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Birth control plan to save kangaroos from the cull

August 24, 2006

KANGAROOS living around Australia’s national capital will soon be fed contraceptive pills by authorities trying to control their booming population.

The move has been welcomed by animal rights advocates, who said feeding contraceptives to kangaroos was better than culling the animals.

“It’s definitely a lot better than shooting kangaroos,” the Animal Liberation spokeswoman, Simone Gray, said. “In our nation’s capital, it certainly isn’t appropriate to kill our national symbol.”

Australia has an estimated 57 million wild kangaroos - nearly three times the human population - which damage crops and property and compete with livestock for food and water.

Despite being featured on the nation’s coat of arms, Australia culls millions of kangaroos each year. But the number of sturdy marsupials keeps increasing.

The problem is prominent around Canberra, where five years of drought have seen more kangaroos move into the suburban fringes looking for feed

Kangaroos are an ever- present road hazard in the city, particularly so in dry months when thousands bounce in from the surrounding countryside to feed on watered lawns and golf courses.

The Australian Capital Territory government, which administers Canberra and is funding the research, is reluctant to use hunters to thin the kangaroo population, because of the risk posed to humans in built-up areas.

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Don Fletcher, a government ecologist, said the oral contraceptive method promised to be more efficient than existing technology for curbing kangaroo numbers. “Realistically, to deal with wild animals it has to be oral,” said Dr Fletcher, who is collaborating with Newcastle University scientists on the research.

“One of the challenges is finding kangaroo ice-cream,” he said, referring to a food pellet that grass-munching ‘roos will find irresistible.

Field tests of the contraceptive could be under way in two to five years, he said.

Grasslands and native forest around Canberra are home to the highest density of kangaroos in the country, with estimates of between 450 and 500 eastern grey kangaroos per square mile.

Kangaroos are the biggest animal risk to motorists, accounting for 70 per cent of animal-related car accidents in 2004. In Canberra, a city of about 300,000 people, kangaroos were responsible for 600 car accidents in 2004.

The local government administering Canberra has now announced a scientific trial of contraceptives, which will target grass in low-lying areas where the animals graze.

“It is hoped that eventually the kangaroos will be administered with the fertility-control agent through their food,” said John Hargreaves, the local minister responsible for the trial.

A decision to kill 800 kangaroos around Canberra two years ago sparked protests, prompting the local government to look at alternatives.

However, it is not the first time such a plan has been considered. In the past, vasectomies for male kangaroos and slow-release contraceptive implants for females have been tried, but both methods proved unworkable

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Anti-Abortion Activists Eye Inner Cities

August 20, 2006

- On a street once known as Murder Row, a teen center founded to steer youths away from drugs and crime has become an outpost in another crusade - a nationwide push by anti-abortion activists to expand their foothold in heavily black and Hispanic inner cities.

The campaign involves crisis pregnancy centers, whose counselors seek to dissuade women with unplanned pregnancies from having abortions. There are more than 2,300 centers across America, yet relatively few in inner cities where abortion rates are typically highest.

Now the two largest networks - Care Net and Heartbeat International - have launched initiatives to change that equation. Their sometimes awkward efforts rely on unlikely alliances, as an anti-abortion movement led mostly by conservative, white Republicans interacts with overwhelmingly Democratic, black communities.

“This crusade has been very difficult - having to educate community leaders as to what’s really going on without being offensive, without having a political agenda,'’ said Lillie Epps, the only black member of Care Net’s senior staff and director of its Urban Initiative.

In Washington, the key players say all has gone smoothly in a year-old partnership between a Care Net affiliate, the Capitol Hill Crisis Pregnancy Center, and a teen center in the tough Anacostia neighborhood called The House DC. During the school year, Capitol Hill volunteers come to The House to counsel girls from nearby Anacostia High School who get caught in the tide of teen pregnancies.

One reason for the harmony: The teen center’s black leaders and the whites running the pregnancy center share an evangelical Christian faith.

