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Deadly attack in Belgium ignites fierce debate on failures of deportation policy_我的网站

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One-fifth of U.S. mothers say they have experienced mistreatment by their health care provider during their pregnancy and delivery care and 29% say they have faced discrimination, according to new research from the Centers for Disease Control and Prevention, with higher rates of such incidents reported among women of color.
Approximately 20% of more than 2,400 women surveyed in a CDC Vital Signs report released Tuesday said they experienced some form of physical neglect or verbal abuse during their maternal care. The report’s findings were based on a survey conducted from April 24 through April 30 by public relations firm Porter Novelli.
Higher rates of mistreatment were reported by mothers who identify with a racial and ethnic minority group, including 30% of Black women, 29% of Hispanic women and 27% of multiracial women during their pregnancy care, compared to 19% of white women and 15% of Asian mothers.
Nearly 30% of women who were uninsured and 26% of those covered by Medicaid reported mistreatment during their maternity care compared to 16% of women with private insurance, according to the analysis.
The most common forms of mistreatment reported by survey respondents included receiving no response to requests for help, being shouted at or scolded, having a lack of physical privacy, and being threatened with the withholding of treatment or being coerced into accepting unwanted treatment.
“This report provides evidence that many women are having experiences that are truly unacceptable,” said Dr. Wanda Barfield, director of the CDC’s Division of Reproductive Health in a call with reporters held Tuesday.
In addition, 29% of women surveyed said they experienced at least one form of discrimination during their pregnancy care, with 40% of Black women, 39% of multiracial women, and 37% of Hispanic women reporting such incidents, compared to 26% of white women and 23% of Asian women. The most common reasons for discrimination reported included issues concerning age, weight and income.
“We know mistreatment and discrimination can have a negative impact on the quality of maternity care,” said CDC Chief Medical Office Dr. Debra Houry during a call with reporters.
Houry told the story of Dr. Shalon Irving, an officer within the CDC’s Epidemic Intelligence Service who died in 2017 as a result of high blood pressure three weeks after giving birth.
“As a health care community, we have to do better in providing unbiased and respectful maternity care equally to all mothers,” Houry said.
The report’s findings come at the same time as rising rates of death associated with giving birth in the U.S. The maternal mortality rate increased 89% from 17.4 deaths per 100,000 live birth in 2018 to 32.9 per 100,000 in 2021, according to a March CDC report, with the total number of annual deaths nearly doubling from 658 to 1,205 during that period. And women of color are even worse off than the general population. The maternal mortality rate among Black women increased from 37.3 deaths per 100,000 live births in 2018 to 69.9 per 100,000 in 2021, while the rate among Hispanic women increased by more than two-fold during that same period to 28 deaths per 100,000 live births in 2021, surpassing the rate among white women for the first time.
Houry said health care providers can do more to improve maternity care quality by promoting greater cultural competency and diversity within their clinical workforce, as well as focusing on developing practices that result in all maternity patients receiving an equitable standard of care.
“We know that most pregnancy-related deaths are preventable – more than 80%,” Houry said. “Respectful maternity care can be defined as preventing harm and mistreatment, communicating effectively, and providing equitable and unbiased care.”
