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Japan Eliminates Norway to Earn Matchup With Sweden-U.S. Winner

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Hinata Miyazawa scoring Japan’s third goal.Credit…Amanda Perobelli/Reuters

Japan has rarely run into problems in this Women’s World Cup, and in the fleeting moments things have looked close, its strategy has held firm: Press forward, attack, go for goals again and again.

Now, that aggression has the Japanese in line to face either Sweden or the United States in a quarterfinal after they picked apart Norway, 3-1, on Saturday night.

Not even Norway’s star striker Ada Hegerberg could counter the Japanese push as a late substitute. Hegerberg, the 2018 Ballon D’Or winner, had been dealing with a groin injury but entered the game with roughly 20 minutes left and Norway stepping up its attack.

Hinata Miyazawa solved for that quickly, just as it looked like Norway might tie the game. Miyazawa, with a quick, explosive burst, sprinted past Thea Bjelde and created enough space to slow down and size up one precise strike with her left foot to give Japan a two-goal lead.

So, what did Japan do with that newfound comfort? Press more, attack more and limit Norway’s chances to turn the tables. Norway got close for a moment with a crowd in front of the goal, but Ayaka Yamashita saved a header from Karina Saevik in spectacular fashion to keep Japan’s margin intact.

Norway’s only goal, which tied the game at 1 in the first half, was the first and only score that Japan has conceded in this tournament, a swift play from end to end.

But for so much of the game, especially before Hegerberg entered, that 15-second burst stood as the only sustained offense for the Norwegians as the Japanese pressed again and again.

Risa Shimizu scored on an aggressive takeaway, and Japan’s first score was an own goal by Ingrid Syrstad Engen as she stuck out a boot to try to stop Miyazawa from creating an opening.

Miyazawa, a newfound star who had only one goal in 20 games for her club in the Japanese league last season, got her fifth goal in this World Cup, the most of any player in this tournament. That tied Homare Sawa for the most goals by a Japanese player in a World Cup, a mark Sawa reached in 2011. Japan won the championship that year by defeating the United States in a penalty shootout.

Going into this tournament, Japan was seen as a solid club that was perhaps less intimidating than some of the biggest powers in the sport. It lost some games as it prepared for this tournament, including matches against the United States, Brazil and Spain. But its strategy looked more fully developed in wins against Canada and Portugal ahead of the World Cup, and Japan breezed through its group.

Its 4-0 victory against Spain was the strongest performance any team had in the group stage, and with its win against Norway, Japan showed it will be difficult to slow down.

Of course, the United States and Sweden will want that task. But they’ll have to clinch the showdown first.

And Japan will welcome the winner, knowing that its stock has risen higher, at least so far, than any team in this World Cup.

FDA Approves First Pill for Postpartum Depression

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The Food and Drug Administration on Friday approved the first pill for postpartum depression, a milestone considered likely to increase recognition and treatment of a debilitating condition that afflicts about a half-million women in the United States every year.

Clinical trial data show the pill works quickly, beginning to ease depression in as little as three days, significantly faster than general antidepressants, which can take two weeks or longer to have an effect. That — along with the fact that it is taken for just two weeks, not for months — may encourage more patients to accept treatment, maternal mental health experts said.

The most significant aspect of the approval may not be the features of the drug, but that it is explicitly designated for postpartum depression. Several doctors and other experts said that while there were other antidepressants that are effective in treating the condition, the availability of one specifically shown to address it could help reduce the stigma of postpartum depression by underscoring that it has biological underpinnings and is not something women should blame themselves for.

The hope is that it will encourage more women to seek help and prompt more obstetricians and family doctors to screen for symptoms and suggest counseling or treatment.

“This is a patient population that just so often falls through the cracks,” said Dr. Ruta Nonacs, a psychiatrist with the Center for Women’s Mental Health at Massachusetts General Hospital. “When women are told, ‘You have postpartum depression,’ it’s embarrassing, it is demeaning, it makes them feel like a bad mom.”

She added, “There’s also a lot of stigma about taking antidepressant medication, so that might make this treatment more appealing because it’s really a treatment specific for postpartum depression.”

An estimated 10 to 15 percent of women who give birth in the United States experience depression during pregnancy or in the year afterward. The condition can be accompanied by intense anxiety, shame, guilt, impaired sleep, panic attacks and suicidal thoughts or attempts. And it can make it difficult for mothers to provide their babies with the care, bonding and nurturing that is crucial for healthy development.

“Having access to an oral medication will be a beneficial option for many of these women coping with extreme, and sometimes life-threatening, feelings,” Dr. Tiffany R. Farchione, the director of the F.D.A. division responsible for the approval, said in a statement.

The pill, zuranolone, which will be marketed under the brand name Zurzuvae, was developed by Sage Therapeutics, a Massachusetts company that produces it in partnership with Biogen. It is expected to be available after the Drug Enforcement Administration completes a 90-day review required for drugs affecting the central nervous system, Sage said. The companies have not announced a price for the pill.

The companies had also applied for approval to use the drug for major depressive disorder (also called M.D.D.), a much larger potential market. Sage and Biogen said in a statement late Friday night that the F.D.A. had told the companies that “the application did not provide substantial evidence of effectiveness to support the approval of zuranolone for the treatment of M.D.D. and that an additional study or studies will be needed,” and it added that Sage and Biogen “are reviewing the feedback and evaluating next steps.” Several psychiatric experts have said the data for the drug’s use in treating that disorder is less convincing.

The only other drug approved for postpartum depression is brexanolone, also developed by Sage and marketed as Zulresso. But brexanolone, approved in 2019, requires a 60-hour intravenous infusion in a hospital, carries risks of loss of consciousness and costs $34,000. Sage says only about 1,000 patients have received it so far.

Taking a pill for two weeks is much easier, not requiring a mother to leave her baby for several days. However, the F.D.A. did require the label to include warnings about possible suicidal thoughts and behavior, sleepiness and confusion. The label will also include a so-called “black box warning” that patients should not drive or operate heavy machinery for at least 12 hours after taking the pill. The pill should be taken in the evening “with a fatty meal,” the agency’s announcement said.

