Saturday, September 25, 2021

Imran Khan paints Pakistan as victim of US ungratefulness


In this image taken from video provided by UN Web TV, Imran Khan, Prime Minister of Pakistan, remotely addresses the 76th session of the United Nations General Assembly in a pre-recorded message, Friday Sept. 24, 2021 at UN headquarters.
 (UN Web TV via AP)
By MALLIKA SEN


NEW YORK (AP) — Prime Minister Imran Khan sought to cast Pakistan as the victim of American ungratefulness and an international double standard in his address to the United Nations General Assembly on Friday.

In a prerecorded speech aired during the evening, the Pakistani prime minister touched on a range of topics that included climate change, global Islamophobia and “the plunder of the developing world by their corrupt elites” — the latter of which he likened to what the East India Company did to India.

It was for India’s government that Khan reserved his harshest words, once again labeling Indian Prime Minister Narendra Modi’s Hindu nationalist government “fascist.” But the cricketer turned posh international celebrity turned politician was in turn indignant and plaintive as he painted the United States as an abandoner of both Pakistan and neighboring Afghanistan.

“For the current situation in Afghanistan, for some reason, Pakistan has been blamed for the turn of events, by politicians in the United States and some politicians in Europe,” Khan said. “From this platform, I want them all to know, the country that suffered the most, apart from Afghanistan, was Pakistan when we joined the U.S. war on terror after 9/11.”

He launched into a narrative that began with the United States and Pakistan training mujahedeen — regarded as heroes by the likes of then-President Ronald Reagan, he said — during the Soviet occupation of Afghanistan. But Pakistan was left to pick up the pieces — millions of refugees and new sectarian militant groups — when the Soviets and the Americans left in 1989.

Khan said the U.S. sanctioned its former partner a year later, but then came calling again after the 9/11 attacks. Khan said Pakistan’s aid to the U.S. cost 80,000 Pakistani lives and caused internal strife and dissent directed at the state, all while the U.S. conducted drone attacks.

“So, when we hear this at the end. There is a lot of worry in the U.S. about taking care of the interpreters and everyone who helped the U.S.,” he said, referring to Afghanistan. “What about us?”

Instead of a mere “word of appreciation,” Pakistan has received blame, Khan said.

Despite Khan’s rhetoric espousing a desire for peace, many Afghans have blamed Pakistan for the Taliban’s resurgence in Afghanistan because of close links. The United Nations in August also rejected Pakistan’s request to give its side at a special meeting on Afghanistan, indicating the international community’s shared skepticism.

In his speech, Khan echoed what his foreign minister, Shah Mehmood Qureshi, told The Associated Press earlier this week on the sidelines at the U.N.: the international community should not isolate the Taliban, but instead strengthen the current Afghan government for the sake of the people.

He struck an optimistic tone about Taliban rule, saying their leaders had committed to human rights, an inclusive government and not allowing terrorists on Afghan soil. But messages from the Taliban have been mixed.

A Taliban founder told the AP earlier this week that the hard-liners would once again carry out executions and amputated hands — though this time after adjudication by judges, including women, and potentially not in public.

“If the world community incentivizes them, and encourages them to walk this talk, it will be a win-win situation for everyone,” he said.

Khan also turned his ire on that same community for what he perceives as a free pass given to India.

“It is unfortunate, very unfortunate, that the world’s approach to violations of human rights lacks even-handedness, and even is selective. Geopolitical considerations, or corporate interests, commercial interests often compel major powers to overlook the transgressions of their affiliated countries,” Khan said.

He went through a litany of actions that have “unleashed a reign of fear and violence against India’s 200 million strong Muslim community,” he said, including lynchings, pogroms and discriminatory citizenship laws.

As in years past, Khan — who favors delivering his speeches in his British-inflected English, in contrast to Modi’s Hindi addresses — devoted substantial time to Kashmir.

“New Delhi has also embarked on what it ominously calls the ‘final solution’ for the Jammu and Kashmir dispute,” Khan said, rattling off a list of what he termed “gross and systematic violations of human rights” committed by Indian forces. He specifically decried the “forcible snatching of the mortal remains of the great Kashmiri leader, ” Syed Ali Geelani , who died earlier this month at 91.

Geelani’s family has said authorities took his body and buried him discreetly and without their consent, denying the separatist leader revered in Kashmir a proper Islamic burial. Khan called upon the General Assembly to demand Geelani’s proper burial and rites.

Kashmir is divided between India and Pakistan and has been claimed by both since they won independence from the British empire and began fighting over their rival claims.

He said Pakistan desires peace, but it is India’s responsibility to meaningfully engage.

India exercised its right of reply after the last leader spoke Friday, saying it was upon Pakistan, not India, to demonstrate good faith in engagement. An Indian diplomat said Pakistan needed to look inward before making accusations, and stressed that Kashmir was inalienably India’s. Pakistan then exercised its own right of reply, excoriating India once more.

Modi is set to address the U.N. General Assembly in person on Saturday, a day after a bilateral meeting with U.S. President Joe Biden.

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Follow Sen on Twitter at https://twitter.com/mallikavsen

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US, Pakistan face each other again on Afghanistan threats


 In this Sept. 23, 2021, file photo Pakistani Foreign Minister Shah Mahmood Qureshi, left, meets with U.S. Secretary of State Antony Blinken, right, on the sidelines of the 76th UN General Assembly in New York. The Taliban’s takeover of Kabul has deepened the mutual distrust between the U.S. and Pakistan, two putative allies who have tangled over Afghanistan. The Biden administration looking for new ways to stop terrorist threats in Afghanistan, will likely look again to Pakistan, which remains critical to U.S. intelligence and national security because of its proximity to Afghanistan and connections to the Taliban leaders now in charge. 
( (Kena Betancur/Pool Photo via AP, File)


WASHINGTON (AP) — The Taliban’s takeover of Kabul has deepened the mutual distrust between the U.S. and Pakistan, two putative allies who have tangled over Afghanistan. But both sides still need each other.

With the Biden administration looking for new ways to stop terrorist threats in Afghanistan, it will likely look again to Pakistan, which remains critical to U.S. intelligence and national security because of its proximity to Afghanistan and connections to the Taliban leaders now in charge.

Over two decades of war, American officials accused Pakistan of playing a double game by promising to fight terrorism and cooperate with Washington while cultivating the Taliban and other extremist groups that attacked U.S. forces in Afghanistan. Islamabad, meanwhile, pointed to what it saw as failed promises of a supportive government in Kabul after the U.S. drove the Taliban from power following the Sept. 11, 2001, attacks as extremist groups took refuge in eastern Afghanistan and launched deadly attacks throughout Pakistan.

But the U.S. wants Pakistani cooperation in counterterrorism efforts and could seek permission to fly surveillance flights into Afghanistan or other intelligence cooperation. And Pakistan wants U.S. military aid and good relations with Washington, even as its leaders openly celebrate the Taliban’s rise to power.

“Over the last 20 years, Pakistan has been vital for various logistics purposes for the U.S. military. What’s really been troubling is that, unfortunately, there hasn’t been a lot of trust,” said U.S. Rep. Raja Krishnamoorthi, an Illinois Democrat who sits on the House Intelligence Committee. “I think the question is whether we can get over that history to arrive at a new understanding.”

Former diplomats and intelligence officers from both countries say the possibilities for cooperation are severely limited by the events of the last two decades and Pakistan’s enduring competition with India. The previous Afghan government, which was strongly backed by New Delhi, routinely accused Pakistan of harboring the Taliban. The new Taliban government includes officials that American officials have long believed are linked to Pakistan’s spy agency, the Inter-Services Intelligence.

Husain Haqqani, a former Pakistani ambassador to the U.S., said he understood “the temptation of officials in both countries to try and take advantage of the situation” and find common ground. But Haqqani said he expected Pakistan to give “all possible cooperation to the Taliban.”

“This has been a moment Pakistan has been waiting for 20 years,” said Haqqani, now at the Hudson Institute think tank. “They now feel that they have a satellite state.”

