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The climate crisis is a sexual health and reproductive rights emergency

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Saturday, April 27, 2024

In the wake of Earth Day, West Africa is facing a historic and deadly heatwave, last month was the tenth hottest month in a row in the U.S., and Americans and people across the globe are already bracing for what scientists are predicting will be yet another record-breaking summer with more extreme heat and weather events in store. Those of us paying attention know it to be true: the climate crisis is here. Climate change is perhaps the defining crisis of our time and our rapidly changing climate will undoubtedly affect every aspect of human life – including people’s sexual and reproductive health. Women and girls disproportionately bear the brunt of climate-related events and environmental stress – women comprise 20 million of the 26 million people estimated to have been displaced already by climate change. As the climate crisis ravages our world, many have ignored the detrimental impact it has on women’s lives, their access to health care and their agency to create the families and futures of their choosing. But we can no longer ignore this reality.  Our global community is experiencing a swift rise in disastrous weather events from droughts and flooding to extreme heat and freak storms. As I wrote when Hurricane Harvey struck Texas several years ago, during these ever-more-frequent emergencies, sexual and reproductive health services are often “invisible” when compared with food and emergency medicine in humanitarian relief efforts and crisis settings. But reproductive health services such as contraception and abortion are also critical and time-sensitive. We simply cannot talk about the dangers and harms of climate change without including the impact on reproductive health. It’s past time to recognize that climate justice is a reproductive justice issue.  Sexual and reproductive health services are often “invisible” when compared with food and emergency medicine in humanitarian relief efforts and crisis settings. Let’s take one example: access to clean water. In Kenya, and in many places across the globe, access to clean water is increasingly in jeopardy due to ongoing cycles of drought and flooding brought on by climate change. Without access to clean water, women cannot safely give birth. They cannot receive basic reproductive care. Health care providers in Kenya have reported turning away women seeking reliable long-term contraception like implants and IUDs, as well as women actively in labor, because they cannot sanitize the health facility. Additionally, sea level rise in Bangladesh has turned many freshwater sources into salt water, forcing women in these communities to bathe, drink and fish in non-fresh water, which has been linked to hypertension, preeclampsia and a rise in miscarriage and dangerous gynecological infections. Want more health and science stories in your inbox? Subscribe to Salon's weekly newsletter Lab Notes. As these droughts, floods and other climate emergencies force people from their homes and create climate refugees, we know women face elevated risk of gender-based violence, forced prostitution, forced marriage and unwanted pregnancy. Women are not only more likely than men to be displaced by climate change, they are disproportionately negatively impacted by displacement. Furthermore, what is deeply troubling is in the wake of climate emergencies, even humanitarian aid is rife with a minefield of harms for women and girls. In Mozambique, women report being exploited by government officials in charge of food aid distribution after climate disasters, offering them extra food in exchange for sexual favors. In times of emergency, the last worry on a mother’s mind should be wondering if she or her children will be safe from sexual violence if they seek shelter in government-provided housing. So many women in the world are enduring these horrors as a result of the climate crisis. It is heartbreaking, terrifying and unacceptable. Yet, research from Ipas, the non-profit reproductive justice organization where I am president, indicates that women in Bangladesh have faced increased sexual harassment and assault in community cyclone centers. Researchers on my team have also spoken with countless women and girls who are afraid to use the bathroom in humanitarian aid-provided shelters because the facilities are shared by men and often lack door locks and lighting, causing them to painfully hold their urine for fear of being sexually assaulted. So many women in the world are enduring these horrors as a result of the climate crisis. It is heartbreaking, terrifying and unacceptable – we cannot allow them to go unaddressed or become worse. We are already feeling the fallout of the climate crisis – it's no longer a question of whether or not it exists, but rather how will we deal with the already catastrophic transformation of our world that climate change will create. As we puzzle through that enormous problem, we must prioritize women and girls’ sexual and reproductive health. So what does that look like? At minimum, it means integrating abortion access and sexual and reproductive health and rights into climate justice efforts at the local, regional and global levels, including in the wake of disasters. It means prioritizing the views of women in climate solutions.   And it means empowering women in community decision-making. But we must think more boldly. Climate change calls on us to radically re-imagine health service delivery. Brick and mortar clinics will not serve us if they are washed away or are without electricity and staff. This is a call for public health professionals to move beyond “resilience” to re-imagination. We must radically re-imagine the health system, and we are very far behind in doing so. In the meantime, people suffer. While our scientists, researchers, policymakers and experts work to mitigate climate change, we must ensure we are guided by a commitment to creating a world in which women and girls have bodily autonomy, are resilient in the face of climate change, and have the power to determine their own futures. Read more about climate change and reproductive rights

As global temperatures rise, so do the challenges for abortion access and women's health services

In the wake of Earth Day, West Africa is facing a historic and deadly heatwave, last month was the tenth hottest month in a row in the U.S., and Americans and people across the globe are already bracing for what scientists are predicting will be yet another record-breaking summer with more extreme heat and weather events in store.