Doctors said Zurzuvae would not be appropriate for everyone experiencing postpartum depression. For those with mild to moderate depression, talk therapy can work well. Dr. Kimberly Yonkers, chairwoman of the psychiatry department at University of Massachusetts Chan Medical School, said she would probably not recommend Zurzuvae for patients with longstanding recurrent depression or for “somebody who has a severe episode with a suicidal attempt or hospitalization because you don’t give them a treatment for two weeks and then stop it.”

Appropriate patients, she said, might include “people who have not had a complete response to another antidepressant.”

Dr. Alison Reminick, director of the women’s reproductive mental health program at the University of California, San Diego, said about 10 percent of her patients would be likely candidates. Those would include women experiencing depression for the first time. Such patients are at higher risk of developing bipolar disorder, she said. Although drugs such as Lexapro, Zoloft and other selective serotonin reuptake inhibitors (S.S.R.I.s) work, they can cause mania in those patients, she said.

She would also offer Zurzuvae to women whose depression was accompanied by anxiety or insomnia because studies suggest it may ease those symptoms.

“I’m a huge fan of S.S.R.I.s,” Dr. Reminick said, but noted that many patients resisted trying medication. “I think this will be much easier to get them to just try this for two weeks.”

Data submitted to the F.D.A. came from two company-funded clinical trials involving about 350 patients. A majority of those receiving Zurzuvae (72 percent in one trial, 57 percent in another) clinically responded to the treatment after the two-week course, meaning that their scores on a standard depression scale improved by 50 percent or more.

Depression also improved in women receiving the placebo, a common phenomenon in studies of depression treatments, possibly because interacting with medical teams in a trial is itself helpful. But in the group receiving Zurzuvae, the improvement was consistently greater, by several points, beginning three days after starting the medication. Fifteen days after taking the first pill, Zurzuvae patients were significantly more likely to have a low enough depression score to be considered in remission.

The effect continued after the patients stopped taking the medicine, throughout the 45 days that they were monitored in the trials. But several maternal mental health experts said longer-term data was needed to determine if patients relapse.

The main side effects of Zurzuvae were sleepiness and dizziness. The trial participants did not show evidence of increased suicidal thoughts or withdrawal symptoms after stopping the drug.

Amy Bingham, 33, of Gibsonville, N.C., received Zurzuvae in a clinical trial in 2018, about six months after giving birth to her son Benjamin.

Ms. Bingham, who works from home for a call center, had experienced depression as a teenager, but her postpartum depression symptoms were different, including panic attacks, tears and shortness of breath.

“I was very anxious that I would do something wrong, that Ben would get hurt because of a mistake I would make,” she said, “that I wasn’t able to respond to his needs effectively and that because I wasn’t able to, he would be an unhappy baby.”

Sometimes, she said, “I would think I was a terrible mother because I couldn’t soothe my own child.”

Her depression scores recorded in the trial improved by the third day on the medicine and reached remission levels by Day 15, according to data shared with The New York Times.

Under standard procedure in such trials, Ms. Bingham did not know if the pill she took for two weeks was Zurzuvae or placebo. She said: “I didn’t feel a lot of improvement at first. It did take about a month for me to start feeling some of the benefits.”

But gradually, she said, “I did start to feel calmer.”

“I wasn’t having as many days where I was feeling as tearful,” she continued. Eventually, “I felt that I could enjoy my time with my son.”

Zurzuvae contains a synthetic version of a neurosteroid or brain hormone called allopregnanolone, which is produced by progesterone and helps regulate a mood-related neurotransmitter, said Dr. Samantha Meltzer-Brody, director of the Center for Women’s Mood Disorders at the University of North Carolina at Chapel Hill and a lead investigator for the trials of Zurzuvae for postpartum depression.

During pregnancy, “levels of estrogen and progesterone rise many-fold and then they fall precipitously at the time of childbirth,” she said. She added that, for genetic or other reasons, women who develop postpartum depression seem especially sensitive to that surge and drop-off, which also lowers allopregnanolone levels.

Typically, “increases in allopregnanolone help deal with acute stress,” said Amy VandenBerg, a psychiatric pharmacist at the University of Michigan. Zurzuvae might address postpartum depression by essentially replenishing depleted allopregnanolone and targeting the same neurotransmitters to stabilize mood, she said.

Although many cases of maternal depression begin in pregnancy, the pill is not being recommended until after childbirth because it operates on a hormonal pathway and wasn’t tested in pregnant women, Dr. Meltzer-Brody said. The label will warn that the drug could cause harm to a fetus and will advise women to use contraception while taking the pill and for a week afterward.

The pill was not tested in women who were breastfeeding their babies. Several doctors said they would inform patients who were considering taking it that there was little data about the drug’s effect on lactating. Some women might be able to pump milk for the two weeks they plan to take Zurzuvae and resume nursing afterward. Some S.S.R.I.s and other antidepressants have been found to be safe for breastfeeding.

About 15 to 20 percent of women in the trials continued taking other antidepressants they had been on for a while. Experts said it was possible that for some patients Zurzuvae would be an adjunct medication or would be used as a bridge to longer-term antidepressants.

“It’s not the only treatment that’s helpful for postpartum depression, but the innovation and the excitement about this is that it’s specific, designed to target postpartum depression based on potential biological causes,” said Wendy Davis, executive director of Postpartum Support International, a nonprofit that raises awareness and provides resources for those experiencing maternal mental health issues. “It gives the understanding that there is a biological reason for what you’re feeling right now,” she said, adding “It is not your fault.”

The fact that there’s a medication prescribed for a mother’s depression might prompt family members to “give recognition to it and increase how much help they give mom,” Dr. Reminick said.

“If it gets more people into treatment, that’s wonderful,” Dr. Nonacs said. “If it doesn’t work, they’re connected with providers and we can try other things. So it opens a door for treatment that has been hard to open in the past.”

Battle at Sea Intensifies as Ukraine Drone Hits 2nd Russian Ship in 2 Days

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A Ukrainian maritime drone packed with explosives rammed into a Russian oil tanker early Saturday off the eastern coast of occupied Crimea, Russian officials and a Ukrainian official said, the second strike on a Russian ship at sea in two days.

That attack coincided with a new directive from Ukraine’s maritime authority, dated Friday, warning that six Russian Black Sea ports and the approaches to them would be considered “war risk” areas until further notice. The notice expanded on a less specific warning last month that any vessels sailing to ports in Russia or occupied Ukraine would be considered military targets.