U.S. officials are trying to quickly build what President Joe Biden calls an “over the horizon” capacity to monitor and stop terrorist threats.

Without a partner country bordering Afghanistan, the U.S. has to fly surveillance drones long distances, limiting the time they can be used to watch over targets. The U.S. also lost most of its network of informants and intelligence partners in the now-deposed Afghan government, making it critical to find common ground with other governments that have more resources in the country.

Pakistan could be helpful in that effort by allowing “overflight” rights for American spy planes from the Persian Gulf or permitting the U.S. to base surveillance or counterterrorism teams along its border with Afghanistan. There are few other options among Afghanistan’s neighbors. Iran is a U.S. adversary. And Central Asian countries north of Afghanistan all face varying degrees of Russian influence.

There are no known agreements so far. CIA Director William Burns visited Islamabad earlier this month to meet with Gen. Qamar Javed Bajwa, Pakistan’s army chief, and Lt. Gen. Faiz Hameed, who leads the ISI, according to a Pakistani government statement. Burns and Hameed have also separately visited Kabul in recent weeks to meet with Taliban leaders. The CIA declined to comment on the visits.

Pakistani Foreign Minister Shah Mahmood Qureshi noted this week that Islamabad had cooperated with U.S. requests to facilitate peace talks before the Taliban takeover and that it had agreed to U.S. military requests throughout the war.

“We have often been criticized for not doing enough,” Qureshi told The Associated Press on Wednesday. “But we’ve not been appreciated enough for having done what was done.”

Qureshi would not directly answer whether Pakistan would allow the basing of surveillance equipment or overflight of drones.

“They don’t have to be physically there to share intelligence,” he said of the U.S. “There are smarter ways of doing it.”

The CIA and ISI have a long history in Afghanistan, dating back to their shared goal of arming bands of mujahedeen — “freedom fighters” — against the Soviet Union’s occupation in the 1980s. The CIA sent weapons and money into Afghanistan through Pakistan.

Those fighters included Osama bin Laden. Others would become leaders of the Taliban, which emerged victorious from a civil war in 1996 and gained control of most of the country. The Taliban gave refuge to bin Laden and other leaders of al-Qaida, which launched deadly attacks on Americans abroad in 1998 and then struck the U.S. on Sept. 11, 2001.

After 9/11, the U.S. immediately sought Pakistan’s cooperation in its fight against al-Qaida and other terrorist groups. Declassified cables published by George Washington University’s National Security Archive show officials in President George W. Bush’s administration made several demands of Pakistan, from intercepting arms shipments heading to al-Qaida to providing the U.S. with intelligence and permission to fly military and intelligence planes over its territory.

The CIA would carry out hundreds of drone strikes launched from Pakistan targeting al-Qaida leaders and others alleged to have ties to terrorist groups. Hundreds of civilians died in the strikes, according to figures kept by outside observers, leading to widespread protests and public anger in Pakistan.

Pakistan, meanwhile, continued to be accused of harboring the Taliban after the U.S.-backed coalition drove the group from power in Kabul. And bin Laden was killed in 2011 by U.S. special forces in a secret raid on a compound in the Pakistani city of Abbottabad, home to the country’s military academy. The bin Laden operation led many in the U.S. to question whether Pakistan had harbored bin Laden and angered Pakistanis who felt the raid violated their sovereignty.

For years, CIA officials tried to confront their Pakistani counterparts after collecting more proof of Pakistani intelligence officers helping the Taliban move money and fighters into a then-growing insurgency in neighboring Afghanistan, said Douglas London, who oversaw the CIA’s counterterrorism operations in South Asia until 2018.

“They would say, ‘You just come to my office, tell me where the location is,’” he said. “They would just usually pay lip service to us and say they couldn’t confirm the intel.”

London, author of the forthcoming book “The Recruiter,” said he expected American intelligence would consider limited partnerships with Pakistan on mutual enemies such as al-Qaeda or Islamic State-Khorasan, which took responsibility for the deadly suicide attack outside the Kabul airport last month during the final days of the U.S. evacuation.

The risk, London said, is at times “your partner is as much of a threat to you as the enemy who you’re pursuing.”

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Associated Press writer Edith M. Lederer contributed to this report from the United Nations.


Neo-Nazis are still on Facebook. And they’re making money

By ERIKA KINETZ

This image captured from the Battle of the Nibelungs Facebook page on Friday, Sept. 24, 2021 shows items for sale featuring the right-wing extremist group’s name and logo. The Battle of the Nibelungs, or Kampf der Nibelungen, is the premiere martial arts brand in Europe for right-wing extremists. German authorities have twice banned their signature tournament. But the group still maintains multiple pages on Facebook, Instagram and YouTube, which they use to spread their ideology, draw in recruits and make money. (AP Photo)


BRUSSELS (AP) — It’s the premier martial arts group in Europe for right-wing extremists. German authorities have twice banned their signature tournament. But Kampf der Nibelungen, or Battle of the Nibelungs, still thrives on Facebook, where organizers maintain multiple pages, as well as on Instagram and YouTube, which they use to spread their ideology, draw in recruits and make money through ticket sales and branded merchandise.

The Battle of the Nibelungs — a reference to a classic heroic epic much loved by the Nazis — is one of dozens of far-right groups that continue to leverage mainstream social media for profit, despite Facebook’s and other platforms’ repeated pledges to purge themselves of extremism.

All told, there are at least 54 Facebook profiles belonging to 39 entities that the German government and civil society groups have flagged as extremist, according to research shared with The Associated Press by the Counter Extremism Project, a non-profit policy and advocacy group formed to combat extremism. The groups have nearly 268,000 subscribers and friends on Facebook alone.

CEP also found 39 related Instagram profiles, 16 Twitter profiles and 34 YouTube channels, which have gotten over 9.5 million views. Nearly 60% of the profiles were explicitly aimed at making money, displaying prominent links to online shops or photos promoting merchandise.

Click on the big blue “view shop” button on the Erik & Sons Facebook page and you can buy a T-shirt that says, “My favorite color is white,” for 20 euros ($23). Deutsches Warenhaus offers “Refugees not welcome” stickers for just 2.50 euros ($3) and Aryan Brotherhood tube scarves with skull faces for 5.88 euros ($7). The Facebook feed of OPOS Records promotes new music and merchandise, including “True Aggression,” “Pride & Dignity,” and “One Family” T-shirts. The brand, which stands for “One People One Struggle,” also links to its online shop from Twitter and Instagram.

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EDITOR’S NOTE: This story is part of a collaboration between The Associated Press and the PBS series FRONTLINE that examines challenges to the ideas and institutions of traditional U.S. and European democracy.


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The people and organizations in CEP’s dataset are a who’s who of Germany’s far-right music and combat sports scenes. “They are the ones who build the infrastructure where people meet, make money, enjoy music and recruit,” said Alexander Ritzmann, the lead researcher on the project. “It’s most likely not the guys I’ve highlighted who will commit violent crimes. They’re too smart. They build the narratives and foster the activities of this milieu where violence then appears.”

CEP said it focused on groups that want to overthrow liberal democratic institutions and norms such as freedom of the press, protection of minorities and universal human dignity, and believe that the white race is under siege and needs to be preserved, with violence if necessary. None has been banned, but almost all have been described in German intelligence reports as extremist, CEP said.

On Facebook the groups seem harmless. They avoid blatant violations of platform rules, such as using hate speech or posting swastikas, which is generally illegal in Germany.

By carefully toeing the line of propriety, these key architects of Germany’s far-right use the power of mainstream social media to promote festivals, fashion brands, music labels and mixed martial arts tournaments that can generate millions in sales and connect like-minded thinkers from around the world.

But simply cutting off such groups could have unintended, damaging consequences.

“We don’t want to head down a path where we are telling sites they should remove people based on who they are but not what they do on the site,” said David Greene, civil liberties director at the Electronic Frontier Foundation in San Francisco.

