Free vasectomies will be offered at clinics in Missouri in response to a surge in demand after the US Supreme Court overturned Roe v Wade.
Sixty procedures will be available at mobile clinics in St Louis, Springfield and Joplin as part of an initiative run by family planning charity, Planned Parenthood, during the first week of November.
The controversial ruling means a woman’s right to decide is now determined individually by each of the 50 US states.
Weeks later in July, Planned Parenthood clinics in St Louis and southwest Missouri performed 42 vasectomies – compared to just 10 in the same month in 2021.
Female sterilisations increased to 18 from just three a year earlier.
The operations will be offered to uninsured patients by Dr Esgar Guarin – who will host the so-called “Nutcracker” mobile clinics alongside the charity.
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He then plans to offer a further 40 free vasectomies in the state of Iowa.
The scheme has been launched as part of World Vasectomy Day.
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Dr Guarin, who sits on the medical advisory board for the annual event, said: “It’s a very particular moment in reproductive rights in the United States. And we need to talk about it.”
The American College of Obstetricians and Gynaecologists reports more people are seeking the procedure.
Meanwhile Planned Parenthood’s national website has seen a 53% spike in vasectomy information searches over the past 100 days, a spokesperson for the charity said.
And data on Google Trends showed vasectomy searches hit their highest level after the US Supreme Court announced its decision.
In Texas, which brought in strict abortion law in the wake of the ruling, the Austin Urology Institute reports carrying out 50% more vasectomies.
Many patients are men who don’t want to become fathers and regarded abortion access as a back-up if birth control failed, according to the institute’s Dr Koushik Shaw.
“It really pushed family planning to the forefront of people’s thoughts,” he said.
Dr Margaret Baum, medical director of Planned Parenthood in the St Louis region and southwest Missouri, will work alongside Dr Guarin.
She added: “I think people are afraid, number one, about abortion not being accessible, which I think is a very real and legitimate fear and in the reality for a large part of folks in our country.
“And I think people are also really afraid (of) what else might be next.”
‘Grim circumstances under which I made this decision’
Truck driver Denny Dalliance, 31, signed up for a free vasectomy after fearing the consequences of having a child due to working away from home on most days.
Missouri, his home state, was among the first in the US with a trigger law in effect to ban abortion at any point in pregnancy.
Mr Dalliance said: “These are grim circumstances under which I made this decision.
“I don’t want to come off as though I’m unhappy to be doing this, but this is a situation where my hands kind of got forced with regards to the Roe vs Wade decision.”
An Israeli hostage said “I miss my freedom” in a video released by the terror group Palestinian Islamic Jihad.
Alexander Troufanov was among the dozens of people taken prisoner by militants during the 7 October attacks last year.
And while many hostages have since been released or liberated – or found dead – Mr Troufanov’s family are still hoping for his safe return.
“I miss my family, I miss my friends, I miss my life, I miss my freedom,” he says in the video, released by the militant group on Wednesday. His family have authorised its use by media organisations.
“I miss so many things. I want to return home safe and sound.”
His mother, Lena, said she was relieved to see her son alive but was “very worried to hear what he is saying”.
“I urge that every effort be made to secure his immediate release and that of all other hostages. They have no time left,” she said.
In a message to her son, Lena implored him to keep being strong and hold on.
“Do not lose hope, we will not stop fighting for your release until you are here with us, at home.”
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Thousands of people have been evacuated from their homes in the Costa del Sol as storms are set to bring fresh misery to parts of southern Spain.
More than 220 people were killed in the country’s worst floods in modern history just two weeks ago, with homes and buildings destroyed and streets turned to rivers of mud.
Now, people are covering their cars in plastic wrap and anchoring them to lamp posts as part of efforts to prepare for more flooding.
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Authorities have issued a red alert for heavy rain in the Costa del Sol, with areas around Malaga and Granada also subject to warnings that up to 180 millimetres (7 inches) could fall in 12 hours.
Winds of up to 74 mph (119 kmph) and high seas were also predicted for Tarragona, Barcelona and Murcia.
National weather office AEMET also placed parts of Catalonia in northeast Spain on a red alert, with areas along the coast in Tarragona at high risk of “very strong to torrential rain”.
Videos on social media showed deep water filling some of Malaga’s main streets this afternoon as residents were told to stay at home.
Police closed roads, bus lines across the city were suspended along with some high-speed trains, and parts of Malaga airport were underwater.
Staff at the Hospital Clinico were filmed wading through water after the laboratory area flooded.
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Meanwhile, people living close to the Campanillas River were told to leave their homes as the water began to rise.
Earlier, 3,000 homes were evacuated as a precaution on the banks of the Guadalhorce River.
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In the tourist resort of Marbella, a waterspout was seen moving for several minutes through the sea just off the coast.