Taken together, the tanker attack — which occurred in the Kerch Strait near a critical bridge connecting Russia and the Crimean peninsula — and Kyiv’s new directive have ratcheted up the threat of expanded violence in the Black Sea. Tensions had already been stoked by Russia’s sustained aerial assault on Ukraine’s ports since Moscow decided last month to withdraw from a U.N.-brokered deal allowing Ukrainian grain exports.

The moves fit into Ukraine’s newly emboldened strategy of taking the war into Russian territory, as enunciated recently by the country’s president, Volodymyr Zelensky. It was, “inevitable, natural and absolutely fair,” he said, that the war “is returning to the territory of Russia — to its symbolic centers and military bases.”

This week Ukrainian drones hit a Moscow skyscraper housing government ministries twice within 24 hours. And on Friday, another maritime drone damaged a landing vessel of the Russian Navy near the Russian port of Novorossiysk, a key naval and shipping hub on the northeastern shore of the Black Sea.

A Ukrainian official, speaking on condition of anonymity to discuss a classified military operation, acknowledged that Ukraine was behind Saturday’s attack on the Russian tanker. The vessel was identified by The New York Times as the Sig, which was placed under United States sanctions in 2019 for assisting Russian forces in Syria.

The ship was last tracked to a position about 12 miles south of the Kerch Strait Bridge, in the waterway linking the Sea of Azov and Black Sea, according to recent satellite imagery and marine traffic data.

Russia’s Foreign Ministry immediately denounced Saturday’s strike and promised to retaliate. Russian maritime authorities said the engine room of the oil tanker was damaged in the attack, but that the ship remained afloat. There was no oil spillage and no crew members were injured, it said in a statement on the social messaging service Telegram.

Shortly after the tanker was hit, the crew issued a distress call. “We can’t move on our own without a tugboat,” one crew member said, adding that the cargo tanks were empty, according to audio of the call that was corroborated with ship tracking data by The New York Times. “Machine room is completely flooded.”

According to tracking data from Pole Star, which follows marine traffic, and a photo verified by The Times, at least one tugboat was dispatched to assist.

As Ukraine steps up its long-range assaults, officials who once maintained a studied ambiguity regarding strikes in Crimea and Russia have been increasingly taking credit, even if they refrain from explicitly claiming individual attacks.

Vasyl Malyuk, the head of the Security Service of Ukraine, said in a statement on Saturday that Ukraine was responsible for the recent attacks on the Russian ships, calling them a “logical” and “effective” tactic — without specifically mentioning the strike on the oil tanker.

If Russia wants to stop the attacks, he said, “they should use the only option for this — to leave the territorial waters of Ukraine and our land.” His remarks came a day after Ukrainian forces hit the Russian landing ship, the Olenegorsky Gornyak, in the port of Novorossiysk.

The Novorossiysk strike was not expected to have an immediate impact on world oil markets, analysts for the Eurasia Group said in a note on Friday, before the tanker was struck.

But noting that crude exports from Novorossiysk average around 1.8 million barrels a day, or around 2 percent of global supply, the analysts said “the loss of this volume in the current market could push oil prices to over $100 per barrel.”

Britain’s Defense Intelligence Agency said in a statement that the Novorossiysk strike had “seriously damaged” the 370-foot-long landing ship, dealing a “significant blow” to Russia’s Black Sea Fleet.

The agency further noted that Russia had relocated many of its units to Novorossiysk in light of the “high threat” to ships in the port of Sevastopol, which lies on the west coast of Crimea within range of Ukrainian missiles as well as drones.

Kyiv’s increasingly bold strikes at sea come as its forces are waging a slow and bloody counteroffensive to recapture Russian occupied territory in southern Ukraine. Having been repelled by Russian antitank mines and other defenses, Ukraine has shifted strategy to degrading Russia’s fighting capability with strikes on fuel and ammunition depots in Russian-occupied territory. It has achieved no major breakthrough thus far, however.

Victoria Kim, Riley Mellen and Dmitriy Khavin contributed reporting.

Summer Travel and Climate Change: Will Vacation Be a Thing of the Past?

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You can’t escape the orange. That’s what travelers this summer have been reckoning with — swaths of tangerine, traffic cone and burnt sienna on maps indicating record high temperatures around the globe. Four concurrent heat domes from the southern United States to East Asia descended on millions — Phoenix residents enduring 31 days of 110-degree-plus temperatures. Italians in more than a dozen cities under extreme weather warnings. And in South Korea, at least 125 people were hospitalized for heat-related conditions at the World Scout Jamboree.

In Florida, it got so bad in June that Jacki Barber, 50, a clinical social worker and eighth-generation Floridian, canceled a beach trip to St. Augustine. “The water temperature was like 89 degrees,” Ms. Barber said.

“We’re used to hurricanes ruining plans, tropical storms, even just bad thunderstorms,” she said. “But I don’t recall ever looking at anyone and saying ‘It’s too hot to go to the beach.’”

As the summer travel engine kicked into high gear this year, it wasn’t just the scorching heat affecting carefully laid plans. There were also fires, floods, tornadoes and hail storms. Eight inches of rainfall left parts of Vermont coping with catastrophic floods. Tens of thousands of people, including thousands of tourists, had to evacuate islands in Greece because of wildfires. (Prime Minister Kyriakos Mitsotakis on Wednesday offered a free weeklong stay in 2024 to those travelers affected — in spring or fall.) The popular music festival Awakenings canceled a date in the Netherlands because of concern over hail, lightning and thunderstorms.

Increasingly dangerous weather now hits classic summer destinations, with conditions growing more erratic, expensive and deadly. According to the National Oceanic and Atmospheric Administration, the United States has experienced four climate disasters since May, each causing over a billion dollars in damages. The National Park Service estimates that more visitors have died of heat-related causes since June than do in an average year. The indirect toll is almost certainly higher: A recent study found that summer heat waves killed 61,000 people in Europe last year.

Summer trips have long been treasured. Sure, airport lines are longer and hotel rooms go quicker, but school’s out, the sun’s out and beaches beckon. Summer travel cuts across social class; whether you go to a state fair or Sardinia, you cash in precious vacation days. You suntan, you eat more indulgently and reach for your wallet with less angst. Travel helps you hide from reality, or at least pause it for a bit.

