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BUNIA, Congo — Esther Lutula stopped going for prenatal checkups shortly after the current Ebola outbreak was declared in eastern Congo. Midway into her pregnancy, the 26-year-old feared being put into isolation simply for having a fever, a common misconception.

“That’s why I’m waiting until the disease is no longer widespread,” she told the Associated Press from her home in Bunia, the capital of Ituri province and epicenter of the outbreak declared on May 15.

But that could be a deadly mistake.

Maternal mortality across Ituri soon doubled as news of the outbreak spread, with an average of about six women dying per week due to childbirth complication, according to Noemi Dalmonte, deputy country representative of the United Nations Population Fund in Congo.

While there was an average of 3.1 maternal deaths weekly this year before the outbreak, that jumped to 5.8 deaths from May 25 to July 19. Among those, the deaths outside health centers have also jumped from 9.1% to 17.4% within the same period, UNFPA data shows.

As Congo battles the fastest-growing Ebola outbreak on record, with more than 1,600 confirmed deaths, health and aid workers are warning of a shadow crisis as pregnant women avoid hospitals and the country’s already high maternal mortality rate climbs even more.

While it’s common for Africans to avoid health centers during public health emergencies because of safety concerns, “with Ebola, it is stronger because Ebola has a lot of rumors,” Dalmonte said in an interview.

With some wary residents questioning whether Ebola even exists, and health workers in one of Congo’s most remote and volatile regions struggling to respond to the outbreak with few supplies, pregnant women have less care than ever.

Congo is one of the world’s most dangerous places to give birth

Congo has among the world’s highest rates of both childbirths per woman and deaths around childbirth.

Women in the vast central African nation have almost six children on average. At least 19,000 women died from pregnancy complications in Congo in 2023, according to the latest U.N. data, tied with India and second only to Nigeria globally.

Now health workers in Ituri say they are seeing a decline in hospital visits as people worry about the risk of infection. This type of Ebola has no approved treatment or vaccine.

Women in need of care also fear being caught up in violence. Ebola treatment centers have been attacked by residents fueled by misinformation or anger over strict outbreak measures.

At the Bénédicte Clinic in Bunia, the number of women registered for prenatal care has dropped from 60 each month to around 10, said Sonny Mwembo, the medical director.

Even now, weeks into efforts to battle misinformation, some residents hold mistaken views of the outbreak.

“Right now, if you feel sick and go to the hospital, they say it’s Ebola and they put you in quarantine right away. That’s what scares people,” said Elodie Yabiri, a Bunia resident who is heavily pregnant.

Yabiri said she’s avoiding hospitals as much as she can.

As long as she still feels her unborn child moving, she believes everything is still OK.

Limited healthcare pivots to Ebola instead

The outbreak has strained Congo’s already overstretched healthcare system, complicating access for the pregnant women who still come for prenatal care or birth.

Health facilities in the five affected provinces are redirecting staff and supplies to the response, reducing access to essential maternal care services, according to aid groups.

At least 44 health infected workers have died. Many other health workers have walked off their jobs, protesting a lack of payment. At least 12 attacks have been recorded against health facilities and teams since the outbreak was declared in mid-May.

“We are doing everything we can to make the public understand how dangerous this disease is. We are working day and night without being paid,” said Ghislain Maneba, an epidemiologist and community investigator in Ituri’s Rwampara health zone.

All women are at higher risk in this outbreak

Ebola is rare but highly contagious and severe, often fatal. It spreads in the human population through contact with bodily fluids such as vomit, blood, or semen, and with contaminated surfaces and materials such as bedding and clothing.

Women are usually the primary caregivers when a loved one becomes ill. Many are among frontline health workers in this outbreak as well.

Associated Press journalists covering the outbreak have seen pregnant health workers among the responders.

“It is very important that they know how to protect themselves, that they have the right information,” Dalmonte said.

Pregnant women with Ebola are at an increased risk of problems including miscarriage, the U.S. Centers for Disease Control and Prevention has said in its clinical guidance.

Meanwhile, pregnant women who delay care and avoid health facilities “could die not from Ebola itself but because the care that would have saved them was no longer accessible, trusted, or safe,” Dalmonte said.

