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Whales, From Above – The New York Times

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Sutton Lynch rises most days before the sun, arriving at Atlantic Beach in Amagansett, New York., for the early-morning calm. It’s the same beach he’s been going to since he was a child, and where he worked as a lifeguard for years as a teenager. Now 23, he spends his mornings surveying the horizon. When he spots activity on the water’s surface, he sends out his drone.

Mr. Lynch has earned a devoted following on Instagram for his remarkable footage of marine life off the coast of the East End of Long Island. Alongside images and videos of humpbacks, hammerheads, dolphins, bluefish and many other species, he writes captions that range from childhood memories and research on the effects of fishing policy to explanations of animal behavior. Across the board, his work exudes a reverence for the ocean and the creatures that call it home.

Mr. Lynch’s followers often express surprise that this abundance of species exists just out of sight. The truth is, the resurgence is fairly new. And so the photographer is documenting a dramatic turning point in the East End’s environmental and cultural history — a renewal of sea life after decades of depletion.

As recently as 10 years ago, a whale or dolphin sighting was an uncommon occurrence on the East End. The overfishing of Atlantic menhaden — a keystone species that is essential to a healthy ecosystem — led to a huge drop in marine life off the coast of Long Island in the latter part of the 20th century. (Bony and oily, menhaden are harvested for their nutrient-rich oil and are rarely eaten by humans; they feed on plankton and algae and serve as prey to dozens of larger animals.)

In 2012, in response to menhaden’s numbers having fallen about 90 percent in three decades, the Atlantic States Marine Fisheries Commission enacted the first coastwide catch limits on the fish. Populations soon rebounded, improving water quality and bringing more whales, sharks, rays, seals, dolphins and other animals closer to the beach than they’ve been since the middle of the last century.

“It’s very rare that you have a conservation gain that is so visible in such a short time,” said John Gans, a northeast field representative for the Theodore Roosevelt Conservation Partnership. “And it’s 100 percent attributed to the 2012 catch limits put in place on menhaden.”

The return of larger animals that feed on menhaden coincided with Mr. Lynch’s coming-of-age as a photographer. He got his first drone at 17 and began filming from his home shores.

It’s fitting that his career would hinge on a humble fish. In a region, the Hamptons, and on a platform, Instagram, known for exclusivity and superficiality, Mr. Lynch’s work is both accessible and authentic. “There’s nothing pretentious about him,” said Victoria Cooper, an Amagansett resident and a professed superfan, while visiting one of his photography sales this summer. “You can get caught up in being out here; there’s lots of parties and things. I love that Sutton is taking a deeper look behind the scenes of the nature that we’re all part of.”

Long Island is particularly vulnerable to global warming, owing to its susceptibility to sea-level rise, the increasing frequency and intensity of storms, and the growing incidence of algal blooms, among other phenomena. (The region recently appeared near the top of a list by Moody’s Analytics of U.S. metro areas that will be worst hit by climate change.)

Mr. Lynch is partly motivated by documenting those changes. Some complex combination of frustration and conviction characterizes his — and much of Gen Z’s — attitude. “It’s hard for older generations to understand how we feel,” he said. “My parents’ generation often says, ‘You guys are going to fix this,’” he continued. “But they’re the ones in control, and everything needs to be done now.”

But he also sees his art as a kind of longitudinal study of a seascape — a way to track the subtler, and in his view more insidious, changes that happen over years, increments that add up to a transformed ecosystem. If his practice continues for a decade, he said, he’ll have compiled a sizable portfolio of visual information. “Ideally I would love to work with scientists who could study that data,” he said.

Mr. Lynch’s fan base includes not just environmentalists but also artists and fishermen, locals and out-of-towners. “Nobody likes being told what to think,” Mr. Lynch reflected, when asked how he approached the educational aspect of his work. “I don’t want to alienate any of my followers. I just want to give them the facts.” Wary of scare tactics or blame, he chooses instead to appeal to people’s shared admiration for their landscape. “Fear is not helpful, in my opinion,” he said.

And while the recent uptick in shark activity may be cause for concern among beachgoers trying to enjoy a Hamptons getaway, to Mr. Lynch it’s a thrill. In July, after filming spinner sharks, he wrote: “They’re wild animals, and the ocean is their home. They certainly can be frightening, but it’s important to remember that humans pose a much greater threat to them than they do to us.” A great white sighting is at the top of his bucket list. And the East Hampton lifeguards who count on his shark patrol — the city pays him hourly to look for the animals while he’s perusing the coast with his drone — will certainly be grateful for the report if he ever spots one.

Arthur Kopelman, an ecologist and the president of the Coastal Research and Education Society of Long Island, reflected on the value of public environmental education. “It’s critically important,” Dr. Kopelman said, adding that knowledge about their surroundings helps people “become active stakeholders in terms of protecting their coastal ecosystems.” Mr. Lynch is part of that effort, bringing us close to the action and urging his followers to share in his admiration for nature.

Against a backdrop of the stereotypical opulence and excess of the Hamptons, Mr. Lynch’s work is a refreshing reminder of why the New York elite started visiting these now-iconic shores in the first place. Celebrities, tycoons and tenacious weekenders aren’t the only ones flocking to the endless miles of sandy beaches and rolling dunes — a growing society of sea life makes its home here, too, just offshore.

Paris Wine and Ice Cream Bar Folderol Takes Back Control After TikTok Fame

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“They don’t even taste the ice cream,” Jessica Yang said of the social-media-conscious crowd that descended this summer on Folderol, a natural wine bar and artisanal ice cream parlor in Paris that she owns and operates with her husband, Robert Compagnon. “They just let it pool into a bowl of melting liquid and die in the sun.”

In late April, a daily line began to form outside Folderol’s red storefront as the business grew in popularity, thanks in large part to TikTok. As the spring bloomed into a summer that saw a record number of tourists traveling to Europe, the lines became longer.

Throughout June and July, tourists and content creators flocked to Folderol, waiting for hours on its otherwise quiet 11th arrondissement street so that they, too, could recreate what they had seen online: fashionable folk sitting on Parisian curbs, eating ice cream from steel coupes, smoking cigarettes and swigging wine.

Both 37-year-old chefs, Ms. Yang and Mr. Compagnon met in Paris in 2010 while working in the kitchen of the highly acclaimed restaurant Guy Savoy. Mr. Compagnon, who is French American, and Ms. Yang, who is Taiwanese American, spent the next few years between Paris and New York City, working at restaurants including Le Jules Verne, Momofuku Ko, Chef’s Table at Brooklyn Fare and Per Se.