But even if the idea of a summer getaway remains culturally resilient, is it still practical? Where to go is certainly less obvious — you can’t hide from reality when reality is 100-degree seawater, or a raging wildfire.

For decades, science has confirmed that unabated climate change will cause more misery, more hardship and cost millions of lives in the years to come. We’re getting a taste of the results this summer. Our relationship to travel has reached a tipping point. What happens when we can’t just vacation through it?

Despite all the crises, global arrivals — the total number of tourists who cross a border — are projected to be up 30 percent from last year, according to the Economist Intelligence Unit, a research division of the media company. The World Tourism Organization reports that travel to Europe is now at 90 percent of prepandemic levels.

And tourism is big business. The sector’s growth outperformed global gross domestic product growth by more than 40 percent in 2019, according to the World Travel & Tourism Council. That same year it employed 333 million people worldwide — equivalent to one in 10 jobs — and accounted for more than 10 percent of the global economy.

So endless lines once again stretch toward the Louvre, around the Colosseum and up the steps to the Acropolis (which has already closed several times this summer during the afternoon hours). The visitors who line up there and at other destinations aren’t easily deterred by sweltering temperatures. They bought flights, they paid for rooms, and they scheduled and apportioned their limited time. A spokeswoman for Booking.com, Leslie Cafferty, said that the company was “not seeing any signals of people pivoting or rethinking their original travel plans.”

Susanne Becken, a professor of sustainable tourism at Griffith University, in Australia, said the issues we face are compounded in part by consistent global tourism practices over the past 50 years.

“Everything has been geared for that desire to seek the sun,” she said. Think of the airports, accommodations and other capital-intensive projects erected to serve the visitors of historically sunny places. “Accordingly, we’ve built massive infrastructure in the likes of the Mediterranean and Mexico and so on.”

Now Italy offers nearly 1.1 million hotel rooms; Finland has fewer than 65,000. Decades of predictable travel have dug deep grooves to popular hubs, complicating the most intuitive solution to a changing climate: simply going somewhere else.

Yet change is coming, whether or not cooler destinations have the room. The European Commission projects that tourism on the continent — already the world’s biggest tourist draw — will grow regardless of warming conditions, but that higher temperatures will migrate demand, sending more tourists to Northern Europe instead of the Mediterranean. Southern regions would lose nearly 10 percent of their current summer tourists in one scenario.

Already some travelers have been altering their itineraries.

Miku Sekizawa and her family planned to fly from Chicago to Athens in August, but the weather gave her pause. She’s expecting, due in November, and also has a 2-year-old. “We changed our itinerary last week since we realized how hot it is over there. I am no good at dealing with heat and being pregnant,” Ms. Sekizawa, a 36-year-old accountant, said. Since they booked with points and free cancellation policies, they changed their flights and are instead visiting Paris, Strasbourg and Amsterdam.

But temperate destinations are confronting their own climate issues. Avery Baldwin, a 27-year-old tennis coach who lives in Brooklyn, has regularly visited a small town in New Hampshire his whole life. Rain has pummeled the area this summer; a University of Massachusetts Amherst study found that more precipitation has fallen in New Hampshire every year in the past 10 years than the 20th-century average.

“It is definitely a frequent conversation topic,” Mr. Baldwin said. Wet conditions make the usual activities, like hiking, more treacherous and drive people indoors. “There’s always puzzles,” he said, adding that he plans to return this summer.

Some governments are implementing policies to reroute tourist traffic. China has committed to building large mountain resorts as part of a program it calls “22 degree destinations” — 22 Celsius (or 72 Fahrenheit) being the optimal holiday temperature, according to China — designed to lure domestic tourists from cities like Shanghai and Beijing during the hottest months. Dr. Becken, the sustainable tourism professor, attended a climate change conference at which the government unveiled the initiative. “They’re systematically building up resorts in the mountains,” she said.

Hotels, tour operators and service providers too must contend with increasingly volatile conditions threatening their livelihoods and frustrating their customers.

“People are coming here generally to do something,” said Pierce McCully, the proprietor of Villa Trieste M in the Italian town of Asolo. Nestled in the foothills of the Dolomites, the villa is popular with hikers and cyclists. But this summer the area has suffered through a series of extreme weather incidents, from persistent rains to a hailstorm that made international headlines. Over a quarter of bookings canceled, and the visitors who do come rely more on indoor amenities. “We really wanted to avoid having TVs,” Mr. McCully said, but guests stuck in a room can raid the minibar only so many times.

Chris Kelly and Nina Rehfeld, a husband-and-wife team who own Grand Canyon Journeys, a tour business based in Sedona, Ariz., said they had become more cautious when offering hikes into Grand Canyon National Park and nearby Antelope Canyon.

“This year it seems downright dangerous,” Ms. Rehfeld said. Two women in their 70s booked a walk through Antelope Canyon during a heat spell; temperatures topped 110 degrees in the shade. Mr. Kelly took them on a driving tour instead, shuttling between landmarks with the air-conditioning cranked up.

Jason Danoff offers guided hikes and biking tours with Trail Lovers Excursions, also in Sedona. Cancellations have caused his revenue to drop from last year. “You’re getting hit on both sides, because you’re paying the guide plus refunding the money,” he said. But when the Forest Service unexpectedly closes a property, or a heat wave imperils customer safety, there’s not much he can do. At the same time, Mr. Danoff’s insurance costs have increased 60 percent. He intends to push more bookings to the shoulder seasons, but that has its risks too.

“You might spend a ton of money to try to ramp up, say January and February,” he said, “but then you could have 50-plus days of precipitation, and it could be a complete loss.”

To mitigate the heat in Paris, the Eiffel Tower has installed overhead misters and water stations for those waiting in line, according to Patrick Branco Ruivo, the tower’s director general. It has also moved more of its ticket sales to an online reservations system, which cuts down on wait times for visitors.

That’s just one stakeholder. The travel industry by its nature is fragmented: A daisy chain of operators — airlines, rental-car companies, tour guides, insurance providers, hotels and restaurants, museums or cultural attractions — serve and profit from tourists, but they rarely function in lock step on any issue.

Indeed, a 2007 report commissioned by the World Tourism Organization, United Nations Environment Program and World Meteorological Organization said that academic studies of how local tourism officials and operators assess the risk of climate change found “relatively low levels of concern and little evidence of long-term strategic planning for future changes in climate.”