Giving platforms wide latitude to sanction organizations deemed undesirable could give repressive governments leverage to eliminate their critics. “That can have really serious human rights concerns,” he said. “The history of content moderation has shown us that it’s almost always to the disadvantage of marginalized and powerless people.”

German authorities banned the Battle of the Nibelungs event in 2019, on the grounds that it was not actually about sports, but instead was grooming fighters with combat skills for political struggle.



 In this Monday, Aug. 27, 2018 file photo, demonstrators shout during a far-right protest in Chemnitz, Germany, after a man died and two others were injured in an altercation between several people of "various nationalities" in the eastern German city of Chemnitz the previous day. In September 2021, there were at least 54 Facebook profiles belonging to 39 entities that the German government and civil society groups have flagged as extremist, according to research shared with The Associated Press by the Counter Extremism Project, a non-profit policy and advocacy group formed to combat extremism. The groups have nearly 268,000 subscribers and friends on Facebook alone. (AP Photo/Jens Meyer, File)


In 2020, as the coronavirus raged, organizers planned to stream the event online — using Instagram, among other places, to promote the webcast. A few weeks before the planned event, however, over a hundred black-clad police in balaclavas broke up a gathering at a motorcycle club in Magdeburg, where fights were being filmed for the broadcast, and hauled off the boxing ring, according to local media reports.

The Battle of the Nibelungs is a “central point of contact” for right-wing extremists, according to German government intelligence reports. The organization has been explicit about its political goals — namely to fight against the “rotting” liberal democratic order — and has drawn adherents from across Europe as well as the United States.

Members of a California white supremacist street fighting club called the Rise Above Movement, and its founder, Robert Rundo, have attended the Nibelungs tournament. In 2018 at least four Rise Above members were arrested on rioting charges for taking their combat training to the streets at the Unite the Right rally in Charlottesville, Virginia. A number of Battle of Nibelungs alums have landed in prison, including for manslaughter, assault and attacks on migrants.

National Socialism Today, which describes itself as a “magazine by nationalists for nationalists” has praised Battle of the Nibelungs and other groups for fostering a will to fight and motivating “activists to improve their readiness for combat.”

But there are no references to professionalized, anti-government violence on the group’s social media feeds. Instead, it’s positioned as a health-conscious lifestyle brand, which sells branded tea mugs and shoulder bags.

“Exploring nature. Enjoying home!” gushes one Facebook post above a photo of a musclebound guy on a mountaintop wearing Resistend-branded sportswear, one of the Nibelung tournament’s sponsors. All the men in the photos are pumped and white, and they are portrayed enjoying wholesome activities such as long runs and alpine treks.

Elsewhere on Facebook, Thorsten Heise – who has been convicted of incitement to hatred and called “one of the most prominent German neo-Nazis” by the Office for the Protection of the Constitution in the German state of Thuringia — also maintains multiple pages.

Frank Kraemer, who the German government has described as a “right-wing extremist musician,” uses his Facebook page to direct people to his blog and his Sonnenkreuz online store, which sells white nationalist and coronavirus conspiracy books as well as sports nutrition products and “vaccine rebel” T-shirts for girls.

Battle of the Nibelungs declined to comment. Resistend, Heise and Kraemer didn’t respond to requests for comment.

Facebook told AP it employs 350 people whose primary job is to counter terrorism and organized hate, and that it is investigating the pages and accounts flagged in this reporting.

“We ban organizations and individuals that proclaim a violent mission, or are engaged in violence,” said a company spokesperson, who added that Facebook had banned more than 250 white supremacist organizations, including groups and individuals in Germany. The spokesperson said the company had removed over 6 million pieces of content tied to organized hate globally between April and June and is working to move even faster.

Google said it has no interest in giving visibility to hateful content on YouTube and was looking into the accounts identified in this reporting. The company said it worked with dozens of experts to update its policies on supremacist content in 2019, resulting in a five-fold spike in the number of channels and videos removed.

Twitter says it’s committed to ensuring that public conversation is “safe and healthy” on its platform and that it doesn’t tolerate violent extremist groups. “Threatening or promoting violent extremism is against our rules,” a spokesperson told AP, but did not comment on the specific accounts flagged in this reporting.

Robert Claus, who wrote a book on the extreme right martial arts scene, said that the sports brands in CEP’s data set are “all rooted in the militant far-right neo-Nazi scene in Germany and Europe.” One of the founders of the Battle of the Nibelungs, for example, is part of the violent Hammerskin network and another early supporter, the Russian neo-Nazi Denis Kapustin, also known as Denis Nikitin, has been barred from entering the European Union for ten years, he said.

Banning such groups from Facebook and other major platforms would potentially limit their access to new audiences, but it could also drive them deeper underground, making it more difficult to monitor their activities, he said.

“It’s dangerous because they can recruit people,” he said. “Prohibiting those accounts would interrupt their contact with their audience, but the key figures and their ideology won’t be gone.”

Thorsten Hindrichs, an expert in Germany’s far-right music scene who teaches at the Johannes Gutenberg University of Mainz, said there’s a danger that the apparently harmless appearance of Germany’s right-wing music heavyweights on Facebook and Twitter, which they mostly use to promote their brands, could help normalize the image of extremists.

Extreme right concerts in Germany were drawing around 2 million euros ($2.3 million) a year in revenue before the coronavirus pandemic, he estimated, not counting sales of CDs and branded merchandise. He said kicking extremist music groups off Facebook is unlikely to hit sales too hard, as there are other platforms they can turn to, like Telegram and Gab, to reach their followers. “Right-wing extremists aren’t stupid. They will always find ways to promote their stuff,” he said.

None of these groups’ activity on mainstream platforms is obviously illegal, though it may violate Facebook guidelines that bar “dangerous individuals and organizations” that advocate or engage in violence online or offline. Facebook says it doesn’t allow praise or support of Nazism, white supremacy, white nationalism or white separatism and bars people and groups that adhere to such “hate ideologies.”

Last week, Facebook  removed almost 150 accounts and pages linked to the German anti-lockdown Querdenken movement, under a new “social harm” policy, which targets groups that spread misinformation or incite violence but didn’t fit into the platform’s existing categories of bad actors.

But how these evolving rules will be applied remains murky and contested.

“If you do something wrong on the platform, it’s easier for a platform to justify an account suspension than to just throw someone out because of their ideology. That would be more difficult with respect to human rights,” said Daniel Holznagel, a Berlin judge who used to work for the German federal government on hate speech issues and also  contributed to CEP’s report. “It’s a foundation of our Western society and human rights that our legal regimes do not sanction an idea, an ideology, a thought.”

In the meantime, there’s news from the folks at the Battle of the Nibelungs. “Starting today you can also dress your smallest ones with us,” reads a June post on their Facebook feed. The new line of kids wear includes a shell-pink T-shirt for girls, priced at 13.90 euros ($16). A child pictured wearing the boy version, in black, already has boxing gloves on.

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Contact AP’s global investigative team at Investigative@ap.org or https://www.ap.org/tips/
EXPLAINER: Medication abortion becomes latest GOP target

By IRIS SAMUELS

FILE - Misoprostol drug, the most common abortion pill, sits on a gynecological table at Casa Fusa, a health center that advises women on reproductive issues and performs legal abortions in Buenos Aires, Argentina, Friday, Jan. 22, 2021. Misoprostol empties the uterus by causing cramping and bleeding. The drugs are approved for use by the FDA up to 10 weeks of gestation.
(AP Photo/Victor R. Caivano, File)


Medication abortion accounts for about 40% of all abortions in the U.S. The increasingly common method relies on pills rather than surgery, opening the possibility for abortions to be done in a woman’s home rather than a clinic. It’s an option that has become important during the COVID-19 pandemic.

As Republican states move to restrict access to abortion generally, many of them also are limiting access to medication-induced abortions.

Providers say medication abortion is safe and essential, especially as access to clinics in Republican-controlled states becomes more difficult.