The couple opened Folderol in December 2020, one door down from their intimate Michelin-star-winning restaurant, Le Rigmarole. As new parents, they were inspired to start a family friendly business. “We wanted it to be a place where parents and kids could go and have fun,” Ms. Yang said about their hopes for Folderol. “Parents could have a glass of wine; kids could have some ice cream.”

Because of coronavirus restrictions, when Folderol opened, it was takeout-only. Customers would pick up a bottle from the bar’s curated selection of small-batch natural wines or a pint of seasonally inspired ice cream, hand-churned by Ms. Yang in a labor-intensive, 48-hour process.

As the pandemic eased, customers were allowed inside Folderol, but given its limited indoor seating and the al fresco dining culture of Paris, many patrons chose to eat and drink outside. This gave rise to Folderol’s curbside aesthetic, which garnered mass appeal on TikTok.

“So I keep seeing people post photos and videos from this place in Paris called Folderol, and I’ve honestly never felt like I needed to go someplace more than I do right now,” Anna Hyclak, a 35-year-old American living in London, said in a TikTok video in June. “Spiritually, it is calling to me. Like, I feel like it would cure my depression to sit on these sidewalks.”

Ms. Hyclak’s reel garnered over 20,000 likes and 167 comments, most lamenting Folderol’s viral fame. One TikTok user wrote: “I live really close to this place and it’s totally impossible to go now. The line is huge and full of teenagers/TikTokers at all times.” Another commented: “I went and it felt like a photo shoot set. Like I’m sure it was amazing before but now it’s all the fashion girlies going there for content.”

Many of Folderol’s longtime customers were put off by the crowd. “Last summer I used to come in all the time,” said Samantha Luevano, a 27-year-old copywriter in Paris. “I used to sit outside and eat my ice cream and drink wine casually. There’d be like five people here.” This summer, Ms. Luevano chose to pick up pints of ice cream and bottles of wine at Folderol instead of dining in because, she said, the hectic atmosphere caused her “anxiety.”

Mr. Compagnon likened the situation to “running a marathon in flip flops.” Their small operation struggled to keep up with demand. Frustrated clients started leaving the business negative reviews. The pretty ice cream coupes, which the owners found at Parisian flea markets, began to go missing. On four occasions, neighbors called the police about the crowd.

“We wanted our reputation to be based on the quality of the food and what we produce,” Mr. Compagnon said. “We didn’t see this coming.”

In late May, Ms. Yang and Mr. Compagnon began instituting a series of measures, which they call “roadblocks,” in an attempt to regain control of Folderol.

First, they decreased the number of wine glasses they had available to put a cap on the number of customers they could serve at once. Then they hired a bouncer to help their staff with crowd control. Next, they put up signs to the right of Folderol’s front door that read, in English: “No TikTok” and “Be here to have fun, not to take pictures.”

In July, they banned guests from sitting outside entirely — an unpopular measure with those who had come just to pose. “‘Oh, we can’t sit outside and take pictures?’” Mr. Compagnon said, imitating customers who were not aware of Folderol’s new rules. “And so they just leave.”

While Folderol was on its annual August break, the pop star Dua Lipa named Folderol as one of her “favorite French restaurants” in a Vogue France video. Despite Ms. Lipa’s shout-out, the atmosphere was noticeably calmer when Folderol reopened on August 30. “We’re feeling better,” Mr. Compagnon said. “People seem to be much more understanding.”

Bianca de la Luna, a 25-year-old model from Germany, visited Folderol the day it reopened. After admitting that she had learned about Folderol on TikTok, Ms. de la Luna whispered, “I don’t want to say that too loud in here.”

“I’d love to take the Instagram picture with the ice cream and wine,” said her friend Huy Nguyen, an 18-year-old art student. “But now it’s forbidden.”

Latest Russia-Ukraine War News: Live Updates

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From left, Evan Gershkovich’s father, Mikhail Gershkovich; sister, Danielle Gershkovich; and mother, Ella Milman, with Linda Thomas-Greenfield, the American ambassador to the United Nations, in New York on Wednesday.Credit…Michelle Nichols/Reuters

The family of Evan Gershkovich, the Wall Street Journal reporter who has been detained in Russia since March, appealed on Wednesday for the United Nations’ help in bringing him home, urging world leaders who will soon be attending the U.N. General Assembly to join the call for his release.

“Next week, world leaders will gather here to discuss many important issues,” Mr. Gershkovich’s father, Mikhail, said at a briefing in New York alongside the American ambassador to the United Nations, Linda Thomas-Greenfield.

He called on those leaders to stand with his son, saying Evan Gershkovich represented “the basic right to free press and freedom of expression” and that “these rights are bedrock principles of the United Nations.”

The United States “will not rest until Evan and Paul and all wrongfully detained Americans are home safe and sound,” Ms. Thomas-Greenfield said, referring to Paul Whelan, a former Marine serving a 16-year sentence on what U.S. officials say are bogus espionage charges.

Mr. Whelan was able to have a consular visit on Wednesday with the U.S. ambassador to Russia, Lynne Tracy, the State Department spokesman Matthew Miller told reporters. “We believe Paul continues to show tremendous courage in the face of his wrongful detention,” Mr. Miller added.

Lawyers filed a petition on Tuesday asking a group of U.N. experts to side with the U.S. government and agree that Evan Gershkovich was being arbitrarily detained by Russia in violation of his human rights, the family said.

The petition was submitted to the U.N. Working Group on Arbitrary Detention, a panel of five human rights and international law experts. The group has previously evaluated the detentions of several journalists, including the Washington Post reporter Jason Rezaian, who spent 544 days imprisoned in Iran before he was released in a prisoner swap in early 2016.

The U.N. group does not have any enforcement authority, but its determination that Mr. Gershkovich is being arbitrarily detained would further raise pressure on Russia, already isolated from the West, to free him.

Mr. Gershkovich is the first American journalist to be detained on accusations of spying in Russia since the end of the Cold War. The United States government considers him wrongfully detained, and along with The Journal, has categorically denied the accusations against him.

“If this can happen to my brother, it can happen to any journalist trying to report the news,” Mr. Gershkovich’s sister, Danielle Gershkovich, said at the briefing.

His mother, Ella Milman, said she missed her son every day, and that he had teased in letters that the food in the notorious Lefortovo prison where he is being held reminds him of her cooking. “We’re glad he’s kept his sense of humor,” she said.

Mr. Gershkovich’s pretrial detention will extend at least until Nov. 30, a Moscow court ruled last month after a secret proceeding that was closed to the news media.

Gridlock, Confusion and Waiting: On the Road With Spanish Rescuers in Morocco

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new video loaded: Gridlock, Confusion and Waiting: On the Road With Spanish Rescuers in Morocco

transcript

transcript

Gridlock, Confusion and Waiting: On the Road With Spanish Rescuers in Morocco

Our video journalists embedded with a team of Spanish military rescuers in Morocco as they attempted to save lives after the earthquake. They spent much of the day waiting for orders.