Historically, a tourism ministry was “a marketing office” with light research and investment capabilities, said Professor Becken. Tourism officials are given mandates to entice additional visitors and — aside from rare cases in some wealthy and over-touristed destinations, like Amsterdam — not turn them away on account of safety.

Some nations — not coincidentally, those most dependent on tourism — have disaster plans and agencies specifically for travelers. The Bahamas has established a Tourism Emergency Coordinating Committee to ensure that the industry can effectively respond in the case of a major hurricane.

Right now, many countries rely on local governments and volunteers. In Italy, “each region has its own civil protection system, and each city mayor has civil protection responsibilities,” said Pierfrancesco Demilito, the head of the press office at the Italian Civil Protection Department. The department helps allocate resources nationally, but “it is the mayor of Rome, or Florence, or Venice,” in the event of an extreme weather alert, who “decides the measures to be carried out,” he said.

But bracing for hotter conditions will require more synchronized efforts at the federal, state and municipal levels, and perhaps more dedicated agencies.

In the absence of national or unified support, planning may fall to corporations with pockets deep enough to marshal resources at scale. “Disney is sort of a poster child for a really good way to handle large numbers of people effectively,” said Daniel Scott, a professor of geography and environmental management at the University of Waterloo, in Canada. He suggested that the business model of globalized tourism may start to mimic the integrated resorts typified by Disney, where a single entity owns the infrastructure and controls visitor experiences with greater predictability.

It’s impossible to know where we go from here. But the cognitive dissonance of summer travel in a warming world is catching up to us. Tragic headlines and statistics are prompting hard looks at the nature of tourism: who benefits and who gets to participate. More people will find themselves confronting personal and increasingly tough decisions — and, like Ms. Barber, perhaps choosing a less appealing but more comfortable option: “We just all stayed home and huddled in a room with the air-conditioner on,” she said.

Lauren Sloss and Niki Kitsantonis contributed reporting.

Follow New York Times Travel on Instagram and sign up for our weekly Travel Dispatch newsletter to get expert tips on traveling smarter and inspiration for your next vacation. Dreaming up a future getaway or just armchair traveling? Check out our 52 Places to Go in 2023.

‘Rooftopping’ Is Popular on Instagram, but the Risks Are High

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Remi Lucidi, a sergeant in the French Army, died far from a battlefield. His body was found last week aside a Hong Kong skyscraper where he had been spotted near the rooftop.

In his spare time, Mr. Lucidi, 30, was a “rooftopper,” shorthand for someone who takes photos and selfies from the tops of tall buildings, sometimes by trespassing. After his death was reported, some Instagram users debated the value and purpose of his art, which involved clambering onto ledges and antennae in cities across Europe, Asia and the Middle East.

To friends and admirers, Mr. Lucidi’s spine-tingling photos were the work of a talented, restless adventurer. To his critics, they were a case study in reckless risk-taking.

That debate mirrors tensions within a broader movement called “urban exploration,” or “urbex,” one that is often associated with people who trespass in order to tell the stories of abandoned properties. Rooftopping is part of urbex, but many of its practitioners are more interested in producing social media content than in exploring marginal urban landscapes with a quasi-academic spirit.

In an extreme example, the Russian model Viki Odintcova dangled from a Dubai skyscraper without safety equipment. Her stunt generated more than 1.6 million views after she posted it on Instagram in 2017, and plenty of criticism.

“To Model Viki Odintcova: That Photo Was Really Not Worth Risking Your Life,” read the headline of a Forbes commentary. (She did not respond to a request for comment.) Several others around the world have died while rooftopping in recent years.

Criticism sometimes comes from within the urban-exploration movement. A prominent rooftooper, the Toronto-based photographer Neil Ta, quit the practice about a decade ago, saying that he had been disillusioned to see the pastime turn into a contest over who could take the most dangerous pictures. Other critics are urbex veterans who object to the rooftopping ethos.

“Rooftopping is focused more on the thrill and the experience of being in high, vertiginous and perilous locations, whereas urbex explores abandoned places in a way that is safer, more documentational and historical in nature,” HK Urbex, a collective of masked explorers in Hong Kong, said in a statement.

HK Urbex, whose members venture into abandoned or dangerous sites across the Chinese territory as a way of exploring its history, said that rooftoppers have died around the world from a combination of inexperience, overconfidence and the desire to take thrilling pictures.

“A life is not worth a like on social media,” the collective said.

Theo Kindynis, a sociologist who has studied rooftopping, said that to many urban explorers, young rooftoppers who engage in made-for-Instagram antics are known as “dangle kiddies.”

“Remi’s Instagram is full of the same tropes — legs dangling in front of a cityscape, selfie stick on top of a mast, silhouetted figure on a ledge — that were already becoming cliché in 2016,” said Mr. Kindynis, a professor at Goldsmiths, University of London, referring to Mr. Lucidi.

Some rooftoppers push back against that characterization. One is Baptiste Hermant, 23, a Frenchman who has posted “dangling” photos but described himself in an interview as an explorer, not a rooftopper.

Mr. Hermant said most of his urban exploration happens off camera, and that he does it mainly for the pleasure of drinking beer with his friends on rooftops, after nighttime climbs, while watching the sunrise.

“To be on a roof is just my thing,” Mr. Hermant said, adding that he sees urban exploration as a natural outgrowth of a childhood spent scaling rocks and trees.

As for Mr. Lucidi, his friends described him in interviews as an experienced climber who had a particular interest in Hong Kong’s dramatic skyline. A statement posted to one of his Instagram pages this week called him an “extraordinary photographer who captured the beauty of the world from breathtaking heights.”

One of his friends, the Bulgarian rooftopper Yordan Boev, said on Instagram that he planned to “conquer fear everyday” as a way of honoring his friend’s legacy.

“Steel towers are very much like friendships,” he wrote in another post that showed the two men taking a selfie together in Bulgaria, with Mr. Lucidi holding the camera. “We build them strong and tall.”

Julien Kolly, a gallerist in Zurich who represents a French graffiti artist known for urban exploration, said that Mr. Lucidi reminded him of Alain Robert, a French stuntman who has scaled buildings around the world for decades. He added that Mr. Lucidi’s social media posts were merely a product of his era.