WASHINGTON — A federal judge is allowing the Department of Homeland Security to go ahead for now with plans to build a border wall through a levee system protecting a small Texas town on the border with Mexico, rejecting arguments by the town that the wall could lead to flooding.

The decision late Sunday marks a victory for the Trump administration as it races ahead with efforts to build a $46 billion wall along the U.S.-Mexico border from the Pacific Ocean to the Gulf of Mexico.

The town of Presidio, with a population of about 3,200 people, argued the wall could cause flooding and that the administration isn’t following the law as it rushes forward with its plans. The town’s development district sued earlier this year to stop the department from going forward with construction.

But the judge said in his ruling Sunday that they were unlikely to succeed on the merits of the case.

“For the foregoing reasons, despite the understandable concerns expressed by the plaintiff regarding the harms it and the plaintiff’s residents might sustain by the potential construction of the Smart Wall, the Court is compelled to deny the plaintiff’s motion for a stay,” wrote Judge Reggie B. Walton.

DHS has been charging forward with its wall-building plan, with senior administration officials saying a first layer of the structure will be done by next year. In its push, the Secretary of Homeland Security has waived numerous regulations designed to protect the environment, wildlife, and archaeological and Native American sites.

But the department has been running into opposition by landowners, environmental groups, Native American tribes, and others who argue that the government’s rapid construction endangers environmental and religious sites and a way of life along the border. Opponents also question the urgency to finish the wall when migrant crossings from Mexico are already at extreme lows.

Lawyers for Presidio’s development district argued in a court hearing that the government’s plans could compromise the levee system protecting the town from flash flooding and that the government flouted a key act that requires it to seek permission from the Army Corps of Engineers before building on or near the levees.

“We are very disappointed that the court will allow this potentially disastrous construction to continue, but we remain committed to protecting the Big Bend area and those who rely on the threatened levees,” said the town’s development district in a statement Monday.

Presidio is protected by a series of berms and levees built in the 1970s and 1980s along the Rio Grande and tributaries to combat flooding.

In court documents, Presidio’s development district said Customs and Border Protection plans to “replace the earthen slope of the existing levee with a concrete wall, with 30-foot steel bollard panels installed on top.” The district said it asked the agency for more details but was told they can’t be shared due to “national security.”

The government has argued that there is no final plan for where the border wall will go or how it will be built. And the administration has maintained that it has the authority given to it by Congress to waive a vast swath of regulations to build the wall as it seeks to get the number of people crossing the border every day to zero.

In his ruling, the judge bolstered that argument, saying that it was clear “that Congress did not intend to limit the Secretary of DHS’ waiver authority.”

The government is also facing another lawsuit in Texas where an environmental group and a church preservation group have teamed up to oppose DHS’s plans.

MOSCOW — The Russian Embassy in Rome on Monday blamed Ukraine for a deadly weekend bombing at a Moscow restaurant, describing it as an attempt to intimidate the Italian community in Russia.

The embassy said “Kyiv terrorists” wanted to “scare the Italians working in Russia and to show them that they too are in the crosshairs and could become the scoundrels’ next victims.”

It said the Saturday night attack on the Balzi Rossi restaurant killed five and injured 19, adding that its Italian chef and his staff were unhurt only thanks to a Russian security guard’s “vigilance and selfless dedication to his professional duty.”

There was no immediate comment from Ukrainian authorities.

The National Anti-Terrorism Committee, which coordinates various security agencies, initially reported a lower death toll in a statement issued shortly after the attack. It said the bomb killed three people, including a woman who carried the explosive device into the restaurant, a guard who stopped her, and a guest inside. It said 21 others were injured when the bomb detonated near the restaurant’s entrance.

The committee didn’t say who was the target or name the mastermind.

Moscow Mayor Sergei Sobyanin on Sunday described the bombing as a “brutal terrorist act,” but did not say who was responsible for the blast at the upscale restaurant, which is located on the ground floor of a high-rise apartment building that is one of seven skyscrapers in the city that date to the era of Soviet dictator Josef Stalin.