We set out early Tuesday morning to try and catch one of these rescue crews that had recently arrived. And we found a Spanish military professional rescue crew that was just heading out up into the mountains to these remote villages that are extremely difficult to access. The Spanish team arrived on Sunday and they just got the green light to go into the mountains on Tuesday. We were hoping to see a miracle to see them rescue someone. But we quickly realized that with the logistics, they weren’t able to do what they came to do. As you keep going deeper, you notice the damage gets more and more extensive and starts to make it near impossible to move and access these villages. We arrive at this village, Ijoukak, and the Spanish team is getting out their dogs. They’re starting to jump out of the truck. And then, everything kind of stops. And we’re wondering what’s going on. There was no clear direction. It was a really frustrating and bizarre sense of inaction because they’re waiting to be directed by the Moroccan military and government, who are heading up all the operations. And they were just sitting and waiting. We had a few moments to speak with one of the lieutenants. I try and ask him about the government’s role in all this, the disorganization. And then his captain interrupts me and goes, “No political questions. We can’t talk about this.” When I spoke with another crew who was volunteering, he was able to speak a lot more candidly about what was going on. Has the military been helping with fuel and logistics? Tell me how they’ve been assisting. Slowly. The things here in Morocco is very slowly. So you were in the Turkish earthquake, too. How does this compare to the earthquake in Turkey? In Turkey is the help arrived so fast and the government let people work so fast. Maybe the first day you can work. It’s all free for everybody. Here its trouble is very slow. In the government’s defense, more rescue crews would have likely caused even more gridlock and even more of a delay in reaching these villages. Also, we’ve come to notice that most of these remote villages, because they’re so small, the villagers actually recovered most of their dead within the first day or two. The volunteer texted us later and said they had made that same assessment, and actually were packing up and concluding their whole rescue operation in Morocco. They said they simply could not do what they came here to do.

Recent episodes in Africa

Venice Keeps Off UNESCO World Heritage Danger List

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Venice will not be included on UNESCO’s list of “World Heritage in Danger” after a panel voted on Thursday to reject the recommendation of experts at the agency who had raised concerns that Italy had not done enough to protect the fragile city, which is threatened by climate change, mass tourism and development.

Still, representatives of countries upholding the World Heritage Convention, which seeks to protect and preserve cultural sites, said in a statement that “further progress still needs to be made” to properly conserve Venice. During a debate on Thursday afternoon at a World Heritage Committee session in Riyadh, Saudi Arabia, several delegates said Italy should host a new advisory mission in Venice in the coming months to monitor the efficacy of the measures that Italy has taken so far and to make suggestions.

“Venice is not at risk,” Mayor Luigi Brugnaro wrote on social media Thursday evening, describing the result as a “great victory.” Posting on X, the platform formerly known as Twitter, he added: “The world has understood all the work we have done to save our city.”

Italy was warned in July that Venice, a World Heritage Site since 1987, was being considered for UNESCO’s “in danger” list, even though the state and city have made significant changes to try to protect Venice.

Large cruise ships have been banned from entering Venetian waters. Massive barriers at the mouths of the lagoon hold seawater at bay and stop high tides from flooding the city. And officials have begun tracking tourists via their cellphone data to monitor their movements.

This week, City Council voted that, starting next year, day-trippers to Venice will be expected to pay 5 euros on days when the city is extremely crowded with tourists. City officials hope that the measure will curb some of the millions of tourists who throng to the city each year — five million so far in 2023. Those who stay overnight won’t be charged.

Venice almost made the danger list in 2021, but then, too, member countries rejected the proposal.

Despite the changes in Venice, UNESCO experts who have been closely monitoring the city felt that Italy and the local government had not done enough. Once a site is placed on the danger list, it can lose its World Heritage status, which acknowledges its outstanding universal value.

But the 21 member states thought Italy’s efforts were to be commended, and several said that it was “premature” to put Venice on the list. Several pointed out that climate change was a global issue, affecting many cultural heritage sites, and said Italy should not be singled out.

Some citizen groups had hoped that the city would be recognized as endangered. Nearly 5,000 people signed a petition addressed to the UNESCO general director, Audrey Azoulay, on Change.org, asking that Venice be on the list, because of the problems caused by excessive tourism. “The out-of-control tourism machine makes big financial gains for few, against the common good and those who want to live in the city,” the petition said.

In his report to the session on Thursday, Nicholas Clarke, an expert with the International Council on Monuments and Sites, which advises UNESCO on World Heritage sites and had urged putting Venice on the list, said that efforts to tackle heavy tourism “come very late and more urgent action is required.”

For years, visitors to Venice have easily outnumbered the residents of the historic city center, the number of which dropped a year ago to under 50,000 from nearly 175,000 in 1951.

Speaking before the vote Thursday, Berta de Sancristobal of the UNESCO World Heritage Center, which had called for the city to be listed as in danger, cited “the negative impacts of mass tourism reflected in the continued decline in local residents, leading to the alteration of the spirit of place and the loss of historic authenticity.”

Last week, a local group announced that the number of beds for visitors had surpassed those for residents.

The aim of the UNESCO list, which includes 55 endangered sites like the Old City of Jerusalem and Timbuktu, is to spur conservation, according to the agency. When a site is on the list, the United Nations commits to develop a corrective plan alongside national authorities and to monitor the results.

Matteo Secchi of the citizens’ group Venessia.com said that locals did not need UNESCO to tell them what was wrong with the city, even though a spotlight on the problems was welcome if it made the world take notice.

“We are only trying to carry on our culture, our life, and we see that it’s in danger. That’s why we get mad, why we make appeals to the world,” he said, adding of the tourists: “They’re not happy, we’re not happy, everyone isn’t happy.”

Three Shots for Fall: What You Need to Know

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Most Americans have had one or more shots of the flu and Covid vaccines. New this year are the first shots to protect older adults and infants from respiratory syncytial virus, a lesser-known threat whose toll in hospitalizations and deaths may rival that of the flu.

Federal health officials are hoping that widespread adoption of these immunizations will head off another “tripledemic” of respiratory illnesses, like the one seen last winter. For people with insurance, all of the vaccines should be available at no cost.

“This is an embarrassment of riches,” said Dr. Ofer Levy, director of the precision vaccines program at Boston Children’s Hospital and an adviser to the Food and Drug Administration.

Here’s what he and other experts say about who should receive which immunizations, and when.

The coronavirus, the flu and R.S.V. are all likely to send thousands of Americans to the hospital this year, but exactly when, and how severe the toll will be, is unknown. That’s in part because the restrictions in place during the pandemic altered the seasonal patterns of the viruses.