Steve Fitzhugh, co-founder of The House, is a former pro football player active with the Fellowship of Christian Athletes. He’s mentored boys later killed in gang shootings, and girls as young as 12 who carried pregnancies to term.

“I don’t care if it’s conservative dollars or liberal dollars we get,'’ Fitzhugh said. “We’ve got to save these kids.'’

His program is in sync with the nationwide pregnancy-center movement not only in opposing abortion but also in advocating sexual abstinence outside marriage and refusing to promote birth control.

“Others say, ‘Let’s pass out the condoms.’ We’re not on that page, and that’s not always a popular stance,'’ Fitzhugh said.

About two miles from The House, in a racially mixed neighborhood, the Capitol Hill pregnancy center is in its 21st year of operation. Its six-member board, executive director and most of its volunteers are white, but 89 percent of its clients are black.

Yet the director, Janet Durig, said she and her white colleagues don’t feel like outsiders. She evoked the image of a pregnant black teen, abandoned by her boyfriend, coming in for counseling.

“When she breaks down and cries, do you think she cares if I’m white?'’ Durig asked.

Critics contend that pregnancy centers routinely mislead women seeking neutral advice on their options. A report in July from congressional Democrats said center counselors often overstate the medical risks posed by abortion.

Skeptics also argue that the same white conservatives supporting urban anti-abortion initiatives oppose other social policies that might help minority single mothers and their children.

“These predatory fanatics don’t lift a finger to help the children who are born unwanted and unplanned,'’ said Jatrice Martel Gaiter, head of the Washington-area Planned Parenthood chapter.

“In these centers of deception, they leave young parents at best with a box of Pampers and a prayer,'’ she said. “They leave people even more vulnerable than when they walked through the door, without any information about how to avoid a future unintended pregnancy.'’

Durig acknowledged that her center recommends abstinence, not birth control, to clients, but said its services go beyond opposing abortion. The center offers parenting classes; a basement storage room is stacked with bins of donated baby clothes.

Capitol Hill also is among hundreds of pregnancy centers that recently acquired ultrasound equipment, on the premise that a look inside the womb will deter many pregnant women from abortion.

A sign on the center’s brick facade reads “Pregnant and Scared?'’ - the slogan Care Net has placed on 40,000 billboard and bus-shelter ads nationwide, promoting a hotline it runs with Heartbeat International on behalf of their 1,900 affiliated centers.

Most of the centers are rural or suburban. The quest to open more in inner cities is fueled by statistics showing that nearly 90 percent of women who get abortions live in urban areas, and the majority are poor.

According to the Alan Guttmacher Institute, which compiles abortion data, black women are almost four times as likely as white women to have an abortion, and Hispanic women are 2.5 times as likely.

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Care Net says it has opened 13 urban centers since 2003, with 15 more under development in Atlanta, Chicago, Detroit and elsewhere.

In central Houston, there had been no full-fledged pregnancy center until one opened in 2004 in a poor, minority neighborhood. While many of the Fifth Ward Pregnancy Help Center’s financial backers and volunteers are from white areas, its executive director, Sylvia Johnson, is black.

“This is hard territory,'’ she said. “We try to be nonpartisan, to let our service speak for itself. We can’t fix all the problems.'’

Among the clients was 28-year-old Karry Ann Morris. Already a single mother with a 3-year-old son, she got pregnant again last year after her boyfriend’s condom broke. She ended up at the Fifth Ward center along with the boyfriend, who was suggesting abortion.

Morris, a hairstylist, didn’t know what to expect. But she became determined to keep the baby - now a 4-month-old girl named Mikaila - when shown ultrasound images at the center.

“As much as I didn’t want to be pregnant, when I saw her heart beating at six weeks, I knew,'’ Morris said.

Heartbeat International’s current project is to open three to five centers in black and Hispanic neighborhoods of greater Miami, then apply that model to other cities.