“During his time, Alain Robert could only rely on the press to cover his ascents, whereas nowadays, Remi Enigma takes charge of staging and photographing his own exploits to feed his Instagram account,” Mr. Kolly said, referring to Mr. Lucidi’s Instagram nom de plume.

Mr. Lucidi’s death was confirmed by telephone on Thursday by the French military and reported earlier by The South China Morning Post and other news outlets. He was on vacation in Hong Kong when he died, said a French military spokesperson who declined to be named, citing protocol.

The Hong Kong authorities have not confirmed the exact circumstances of the death, saying only that the police officers found Mr. Lucidi’s body after responding to a call from a security guard.

Mr. Lucidi’s Instagram page includes 143 posts from excursions around the world — London, Bangkok, Dubai, Mexico City and so on. In one post, he explained that he traveled widely “to get more adrenaline to find a better way to enjoy life.”

Many of his posts were accompanied by hashtags like #urbanrogues and #scaryhighstuffs, and playful captions that made light of the risks he took to get his shots.

“Relaxing on the Edge,” he wrote of lying on a roof ledge in Warsaw two years ago.

Mr. Lucidi had made several trips to Hong Kong. His last target there was the Tregunter Towers, a three-building luxury residence that sits on a quiet, winding road near the mountainous spine of the city’s main island — high above the trams, buses, office buildings and pedestrians below. The South China Morning Post reported that a witness had seen him knocking on the window of a 68th-floor penthouse.

On Friday morning, security guards at the complex were standing behind a black gate shrouded by subtropical foliage with purple flowers. Domestic workers guided pedigree dogs and baby strollers up and down narrow, twisting sidewalks.

A few runners were heading further uphill, toward a hiking trail that climbs through a forest to a mountain peak with panoramic views. Some paused to look back at the same skyline that Mr. Lucidi had captured in his last post.

Trump Indictment Presents New Obstacle in Spending Fight as Shutdown Looms

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The political furor over the indictment this week of former President Donald J. Trump over his efforts to overturn the 2020 election is spilling into the escalating congressional spending fight as conservatives, following the former president’s lead, take aim at federal law enforcement agencies, raising yet another obstacle to avoiding a government shutdown.

Representative Marjorie Taylor Greene, the far-right Georgia Republican who has become a close ally of Speaker Kevin McCarthy, reacted to the indictment by vowing to try to cut funding for the special counsel Jack Smith while suggesting she would oppose other law enforcement spending measures as well. With Republicans already pressing for deep spending cuts and social policy requirements that have alienated Democrats, they will likely have only four votes in their own party to spare, meaning just a handful of defections could sink the bills.

“This is nothing but a political assassination, and I will not vote to fund a communist regime,” Ms. Greene said in a statement after the latest indictment of Mr. Trump, the front-runner in the Republican presidential primary race. “I will not vote to fund a weaponized government while it politically persecutes not only President Trump but all conservative Americans.”

Her broadside echoed one by Mr. Trump himself, who after pleading not guilty in April to 34 felony charges in Manhattan alleging that he orchestrated a hush-money scheme to pave his path to the presidency and then sought to cover it up, called for cutting funding of the Justice Department on his social media platform.

“REPUBLICANS IN CONGRESS SHOULD DEFUND THE DOJ AND FBI UNTIL THEY COME TO THEIR SENSES,” he wrote then.

Any attempt by the House to do his bidding would be dead on arrival in the Democratic-led Senate and at President Biden’s White House. But the Republican unrest over the indictment appears to have injected a powerful new political incentive into the struggle over spending, increasing Republicans’ appetite for a shutdown fight. That could present a difficult new dynamic for Mr. McCarthy as he seeks to placate the conservative wing of his party while avoiding a lapse in government funding on Oct. 1.

A right-wing advocacy group with significant influence among the most conservative House Republicans has been clamoring for months for deep cuts and “systemic changes” to the F.B.I., an approach that could gain momentum in light of the indictment. Lawmakers who had been hesitant to slash the law enforcement budget may now be emboldened to do so.

“Ending the weaponization of the F.B.I. means defunding the worst areas of corruption & the focus on intelligence that led it away from actual law enforcement,” Russ Vought, a former top Trump administration budget official who now leads the right-wing Center for Renewing America, wrote late last month on X, the social media platform formerly known as Twitter.

Mr. Vought’s group called for more than $2.5 billion in F.B.I. reductions — a nearly 25 percent cut. Those cuts would be far below the reductions House Republicans are already considering in what is already seen as an austere plan.

House Democrats already uniformly oppose the emerging spending bills since they are below the spending levels agreed to by Mr. Biden and Mr. McCarthy in their deal to suspend the federal debt limit and contain numerous conservative policy riders they find objectionable.

Should conservatives prevail in their insistence on even deeper cuts and other restrictions on federal law enforcement, it could drive off more mainstream Republican votes. If conservatives like Ms. Greene do not get what they want and oppose the legislation, Mr. McCarthy would face a painful dilemma: Either allow the spending measures to fail and force a government shutdown for which his party would almost certainly be blamed or cooperate with Democrats to pass the bills and put his leadership position at risk.

The conservative animosity toward the F.B.I. is a stark break with the traditional Republican orthodoxy of strong support for law enforcement. It has little traction in the Senate, where Democrats and Republicans have been working in a bipartisan fashion to advance spending bills for consideration when the Senate returns next month. Most senators of both parties would be opposed to entertaining the sort of spending reductions for law enforcement sought by the House conservatives.

“I do not believe that there will be support in the Senate for defunding the F.B.I. despite its mistakes outlined by the inspector general, nor do I believe that an effort to restrict the Department of Justice would be successful,” said Senator Susan Collins of Maine, the top Republican on the Appropriations Committee, referring a 2019 report on the Justice Department’s investigation into links between Russia and Trump campaign aides in 2016. “Our country is experiencing a crime wave, and we are in the midst of a serious drug epidemic. We need more law enforcement officers, not fewer.”

But members of the Freedom Caucus and other hard-right lawmakers in the House say the Department of Justice’s pursuit of Mr. Trump and those arrested and jailed for the Jan. 6, 2021, assault on the Capitol are examples of how the F.B.I. has lost its way in the aftermath of the Sept. 11, 2001, terror attacks, which resulted in Congress granting them new powers.