HOW DOES MEDICATION ABORTION WORK?

Medication abortion has been available in the U.S. since 2000, when the Food and Drug Administration approved the use of mifepristone.

A medication abortion consists of taking mifepristone, waiting 24 to 48 hours, and then taking misoprostol. Mifepristone blocks the hormone progesterone, which is essential to sustain a pregnancy. Misoprostol empties the uterus by causing cramping and bleeding.

The drugs are approved for use by the FDA up to 10 weeks of gestation.

The method is considered by health professionals to be highly effective and safe, with pregnancies terminated in more than 95% of cases and serious complications in 0.4% of cases.

According to the FDA, 3.7 million women used medication abortion between 2000 and 2018. In that period, 24 women died after taking mifepristone.

The method’s popularity has grown steadily. The Guttmacher Institute, a research organization that supports abortion rights, estimates that it accounts for about 40% of all abortions in the U.S. and 60% of those taking place up to 10 weeks’ gestation.



 A group gathers to protest abortion restrictions at the State Capitol in Austin, Texas, Tuesday, May 21, 2019. Abortion rights advocates say the pandemic has demonstrated the value of medical care provided virtually, including the privacy and convenience of abortion taking place in a woman’s home, instead of a clinic.(AP Photo/Eric Gay, File)


WHY IS IT IMPORTANT?

Abortion rights advocates say the pandemic has demonstrated the value of medical care provided virtually, including the privacy and convenience of abortion taking place in a woman’s home, instead of a clinic.

Adding to its appeal: Clinics are few and far between in several states where Republicans have passed strict laws limiting access. Mississippi, Missouri, North Dakota, South Dakota and West Virginia are states that have just a single abortion clinic.

Abortion providers say as access to clinics becomes more difficult, medication abortion can allow women to get abortions without facing the burden of traveling, which can be especially difficult and expensive for lower-income women.

WHAT ARE STATES DOING TO RESTRICT IT?

Abortion opponents, worried medication abortion is becoming increasingly prevalent, are pushing legislation in Republican-led states to limit access to the drugs.

States have passed several measures to limit its availability. These include outlawing the delivery of abortion pills by mail, shortening the 10-week window in which the method is allowed and requiring women take the pills in a clinic rather than at home.

Some states also require doctors to tell women undergoing drug-induced abortions that the process can be reversed midway through, a claim critics say is not supported by science.

In 33 states, only physicians are allowed to provide abortion pills. In 17 states and the District of Columbia, they can be provided by advanced-practice clinicians.

Clinicians providing the medication must be physically present when it is administered in 19 states, meaning abortion patients cannot take the drugs at home.

Republican governors in Arkansas, Arizona, Montana, Oklahoma and Texas signed laws this year prohibiting abortion drugs from being delivered by mail. Such laws were largely seen as a response to the rise in popularity of telemedicine during the pandemic.

The laws face legal challenges in Montana and Oklahoma. In Ohio, a judge temporarily blocked a law that would have banned the use of telemedicine for abortion pills while a legal challenge is underway.

Some Republican legislatures also put limits on the point during a pregnancy when medication abortion can be provided. In Indiana and Montana, laws passed this year ban the medication after 10 weeks’ gestation, and in Texas a newly signed law bans the medication after seven weeks.

The Texas law is set to take effect in December. It passed just as Texas began banning nearly all abortions under a more far-reaching law, known as Senate Bill 8, which has become the nation’s biggest curb to abortion in a half-century.

CAN MEDICATION ABORTION BE REVERSED?

Eight states require counseling to promote the idea that medication abortion can be reversed through a high dose of progesterone after taking mifepristone. The American College of Obstetricians and Gynecologists does not support prescribing progesterone for that use and says the reversal claim is not based on scientific evidence.

Such laws are in effect in Arkansas, Idaho, Kentucky, Louisiana, Nebraska, South Dakota, Utah and West Virginia. Court cases in Indiana, North Dakota, Oklahoma and Tennessee have blocked enforcement of these counseling requirements. In Montana, the law is set to take effect Oct. 1 but is being challenged in court.

WHAT ARE THE FEDERAL RULES?

In July 2020, the Food and Drug Administration -- under federal court order -- eased restrictions on abortion pills so they could be sent by mail. That came after the American College of Obstetricians and Gynecologists and other groups sued to overturn a rule that required patients to pick up the single tablet of mifepristone at a hospital, clinic or medical office and sign a form that includes information about the medication’s potential risks.

The FDA and its parent health agency, under the Trump administration, argued the rules were necessary to ensure the pills were used safely.

But last April, the FDA affirmed that women seeking an abortion pill would not be required to visit a doctor’s office during the COVID-19 pandemic. The policy change applies only in states where there are no laws banning the use of telemedicine or requiring a physician to be present when the drugs are taken.

The FDA policy also applies only as long as the COVID-19 health emergency lasts. Several medical organizations are pushing to make medication abortion permanently available through online prescribing and mail-order pharmacies.

WHAT ARE WOMEN’S OPTIONS?

Aid Access is one of several online initiatives that is offering to send women abortion pills by mail. It is led by Dr. Rebecca Gomperts, a Dutch physician.

The FDA, then under the Trump administration, sent a letter to Aid Access more than two years ago asking it to cease its activity, but the online drug provider has continued to send abortion pills to patients the U.S.

The legality of the practice is ambiguous, but groups such as Plan C, which aims to raise awareness about self-managed abortions, provide information about where and how the drugs can be obtained online.

Those groups say such access is especially important for women in places where abortion clinics face an ongoing assault by anti-abortion advocates and where lawmakers and governors are making it progressively harder for the clinics to remain open.

If/When/How, a reproductive rights legal aid group, has tracked 24 cases since 2000 when women were prosecuted for self managed abortions.

“It is possible that someone could be targeted for investigation or arrest or prosecution, even in the absence of a law that actually makes it illegal,” said Sara Ainsworth, policy director for the group.

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Samuels is a corps member for The Associated Press/Report for America Statehouse News Initiative. Report for America is a nonprofit national service program that places journalists in local newsrooms to report on undercovered issues.

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This version of the story clarifies that the FDA eased restrictions on abortion pills in July 2020, rather than at the onset of the coronavirus pandemic.
Oregon school board ban on anti-racist, LGBT signs draws ire

By ANDREW SELSKY
yesterday

1 of 5
Cherice Boch, left, and her son Espen take part in a protest on Aug. 24 2021, in Newberg, Ore., against a new school policy that bans Black Lives Matter and Pride flags across Newberg School District facilities. The policy has prompted a torrent of recriminations and threats to boycott the town and its businesses. (Jozie Donaghey/The Oregonian via AP)

NEWBERG, Ore. (AP) — An Oregon school board has banned educators from displaying Black Lives Matter and gay pride symbols, prompting a torrent of recriminations and threats to boycott the town and its businesses.

Newberg, a town of 25,000 residents situated 25 miles (40 kilometers) southwest of Portland in gorgeous wine country, has become an unlikely focal point of a battle between the left and right across the nation over schooling.

The City Council has condemned the action by the Newberg School Board. So did members of color of the Oregon Legislature and House and Senate Democrats. The American Civil Liberties Union of Oregon is threatening to sue. The Oregon State Board of Education called on the school board to reverse course, saying student identities should be welcomed and affirmed.

But the four conservative members of the seven-member board are digging in their heels. Member Brian Shannon, who proposed the ban, said lawmakers from Portland should keep out of the school district’s business and instead focus on Portland, where homelessness is an issue.

Opponents say the board has emboldened racists. On Sept. 17, a special education staffer at a Newberg elementary school showed up for work in blackface, saying she was portraying anti-segregation icon Rosa Parks in order to protest a statewide vaccine mandate for educators. She was immediately placed on administrative leave.

The same week, word emerged that some Newberg students had participated in a Snapchat group in which participants pretended to buy and sell Black fellow students. Newberg Public Schools Superintendent Joe Morelock said there will be an investigation and disciplinary action meted out.