Those of us paying attention know it to be true: the climate crisis is here. Climate change is perhaps the defining crisis of our time and our rapidly changing climate will undoubtedly affect every aspect of human life – including people’s sexual and reproductive health.

Women and girls disproportionately bear the brunt of climate-related events and environmental stress – women comprise 20 million of the 26 million people estimated to have been displaced already by climate change. As the climate crisis ravages our world, many have ignored the detrimental impact it has on women’s lives, their access to health care and their agency to create the families and futures of their choosing. But we can no longer ignore this reality. 

Our global community is experiencing a swift rise in disastrous weather events from droughts and flooding to extreme heat and freak storms. As I wrote when Hurricane Harvey struck Texas several years ago, during these ever-more-frequent emergencies, sexual and reproductive health services are often “invisible” when compared with food and emergency medicine in humanitarian relief efforts and crisis settings. But reproductive health services such as contraception and abortion are also critical and time-sensitive.

We simply cannot talk about the dangers and harms of climate change without including the impact on reproductive health. It’s past time to recognize that climate justice is a reproductive justice issue

Sexual and reproductive health services are often “invisible” when compared with food and emergency medicine in humanitarian relief efforts and crisis settings.

Let’s take one example: access to clean water. In Kenya, and in many places across the globe, access to clean water is increasingly in jeopardy due to ongoing cycles of drought and flooding brought on by climate change. Without access to clean water, women cannot safely give birth. They cannot receive basic reproductive care. Health care providers in Kenya have reported turning away women seeking reliable long-term contraception like implants and IUDs, as well as women actively in labor, because they cannot sanitize the health facility.

Additionally, sea level rise in Bangladesh has turned many freshwater sources into salt water, forcing women in these communities to bathe, drink and fish in non-fresh water, which has been linked to hypertension, preeclampsia and a rise in miscarriage and dangerous gynecological infections.


Want more health and science stories in your inbox? Subscribe to Salon's weekly newsletter Lab Notes.


As these droughts, floods and other climate emergencies force people from their homes and create climate refugees, we know women face elevated risk of gender-based violence, forced prostitution, forced marriage and unwanted pregnancy. Women are not only more likely than men to be displaced by climate change, they are disproportionately negatively impacted by displacement.

Furthermore, what is deeply troubling is in the wake of climate emergencies, even humanitarian aid is rife with a minefield of harms for women and girls. In Mozambique, women report being exploited by government officials in charge of food aid distribution after climate disasters, offering them extra food in exchange for sexual favors. In times of emergency, the last worry on a mother’s mind should be wondering if she or her children will be safe from sexual violence if they seek shelter in government-provided housing.

So many women in the world are enduring these horrors as a result of the climate crisis. It is heartbreaking, terrifying and unacceptable.

Yet, research from Ipas, the non-profit reproductive justice organization where I am president, indicates that women in Bangladesh have faced increased sexual harassment and assault in community cyclone centers. Researchers on my team have also spoken with countless women and girls who are afraid to use the bathroom in humanitarian aid-provided shelters because the facilities are shared by men and often lack door locks and lighting, causing them to painfully hold their urine for fear of being sexually assaulted.

So many women in the world are enduring these horrors as a result of the climate crisis. It is heartbreaking, terrifying and unacceptable – we cannot allow them to go unaddressed or become worse.

We are already feeling the fallout of the climate crisis – it's no longer a question of whether or not it exists, but rather how will we deal with the already catastrophic transformation of our world that climate change will create. As we puzzle through that enormous problem, we must prioritize women and girls’ sexual and reproductive health.

So what does that look like? At minimum, it means integrating abortion access and sexual and reproductive health and rights into climate justice efforts at the local, regional and global levels, including in the wake of disasters. It means prioritizing the views of women in climate solutions.   And it means empowering women in community decision-making.