“I’d like to take it back to a minimum, sort of pre-9/11 focus on crime and working with state and local jurisdictions to combat crime and not be so much dwelling on domestic terrorism,” said Representative Chip Roy, a Texas Republican and member of the Freedom Caucus.

He and other conservatives are looking to at least block construction of an estimated $4 billion new F.B.I. headquarters in the Washington suburbs, a project being hotly pursued by Democratic lawmakers from Maryland and Virginia.

The Center for Renewing America proposes steps well beyond blocking the headquarters. In a July 25 report, the organization called for significant changes in operational funding for the F.B.I., including eliminating all spending on the intelligence branch, saying the $1.9 billion arm of the F.B.I. had become a domestic intelligence agency turned against “law-abiding Americans and those holding disfavored views.”

House Republicans were already struggling to win approval of their spending measures because of an internal divide over additional spending cuts sought by conservatives and abortion rights restrictions and other policy initiatives opposed by fellow Republicans.

When Congress returns in September, the House and Senate will have just a few weeks to try to pass their spending bills and reconcile their significant differences before the Sept. 30 deadline marking the end of the fiscal year, an outcome that seems highly unlikely.

To avoid a shutdown, Congress would then need to pass a stopgap spending bill, but even that temporary solution is no sure thing, given conservative demands for guarantees of deep spending cuts before moving forward.

He was sleeping with a snoring machine. Then his ex entered the room, Florida cops say

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A Florida man had a rude awakening early Tuesday morning at his St. Petersburg home, according to a report from the Pinellas County Sheriff’s Office.

Deputies responded to the house at around 3:45 a.m. on a disturbance call, the complaint says. They met with the victim, who told them he was sleeping in his bed, wearing a CPAP (continuous positive airway pressure) device when his ex wife came in to the room and ripped it off his face.

READ MORE: Florida man accused of dunking woman in tar

After she tore off his machine, which helps prevent snoring and sleep apnea, he said the suspect began “arguing” with him, the report said. The alleged attack left him with a “bloody” lip.

Investigators say the exes, both 42, live together, despite splitting in 2009.

READ MORE: Florida woman arrested after throwing burrito, cops say

Investigators found that the ex wife “did intentionally touch or strike” the victim against his will and was arrested.

She was booked briefly into the county jail on a charge of domestic battery. A Pinellas judge ordered the two to have no contact.

3 Factors Keeping Americans From Wegovy and Other Weight-Loss Drugs

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That’s the median weight loss experienced by people who take Wegovy, a drug from Novo Nordisk.

The new drugs are the first truly effective obesity medicines. They act by stemming people’s appetites and cravings for food. Many patients started by taking Ozempic, a diabetes drug also by Novo Nordisk that led to weight loss as a side effect. But many more patients are asking for Wegovy, which is approved for obesity. Mounjaro, made by Eli Lilly and approved for treating diabetes, is expected to be approved soon for obesity. People taking it lose a median of 20 percent of their body weight.

Obesity is a chronic disease that can result in diabetes and other conditions like high blood pressure, heart disease, sleep apnea and joint problems.

But it was so difficult to treat obesity that many doctors and patients had all but given up.

Dr. David A. D’Alessio, director of endocrinology at Duke University and a member of Eli Lilly’s scientific advisory board, said he had resisted starting a weight-loss clinic at his university. Patients who are told to diet and exercise “get defeated over and over again,” he said.

Now, he said, he has changed his mind.

The shifts in attitude about obesity can also be seen in the KFF survey, said Dr. Ania Jastreboff, an endocrinologist and obesity-medicine specialist at Yale University and a consultant for the makers of the new drugs. After decades of hearing that losing weight was just a matter of exerting willpower, most of the public is intensely interested in medical treatments.

“Previously,” she said, “that was not the case.”

Obesity-medicine specialists say new drugs that are even more powerful than Wegovy and Mounjaro are going to change prospects for people with obesity in a way that has eluded researchers for decades.

While price and insurance coverage pose problems for patients, health economists expect prices to come down as more drugs are approved and companies face competition. Private insurers are also being pressured to pay; for now, many do not. Medicare is forbidden by law to pay for weight-loss drugs, although there is an intense lobbying effort to change that.

While the KFF survey showed that many potential patients resisted injection, the delivery of the drug with a thin, short needle is quick and easy, said Dr. Robert F. Kushner, an obesity-medicine specialist at Northwestern University Feinberg School of Medicine.

“In my experience, people find a weekly self-injection OK since it takes less than one minute and is a lot easier than they thought,” said Dr. Kushner, who is on the advisory board for Novo Nordisk.

Some companies are also studying an oral version of the medications.

‘Winning Time’ Is Back. Here’s What to Know Ahead of Season 2

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Fictionalized shows drawn from real life don’t always satisfy the people depicted. But when the subjects are superstars accustomed to speaking for themselves, their criticism can take on a life of its own.

That’s what happened after the first season of HBO’s “Winning Time: The Rise of the Lakers Dynasty,” which returns for a second season on Sunday. A dramatic series based on the journalist Jeff Pearlman’s book “Showtime,” its first season recounted the dawn of the legendary Los Angeles Lakers teams of the 1980s — known as the Showtime Lakers — under their swashbuckling and womanizing new owner, Jerry Buss (played by John C. Reilly).

Along the way, there was enough drama — sex, drugs, infighting — to fuel a prestige-era TV series.

But many of the people portrayed in Season 1 objected loudly to the way they and others were depicted — Magic Johnson (Quincy Isaiah), Kareem Abdul-Jabbar (Solomon Hughes) and Coach Jerry West (Jason Clarke) among them. West even demanded an apology from HBO (and his character does seem more muted in the coming season).

What might they expect from Season 2? And what might we? As Max Borenstein, the series’s co-creator and showrunner, insisted: “We’re telling this story because we have great fondness and appreciation for these characters and the people and everything they’ve accomplished.” But as he also put it: “We’re not making a documentary.”

Expect more drama, then, regardless of how faithful the depictions are. Here’s a look at some of the history behind the coming season — spoiler alert, for anyone who wants to watch without any prior knowledge — and how the creative team approached the retelling.