The Rev. John Ensor, the project’s white executive director, said Miami was chosen partly because it had far more abortion clinics than pregnancy centers. He has spoken to some Miami-area churches, and is cautiously encouraged.

“We’re just learning how to communicate,'’ Ensor said. “There’s the African-American culture and subcultures you have to figure out. The same with Latinos - Cuban, Puerto Ricans, Dominicans. All these wonderful complexities that you find in an urban community.'’

He acknowledged a gap between Democratic-leaning minorities and conservative, white anti-abortion activists.

“There’s no doubt it’s a problem for African-Americans to join a movement they perceive is antithetical to their interests in other areas,'’ said Ensor, who nonetheless believes that, with patience and hard work, he can recruit local minority leadership.

Though relatively few blacks play prominent roles in the anti-abortion movement, national polls indicate that qualms about abortion are as widespread among blacks as among whites.

One outspoken black leader is the Rev. Clenard H. Childress Jr. of Montclair, N.J., who depicts the high abortion rate among blacks as a form of genocide. He applauds the inner-city goals of groups like Care Net, but questions whether they have the savvy to avoid looking like carpetbaggers.

“Without a strong relationship with the local pastors, their efforts in the urban community will be in vain,'’ he said. “It won’t be effective if you don’t resonate with the community as someone they can trust.'’

In inner-city Dallas, one black pastor, the Rev. Tony Evans, acted on his own to open a pregnancy center in his church, the Oak Cliff Bible Fellowship. He said it differs from the standard center by offering comprehensive prenatal and postnatal services for mothers, including help finding jobs.

Care Net’s Lillie Epps agrees on the importance of courting black pastors. Some share opposition to abortion but don’t speak out for fear of offending their Democratic-leaning congregations, she said.

Another key, she said, is recruiting local volunteers so the counseling staff isn’t overwhelmingly white. “We want people to come in and see someone who looks like them,'’ Epps said. “We can’t charge into a community and say, ‘We’re your savior.”’

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Barr’s Earnings Almost Double, Helped by New Products (Update4)

August 15, 2006

Aug. 15 (Bloomberg) — Barr Pharmaceuticals Inc.’s earnings almost doubled in the fiscal fourth quarter, boosted by revenue from products acquired in the past year. Profit beat analysts’ estimates, and the shares rose the most in almost a year.

Net income for the quarter ended June 30 climbed to $82.3 million, or 76 cents a share, from $42.1 million, or 40 cents, a year earlier, the Woodcliff Lake, New Jersey-based company said in a statement today. Revenue rose 25 percent to $351.7 million.

Barr, the biggest U.S. maker of birth control pills, acquired the ParaGard intrauterine device and the Mircette contraceptive pill in the past year, helping the company build revenue as it faces increasing competition for some of its other products. Barr also began receiving revenue from copies of Sanofi-Aventis SA’s Allegra allergy drug.

“They had a very solid quarter,'’ said William Sawyer, an analyst with Leerink Swann & Co. in New York, in a telephone interview today. He rates the shares “outperform.'’ “We see sold revenue growth in 2007 and beyond.'’

Profit in the 2005 fourth quarter was reduced by $63 million because of a legal settlement and acquisition.

Barr’s shares rose $2.82, or 5.4 percent, to $55.15 at 11:32 a.m. in New York Stock Exchange composite trading after touching $56.87 earlier in the day. The stock lost 16 percent this year though yesterday, underperforming a 6 percent rise in the 14-member Standard & Poor’s 500 Pharmaceuticals Index.

Estimates

Excluding certain costs, Barr said fourth quarter profit was 84 cents a share. That beat the 72-cent estimate of Robert Uhl, an analyst with Friedman Billings Ramsey in Arlington, Virginia, rated four stars out of five on accuracy by StarMine Corp. Analysts surveyed by Thomson Financial expected 73 cents, the average of 16 estimates. Thomson didn’t respond to a request to disclose the basis for the projections.