The opening tie of the Billie Jean King Cup Finals tennis event between Spain and Poland was also postponed because of the storms.
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Previously flood-hit areas around Valencia were issued a less severe weather warning prompting some schools to close until Friday.
Thousands of workers are still removing mud and debris that has accumulated on the roads and clogged sewage pipes and drains in towns around Valencia after the recent deadly floods.
There were fears the mud-filled sewers would struggle to cope even if the new downpours weren’t as torrential.
As the new weather front moved in, authorities confirmed the bodies of two young brothers who went missing when floods hit their home in October had been found.
Ruben and Izan Matias, aged 3 and 5, were discovered in separate locations near Catarroja, almost six miles downstream from their house in Torrent, according to the Civil Guard.
Protesters filled the centre of the eastern Spanish city and chanted “killers!” as they called for Carlos Mazon to go, while others dumped muddy boots outside a regional government building.
One banner read: “Our hands are stained with mud, yours with blood.”
Headlights illuminate a group of soldiers smoking and drinking steaming cups of coffee on the side of a road in northeastern Ukraine.
A fine sleet on another freezing night falls on the silhouetted barrel of a Soviet-era anti-aircraft gun mounted on an ancient, battered lorry.
These are the men of a mobile air defence unit, preparing for another night of tracking and attempting to shoot out of the skies the Russian drones heading for cities and power plants across Ukraine.
We joined the units over 48 hours in the southern sector of the city of Sumy, near the border with Russia.
Captain Serhii, of the 117th Brigade, is a commander in charge of 160 of these men in eight mobile units protecting this area of northeastern Ukraine.
We met up with him in an empty car park next to a high-rise apartment block in Sumy.
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Sitting in his 4×4 he squinted in concentration as his scanner showed a handful of drones on a flight path heading towards us from Russia.
Air raid sirens blared in the background.
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He signalled for us to follow, and he sped off into the night weaving through checkpoints along empty, darkened country roads.
He had said the drone was near, but we were confused when he suddenly pulled off the road and jumped out of his cab.
Within moments the skies were lit up by mobile anti-aircraft batteries firing into the sky.
Tracers from the bullets flew over our heads and above us we could hear the monotonous sound of the drone as it passed overhead.
Searchlights reflected off a dank, dense fog that had enveloped the countryside criss-crossed in the sky as the units tried to spot the drone.
They didn’t spot or hit the drone, and slowly the sound of its motors grew dimmer and dimmer until there was silence.
“You can see the current weather conditions, it’s foggy, so we’re basically working off sound alone, as thermal imaging and other devices can’t pick them up,” Captain Serhii told me.
“A spotlight is completely pointless, the speed of these drones isn’t particularly high, so technically, we could hit them, but the weather makes it impossible,” he added.
Every night across Ukraine the tarpaulin covers are pulled off these Soviet-era anti-aircraft guns and prepared for action.
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On battered trucks they rumble into the night to take up defensive positions.
These old guns are the country’s main defence against an increasing number of drone attacks from Russia.
The units here say they mostly encounter two types of drones which are usually deployed at the same time: Gerberas and Shaheds.
Gerberas do not carry an explosive payload but instead are designed to confuse Ukraine’s air defence, while the Iranian-supplied Shahed drones carry explosives with pre-programmed targets.
One of the soldiers, Volodymyr, tracks the drones on a handheld tablet. All the men wait, watch the screen, and listen.
“They generally fly between 200-300m up to 3km,” Volodymyr tells me.
“If they’re flying lower than 300m above sea level, the radar won’t pick them up.”
The men start to gather around their anti-air battery unit as a drone flies closer towards our location.
The gunner then jumps onto the truck and searches for the target on a radar attached to his weapon.
He will fire when it’s within a 10km range of his position.
The night-time silence in the middle of the field is suddenly shattered by the deafening sound of firing as the gunner goes for the drone.
Then in the fields all around us other units join the attack – it’s so dark we had no idea they were even there.
It’s absolutely relentless.
Captain Serhii tells me their critical job would be made easier with more sophisticated weapons like the American-made Patriot system.
“We need a stronger, more automated air defence system that operates independently of human involvement,” he said.
“Winter is approaching, and our guys who are on duty 24/7 will face incredibly tough conditions, they aren’t made of steel, so having an automated system would be ideal.”
He believes any political negotiations with Russia will just end badly for Ukraine.
“A frozen conflict is typically just a temporary pause, and you can’t trust [Russian President Vladimir] Putin, because any agreement made will likely work in Russia’s favour,” he told me.
“They’ll stockpile resources, more Shaheds, rockets, soldiers, even North Koreans, and then they’ll return, and they’ll come back stronger than they did in 2022.”