Underscoring how deeply the board’s action has cut, raw emotion was on display during a virtual public hearing of the board Wednesday night. Some speakers said the board’s action is harmful. Others said the signs have no place in schools, saying they’re political.

Local resident Peggy Kilburg said they should be banned from schools, as well as signs supporting any political position, like National Rifle Association posters.

Robert Till, who is gay and a sophomore at Newberg High School, said he is embarrassed to live in Newberg. He cited an estimate from the Trevor Project, a group that aims to end suicide among LGBTQ young people, that at least one LGBTQ person between the ages of 13–24 attempts suicide every 45 seconds in the U.S.

“A simple pride or BLM flag in a classroom shows the love and acceptance that we need,” Till said, his voice shaking with anger. “Pride flags can literally save someone’s life, and you’re just going to take that away?”

School board chairman Dave Brown, who voted for the sign ban, declared in an earlier Zoom meeting that “I’m not a racist.”

“I work with and will always accept those around me no matter what,” Brown said, an American flag pinned behind him. “I don’t care if they’re gay. I don’t care if they’re white or brown or Black. I work with everybody.”

Shannon defended the ban, which hasn’t been imposed yet.

“I don’t think any of us can deny the fact that these symbols are divisive,” Shannon said. “They’ve divided our community and gotten our attention away from where it needs to be, just teaching the basic fundamentals of education.”

Opponents of the ban say it is the board that is being divisive and distracting from the challenges as educators begin in-person instruction with safety protocols after a year of remote teaching because of COVID-19.

“It has been difficult to see a community divided. You can see the anguish on both sides. It makes being an educator harder than it already was,” said a faculty member at Newberg High School.

Speaking on condition she not be named for fear of being harassed online, she said more students than ever are displaying gay pride and Black Lives Matter symbols on lockers, water bottles and laptops since the board took its vote in August. The ban does not apply to students.

4 of 5
Protesters against a new school policy that bans Black Lives Matter and Pride flags across Newberg School District facilities wave at cars entering and leaving Newberg, Ore., on Aug. 24, 2021. The policy has prompted a torrent of recriminations and threats to boycott the town and its businesses. (Jozie Donaghey/The Oregonian via AP)


Alexis Small, a 15-year-old high school junior who is Black, believes the members who endorsed the ban simply don’t approve of people who aren’t like them.

“The message that I feel is hate,” Small said in a telephone interview. “I mean, I can’t say that this decision was made out of love or made out of what’s best for people. I genuinely think that they did this out of hate.”

In June 2020 — as Black Lives Matter protests roiled the nation after the police murder of George Floyd in Minneapolis — the board took a completely different stance, condemning racism and committing to being an anti-racist school district. But conservatives gained a majority in school board elections last May amid a light turnout, and everything changed.

Tai Harden-Moore, a Black candidate who lost, recalls a nasty election. Comments on social media supporting her opponent called Harden-Moore un-American and claimed she hated whites, she said. Her campaign signs were ripped from the ground or left in place — with tree branches placed on top.

“My sign, I’ve got my face on it, and so for them to put the branches on it, it was like this weird link to lynching for me,” Harden-Moore said.

Harden-Moore has joined a group called Newberg Equity in Education, which is advocating for inclusion and equity in Newberg schools.

The Chehalem Valley Chamber of Commerce told the school board that it has received numerous phone calls and emails from people saying they will boycott Newberg, the valley’s main town.

“As business leaders and owners, we are very concerned about the impact this has on our businesses and on the reputation of our community,” the chamber said, the Newberg Graphic newspaper reported.

Newberg Mayor Rick Rogers told the four conservative board members their actions can hurt the town, which features a dozen wine tasting rooms and a university founded by Quakers.

“While you may believe your actions only affect the school district, please know in truth your actions impact us all. To thrive, Newberg must be welcoming to all,” he wrote.

___

Follow Andrew Selsky on Twitter at https://twitter.com/andrewselsky


100 YEARS AGO OREGON HAD A LIMITED PUBLIC SCHOOL SYSTEM IT WAS THE KKK THAT PETITIONED AND MOBLIZED AND GOT OREGON TO ADOPT AN 'AMERICAN' (WHITE PROTESTANT) PUBLIC SCHOOL SYSTEM IN ORDER TO HALT STUDENTS FROM ATTENDING CATHOLIC SCHOOLS
British Columbia

Homes near fracking sites in B.C. have higher levels of some pollutants, study finds

The fracking process includes injecting fluids deep underground to release natural gas

A new study has found homes close to where fracking was used to extract natural gas in British Columbia have higher
levels of certain organic pollutants, which may lead to short- and long-term health effects.

Elyse Caron-Beaudoin, lead author and a professor in the department of health and society at the University of Toronto,
Scarborough, said researchers took water and air samples from the homes of 85 pregnant women in the Peace River area of B.C. for one week.

Pregnant women were recruited for the study because of the potential negative health effects of living close to natural gas wells using fracking, including higher rates of pre-term births, low birth weight and heart malformations, she said.

Fracking is a process that injects fluids deep underground to release natural gas.



The study, published in the journal Science of the Total Environment this week, measured a number of different chemicals in the homes of the pregnant women and compared the results with the general Canadian population to see if there were any differences, she said.

Researchers found that the amount and proximity of natural gas wells to the home were linked to higher levels of certain chemical contaminants, they said a news release.

Caron-Beaudoin said results showed that air samples in homes near the natural gas well sites had higher levels of chemicals used in fracking, such as acetone and chloroform, and those same contaminants were found in their study subjects.

"We cannot say that hydraulic fracturing activity was causing the levels of acetone and chloroform in those residences, but we can say that they were associated with each other,'' she said in an interview.


The study says there is a need to assess health risks associated with fracking given the documented effects of prenatal exposure to volatile organic chemicals used in these operations, and the growing evidence suggesting associations with poorer birth outcomes.

Caron-Beaudoin said the study also found higher levels of chemicals in the homes of Indigenous study participants than others.

While researchers are unsure why levels were higher in Indigenous homes, she said it could be associated with ethnicity and socioeconomic status all being linked to heightened health risks from industrial activities.

"There seems to be a disproportionate environmental burden towards Indigenous [people],'' she said.

B.C. has about 10,000 active wells, and the study says the area could potentially see an increase in their number to more than 100,000.

The B.C. Oil and Gas Commission said in an email response about the study that it is committed to protecting public safety and the environment in the area where oil and gas activities take place.

It said it would thoroughly review the study to understand the findings.

"Within northeast B.C., there are both fixed monitoring stations recording air quality data and ambient air monitoring equipment deployed in the field,'' the statement said.

"In response to health concerns, the Ministry of Health led a three-phase human health risk assessment exploring concerns about human health risks relating to oil and gas activities. The project began in 2012 and all phases have been completed.''

Caron-Beaudoin said Canada is one of the largest producers of natural gas in the world, yet there are virtually no studies on the potential health impacts of the industry.

"So, I think is quite interesting and worthy of attention.''
A Canadian COVID-19 study that turned out to be wrong has spread like wildfire among anti-vaxxers

Study falsely showing 1 in 1,000 risk of heart inflammation after mRNA vaccines 'weaponized' online



Adam Miller · CBC News · Posted: Sep 25, 2021
Experts say an erroneous study from researchers at the Ottawa Heart Institute has been 'weaponized' by the anti-vaccination movement at a time when concern over COVID-19 vaccine side effects are top of mind for parents whose kids may soon get the shot. 
(Matt Rourke/The Associated Press)

This is an excerpt from Second Opinion, a weekly roundup of health and medical science news emailed to subscribers every Saturday morning. If you haven't subscribed yet, you can do that by clicking here.

An inaccurate Canadian study suggesting an extremely high rate of heart inflammation after COVID-19 vaccines has been retracted due to a major mathematical error — but not before it spread like wildfire on anti-vaccination websites and social media.

