, she was officially named co-anchor of the show. Two years later she became, for a time, the best-known person in television when she left “Today” to join ABC as the first woman to co-anchor a network evening newscast, signing for a then-startling $1 million a year.

Though her term in that position was short-lived – co-anchor Harry Reasoner never warmed to her – she had the last laugh, staying at the network for almost four decades and co-hosting the magazine show “20/20” (with her old “Today” colleague, Hugh Downs), “The View” and countless specials.

She was both mercilessly parodied – on the early “Saturday Night Live,” Gilda Radner mocked her as the sometimes mush-mouthed “BabaWawa” – and richly honored, with multiple Emmys, a Peabody and a star on the Hollywood Walk of Fame.

Sometimes seen as brash, usually by men questioning her forthright demeanor, she could only shrug at the criticism.

“If it’s a woman, it’s caustic; if it’s a man, it’s authoritative. If it’s a woman it’s too pushy, if it’s a man it’s aggressive in the best sense of the word,” she once observed.

Barbara Walters’ life in pictures


Read original article here

World

Four foreign aid groups suspend work in Afghanistan after Taliban bars female employees

Leave a comment



CNN
 — 

Four foreign aid groups said Sunday that they were moving to temporarily suspend their operations in Afghanistan after the Taliban barred female employees of non-governmental organizations from coming to work.

“We cannot effectively reach children, women and men in desperate need in Afghanistan without our female staff,” aid organizations Save the Children, Norwegian Refugee Council and CARE International said in a joint statement Sunday. Another international aid group, Afghanaid, made a similar announcement separately on Sunday.

“Without women driving our response, we would not have jointly reached millions of Afghans in need since August 2021. Beyond the impact on delivery of lifesaving assistance, this will affect thousands of jobs in the midst of an enormous economic crisis,” said the statement, which was signed by the heads of the three NGOs.

“Whilst we gain clarity on this announcement, we are suspending our programmes, demanding that men and women can equally continue our lifesaving assistance in Afghanistan,” the statement added.

The Taliban administration on Saturday ordered all local and international non-governmental organizations (NGOs) to stop their female employees from coming to work, according to a letter by the Ministry of Economy sent to all licensed NGOs. Non-compliance will result in the licenses of said NGOs being revoked, the ministry said.

David Wright, chief operating officer for Save the Children International, told CNN on Monday that the organization was unable to “reach tens of thousands of vulnerable mothers and children right across the country” because of the ban.

“We can’t get out to work because we need our female colleagues to help us get access to women and children. You can’t access young mothers or young children in education if you don’t have female staff, because it’s not appropriate in Afghanistan to have all-male staff dealing with young women or children,” he said.

In the letter, the ministry cites the nonobservance of Islamic dress rules and other laws and regulations as reasons for the decision.

“Lately there have been serious complaints regarding not observing the Islamic hijab and other Islamic Emirate’s laws and regulations,” the letter said, adding that as a result “guidance is given to suspend work of all female employees of national and international non-governmental organizations.”

The new restrictions mark yet another step in the Taliban’s brutal crackdown on the freedoms of Afghan women, following the hardline Islamist group’s takeover of the country in August 2021.

Although the Taliban have repeatedly claimed they will protect the rights of girls and women, they have in fact done the opposite, stripping away the hard-won freedoms for which women have fought tirelessly over the past two decades.

“The supreme leader is doing whatever he can… to make women as powerless as possible, even if there are other factions that say otherwise,” Afghan human rights activist Pashtana Durrani told CNN on Sunday, referring to Afghanistan’s Supreme Leader Alaiqadar Amirul Momineen.

“The Taliban don’t care. They want women to be as limited as possible, especially the supreme leader,” she added.

Earlier this week, the Taliban government suspended university education for all female students in Afghanistan.

In a televised news conference on Thursday, the Taliban’s higher education minister said they had banned women from universities for not observing Islamic dress rules and other “Islamic values,” citing female students traveling without a male guardian. The move sparked outrage among women in Afghanistan.

A group of women took to the streets in the city of Herat on Saturday to protest the university ban. Video footage circulating on social media showed Taliban officials using a water cannon to disperse the female protesters. Girls could be seen running from the water cannon and chanting “cowards” at officials.