Last winter, the flu peaked in December instead of in February, as it typically does. Covid kept up a steady number of infections and deaths most of the season, with a peak in January.

Compared with its pattern before the pandemic, R.S.V. peaked several weeks earlier last year, and it circulated for longer than usual. But this year, it is now beginning to pick up in the South, suggesting that the virus may return to its prepandemic patterns.

R.S.V. is the least familiar of the three viruses, but increasingly it is recognized as a major respiratory threat, particularly to older adults, immunocompromised people and young children. “R.S.V. has a burden of disease similar to flu in older adults — it can make you very, very sick,” said Dr. Helen Chu, a physician and immunologist at the University of Washington.

Everyone should have at least the flu and Covid shots this fall, experts said.

The annual flu vaccine is recommended for everyone aged 6 months and older, but is most important for adults ages 65 and older, children under 5, and people with weak immune systems.

Updated Covid shots from Pfizer and Moderna are now endorsed by the F.D.A. and the C.D.C. (A third, from Novavax, is expected to arrive in the next few weeks.) The recommendations:

  • Americans aged 5 and older may receive one dose, at least 2 months after their last dose of any Covid vaccine.

  • Children aged 6 months through 4 years who have already been vaccinated may receive one, or two, doses of the new vaccines. The timing and number of doses depends on the previous vaccine received.

  • Unvaccinated children aged 6 months through 4 years may receive three doses of the new Pfizer-BioNTech vaccine or two doses of the new Moderna vaccine.

Federal health officials aren’t talking about a primary series of shots followed by boosters. (Officials aren’t even calling the shots “boosters” anymore.) Instead, they are trying to steer Americans toward the idea of a single annual immunization with the latest version of the vaccine.

“Like a seatbelt in a car, it’s a good idea to keep using it,” Dr. Camille Kotton, a physician at Massachusetts General Hospital and an adviser to the C.D.C., said of the Covid vaccine.

Two vaccines are now available for adults aged 60 and older: Abrysvo, by Pfizer, and Arexvy, by GSK. They are not universally recommended; patients may choose to get them in consultation with their doctors. The vaccines, which may have rare but serious side effects, are mostly likely to benefit older people with such underlying conditions as heart disease and asthma.

Abrysvo and Arexvy are not yet approved for most Americans younger than 60.

The C.D.C. now recommends another new shot against R.S.V. — Beyfortus, a monoclonal antibody — to protect infants less than 8 months old, as well as infants 8 months to 19 months old if they are at risk for severe illness.

In August, the F.D.A. approved Abrysvo for pregnant women as a way to protect infants from the virus. The vaccine, to be given in the last weeks of pregnancy, may prevent severe respiratory illness in infants up to 6 months.

While risks posed by any of these respiratory viruses increase with age, remember that “65 is not a magical cutoff point,” Dr. Chu said.

“Even those with no pre-existing conditions can become quite sick with all three of these viruses.”

You should get the shots early enough to build immunity against the pathogens, but the timing may depend on your particular circumstances.

If you do not want or are unable to make multiple trips to a clinic or pharmacy to space the shots apart, experts recommend getting the shots together. But if at all possible, it may be wise to time the shots to provide maximum protection.

Covid is already on the rise, so getting that shot as soon as possible makes sense. Flu may not peak until December, so getting the flu vaccine in October may be wisest — your antibodies will not have waned so much by the time the virus comes most prevalent.

Adults aged 50 and older should also get the vaccine for shingles, if they haven’t already, and those 65 and older should sign up for the pneumococcal vaccine. But those vaccines don’t need to be given in the fall and can be scheduled for different times, Dr. Chu said.

Getting the Covid and flu shots all at once does not significantly affect the protection or produce worse side effects compared with getting either one alone, according to a recent study by Israeli scientists.

“F.D.A. and C.D.C. systems monitor vaccine safety year round and will remain in place,” the Department of Health and Human Services said in a statement to The Times. “If any new potential safety signals are identified, the F.D.A. and C.D.C. will conduct further assessment and inform the public.”

Some research suggests that the R.S.V. and flu vaccines produce lower levels of antibodies when given together than when delivered one at a time. But those levels are probably still high enough to protect people from the viruses, experts said.

Because the R.S.V. vaccine is new, however, there is little information on how it might interact with the other two vaccines.

There is also limited data on the safety of the two R.S.V. vaccines. Clinical trials recorded six cases of neurological problems, including Guillain-Barré syndrome, compared with none in the placebo groups.

But the numbers were too small to determine whether the cases were a result of the inoculations. More clarity will come from surveillance while the vaccines are administered on a large scale, Dr. Chu said.

Christina Jewett contributed reporting.

Decongestant in Cold Medicines Doesn’t Work, Panel Says

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An advisory panel to the Food and Drug Administration agreed unanimously on Tuesday that a common decongestant ingredient used in many over-the-counter cold medicines is ineffective.

The panel’s vote tees up a likely decision by the agency on whether to essentially ban the ingredient, phenylephrine, which would result in pulling hundreds of products containing it from store shelves.

If the F.D.A. ordered their removal, a trade group warned that numerous popular products — including Tylenol, Mucinex and Benadryl cold and flu remedies — might become unavailable as companies race to reformulate them.

Agency officials generally follow the recommendations of the advisory panels, though not always, and it could take some months before a final decision is made. And the findings could be contested, prolonging any move toward product substitutions or removing certain stock at stores.

In the meantime, experts advised consumers not to panic or toss out all the drugs in their medicine cabinet. Even though the agency’s advisers have decided the ingredient, phenylephrine, doesn’t work to relieve nasal congestion when taken orally, it is not dangerous, and the products do contain other ingredients that will work to ease cold symptoms.

The panel’s vote followed its review on Monday and Tuesday of several existing studies, with the advisers largely concluding that the research settled the question that the ingredient was useless and no better than a placebo.

Several advisers noted that patients taking the drug were merely delaying their journey to a useful remedy.

“I think we clearly have better options in the over-the-counter space to help our patients, and the studies do not support that this is an effective drug,” said Maria Coyle, the chairwoman of the panel and an associate professor of pharmacy at Ohio State University.

“If you have a stuffy nose and you take this medicine, you will still have a stuffy nose,” said Dr. Leslie Hendeles, a pharmacist from the University of Florida in Gainesville who, along with colleagues, first petitioned the F.D.A. in 2007 to remove the drug from the market.

Every cold and flu season, millions of Americans reach for these products, some over decades. The decongestant is in at least 250 products that were worth nearly $1.8 billion in sales last year, according to an agency presentation. Among the products: Sudafed Sinus Congestion, Tylenol Cold & Flu Severe, NyQuil Severe Cold & Flu, Theraflu Severe Cold Relief, Mucinex Sinus Max and others.