The preprint study, which was released by researchers at the Ottawa Heart Institute last week but has not been peer-reviewed, looked at the rate of myocarditis and pericarditis cases after Moderna and Pfizer-BioNTech vaccinations in Ottawa from June 1 to July 31.

The study identified 32 patients with the rare side effects out of a total of 32,379 doses of mRNA vaccines given in Ottawa in the two-month period, finding an inordinately high rate of close to 1 in 1,000 — significantly higher than other international data has shown.

But the researchers made a critical error that experts say caused the study to be "weaponized" by the anti-vaccination movement at a time when concern over COVID-19 vaccine side effects are top of mind for parents whose kids may soon get the shot.

Black Creek Community Health volunteer Jasleen Kambo, 18, gets her first dose of the Moderna COVID-19 vaccine at a clinic run by Humber River Hospital at the Yorkgate Mall, in Toronto, on Apr. 14, 2021. (Evan Mitsui/CBC)

Risk of heart inflammation after shot 'not correct' in study

The researchers mistakenly failed to record the accurate number of vaccinations given out during that two-month period, despite the data on total doses being publicly available, and the figure turned out to be astronomically higher than what was presented in the study.

Instead of 32,379 mRNA vaccine doses administered in June and July, as the study suggests, there were actually more than 800,000 shots given out at that time, according to Ottawa Public Health.

That means the true rate of side effects is closer to 1 in 25,000 — not 1 in 1,000.

"We recalculated the rate, and the rate is not correct in that paper," said Dr. Peter Liu, scientific director of the Ottawa Heart Institute and a co-author of the study, in an interview with CBC News.

"We were doing this on the run, in a way, and we were getting kind of the preliminary vaccination rate data, and so it turns out that that number was not complete."

Dr. Andrew Crean, co-director of the cardiac MRI service at the Ottawa Heart Institute and the study's lead author, confirmed to CBC News in an email Thursday that the preprint was being retracted.

Late Friday night, the study was officially marked as "withdrawn" on the medRxiv preprint server, with a link to a statement citing "a major underestimation" of the rate of occurrence

.

COVID-19 mRNA vaccines may be 'new trigger' for heart inflammation, CDC group says, but benefit outweighs risk

"In order to avoid misleading either colleagues or the general public and press, we the authors unanimously wish to withdraw this paper on the grounds of incorrect incidence data," the statement read.

"We thank the many peer reviewers who went out of their way to contact us and point out our error. We apologize to anyone who may have been upset or disturbed by our report."

Crean said the authors uncovered the "significant error" days after posting it to the server, finding a "substantial overestimate" of the risk of heart inflammation after vaccination, then moved quickly to get the study withdrawn.

"As you know, preprints are not full peer-reviewed publications," he said. "The peer-review process worked quickly and efficiently to detect our error and we were happy to retract this data once the error was confirmed."

And Crean is absolutely right — this is exactly how the process is supposed to work.

CBC EXPLAINSWorried about heart inflammation and COVID-19 vaccines? Here's what we know

Preprints are traditionally a way for academics to share early information on important subjects before the data is peer-reviewed and published, said Ivan Oransky, co-founder of Retraction Watch, a website that tracks errors in science journals.

"If in fact this is retracted quickly and withdrawn quickly based on what seems to be a pretty significant error, then it's actually science doing what it should," he said.

"The problem is not the preprint server, the problem is that nobody ever provides any context around it."

Side effect remains rare, treatable


The Ottawa Heart Institute issued a tweet late Wednesday night, a week after the study was released, saying the authors "have requested the retraction of the preprint" due to "incorrect data" that "vastly inflates the incidence of post-vaccine myocarditis."

"We are sorry a preprint paper citing incorrect data led to misinformation on the incidence of post-vaccine myocarditis," a spokesperson for the institute said in a followup statement to CBC News on Friday morning.

"COVID-19 vaccines are safe and have been proven effective against the disease. We invite anyone who has not yet received the shot to please get vaccinated."

Heart institute seeing patients with rare condition possibly linked to mRNA vaccines

While some real-world data has shown an increased risk of heart inflammation after COVID-19 vaccines among younger age groups, it's important to remember the side effect is rare.

"Even if you took the worst-case scenario, it doesn't happen in 99.9 per cent of cases," said Montreal cardiologist and epidemiologist Dr. Christopher Labos. "So the vast majority of people, even young people, are going to get vaccinated and not have an issue with myocarditis."

A small proportion of people who do experience the side effect will experience mild symptoms that are treatable without hospital care, Labos said, and don't appear to cause "any major heart damage."


3 months ago News

A small number of cases of heart inflammation — specifically, myocarditis and pericarditis — have occurred in teens and young adults following mRNA COVID-19 vaccination, but experts say the benefits of a vaccine far outweigh the risk. 2:00

"So it looks as if this is a relatively mild side effect that should not dissuade anybody from getting vaccinated," he said. "Because the benefits really outweigh the risks."

One study from Israel published in the New England Journal of Medicine earlier this month showed a slight increased risk of myocarditis after vaccination — but the researchers stressed that COVID-19 is more likely to cause the side effect than the shot.

Despite this reassuring conclusion, experts say the speed in which preliminary data is being uploaded, manipulated and disseminated in the pandemic means one error can cause a lot of damage.

"Mistakes happen; I have no major criticisms to level against anybody here. They did exactly what they're supposed to do: When you make a mistake — you fix it," said Labos.

"The real problem here is that I worry that people are going to keep using the wrong version of the study to advance their agenda."
Cherry-picking 'rotten' data

Despite not getting any mainstream media coverage in Canada or anywhere else at the time it was published, the study quickly spread around the world on social media and anti-vaccination websites, where it was incorrectly claimed as evidence of the damage COVID-19 vaccines cause.

The preprint has been shared on Twitter more than 11,000 times in the week since it's been published, according to Altmetric, a company that tracks where published research is posted online. That's in the top five per cent of all research it's ever tracked.

One particularly damaging tweet that gained a massive response came from Robert Malone, an infectious-disease researcher and accused spreader of anti-vaccination misinformation who calls himself the "inventor" of mRNA vaccines despite evidence to the contrary.

The study also showed up on numerous anti-vaccination websites, misrepresented as evidence that the rate of myocarditis had been intentionally underestimated and that thousands of children could be at risk of heart failure after vaccination in the future.

Timothy Caulfield, Canada Research Chair in health law and policy at the University of Alberta who has studied the challenges with preprints in the pandemic, says the way in which the erroneous study has been shared widely online to promote an anti-vaccination agenda is "incredibly frustrating."

"First of all, the topic is so sensitive with parents, with young adults. When people are doing this risk-benefit calculus and they see a study like this, even if it just crosses their radar on social media, it can have an impact on their intentions," he said.

"So a mistake like this can do real, serious harm — and I think it probably already has, unfortunately."

Scientists cut peer-review corners under pressure of COVID-19 pandemic

The error highlights the challenges with preprints, Caulfield said. On the one hand, they can create an open dialogue with academics and get research into the public domain quickly on important topics, but on the other hand, they can do irreparable long-term damage.

"Preprints can quickly be weaponized by activists when the data seems to bolster their ideology, and they lend credibility to claims that might otherwise appear non-scientific," added Jonathan Jarry, a biological scientist with McGill University's Office for Science and Society in Montreal.

"And when a preprint gets retracted because it was fraudulent or just simply incorrect, that bell is hard to un-ring in the public square that is the internet."

Reports of heart inflammation among small number of children that got Pfizer vaccine
4 months ago

A small number of children who received the Pfizer-BioNTech vaccine have reported swelling in the heart. Researchers and officials are tracking the phenomenon closely, but so far they've found no cause for alarm. 2:03

Caulfield said that once an inaccurate preprint gets released, it can "take on a life of its own."

"And that's exactly what has happened here," he said. "I can guarantee that you are going to continue to see references to this version of the paper for a long time to come."