But we must think more boldly. Climate change calls on us to radically re-imagine health service delivery. Brick and mortar clinics will not serve us if they are washed away or are without electricity and staff. This is a call for public health professionals to move beyond “resilience” to re-imagination. We must radically re-imagine the health system, and we are very far behind in doing so. In the meantime, people suffer.

While our scientists, researchers, policymakers and experts work to mitigate climate change, we must ensure we are guided by a commitment to creating a world in which women and girls have bodily autonomy, are resilient in the face of climate change, and have the power to determine their own futures.

Read more

about climate change and reproductive rights

Read the full story here.
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The Pregnancy Pill Millions Trust Faces Alarming New Questions About Child Brain Health

Scientists are warning that one of the most trusted painkillers used in pregnancy may not be as safe as once believed. A sweeping review of studies finds links between prenatal acetaminophen exposure and higher risks of autism and ADHD in children. The medication crosses the placenta and may interfere with brain development, raising urgent questions [...]

New research raises red flags about acetaminophen use in pregnancy, linking it to autism and ADHD risks in children. ShutterstockScientists are warning that one of the most trusted painkillers used in pregnancy may not be as safe as once believed. A sweeping review of studies finds links between prenatal acetaminophen exposure and higher risks of autism and ADHD in children. The medication crosses the placenta and may interfere with brain development, raising urgent questions about clinical guidelines. Acetaminophen in Pregnancy Linked to Neurodevelopmental Risks Scientists at the Icahn School of Medicine at Mount Sinai report that children exposed to acetaminophen before birth may face a greater chance of developing neurodevelopmental conditions such as autism spectrum disorder and attention-deficit/hyperactivity disorder (ADHD). Their findings, published in BMC Environmental Health, mark the first time that the Navigation Guide methodology has been applied to thoroughly assess the quality and reliability of the research on this subject. Acetaminophen (commonly sold as Tylenol® in the United States and Canada, and known as paracetamol elsewhere) is the most widely used non-prescription treatment for pain and fever during pregnancy, taken by more than half of expectant mothers worldwide. For decades, it has been viewed as the safest option for relief from headaches, fever, and general pain. However, the Mount Sinai team’s review of 46 studies, which together involved over 100,000 participants from multiple countries, challenges this long-standing belief and highlights the importance of caution and additional investigation. Gold-Standard Review Methodology Applied The research team relied on the Navigation Guide Systematic Review, a leading framework used in environmental health. This method enables scientists to systematically evaluate each study, rating potential sources of bias such as incomplete data or selective reporting, while also weighing the overall strength and consistency of the evidence. “Our findings show that higher-quality studies are more likely to show a link between prenatal acetaminophen exposure and increased risks of autism and ADHD,” said Diddier Prada, MD, PhD, Assistant Professor of Population Health Science and Policy, and Environmental Medicine and Climate Science, at the Icahn School of Medicine at Mount Sinai. “Given the widespread use of this medication, even a small increase in risk could have major public health implications.” Possible Biological Mechanisms Behind the Link The paper also explores biological mechanisms that could explain the association between acetaminophen use and these disorders. Acetaminophen is known to cross the placental barrier and may trigger oxidative stress, disrupt hormones, and cause epigenetic changes that interfere with fetal brain development. While the study does not show that acetaminophen directly causes neurodevelopmental disorders, the research team’s findings strengthen the evidence for a connection and raise concerns about current clinical practices. Call for Updated Guidelines and Safer Alternatives The researchers call for cautious, time-limited use of acetaminophen during pregnancy under medical supervision; updated clinical guidelines to better balance the benefits and risks; and further research to confirm these findings and identify safer alternatives for managing pain and fever in expectant mothers. “Pregnant women should not stop taking medication without consulting their doctors,” Dr. Prada emphasized. “Untreated pain or fever can also harm the baby. Our study highlights the importance of discussing the safest approach with health care providers and considering non-drug options whenever possible.” Rising Autism and ADHD Rates Add Urgency With diagnoses of autism and ADHD increasing worldwide, these findings have significant implications for public health policy, clinical guidelines, and patient education. The study also highlights the urgent need for pharmaceutical innovation to provide safer alternatives for pregnant women. Reference: “Evaluation of the evidence on acetaminophen use and neurodevelopmental disorders using the Navigation Guide methodology” by Diddier Prada, Beate Ritz, Ann Z. Bauer and Andrea A. Baccarelli, 14 August 2025, Environmental Health.DOI: 10.1186/s12940-025-01208-0 The study was conducted in collaboration with the University of California, Los Angeles; University of Massachusetts Lowell; and Harvard T.H. Chan School of Public Health. Funding for this study was provided by the National Cancer Institute (U54CA267776), the National Institute of Environmental Health Sciences (R35ES031688), and the National Institute on Aging (U01AG088684). Important: These findings indicate a correlation, not definitive proof of causation. The medical community remains divided, and further research is needed. Always seek guidance from your healthcare professional before altering or discontinuing any treatment. Never miss a breakthrough: Join the SciTechDaily newsletter.Follow us on Google, Discover, and News.