There are two main oral decongestants in products on store shelves — phenylephrine and pseudoephedrine.

Under old, outdated agency standards, phenylephrine, which constricts blood vessels in the nasal passages, had long been considered safe and effective, and the F.D.A. still says that it is safe.

Nasal sprays that contain the ingredient are still considered effective, as well as when it is used in surgery or to dilate the eyes. Nasal sprays containing another ingredient, oxymetazoline, are also effective for a stuffy nose.

Other medicines to ease congestion for the common cold include those containing oral pseudoephedrine, and for hay fever or allergic rhinitis, nasal steroids, such as Flonase, as well as nasal antihistamines and oral pseudoephedrine.

Many popular cold and flu products that don’t specifically target congestion do not include the ingredient.

If the agency decides the decongestant should be eliminated from products, it could significantly disrupt the market for the makers of cold medicines if they do not have enough time to replace it in popular items.

What’s more: It could possibly renew widespread use of an alternative, pseudoephedrine, whose sales are restricted — placed behind store counters or in locked cabinets because it was often used in illicit meth labs.

As a result, buying pseudoephedrine products can be a clunky, time-consuming process. Even though they don’t require a prescription, they are kept out of customers’ reach, the number of tablets that can be purchased at one time is capped, and consumers must be 18 or over and show identification.

There are also side effects associated with pseudoephedrine, which can raise blood pressure, and cause jitters and wakefulness, Dr. Hendeles said.

This issue has been simmering at the F.D.A. for decades.

Now an emeritus professor, Dr. Hendeles said in an interview on Tuesday that he had been evaluating the ingredient since 1993.

“The bottom line is quality research has told the true story about phenylephrine,” he said.

For consumers, the potential benefits of ending use of the ingredient, the agency suggested, would include avoiding unnecessary costs or delays in care by “taking a drug that has no benefit.”

Although there is no known health risk associated with taking a combination cold medicine that contains phenylephrine, consumers unable to get relief from a single dose should not take additional doses in a short span of time to feel better. Higher levels of the other ingredients may be dangerous when taken in excess, experts cautioned.

The Consumer Healthcare Products Association, which represents companies that make over-the-counter drugs, took issue with the panel’s recommendation on Tuesday, issuing a statement that the ingredient was both safe and effective. The organization said pulling the ingredient would have the “negative unintended consequences” of sending patients to doctors and pharmacists for problems they might otherwise treat themselves — or of getting no treatment at all.

“Simply put, the burdens created from decreased choice and availability of these products would be placed directly onto consumers and an already-strained U.S. health care system,” according to the statement from Marcia D. Howard, the group’s vice president of regulatory and scientific affairs.

It could be a while before any changes are announced.

But the agency has already shown its hand, by declaring the ingredient ineffective. But now, F.D.A. officials will mull the comments and opinions of its panel experts before preparing a final decision.

As often happens whenever the F.D.A. is poised to impose a regulatory move that will affect the bottom line of major corporations, efforts to delay a decision, including lawsuits and lobbying Congress and the White House, will probably occur. The agency also may give the drug companies a grace period to swap ingredients in products, if required.

Why Are So Many Millennials Going to Mongolia?

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It was near midnight, in a storm, on a dirt road in the middle of Mongolia. Still, the river seemed manageable.

My cousin Cole Paullin and I were searching for a place to camp, and I was exhausted from a long day of fording streams in our rented four-by-four truck.

“Seems fine,” I said. “Go for it.”

Cole accelerated and the front tires plunged off an unseen embankment, slamming onto the rocks below. We were perched at a precarious angle, and the front half of the truck was submerged. Water intruded through a crack in the door, lapping onto my feet. I imagined our rental deposit draining downstream.

Drawn by the noise, two young men came over from a nearby tent camp. One waded toward the car into the waist-deep water with a message typed on Google Translate: “This is dangerous.” I was too embarrassed to be scared.

I lent him my rain jacket as he made some calls. Thankfully, there was cellular service. Within an hour, a man with a truck and a tow strap arrived. We reversed at full speed while he accelerated, extricating us from the river.

“That was Disneyland, dude,” said Cole, 27, channeling the slang of his native Los Angeles. “What a ride.”

Cole and I live on different continents — he’s in Philadelphia and I’m in London — but once a year, we convene somewhere new for an outdoors trip. This year, we decided to take a weeklong drive across Mongolia.

Over the past decade, millennials like me — those born between roughly 1981 and 1996 — have been seeking out remote places like Mongolia, while other tourists crowd Santorini, the Eiffel Tower and the Colosseum. It may be a reaction to a world that’s increasingly condensed into our phones, where the same few destinations pop up again and again on Instagram grids and travel blogs. What we have gained in accessibility, we have lost in serendipity.

The Mongolian government has been trying to capitalize on this desire for less curated travel. It has invested in a digital marketing campaign targeting people ages 23 to 40. It has also invited social media influencers to come to Mongolia and post videos of the country’s verdant valleys, Caribbean-blue lakes and orange sand dunes. According to a 2019 survey cited by Mongolia’s tourism ministry, 49 percent of visitors to the country were under 40.

Tour operators are catering to this growing interest, helping young people see the Golden Eagle Festival, an annual gathering of nomadic hunters — male and female — and their eagles; join the Mongol Rally, a driving odyssey across Europe and Asia; or ride in the Mongol Derby, a roughly 600-mile horse race.

“The world is getting smaller, and everyone’s looking for the new frontier,” said Sangjay Choegyal, a 36-year-old living in Bali who has visited Mongolia eight times. “The next place is Mongolia.”

When Cole and I arrived in Ulaanbaatar, the capital, in late July, the line for foreign arrivals crowded the new immigration hall at the airport.

Olivia Hankel, a 25-year-old woman from Oregon, had come to train for the Mongol Derby. Willie Freimuth, a 28-year-old paleontology student from North Carolina, had returned for a second year to study fossils. And Mr. Choegyal had flown in with friends for a road trip to the Orkhon Valley, a lush expanse of central Mongolia.

“When you talk about a trip to Mongolia, it always fills up pretty quick,” Mr. Choegyal said.

Last year, Mongolia had nearly 250,000 visitors, more than six times as many as the year before, when the country was emerging from pandemic isolation. The majority of those visitors were from nearby countries, including Russia, South Korea and Kazakhstan. But the number of visitors from Europe and the United States rose more than 500 percent between 2021 and 2022.

“I think you can have a much more interesting, transformative and engaging experience in a Mongolian outhouse than you can at the Taj Mahal,” said Tom Morgan, the founder of the Adventurists, a company that hosts extreme trips in the country. And, he advised, “It’s better not to plan.”