These so-called "zombie papers" are often intentionally shared within anti-vaccination circles long after they're retracted or corrected in order to disingenuously influence public opinion and fuel misinformation, said Caulfield.

"It's extreme cherry-picking," he said. "And the cherry is rotten."


ABOUT THE AUTHOR

Adam Miller
Senior Writer
Adam Miller is a senior health writer with CBC News. He's covered health, politics and breaking news extensively in Canada for over a decade, in addition to several years reporting on news and current affairs throughout Asia.
N.S. parents and teachers call on government to release info on COVID-19 exposures at schools


Heidi Petracek
CTV News Atlantic Reporter
Published Friday, September 24, 2021 


A volunteer group, ‘Nova Scotia Parents for Public Education’, began compiling the information being sent to them by parents and teachers when it saw government wasn’t making such details public.


HALIFAX -- As parent Brittany Snow peruses a list of Nova Scotia schools affected by COVID-19 exposures, she worries what it means for the safety of her children, who are too young to be vaccinated.

“I’m definitely concerned,” says Snow. “I think it’s really important for parents and the community to protect those who are most vulnerable.”

That list of affected schools – which includes 19 so far – is being compiled not by the provincial government, but by a concerned group of parents. While Snow is happy someone is making the information available, she feels government should be doing the job.

“I think it adds to the lack of trust towards the government, and I think it's important to be transparent so people can respond accordingly.”

A volunteer group, ‘Nova Scotia Parents for Public Education’, began compiling the information being sent to them by parents and teachers when it saw government wasn’t making such details public.

Group moderator Stacey Rudderham, who is also a parent of school-aged children, says only verified information, such as a letter or email from an official school source or Nova Scotia Public Health, is used.

“We are the only place where they are able to get information about existing school cases,” says Rudderham.

Rudderham says she’s hearing from many parents and staff members about schools affected by potential COVID-19 exposures and cases.

She is also hearing from people who didn’t know there was a case at their school at all.

“We're hearing from them that they've not been informed and that they found about the case from our list, on social media,” says Rudderham.

Nova Scotia’s Department of Education wouldn't give CTV News a list of affected schools in the province today.

According to the department, principals are supposed to notify the wider school community of any potential exposures.

The province’s chief medical officer of health says there's been no evidence the virus being transmitted at schools and says schools continue to be safe.

Dr. Robert Strang says anyone at a school who may have been exposed to a case is being notified, and that parents should trust Public Health.

“If their child might have been exposed, they will be notified,” said Strang. “And keep following the basic precautions.”

Strang does say public health may start reporting some school-related data soon.


“We are looking at starting to report in total as part of our weekly epidemiological summaries specific to schools.”

In a message sent to teachers late Friday and obtained by CTV, the regional executive director of the Halifax Regional Centre for Education, Elwin LeRoux, sought to address concerns “from a staff member yesterday asking about a COVID-19 case connected to their school,” and “why it took so long for staff to be notified when the information was shared on social media.”

In the message, LeRoux states Public Health’s approach to COVID cases connected to schools is “different from last year.”

“In the social media age, information is shared at the speed of light,” he writes, “This process isn’t that fast but we do communicate as soon as Public Health gives direction at the end of their investigation.”

The issue is one the head of the Nova Scotia Teachers’ Union says he’s raising with the province.

Paul Wozney says he’s also heard of cases instances where teachers weren't notified of a case related to their school.

Nova Scotia was listing potential school exposures as recently as the last school year.

Wozney says the province needs to start doing that again.

“It’s only Alberta, Newfoundland, and Nova Scotia nationally that aren't providing this data to parents and students and staff.”

Rudderham says it’s information that is important to the whole community.

“If (students are) in the schools and there are cases there, they're also in sports, they're in clubs, they’re in church, daycares are also speaking to us,” says Rudderham. “It isn't just in the schools, if it's in the schools.”

“It's very telling that this is coming from the parents and not the government,” says Snow. She would like the province to release accurate information to keep rumors and misinformation at bay – and help parents like her make the decision needed to keep their children safe.

Saskatchewan
Sask. no longer shares COVID-19 modelling data with its doctors

Alexander Quon · CBC News · Posted: Sep 24,2021
COVID-19 testing at Evraze Place in Regina, Sask., on Sept. 9, 2021. 
(Matthew Howard/CBC)

Something Saskatchewan's doctors suspected has now been confirmed: the province is withholding COVID-19 modelling data from them.

In the early stages of the pandemic, modelling data was provided to doctors.

Although modelling is not a crystal ball that shows the future, it does give health professionals and policymakers information that can help them inform decisions.

That transparency stopped several months ago. It was never made clear why.

More than 31,000 3rd COVID-19 vaccine doses administered in Sask.
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Adult COVID-19 patients being treated in Sask. children's hospital, health authority says

Doctors were finally given an answer by Dr. Susan Shaw, an ICU doctor and a chief medical officer with the Saskatchewan Health Authority (SHA), during a virtual physician town hall on Thursday.

Shaw was asked about the subject by Dr. Carla Holinaty, a family doctor in Saskatoon.

Shaw confirmed that although modelling is still being produced by the province, the Ministry of Health has decided that it should no longer be widely shared with doctors in the province.

"I think it confirms what we had all been suspicious of, but it was no less disheartening to hear," Holinaty told CBC News on Friday.

Only senior officials at the SHA receive the data. It's then used for planning purposes.

Earlier this week, Premier Scott Moe said that the province's medical community should provide guidance and use their expertise to get more people vaccinated.

WATCH | Sask. COVID cases continue to rise



Sask. COVID-19 cases continue to rise
2 days ago
For the fourth straight day, COVID-19 cases in Saskatchewan are on the rise. Two physicians in the province discuss the current situation, patient care and the stress on health-care staff. 9:58


Holinaty says there is a disconnect between what Moe is urging and the desire to restrict and withhold the COVID-19 modelling data.

If family physicians and other doctors had the data, it could be another tool to sway people who may be vaccine resistant or vaccine hesitant, she said.

"Without it, we just are speculating and we don't have any data to refer to, or numbers, or projections," Holinaty said. "Being able to quantify that for people in terms of what that might mean for numbers of hospitalizations, numbers of people in the intensive care unit, I think it is much more more powerful and much more concrete for people."

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The Ministry of Health did not respond to a request for comment.

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'People will suffer and will die': Emergency doctor says some health triage has begun in Alberta

Dean Bennett
The Canadian Press
Updated Sept. 24, 2021 


EDMONTON -

The head of emergency medicine for the Alberta Medical Association, Dr. Paul Parks, says major components of triage have already begun in Alberta - an assertion disputed by the province.

The dispute arose Friday as the Canadian Armed Forces prepared to bring in air transport and staff to deal with a COVID-19 crisis overwhelming Alberta's hospitals.

The province has yet to formally invoke the triage policy, which would see doctors have to make on-the-spot decisions over who gets life-saving resources.


But Parks said it has become routine in hospitals in the last two weeks to have some critically ill patients - most of them unvaccinated COVID-19 cases - kept on main wards rather than in intensive care units on ventilators because they don't have the available intensive care ward staff.

That's on top of previously announced mass cancellations of surgeries, along with patient transfers, as doctors balance medical needs with available space, he said.

“We already are in positions in many hospitals across Alberta where the doctors know that it would be best for this patient to be in ICU and be on a ventilator, but we're not providing that option until they absolutely deteriorate to the point of crashing,” Parks said Friday.

“We already are implementing some of these things that are drastic, and we wish we never would have.

“People will suffer and will die by this.”

Alberta Health Services said in a statement: “We acknowledge that we are operating at a reduced standard of care, however, safety remains at the forefront of all decisions.

“Any patient who requires mechanical ventilation is currently able to receive it.”

Parks said it's not at the point where doctors must make on-the-spot, life-and-death decisions. But he said that's not far away and, when it comes, the second stage of triage will follow quickly, including making those same decisions about children.

Alberta Health Services said triage will only be invoked if all efforts to increase intensive care capacity are exhausted.