Barr forecast earnings of 73 cents to 76 cents for the quarter ending September 30. The company had not previously provided a forecast for that quarter. The estimate doesn’t include costs for a proposed acquisition of Pliva d.d., other “business development,'’ litigation settlements or share repurchases.

For the quarter, revenue from drugs marketed in an alliance with other companies, including the generic version of Allegra, more than tripled from a year earlier to $32 million. Sales of generics rose 17 percent to $222 million and proprietary product sales increased 21 percent to $97 million.

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Fiscal year

For the fiscal year, Barr reported net income increased 57 percent to $336.5 million, or $3.12 a share. Revenue rose 24 percent to $1.3 billion.

Barr, which derives about two-thirds of its sales from generic medicines, is trying to acquire Zagreb, Croatia-based Pliva to gain access to that company’s generic-drug markets in Russia, the U.K., Germany, Spain and Italy.

Barr, which makes the “morning after'’ emergency contraceptive called Plan B, said last week it may be close to resolving with the Food and Drug Administration a longstanding request to make the drug available without a prescription. The contraceptive has been available with a prescription since 1999.

Plan B sales are “trending in excess of $30 million per year,'’ said Barr spokeswoman Carol Cox. Sales may double if Plan B is made available over the counter, Barr’s Chief Executive Officer Bruce Downey has said.

Shire Plc, based in Basingstoke, England, yesterday said it settled a patent lawsuit with Barr, protecting Shire’s best- selling Adderall XR hyperactivity drug from cheaper rival copies until 2009.

Barr won’t be allowed to market a generic version of the drug in the U.S. until April 1, 2009, unless a generic version is introduced by another drugmaker. Barr was the first company to seek Food and Drug Administration permission to sell the generic version

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Birth control patch not as effective as pill, study says

August 14, 2006

The transdermal contraceptive patch has been touted as easy to use, but a new study says the patch is considerably less effective than the pill.
It found women who are considered to be at high risk of pregnancy appear more likely to continue with the use of oral contraceptive pills than with the contraceptive patch.

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Researchers reporting in the journal Obstetrics and Gynecology also found the pregnancy rate was markedly lower for pill users than for patch users.

Researchers looked at more than 1,200 women who underwent counseling at Planned Parenthood centers

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Birth control price hike may cause red ink for health board

August 10, 2006

Trends in teen pregnancies since 1990 have seen a significant reduction in both North Carolina and Stanly County and local health officials want to see that trend continue.

“We really do encourage abstinence,� said Patricia Hancock, director of nursing at the Stanly County Health Department. “However, we also know that’s not always going to be the case.�

As a result, the health department, through its Family Planning program, serves about 460 women each month with birth control pills, including a number of teenagers.

“While the 20-25 age group is our largest, we have clients from 13-48 years old,� said Patti Lewis, nurse practitioner

“The majority of the teens are girls that have never had baby.�

However, the cost of continuing providing the birth control pills will soon see a significant increase as drug maker Ortho McNeil, who supplies pills to health departments across the state, has announced a quantum leap price - 33-cents per pack ( a 28-day supply) to $15.83 per pack.

Hancock said that the state negotiates the contract prices, not the county, and the local health department is hoping to find an alternative to the price increases.

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“We’re exploring all the different options and looking at generic replacements for the brand names,� Hancock said.

The current problem for the health board is that the fiscal 2006-2007 budget was already approved by the commissioners prior to Ortho’s price increase.

“The prices have been relatively stable for long time,� said Patti Lewis, nurse practitioner. “Ortho has justified the increase in that patents are running out and the increase is needed to stay competitive.�

In searching for cheaper alternatives, one goal of the health department is to continue the positive trend in teenage births.

During the first half of the ‘90’s, one in ten teenagers from 15-19 became pregnant in Stanly County, slightly above the state average of 9.7. Births in this age group in Stanly County dropped to one in 12.5 girls in the last half of the ‘90’s and one in 15.5 girls since 2000, both slightly better than the state average.

In 2004, Stanly County ranked 32nd in the state for the fewest teenage births one in 17.6 girls.