Cole and I hadn’t planned much. We arrived with only our backpacks and a rental car booking from Sixt — one we weren’t sure was real. Sixt’s Mongolian offices operate by bank transfer, and before we arrived, we had sent more than $2,000 to their account. I worried it could be a scam.

We were relieved when we arrived at Sixt and found it had our booking. Then we got the bad news: A previous group had wrecked the S.U.V. we had requested. A 3,000-mile trip on the country’s many dirt tracks had destroyed the bottom of the car. The agent offered us a Russian-made UAZ pickup truck equipped with a rooftop tent. It didn’t have a stereo and the air-conditioning was a faint stream of hot air, but it was sturdy.

We were lucky to get it. Sixt was almost fully booked — as were other providers in the city.

“We sold out three times this season. So we added more dates,” Max Muench, 31, a co-founder of the travel company Follow the Tracks, said. His company, which started running tours last year, helps clients book cars and gives them tablets loaded with maps they can use to navigate while offline. “Especially now after Covid, people want to feel a sense of freedom again,” he said. “And they’re looking for it in the vast emptiness of Mongolia.”

We soon discovered what that emptiness looked like.

Roughly half of the country’s more than 3.2 million people live in the overcrowded capital, a tangle of roads and new high-rises fraying in every direction. But around a quarter of Mongolia remains nomadic, living on the edgeless steppe in gers, round tents made of wood, tarp, and animal skins or fabric. They move with their herds as many as four times a year.

As we drove out of the city, guided by Google Maps, the sky stretched so wide the horizon seemed to curve. A herd of horses gnawed at the grass, swishing their tails at flies. We were seeking out the herd’s distant relatives as we aimed the truck toward Hustai National Park, a refuge for what the Smithsonian calls the last truly wild horses left in the world.

After nearly an hour on a dirt road, we pulled up to a small, dusty entrance gate. I asked the national park manager, Batzaya Batchuluun, if visitors ever had a hard time finding the place. “Most people come with a guide. But young people like you are starting to show up on their own,” he said. “They have phones. They get here eventually.”

Mongolia is surprisingly connected. Despite the long stretches between villages, we got cellular internet service on much of our drive (using a Mongolian SIM card). One day as I was watching camels in the desert, I was even able to do something absurd: Try my luck with Ticketmaster for Taylor Swift’s Eras Tour tickets. (Like so many others, I was disappointed.)

The Mongolian government has been working to expand online access to citizens and tourists. An estimated 84 percent of the country has access to the internet, and gers often have solar panels, keeping each family’s cellphones charged. The government has also been working to pave the roads from Ulaanbaatar to popular destinations.

All that development has allowed young travelers to roam the country more freely, bringing a different kind of nomad to the steppe. The day after our visit to the wild horses, as we explored Genghis Khan’s ancient capital, Karakorum, we met a group of European women, friends from college on a two-week road trip. They, too, chose to eschew a guide and navigate with their phones.

“We didn’t want a trip where everything is organized for you,” Maria Galí Reniu, a 31-year-old from Spain, said. Hanna Winkler, a 30-year-old from Austria, chimed in: “On our own, we can just pull off anywhere we decide is a nice camp spot.”

Cole and I also pulled off where we liked. At night, we camped under the Milky Way, arching bright above our rooftop tent. During the day, we made lunch in golden canola fields or next to winding rivers. In Elsen Tasarkhai, a long stretch of sand known as the mini-Gobi Desert, we rode two-humped Bactrian camels.

Halfway through our trip, I persuaded Cole to detour to Tsenkher hot springs, a popular destination for Mongolians. Nearly an hour down a dirt road, we came across a crowd of children, bobbing on horses. Drawing closer, we saw they had numbers pinned to their shirts.

One girl and 41 boys, ages 8 and up, gathered for a race. The families used their cars and motorcycles to herd the horses to the starting line. Parents smiled and motioned for us to follow as they lined up their cars next to the horses. When the horses took off, we did too, speeding across the grass alongside the racers at nearly 50 miles per hour.

Just as the first horse crossed the finish line, it began to hail. What would have been a celebration turned into an exodus. Some of the riders crossed the finish line and then headed straight into the hills, braving pellets of ice.

As we drove on toward the hot springs, torrential rain overpowered the windshield wipers, and we began to slide. We passed Priuses, a favorite car in Mongolia, mired on the roadsides. Each time we forded a swollen river, the water rose closer to the cab, until we got stuck and it finally leaked in.

The storm had also flooded the hot springs. As we shivered in a tepid pool, one English-speaking boy commiserated: “Sorry you missed the hot water.”

After days of slow, off-road driving, we finally arrived at sparkling blue Khuvsgul Lake — our final destination. We wanted to spend the night in a ger, so we called Erdenesukh Tserendash, a 43-year-old horse herder who goes by the nickname Umbaa. His number was on Facebook.

Umbaa, his wife and two sons welcomed us into one of his family’s tents, lit by bulbs hooked to car batteries. For dinner, the family served boiled sheep and horse meat on a communal tray with carrots and potatoes. After dinner, they cracked open the bones and sucked out the marrow, and before bed, we sipped tea with yak milk. As I lay there scrolling, in the light of my phone, I noticed something on my face and swatted. It was a spider the size of a quarter.

The next day, Umbaa took us on a full-day horse ride. We cantered across meadows of wildflowers, saw reindeer and climbed a mountain overlooking the lake, lazing in the sun for lunch, an idyllic finale to our journey.

Back in Ulaanbaatar, the wildflowers seemed far away as I stood with the Sixt agent and worried about the truck. Was there any damage from getting stuck in the river? The truck was so covered in mud and dust, it was hard to tell.

I thought back to the wrecked S.U.V. we were originally supposed to rent and braced myself to lose our deposit, more than $1,400. The agent waved away my fears. Everything was fine, he said. Getting stuck was just standard driving in Mongolia.

His shift was over, so he offered us a ride to the airport. We thought we had plenty of time to make it, but the grinding traffic in Ulaanbaatar almost made us miss our flight. It was one last reminder that in Mongolia, little goes as planned.

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.

Morocco Earthquake Rescue Efforts Enter 4th Day as Toll Surpasses 2,900

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Hopes were fading of finding survivors in the rubble of a powerful earthquake that struck Morocco as rescue efforts stretched into a fourth day on Tuesday, with the death toll surpassing 2,900.

The quake on Friday night, with a magnitude of at least 6.8, was centered in the High Atlas Mountains not far from the major city of Marrakesh. It was the most powerful to strike that area in at least a century, flattening fragile mud brick houses in the poor, rural villages that were the hardest hit.