There are 368 intensive care spaces with 304 patients, most of whom are critically ill with COVID-19, and most of them unvaccinated or partially vaccinated.

Alberta normally has 173 intensive care spaces but has been converting other spaces, including operating rooms, into ad hoc critical care wards to meet COVID-19 demand.

Alberta has more than 20,000 active COVID-19 cases and is seeing well over 1,000 new cases a day.

Dr. Verna Yiu, head of Alberta Health Services, said Thursday a key reason intensive care wards have not been overwhelmed is because enough COVID-19 patients are dying to free up bed space.

The number of COVID-19 deaths has been on the rise.

There were 29 fatalities reported Tuesday, 20 more Wednesday and 17 Thursday. More than 2,600 people have died in Alberta since the pandemic began.

Premier Jason Kenney has asked other provinces and the federal government for emergency aid.

Andrew McKelvey, a spokesman with the Department of National Defence, said Friday that they have been asked to provide up to eight intensive care nurses, along with air transport for patients to other health facilities in Canada.

The air transport should be ready to go in 24 hours and the nurses within 72 hours, said McKelvey.

Parks and other physicians, meanwhile, are urging Kenney to put in a “firebreak” to reverse the slew of new infections, starting with shutting down schools and banning mass gatherings, such as sports events.

“The (political) decision-makers upstream are not doing what they need to do to stop case transmission,” said Dr. Shazma Mithani, an Edmonton emergency room physician.

“We can't keep going like this. Health care and ICU capacity is a finite resource.

“The only way to stop the influx of patients into the hospitals is to stop the cases, and that has to happen with restrictions - and it is not happening.”

Dr. Tehseen Ladha, an Edmonton pediatrician, said it makes no sense for Alberta to ask for federal help while refusing to impose serious health restrictions, particularly as cases among children rise.

“This is the worst it's ever been,” said Ladha. “We're seeing the rise in cases amongst the (age) five-to-11 group go up faster than any other age group. The curve is almost vertical.”

Dr. David Keegan, a Calgary family physician, said while critical cases grow, so does the collateral damage of thousands of delayed surgeries.

Keegan said one of his patients needs cancer surgery, but the operation has been delayed.

“It means by the time surgery happens you never know, (the cancer) may have spread,” he said.

“Suddenly we go from this person with an easily treatable removable cancer to it has spread and we're into added-on chemotherapy and potentially radiation.”

Dr. Ilan Schwartz, an infectious disease specialist at the University of Alberta, said targeted public health measures and a vaccine passport may have worked a month ago.

But he said only a hard lockdown with a shutdown of schools and on-essential businesses can now stop the crisis at its source - high caseloads.

“It's absurd that we have (hospital) wards that are full, we are cancelling cancer surgeries, we're calling for the military, we're talking about transporting patients 3,000 kilometres in order for them to find an ICU bed and we still have society going on as if nothing is the matter.”


This report by The Canadian Press was first published Sept. 24, 2021.




Alberta Children's Hospital doctors face criticism for letters opposing vaccine mandate

Author of the article:Jason Herring
Publishing date:Sep 24, 2021 • 
Alberta Children's Hospital in Calgary, on Friday October 12, 2018. 
PHOTO BY LEAH HENNEL /Postmedia

Two pediatricians at the Alberta Children’s Hospital are facing criticism after recently writing letters outlining their opposition to vaccine mandates for health-care workers.

Dr. Eric Payne and Dr. Michael Vila wrote in their respective letters they are unvaccinated against COVID-19. They both characterized COVID-19 vaccines as “experimental” and call vaccine effectiveness and safety into question.


Alberta data show vaccines are safe and effective at preventing both symptomatic disease and severe outcomes from the novel coronavirus.

Both mRNA vaccines authorized for use in Canada — manufactured by Pfizer/BioNTech and Moderna — are more than 90 per cent effective at preventing symptomatic illness due to COVID-19, and vaccines have been 85 per cent effective against the Delta variant in Alberta.

Among the 243 COVID-19 patients currently in Alberta ICUs, only about eight per cent are fully vaccinated, despite this group making up more than 62 per cent of the province’s population. And only about one in every 2,000 Albertans who have received a COVID-19 vaccine has reported adverse effects.


Teams in a crowded Calgary ICU work on a patient on a ventilator. 
PHOTO BY SUPPLIED BY AHS

It’s inaccurate to call COVID-19 vaccines experimental, said Calgary public-health physician Dr. Jia Hu, who noted mRNA vaccines have received full Health Canada approval. He said there is data from billions worldwide who have had at least one shot of vaccine.

Hu said vaccines provide considerable health benefits in all age groups, something that is important with ongoing high levels of community virus spread in Alberta.

“There’s nothing that is perfectly safe. There’s nothing that is perfectly effective, not just in vaccine land but anywhere in the world,” said Hu. “The thing with these vaccines is, no matter how old you are, the balance of benefits over risks is so much higher for taking the vaccine than not.”

Timothy Caulfield, a Canada Research Chair in health law and policy at the University of Alberta, said it is frustrating to see regulated health professionals spread what he characterized as misinformation.

“To suggest there is a lack of efficacy is patently ridiculous. At this stage, it is like denying the pull of gravity,” Caulfield said.

“The data on safety is also incredibly impressive. Not only do we have impressive clinical trials, but the vaccines have been administered to hundreds of millions of people, so we also have mountains of surveillance data.”

The doctors are cherry-picking evidence to support their views, Caulfield contended.

Payne and Vila work at the Alberta Children’s Hospital, which recently closed 75 per cent of its operating rooms due to strain on Alberta’s hospital system during the fourth wave of COVID-19.

In Payne’s letter, he wrote he and his family are otherwise fully vaccinated, and argued the risk of spreading COVID-19 to his pediatric patients and leading to severe outcomes is “minuscule.”

In a statement to Postmedia, Payne said his stance is independent of his employer. He said he has seen first-hand the impact on patient care from strains on ICUs, but said he stands by his letter and supports patient autonomy and informed consent.

“I am particularly concerned about these experimental vaccines being forced on our children as a requirement to attend school or participate in extracurricular activities. I do not feel that parents and teenagers are receiving informed consent,” Payne said.

Payne’s letter was addressed to the College of Physicians & Surgeons of Alberta (CPSA) council. In a statement, the CPSA said though the college can’t speak to specific cases, it said it is aware of a “small number” of physicians making claims that oppose current consensus on vaccines and is “very concerned” about this.

“CPSA recognizes these are trying times for front-line health-care workers. However, spreading misinformation about vaccines that goes against current evidence and advisories does not align with a physician’s professional responsibility to their patients,” the college said.

The CPSA added the college recently surveyed the profession about COVID-19 vaccination and found 96 per cent of approximately 5,100 respondents indicated they are fully immunized.

Vila wrote in his letter he is not an anti-vaxxer and he has consistently advocated for children to receive other vaccines when parents are hesitant to do so. He told Postmedia he is advocating for the best possible health outcomes for his patients.

“Should we have seen a large volume of hospitalizations within the pediatric population, or if it had been obvious and supported by the evidence that being vaccinated reduced transmissibility to my patients, I would have adjusted my decision to reflect that,” said Vila in his letter, which was sent to AHS leadership.

AHS announced Aug. 31 its staff must be fully vaccinated against COVID-19 by Oct. 31 or risk being put on unpaid leave. The health authority said Friday the “vast majority” of health-care workers are already fully immunized, with their goal to reach 100 per cent uptake. More than 49,000 staff have already submitted their proof of vaccination, AHS said.

Hu said doctors casting doubts on vaccine efficacy and safety can provide fuel for those who oppose vaccinations.

“It’s quite dangerous when you even have a few doctors saying stuff like this, because they are really good nodes for anti-vaxxers to organize around,” he said.

“When an anti-vaxxer can hang on the words of a physician, someone with ‘MD’ behind their name saying that vaccines aren’t safe, they’re much more powerful.”