Watauga County was the lowest in the state at one per 53.5 girls and Orange County was second with one in 45.2 girls.

The highest rate in the state was Washington with one in 8.3 girls followed by Edgecombe, one in 9.1, and Hertford, one in 9.6.

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Pregnancy, birth control refused over moral qualms

August 7, 2006

Desperate to have a baby, Guadalupe Benitez was hoping her next try would finally work. So Benitez was stunned when a crucial moment arrived in her cycle and her fertility clinic refused to do the insemination procedure.

“I was in tears,� said Benitez, 34, of Oceanside, Calif. “I wanted to be a mom. I was in a panic.�

The clinic told Benitez, who is gay, that staff members were uncomfortable about treating her because of their religious values.

“I couldn’t believe what I was hearing. It was almost surreal,� Benitez said. “It was so upsetting.�

Benitez eventually conceived a boy, then twin girls, with the help of another specialist. But she sued the clinic and two of its doctors in 2001, charging discrimination.

“The psychological scars are still with me,� said Benitez, whose case is before the California Supreme Court. “I grew up in a very religious family. But I don’t think that religion tells you you can judge other people.�

Patients nationwide describe similar experiences – being shocked, judged, humiliated, frightened and angered when they have encountered health care workers who are overt in some religious beliefs.

Sometimes providers proselytize gay or unmarried patients but do provide care.

Sometimes they refuse to fill prescriptions for birth control or morning-after pills but refer patients elsewhere. Other times they refuse to treat them at all.

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Many patients decline to be identified because the refusals occur at deeply personal, often traumatic moments, such as the point of discontinuing care for a dying loved one.

But some patients agreed to be interviewed, including Deb, who was turned away by pharmacist Gene Herr at a drugstore in Denton, Texas, in 2004, when she tried to get the morning-after pill after being raped on a date. She discussed her experience with a reporter for the first time on the condition that her last name not be used.

“It almost felt like I was being raped again,� said Deb, who had already tried two other pharmacies. “I couldn’t believe someone could do something violent, and then I couldn’t have a choice about what to do about it. The horror of what I went through was almost as bad as the first assault. It was like twisting a knife in a wound.�

Deb, who describes herself as “more pro-life than pro-choice,� finally got the prescription. She did not get pregnant, but she remains shaken.

“I didn’t feel like I had to be burdened by being possibly pregnant after being violently attacked,� she said. “I don’t think it should be a pharmacist’s choice to make the decision about who should receive the medication and when.�

Cynthia Copeland also had a run-in with a pharmacist in 2004. He wrongly assumed she was planning an abortion because she had a prescription for a drug that can be used for that purpose. In fact, Copeland had already undergone a procedure to remove a fetus that had no pulse, and she needed the drug to complete the process.

“I was sitting there in the drugstore waiting and heard the pharmacist say really loudly, ‘I refuse to participate in an abortion,’ � said Copeland, 39, who lives near Los Angeles. “I felt so violated. The miscarriage was about grief, and that was made public in a way that really compounded my grief.�

In April Medeiros’ case, a doctor refused to send her records to a clinic where she sought an abortion last summer after discovering the fetus she was carrying had severe deformities. He also called her at home to try to persuade her to continue the pregnancy.

“I think he should leave his personal opinion out of it,� said Medeiros, 31, of Fall River, Mass. “It was a hard enough situation as it was. He just made it so much more difficult.�

Cheryl Bray, 42, a real estate broker in Encinitas, Calif., was flabbergasted that a family practitioner turned her away when she sought a routine physical needed to adopt a baby from Mexico. The doctor said he objected to a single woman’s adopting a child.

“He said something about how, according to his religious beliefs, children should have two parents,� said Bray, whose complaint against the doctor earlier this year was dismissed by the state medical board. “I was under a tight deadline. I started crying. I cried in his office, and then I went back to my car and cried for a long time before I could drive home.�

Bray found another doctor to do the physical and adopted the baby girl. But she said the experience still reverberates.