Morocco’s government has drawn some criticism for what has been seen as a sluggish response and a seeming reluctance to accept a deluge of offers to send in expert international teams and aid. But a government spokesman pushed back against that criticism late on Sunday, saying the authorities “were working to intervene quickly, effectively and successfully.”

King Mohammad VI, who makes decisions on all the most important matters of state in Morocco, and other authorities have released little information since the earthquake struck, updating casualty figures infrequently and making few public statements.

Ordinary Moroccans, many of them frustrated at the government’s response, have begun their own makeshift relief efforts to send donated aid. On Tuesday morning, the roads winding through the Atlas Mountains remained largely empty of rescue crews, but civilian vehicles loaded with water, food and blankets sped toward the devastation.

In another stricken area of southern Morocco around the city of Taroudant, cars and trucks packed with supplies prepared to begin the ascent into the mountains from a gas station. The impromptu aid convoy has been going nonstop since Saturday, residents said.

“People from all over Morocco have come to help,” said Said Boukhlik, a local resident.

Farther north, the roads outside of Marrakesh are now dotted with hastily built tent cities housing people displaced by the quake. In Marrakesh itself, many are still sleeping in parking lots next to their cars or on the grass along the roadside, either because their homes were damaged or because they were afraid of aftershocks.

“The streets have collapsed,” said Erez Gollan, an Israeli paramedic with the relief group United Hatzalah, who was surveying the damage in the mountainous region southeast of Marrakesh that was hard-hit. “Buildings of clay and stone have been wiped out, people are living in the streets — these are sights that are difficult to comprehend,” he added.

The Atlas Mountain town of Ouirgane was a hive of activity on Tuesday, with military trucks and ambulances crowding the roads, excavators working at the rubble of several houses and police whistles sounding every few minutes.

White tents had sprung up near the road, courtesy of a film production company that had extra. A mobile clinic, one of six the Ministry of Health had set up across the earthquake zone, was treating patients, and four more were to be set up. Doctors at the clinic said the military was using helicopters to fly more doctors into remote hamlets.

Dr. Marwane Bouhabr said the clinic in Ouirgane had seen about 600 patients since opening on Saturday, sending the most severe cases to the nearest hospital. People came in with trauma, fractures and deep gashes they had sustained in the earthquake and when they helped rescue others, but also with infections from living in the open, among corpses and stray dogs. Chronic patients needed their medication. A woman who had lost her entire family had come to the clinic suffering from a nervous breakdown on Tuesday.

“It’s hard, especially the emotional side of it, because we see patients who say they lost three kids or other relatives,” Dr. Bouhabr said as two SUV ambulances raced up. “I just wish I could have been here a little bit earlier. When you’re in the rubble, surviving is a matter of minutes, not of hours.”

Most people being pulled from the debris have already died, he said, though he also saw some miraculous rescues. Some who made it out alive later asphyxiated on the dust they had breathed in while trapped and died because there were no medics to give them oxygen in time, he said.

The needs of the living were becoming more urgent by the day: sturdier, warmer shelters, hot food and places to wash. Six families were sharing a single large tent across the road from their former neighborhood, where several dozen people had died. The women and children slept inside at night, the men wherever they could — in cars, in the back of a motorcycle-powered cart. It was chillier at night, and any rain that might come would turn the entire encampment to mud.

Though the residents were grateful for donated food like canned tuna and cheese, they hoped for fresh vegetables and fruit and items they could cook themselves, said Abdel Ali Ait Mbarek, 21, whose family was staying in the tent.

All but a few people in the village were missing their identity papers and other valuables, since the houses were too dangerous to enter. Most were focusing on getting through the day. “We don’t even know what’s going to happen tomorrow,” Mr. Ait Mbarek said.

But many villages and survivors remain beyond the reach of rescue teams. Emergency workers have faced steep terrain, with roads glutted with rubble and torn up by the quake. On Tuesday, the Moroccan military published footage of a Chinook helicopter dropping aid packets in isolated areas.

“A few more relief teams have begun arriving, but they haven’t reached the highest villages,” Mr. Gollan said.

Mr. Gollan said the window of time to save those trapped under the rubble was rapidly dwindling. Others dwelling in the improvised tent camps were at risk of disease and heat exposure, he warned.

The death toll reached at least 2,901 on Tuesday, with more than 5,530 injured, according to the Moroccan interior ministry. The toll is expected to rise further as residents and relief workers dig through the rubble. The bulk of the deaths were concentrated in the mountainous, rural region of Al Haouz just southeast of Marrakesh.

About 300,000 people were affected by the quake, according to the United Nations. The authorities have urged caution in the coming days as aftershocks, including a 4.2 magnitude tremor on Sunday, continue to ripple through the area.

Aid workers on Tuesday carried on digging out victims from under the ruins of towns nearly wiped out by the disaster. Some, including British and Spanish aid workers, used rescue dogs trained to sniff out survivors trapped under the rubble.

As of Tuesday, some governments and aid groups said they were still waiting for Morocco to give them permission to enter the country, even as rural hospitals were overwhelmed.

Survivors, many living in the far-flung towns high up in the Atlas Mountains, said running water, cellular service and stable electricity remained scarce. Many said they had waited fruitlessly for days for government aid workers to reach the disaster zone.

The relief efforts are a race against the clock. Experts say the first three days after a deadly earthquake are a critical window for rescuing survivors. And dozens of countries, including the United States, were quick to offer aid after the quake.

But Morocco has officially accepted assistance only from Britain, Spain, Qatar and the United Arab Emirates, according to the interior ministry, although some teams operated by nonprofits like Doctors Without Borders have entered the country.

Governments are sometimes reluctant to accept too much help for fear it cannot be coordinated effectively, said Mark Lowcock, who served as the top relief official for the United Nations from 2017 to 2021. Governments are also sometimes unwilling to accept help because it could signal to their own populations that they can’t cope, he added.

“Search and rescue can save lives in the first few days, and there are occasional miraculous examples of people surviving under collapsed buildings for a week or a bit or more,” Mr. Lowcock said, adding that “speed is of the essence.”

Aida Alami contributed reporting from Ouirgane, Morocco, and Matthew Mpoke Bigg from London.

Legal Actions Seek Guarantee of Abortion Access for Patients in Medical Emergencies

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Early in her pregnancy, Jaci Statton was in her kitchen when she felt like she was going to pass out and saw that her jeans had become soaked with blood. Doctors told her the pregnancy was not viable and that it could threaten her life if an abortion was not performed soon, she said.

But Ms. Statton lives in Oklahoma, a state that bans most abortions. Three hospitals declined to provide the procedure, she said. At the third, “they said, ‘We can’t touch you unless you’re like crashing in front of us,’” Ms. Statton, 26, said in an interview. The hospital’s only suggestion, she said, was “we should wait in the parking lot until I was about to die.”