Some of the Taliban’s most striking restrictions have been around education, with girls also barred from returning to secondary schools in March. The move devastated many students and their families, who described to CNN their dashed dreams of becoming doctors, teachers or engineers.

The United Nations on Saturday condemned the Taliban’s NGO announcement and said it would try to obtain a meeting with Taliban leadership to seek clarity.

“Women must be enabled to play a critical role in all aspects of life, including the humanitarian response. Banning women from work would violate the most fundamental rights of women, as well as be a clear breach of humanitarian principles,” the UN statement read. “This latest decision will only further hurt those most vulnerable, especially women and girls.”

UNICEF said the order was an “egregious rollback of rights for girls and women (that) will have sweeping consequences on the provision of health, nutrition and education services for children.”

Amnesty International called for the ban to “be reversed immediately” and for the Taliban to “stop misusing their power.”

The International Committee of the Red Cross (ICRC) said Sunday it was particularly concerned about the future of Afghanistan’s healthcare system and female patients.

The ICRC said that it supports 45 health structures in Afghanistan, including hospitals and medical schools. Among others, it pays the salaries of 10,483 health workers – 33% of whom are women.

US Secretary of State Antony Blinken also condemned the move Saturday. “Deeply concerned that the Taliban’s ban on women delivering humanitarian aid in Afghanistan will disrupt vital and life-saving assistance to millions,” he wrote on Twitter. “Women are central to humanitarian operations around the world. This decision could be devastating for the Afghan people.”

Taliban spokesman Zabihullah Mujahid said US officials should “not interfere in the internal issues of” Afghanistan.

“Those organizations operative in Afghanistan are obliged to comply with the laws and regulations of our country,” he tweeted Sunday, adding, “We do not permit anyone to state irresponsible words or make threats about the decisions or officials of the Islamic Emirate of Afghanistan under the title of humanitarian aid.”

Read original article here

World

Taliban use water cannon on women protesting education order in Afghanistan

Leave a comment



CNN
 — 

A group of women took to the streets in the city of Herat in Afghanistan on Saturday, protesting against a Taliban order this week suspending all female students from attending university in the country.

Video footage circulating on social media showed Taliban officials using a water cannon to disperse the female protesters.

Girls could be seen running from the water cannon and chanting “cowards” at officials.

The Taliban’s announcement this week that it was suspending university education for female students was its latest step in an ongoing clampdown on the freedoms of Afghan women.

The move came despite the group promising when it returned to power last year that it would honor women’s rights.

It follows a similar move in March this year that barred girls from returning to secondary schools.

Male students in universities across the country have responded to the latest education ban by boycotting their exams in protest.

“Education is the duty of men and women,” read a statement from the Mirwais Nika Institute of Higher Education in Kandahar issued Saturday. “It is the fundamental right and secret of the country’s development and self-reliance.”

Students had first asked Taliban officials to reverse the ban but “no positive response” was given, the school said – adding that “dissatisfaction and unhappiness” fueled the boycott.

One university official told CNN that the students’ decision to boycott their admissions exams would lead to classes being put on hold.

The Taliban returned to power in Afghanistan in August 2021 in a lightning takeover following the withdrawal of US troops, having previously ruled the country from 1996 until 2001 – when the US-led invasion forced the group from power.

Under its previous period of rule the group was notorious for its treatment of women as second-class citizens.

After seizing power last year, the group made numerous promises that it would protect the rights of women and girls.

But activists say the Taliban have reneged on their word and are steadily chipping away at women’s freedoms once again.

On Saturday, the group ordered all local and international non-governmental organizations (NGOs) in the country to stop female employees from attending work. Non-compliance would result in the revoking of NGO licenses, an official ministry notice read.

A spokesman told CNN the move was due to the non-observation of Islamic dress rules and other laws and regulations of the Islamic Emirate.

Afghan women can no longer work in most sectors.

Their travel rights have also been severely restricted and access to public spaces significantly curtailed. Women are also required to fully cover themselves in public – including their faces.

Read original article here

The Ultimate News Site