“I didn’t know what discrimination felt like before,� Bray said. But “now I know. It’s a horrible feeling.�

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Politics and machismo stunt Philippine birth control

August 2, 2006

“There are still a lot of people who just don’t buy condoms,” said the 29-year-old business student.

“It’s partly a religious thing — the act of buying them means that you intend to have sex. But there are a lot of guys who really don’t care if they get you pregnant.”

A macho culture and myths about side-effects from condoms, used by only an estimated 1.9 percent of married couples, and vasectomies mean that contraception in the developing Southeast Asian country is seen as the woman’s problem.

And a problem it is.

Now home to around 85 million people, the Philippines has one of the fastest-growing populations in Asia with around 2 million babies born every year, many of them in overstretched public hospitals where new mothers have to share beds.

The number of Filipinos is expected to swell to 142 million by 2040, by the government’s own estimates, and the rapid arrival of new mouths to feed is straining the country’s creaking infrastructure and choking efforts to cut poverty.

While family size has fallen to 3.5 children per woman from six in the 1970s, Filipino mothers, on average, still have one more child than they want to, according to research by the Alan Guttmacher Institute.

Around half a million women are estimated to have abortions every year despite the procedure being illegal and strictly taboo in the overwhelmingly Roman Catholic country.

Nearly 80,000 are hospitalized with complications.

PLAYING SAFE

The Catholic faith, which opposes artificial birth control, is often blamed for the population boom. But a government survey showed that among the 51 percent of married women who do not use family planning, only 2.4 percent said it was due to religion.

The main reason for women avoiding birth control, aside from wanting a child, was fear of side effects, sometimes reflecting the negative attitude of their husbands to condoms, intra-uterine devices and pills.

But a lack of education about contraceptives and poor access are also major issues and some experts say the government, under pressure from the dominant Catholic church, is to blame.

“I know so many Catholics practicing modern contraceptive methods and it doesn’t bother their conscience,” said Eden Divinagracia, executive director of the Philippine NGO council on population, health and wealth.

“But the administration right now is not supportive of family planning. The president is playing safe.”

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Successive governments have shied away from widely supplying contraceptives or teaching birth control in schools for fear of triggering the wrath of the country’s bishops, who can make or break an administration.

President Gloria Macapagal Arroyo, who survived an impeachment attempt last year, is particularly reliant on the support of the church and shows no sign of reversing her emphasis on natural family planning over artificial methods.

In the meantime, job creation cannot keep up with the growth in the labor force and education standards are dropping due to overcrowded schools.

Elizabeth Pangalanan, executive director of the Center for Integrative and Development Studies, said the state was conceding to one religion in matters of reproductive health.

“The state should enforce these rights,” she said at a recent forum. “The Catholic church has often exaggerated certain issues and takes them out of context. What it needs is honesty and truth-telling, which they often preach, regarding sex education.”

PRIVATE INITIATIVES

With the central administration turning the other cheek and only a handful of local governments devoting funding to condoms and pills, poor Filipinos — who make up the bulk of the population — must rely on foreign donors for contraceptives.

The U.S. government agency USAID has been the biggest provider of birth control devices in the Philippines for the past 30 years but has stopped supplying condoms and plans to end the rest of its contraceptive donation program by 2008.

USAID, which declined a Reuters request to comment, has said its phase-out was in line with Manila’s goal of self-reliance in family planning and pointed to the private sector as an alternative supplier of contraceptives.

But Dr. Zahidul Huque of the United Nations Population Fund said private businesses were not ready to take up where USAID was leaving off for fear of a negative reaction from the church.

“USAID are pulling out without preparing the country,” Huque said.

In the absence of a government push to tackle population growth, charities and local medical professionals are trying to fill the gap.

Dr. Jonathan Flavier, one of the few Filipino men to have had a vasectomy, is encouraging others to have the procedure. For him, the problem is not machismo but fear about an operation that lasts, at most, 30 minutes.

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