Farm Workers At Risk For Kidney Disease

By Dennis Thompson HealthDay ReporterTHURSDAY, Oct. 2, 2025 (HealthDay News) — Farm workers have a higher risk for kidney disease, mainly due to...

By Dennis Thompson HealthDay ReporterTHURSDAY, Oct. 2, 2025 (HealthDay News) — Farm workers have a higher risk for kidney disease, mainly due to exposure to high heat and agricultural chemicals, a new small-scale study says.Workers on a grape farm near the Arizona-Sonora border had high levels of arsenic, cadmium and chromium in their urine, and those were linked to increased signs of kidney injury, according to findings published in the November issue of the journal Environmental Research.“We’re seeing an increase in kidney disease in young people who lack typical risk factors, especially in hotter regions,” said lead researcher Rietta Wagoner, a postdoctoral scholar at the University of Arizona.“There is evidence that heat, pesticides and metal exposures each play a role, and especially that heat is making potentially toxic exposures worse,” she said in a news release. “Each individually has been studied, but little research has examined a combination of factors. This study is an attempt to answer questions." For the study, researchers followed 77 farm workers who traveled seasonally from southern Mexico to work the grape farm. The workers arrived in February and March, at the beginning of the grape season, and stayed until the end of summer.The team collected daily urine and blood samples from the workers, and measured their heat stress twice a day with inner ear temperatures and heart rates.The worker’s kidney function generally decreased during the season, based on estimates derived from blood and urine samples.This decline was linked to chemicals found in pesticides and fertilizers, as well as the excessive summer heat in the Sonoran Desert, where air temperatures ranged upwards of 100 degrees Fahrenheit, researchers said.“When we looked at heat in combination with metals and metalloids, we found heat especially exacerbated the effects of the metals arsenic and cadmium on the kidney,” Wagoner said. “In other words, together, the effects were worse.”This kidney damage can be prevented, she said.“We recommend mandatory periodic breaks and rest built into the workday,” Wagoner said. “Provide water, electrolyte replacement and have restrooms nearby. Also, allow the workers time to get used to the conditions.”It’s also important to get to the source of workers’ exposure to these toxic metals, she said, noting that workers drink well water in places where uranium and arsenic are found in the soil.“If we can implement prevention measures early on,” Wagoner said, “we can prevent longer term issues.”SOURCES: University of Arizona, news release, Sept. 23, 2025; Environmental Research, November 2025What This Means For YouFarm workers should make sure to take frequent rest breaks during hot days and stay hydrated.Copyright © 2025 HealthDay. All rights reserved.

Giant Sinkhole in Chilean Mining Town Haunts Residents, Three Years On

TIERRA AMARILLA (Reuters) -Residents in the mining town of Tierra Amarilla in the Chilean desert are hopeful that a new court ruling will allay...

TIERRA AMARILLA (Reuters) -Residents in the mining town of Tierra Amarilla in the Chilean desert are hopeful that a new court ruling will allay their fears about a giant sinkhole that opened near their homes more than three years ago and remains unfilled.A Chilean environmental court this month ordered Minera Ojos del Salado, owned by Canada's Lundin Mining, to repair environmental damage related to activity at its Alcaparrosa copper mine, which is thought to have triggered the sinkhole that appeared in 2022.The ruling calls on the company to protect the region's water supply and refill the sinkhole. The cylindrical crater originally measured 64 meters (210 ft) deep and 32 meters (105 ft) wide at the surface.That has provided a small measure of relief to those in arid Tierra Amarilla in Chile's central Atacama region, who fear that without remediation the gaping hole could swallow up more land."Ever since the sinkhole occurred ... we've lived in fear," said Rudy Alfaro, whose home is 800 meters from the site. A health center and preschool are nearby too, she said."We were afraid it would get bigger, that it would expand, move toward the houses." The sinkhole expelled clouds of dust in a recent earthquake, provoking more anxiety, she said.     The court upheld a shutdown of the small Alcaparrosa mine ordered by Chile's environmental regulator in January, and confirmed "irreversible" damage to an aquifer, which drained water into the mine and weakened the surrounding rock."This is detrimental to an area that is already hydrologically stressed," said Rodrigo Saez, regional water director. Lundin said it will work with authorities to implement remediation measures.(Writing by Daina Beth Solomon, Editing by Rosalba O'Brien)Copyright 2025 Thomson Reuters.