Led by Johnson and Abdul-Jabbar, the Showtime Lakers, with their flashy, fast-paced and innovative style, won five championships in the 1980s and helped turn the N.B.A. into a multi-billion-dollar business.

By the end of Season 1, the dynasty was taking shape. The Lakers had just won the 1980 N.B.A. finals. Pat Riley (Adrien Brody) was still an assistant coach, and more of a hippie than a shark. Johnson grappled with his newfound fame, and an injured Abdul-Jabbar watched the championship victory from home.

Season 2 spans the years from 1980 to 1984, which got off to a rocky start. After winning the title in 1980, the Lakers were eliminated the next season in the first round of the playoffs. Season 2 addresses what comes after reaching the apex of one’s ambition. When you win one, why is it so hard to do it again?

Said Borenstein: “You find people who achieve that have to look at themselves in the mirror and say: ‘Wait. Is that all there is? What now? What next?’”

Starting in 1982, the Lakers went to the finals in eight of the next 10 years, an astoundingly successful stretch. Along the way, they had ups and downs. They beat the Philadelphia 76ers, led by Julius Irving, in 1982, then were swept by them in 1983.

Riley, who was promoted to head coach in 1981, transformed into the seemingly omnipotent force he is known as today. In 1984, the Lakers finally faced the Celtics and Larry Bird (Sean Patrick Small) in the finals.

For the sake of the narrative, the writers said they don’t present everything exactly as it happened. Still, the basketball has to look credible. That’s the job of Idan Ravin, the show’s basketball producer, who helps shape every aspect of the show that involves basketball, from casting to choreography.

One problem: Not many people are built the way N.B.A. players are, and even fewer can accomplish their athletic feats. It’s why Ravin, a longtime trainer for N.B.A. stars, chuckled when HBO first called a few years ago to ask for his help to “convert an actor into Magic Johnson.”

“There’s 400 guys in the N.B.A. that can’t be Magic Johnson,” Ravin said he remembered thinking.

At 6-foot-3, Isaiah is six inches shorter than Johnson, and he was stocky from his days as a football player. Ravin helped him slim down so his silhouette approximated Johnson’s.

To get him to move like Johnson, Ravin put Isaiah through the types of workouts he had used for players like Carmelo Anthony and Kobe Bryant. He taught Isaiah how to sell Johnson’s famously artistic passing — the way he turned his head for no-look passes, the subtle movements that made his bounce passes so precise.

Johnson publicly asked for a trade in 1981, a year after agreeing to a 25-year deal worth $25 million that some found absurd. Coach Paul Westhead was fired the next day, a move Buss said was unrelated.

One challenge, said Rodney Barnes, one of the show’s executive producers and writers, was presenting that drama and how Johnson interacted with his teammates in ways that still allowed the audience to root for Johnson.

“You have to be able to address an ego that it takes to become great at anything,” Barnes said.

Season 2 shows Riley becoming head coach after his spiraling friend Westhead (Jason Segel) was fired — a transition Borenstein described as “Shakespearean” — and then learning how to command respect.

“We kind of looked at it as having a superhero donning his cape and cowl, but what’s behind that?” Borenstein said. (Riley dons an Armani suit and about a gallon of hair gel instead.)

Riley, now the president of the Miami Heat, has won nine championships as a player, coach or executive, and been to the finals 19 times.

He is revered by N.B.A. players and considered one of the best basketball executives in history.

Jerry Buss’s daughter Jeanie, the current controlling owner of the Lakers, gave mixed reviews of Season 1. She has said it doesn’t reflect her life (her ’80s self is played by Hadley Robinson), but she also complimented a clip from the first season on her Instagram page.

Borenstein said he’d had a “very lovely and very positive” interaction with Jeanie Buss about the show; it was “gratifying,” he said, to “feel that she feels that we’ve done right by her dad and by her story.”

One clue that Buss may be a fan: Her fiancé, Jay Mohr, has a cameo in Episode 6 of Season 2.

Still the producers seem more prepared for any backlash to Season 2. They included a companion guide with the advance episodes for journalists, in which they cite their sources: the excerpt from Johnson’s book that details an awkward brunch depicted in Episode 3; the footage of an insane news conference that comes in Episode 5.

“We didn’t just make it up,” Barnes said, adding later: “It’s really hard to tell the other side of real life characters that people love.”

Tips for Dealing With Jet Lag

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Bright light helps keep our internal clock in sync with the outside world, traveling through specialized cells in the retina and signaling the part of the brain that sets the body’s master schedule. So, for longer trips, seek out or avoid bright light at specific times, said Dr. Olson. Starting a few days before your trip, gradually shift the light and dark times of your origin toward that of your destination, using dark glasses, sunlight or other light sources.

In the first few days of your trip, figuring out the best times to get light can be tricky. Let’s say you take an overnight flight from New York to London, arriving at 7 a.m. Your brain may still feel as if it’s 2 a.m., and getting bright light right away could confuse your internal clock. In this case, you may want to put on dark glasses for a few hours, then go out in the sun when it is closer to your waking time at home, extending your London day.

On long trips to Asia — when day and night are reversed — it is often easier to shift your cycle backward, said Mickey Beyer-Clausen, chief executive of Timeshifter, which makes a jet lag app of the same name. For example, when flying nonstop from New York to Tokyo, which is 13 hours ahead, think of it as being 11 hours behind (jet lag does not consider the international date line). That means if you land at, say, 2 p.m. in Japan — 1 a.m. in New York — you need to counter the fact that your New York brain is winding down for sleep. This means seeking out bright light all afternoon, especially in the evening, until bedtime in Japan. You can also get a head start on adapting to Japanese time if you go to bed and seek out light later than normal for two nights before you leave New York.

Online tools like Jet Lag Rooster and Timeshifter help create a customized schedule based on variables like time zone differences, departure and arrival times, and other factors.

If you are having trouble getting to sleep earlier in anticipation of traveling east, Dr. Kapur suggests taking one milligram of over-the-counter melatonin about four hours before bed, up to three days before the trip. (Melatonin is a substance that is produced naturally in the body as night falls, signaling that it is time to go to sleep.) This small dose is best for reducing jet lag, Dr. Olson said, because studies show a larger dose doesn’t necessarily work better and is more likely to produce side effects. Travelers should be aware that as a dietary supplement, melatonin is not regulated by the Food and Drug Administration.