。    BRUSSELS -- The alleged attacker who killed two Swedish soccer fans in Brussels this week before he was shot dead by police was residing in Belgium illegally and should have left the country three years ago, but never did.In a country that has been repeatedly rocked by extremist attacks, the government’s inability to deport the 45-year-old Tunisian national and prevent him from carrying out the attack is sparking a fierce political debate.Many questions remained unanswered as Sweden’s Prime Minister Ulf Kristersson traveled to Brussels on Wednesday to attend a ceremony paying tribute to the victims and meet his Belgian counterpart Alexander De Croo. How was a man who was on police files, thought to be radicalized and being sought for deportation, able to remain on Belgian soil? How did he obtain a semiautomatic rifle and launch such an attack?Investigators are still trying to determine the motive for Monday night’s attack, which happened not far from where Belgium’s men’s soccer team was hosting Sweden in a European Championships qualifier. It was the latest of a long list of extremist attacks to hit Belgium, including suicide bombings in 2016 that killed 32 people and injured hundreds more in the Brussels subway and airport.Authorities believe the suspect acted alone.Sweden raised its terror alert to the second-highest level in August after a series of public Quran burnings by an Iraqi refugee living in Sweden resulted in threats from Islamic militant groups. Asked if this might be a possible motive in this week's attack, the Belgian federal prosecutor’s office said it was too early to tell.Put on the backfoot by political rivals quick to condemn the inadequacies of Belgium’s deportation policy, De Croo stressed that orders to quit the Belgian territory need to be better enforced.“An order to leave the territory must become more binding than it is now,” he said. “The people who are not entitled to protection should leave the territory.” “When two people die, the only thing you can say is that things have gone wrong,” De Croo added.He also called for better protection of the European Union's external borders and coordinated return policies across the 27-nation bloc.Kristersson said he did not blame Belgian authorities for their failure to send the suspect back to his country of origin because “we have exactly the same problem in Sweden, with very many people who are declined asylum but refuse to leave.”According to Justice Minister Vincent Van Quickenborne, the suspect was denied asylum in 2020. He had been suspected of involvement in human trafficking, living illegally in Belgium and of being a risk to state security.Nicole de Moor, the secretary of state for asylum and migration, said Belgian authorities had lost track of the suspect after his asylum application was refused because he did not want to be housed in a reception center. Authorities were unable to locate him to organize his deportation.Governments critics, however, pointed out that police were able to quickly find his address and carry out raids at his Brussels flat after the attack. Belgium’s federal prosecutor Frédéric Van Leeuw said the shooter was recognized by the video and that people helped to identify the suspect and to track him down.Bernard Clerfayt, a Brussels minister who is also the mayor of the Brussels borough where the killings took place, called for the resignation of de Moor, the migration secretary.“There are thousands and thousands of orders to leave the country that have not been carried out, and what’s more, the procedure makes no provision for tracking down the addresses of all these people,” Clerfayt told La Premiere radio on Wednesday.Van Leeuw, the prosecutor, said Belgian authorities didn’t have much indication about the suspect’s radicalization. They received some intelligence from an unidentified foreign government in 2016 that the man had been radicalized but could not act on it because Belgian authorities were not able to establish it, he said. They saw no signs of radicalization since then. “Radicalization is not a crime either,” he said.Jesper Tengroth, a spokesman for the Swedish Migration Agency, told Swedish public radio that the suspected gunman lived in Sweden from 2012 to 2014 and spent part of that time in prison before being sent to another EU country.Official figures showed that only 5,497 of the 25,292 people who received an order to leave Belgium in 2022 have respected it. According to various estimates, some 150,000 people are currently residing illegally in Belgium. On average in the European Union, only around one in three people whose asylum applications fail ever actually leave. Forced deportations have a dark history in Belgium. In 1998, Samira Adamu, a Nigerian asylum seeker whose application had been rejected, was suffocated to death by security officials on her plane back to Africa after she tried to resist her deportation. The interior minister at the time resigned over the scandal.Theo Francken, a lawmaker from the right-wing Flemish nationalist party N-VA, said Belgian authorities should be stricter with criminals and radicalized individuals. “This must really be the government’s focus. It’s a big mistake not to have done this,” he said.Meanwhile, Swedish public broadcaster SVT identified one of the victims as Patrick Lundström, a 60-year-old who was described by his family as an “incurable football fan” who followed the national team through good times and bad times.The fact that the shooter used a semiautomatic rifle highlighted another serious issue for Belgium — the widespread circulation of weapons in a country that struggles to fight fierce drug trafficking.“Because of drug crime, there is a lot of demand for these kinds of weapons,” Nils Duquet, the director of the Flemish Peace Institute and a weapons expert, told VRT News. "It’s not only serious criminals who get hold of these kinds of weapons these days, but also more minor ones.”___Raf Casert in Brussels contributed.。

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