On Tuesday, Ms. Statton filed a legal complaint with the U.S. Department of Health and Human Services asserting that the third institution, Oklahoma Children’s Hospital, had violated a federal law that requires hospitals with emergency departments to provide abortions in urgent situations, regardless of state abortion restrictions.

Her case is part of several legal challenges filed Tuesday involving patients and doctors in three states — Idaho, Tennessee and Oklahoma — who claim that those states’ abortion bans are preventing women with serious pregnancy complications from getting abortions, even in cases where the medical need is clear.

The cases, filed by the Center for Reproductive Rights, a legal advocacy organization, represent a broadening of legal strategies that abortions rights groups have initiated in recent months, after last year’s Supreme Court decision overturning the national right to abortion.

Jaci Statton and her husband, Dennis, before her pregnancy.Credit…Rachel Meagan Photography

With 14 states to date enacting laws that outlaw most abortions, some abortion rights advocacy groups are focusing on cases involving patients with desired pregnancies that developed serious complications or abnormalities. The cases don’t seek to strike down the bans but instead to gain legal clarity ensuring that patients in these situations should be exempt from state abortion bans.

The groups argue that the vague wording in the laws and the widespread confusion and fear among doctors that they could be prosecuted or penalized has resulted in the denial of care, with sometimes dire consequences to patients’ health or ability to become pregnant in the future.

Officials from two anti-abortion groups said that state abortion bans already allowed exceptions in life-threatening emergencies and that abortion rights advocates were trying to sow confusion. Dr. Ingrid Skop, vice president and director of medical affairs at the Charlotte Lozier Institute, said that although she never performed elective abortions, “there have been times I have needed to separate a mother from her unborn child in order to preserve her life in an emergency.”

One legal strategy, initiated earlier this year with a lawsuit filed against the State of Texas on behalf of patients and doctors, seeks clarification about state abortion restrictions to allow doctors to terminate pregnancies for patients with medical emergencies or severe fetal anomalies. The lawsuits filed Tuesday against Tennessee and Idaho echo that approach.

Another strategy — invoked in Ms. Statton’s case — asks the federal government to investigate hospitals that have denied abortions to patients with medical emergencies in states with abortion bans.

This spring, in a first-of-its-kind action, the federal government told a hospital in Missouri and another in Kansas that they had violated the federal law, the Emergency Medical Treatment and Labor Act, or EMTALA, when they denied an abortion to a woman whose water broke 17 weeks into her pregnancy. That law requires hospitals that receive Medicare funding and have emergency rooms to provide treatment including abortions if necessary to stabilize patients. Ms. Statton’s complaint asks the federal agency responsible for enforcing EMTALA, the Centers for Medicare & Medicaid Services, to investigate Oklahoma Children’s Hospital and issue a finding that it violated that law. The potential consequences include fines and exclusion from Medicare funding.

OU Health, which includes Children’s Hospital, said in a statement: “Our health care complies with state and federal laws and regulatory compliance standards.”

The Centers for Medicare & Medicaid Services declined to say whether they are investigating the Oklahoma claim and said the administration was committed to “protecting people’s access to the health care that they need, including abortion care.”

In a news conference on Tuesday, leaders of the Center for Reproductive Rights said that the limited exceptions in state abortion bans were written with terminology doctors do not use and that they made it unclear when doctors might be at risk of punishment.

“What these laws are forcing physicians to do is to weigh the very real threats of criminal prosecution against the health and well-being of their patients,” said Nancy Northup, the group’s president.

In the Texas case, after a hearing in July in which several women gave tear-filled testimony, a judge issued a temporary exemption to the state’s abortion ban that would allow patients with serious pregnancy complications to obtain abortions, but the exemption was blocked when the state immediately appealed. The case is scheduled for trial next year.

The lawsuits filed Tuesday against Tennessee and Idaho — which include eight patients, four doctors and an Idaho medical organization — not only ask for clarification about which situations qualify as medical emergencies eligible for abortions but also ask the states’ courts to expand the exemptions so that pregnancies with lethal fetal anomalies can be legally aborted.

The plaintiffs in the Tennessee case include Nicole Blackmon, who said she was 15 weeks pregnant when she learned that the fetus had a fatal medical condition. Tennessee’s abortion ban does not include exceptions for severe fetal anomalies, so she could not receive an abortion in the state. Ms. Blackmon could not afford to travel to another state, and at seven months into her pregnancy, after her health was worsening, gave birth to a stillborn baby, she said at Tuesday’s news conference.

“That law forced me to carry a baby for months that was never going to live and easily could have killed me,” said Ms. Blackmon, who said that shortly before she became pregnant last year, her 14-year-old son Daniel was killed in a drive-by shooting. “I was left with waiting to lose another child in the same year,” she said.

Tennessee’s attorney general’s office said it had not yet received the center’s lawsuit and will review it when it does.

In Oklahoma, Ms. Statton, a mother of three, first went to a local Catholic hospital, which told her she was having a miscarriage. The next day she visited her obstetrician-gynecologist, who determined that she had a partial molar pregnancy, a condition in which an egg has been fertilized by two sperm, creating an embryo with too many chromosomes, which cannot survive. The condition can cause the development of precancerous sacs or cysts in the uterus, which can rupture and cause severe bleeding or can develop into cancer.

Ms. Statton said the doctor told her “it will get worse” unless she had an abortion to remove the tissue, but because the hospital was Catholic, the doctor could not perform the procedure.

She transferred Ms. Statton to University of Oklahoma Medical Center, about an hour away in Oklahoma City.

There, Ms. Statton, who was about nine weeks pregnant, said doctors told her she should have the abortion immediately, but an ultrasound technician told them that they could not provide it because fetal cardiac activity could still be detected. “They were arguing with the ultrasound tech,” Ms. Statton said, and the doctors ultimately “came back in the room and said ‘We can’t.’”

They transferred her to Oklahoma Children’s Hospital, part of the same health system, saying that it had specialty care that might allow it to treat her. When staff at that hospital said they could not provide an abortion until her condition became worse, her husband began to cry, saying, “‘I’m going to lose you, I’m going to lose our baby,’” Ms. Statton said.

They drove 180 miles to have the abortion at a clinic in Kansas, afraid that on the way her condition would deteriorate, Ms. Statton said. She still feels sad and angry, she said. In May, she had a tubal ligation to prevent future pregnancies and she recently began taking antidepressants for the first time, she said.

Ms. Statton said that when her state banned abortion she didn’t think about it much because “I would keep my baby so I wouldn’t need that.”

Now, she said, “I just want other women to know that if they go through something like this, they’re not alone and it’s not their fault.”