Scientists Warn: Bottled Water May Pose Serious Long-Term Health Risks

Using it regularly introduces tens of thousands of microplastic and nanoplastic particles into the body each year. The tropical beauty of Thailand’s Phi Phi islands is not the kind of place where most PhD journeys begin. For Sarah Sajedi, however, it was not the beaches themselves but what lay beneath them that sparked her decision [...]

A scientist’s island epiphany uncovers how single-use bottles shed micro- and nanoplastics that infiltrate the body, with emerging evidence of chronic harm and measurement blind spots. Credit: ShutterstockUsing it regularly introduces tens of thousands of microplastic and nanoplastic particles into the body each year. The tropical beauty of Thailand’s Phi Phi islands is not the kind of place where most PhD journeys begin. For Sarah Sajedi, however, it was not the beaches themselves but what lay beneath them that sparked her decision to leave a career in business and pursue academic research. “I was standing there looking out at this gorgeous view of the Andaman Sea, and then I looked down and beneath my feet were all these pieces of plastic, most of them water bottles,” she says. “I’ve always had a passion for waste reduction, but I realized that this was a problem with consumption.” Sajedi, BSc ’91, decided to return to Concordia to pursue a PhD with a focus on plastic waste. As the co-founder of ERA Environmental Management Solutions, a leading provider of environmental, health, and safety software, she brought decades of experience to compliment her studies. Her latest paper, published in the Journal of Hazardous Materials, looks at the science around the health risks posed by single-use plastic water bottles. They are serious, she says, and seriously understudied. Sarah Sajedi with Chunjiang An: “Drinking water from plastic bottles is fine in an emergency but it is not something that should be used in daily life.” Tiny threats, little known In her analysis of more than 140 scientific papers, Sajedi reports that people ingest an estimated 39,000 to 52,000 microplastic particles each year. For those who rely on bottled water, that number climbs even higher—about 90,000 additional particles compared to individuals who primarily drink tap water. These particles are invisible to the eye. Microplastics range in size from one micron (a thousandth of a millimeter) to five millimeters, while nanoplastics are smaller than a single micron. They are released as plastic bottles are manufactured, stored, transported, and gradually degrade. Because many bottles are made from low-grade plastic, they shed particles whenever they are handled or exposed to sunlight and changes in temperature. Unlike plastics that move through the food chain before entering the human body, these are consumed directly from the container itself. Sarah Sajedi and Chunjiang An. Credit: Concordia UniversityAccording to Sajedi, the health risks are significant. Once inside the body, these small plastics can pass through biological barriers, enter the bloodstream, and reach major organs. Their presence may contribute to chronic inflammation, cellular oxidative stress, hormone disruption, reproductive issues, neurological damage, and some cancers. Still, their long-term impacts are not fully understood, largely because of limited testing and the absence of standardized ways to measure and track them. Sajedi also outlines the range of methods available to detect nano- and microplastics, each with benefits and limitations. Some approaches can locate particles at extremely small scales but cannot reveal their chemical makeup. Others identify the material composition but overlook the tiniest plastics. The most sophisticated and dependable tools are often prohibitively expensive and not widely accessible. Education is the best prevention Sajedi is encouraged by the legislative action that has been adopted by governments around the world aimed at limiting plastic waste. However, she notes that the most common targets are single-use plastic bags, straws, and packaging. Very few address the pressing issue of single-use water bottles. “Education is the most important action we can take,” she says. “Drinking water from plastic bottles is fine in an emergency but it is not something that should be used in daily life. People need to understand that the issue is not acute toxicity—it is chronic toxicity.” Reference: “Unveiling the hidden chronic health risks of nano- and microplastics in single-use plastic water bottles: A review” by Sarah Sajedi, Chunjiang An and Zhi Chen, 14 June 2025, Journal of Hazardous Materials.DOI: 10.1016/j.jhazmat.2025.138948 Funding: Natural Sciences and Engineering Research Council of Canada Never miss a breakthrough: Join the SciTechDaily newsletter.Follow us on Google, Discover, and News.

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