The Russian Foreign Ministry reposted the embassy statement without comment. It did not respond to a request for comment or explain the higher death toll.

Several Russian media outlets claimed the bombing targeted a Russian general who was celebrating his birthday at the restaurant. Some claimed that the general was Col.-Gen. Alexander Chaiko, who led the troops that made a botched attempt to storm the Ukrainian capital in 2022 and recently was appointed the chief of Russia’s aerospace forces. The claims could not be independently verified.

The business daily Kommersant reported that the bomb, hidden in a gift box, was probably detonated remotely and the woman carrying it could have been unaware of the content. Kommersant said the bomb contained about 2.2 pounds of explosives and contained metal balls for lethality.

Russia blamed Ukraine for past attacks on military officials

Russian authorities have blamed Kyiv for a series of bombings and other attacks against senior military officials after Moscow sent troops into Ukraine in February 2022. Earlier this year, Russia’s Federal Security Service said authorities would tighten security around senior military and government officials following the attacks.

In February, Lt. Gen. Vladimir Alexeyev, ​the deputy head of the GRU ‌military ⁠intelligence service, was shot three times at a Moscow apartment building, but survived. Ukraine denied its involvement.

In December, a car bomb killed Lt. Gen. Fanil Sarvarov, head of the Operational Training Directorate of the Russian Armed Forces’ General Staff, in southern Moscow. Ukraine refrained from comment.

In April 2025, another car bomb that Moscow blamed on Kyiv killed Lt. Gen. Yaroslav Moskalik, a deputy head of the main operational department in Russia’s General Staff. Ukraine didn’t claim the attack but hinted at its involvement.

And in December 2024, a bomb hidden in a scooter killed Lt. Gen. Igor Kirillov, who headed the Russian military’s nuclear, biological,Z and chemical protection forces, one of the few attacks Ukraine openly acknowledged.

Among other prominent victims of bombing attacks in Russia were Daria Dugina, the daughter of influential nationalist thinker Aleksandr Dugin, and Vladlen Tatarsky, a well-known pro-Kremlin military blogger. Kyiv denied involvement in the attack on Dugina, and remained coy about the attack on Tatarsky.

BANGKOK — Myanmar’s detained former leader Aung San Suu Kyi met with the International Committee of the Red Cross’ representative in the capital on Monday, the military-backed government said, a rare moment of contact with the outside world for the Nobel laureate who has been held out of public view since the military seized power in 2021.

Two photographs published with the announcement showed Suu Kyi shaking hands with Arnaud de Baecque, the ICRC’s representative to Myanmar, and meeting with him in a wood-paneled room.

The Presidential Press and Information Bureau, which released the photographs, said the meeting was held Monday morning but did not disclose the location of the meeting or provide details about what was discussed.

The ICRC confirmed in a statement on Monday that one of its delegates visited Suu Kyi under its standards and procedures for visiting people deprived of liberty, and spoke with her in private, but it did not disclose details of the discussion.

The organization said it continues to engage with all relevant actors to maintain and expand its access to places of detention in Myanmar.

Two other photographs showed Suu Kyi cutting a pink birthday cake bearing the inscription, “Happy Birthday Aunty Suu,” suggesting they may have been taken during a celebration for her 81st birthday in June.

In the photos, Suu Kyi appeared relaxed and was smiling. She did not show any obvious signs of ill health, although her physical condition could not be independently assessed from the images.

The release came as calls are growing from other countries, including Myanmar’s fellow members of the Association of Southeast Asian Nations, for access to or engagement with Suu Kyi as part of efforts to resolve the country’s political crisis.

Kim Aris, her younger son living in London, and Myanmar democracy activists have been waging an online campaign to demand evidence his mother is alive and well.

In a statement sent to the AP, Aris welcomed the reported ICRC visit, saying it could mark the first positive development concerning his mother in more than five years.

“This may be a first step, but it must not be the last,” Aris said.

He thanked governments, the international community, and supporters for standing with his family and backing his campaign to seek proof of his mother’s well-being, while stressing that he had not yet received independent confirmation of her condition.

He said he hoped the visit would lead to direct family contact and her eventual release together with all political prisoners.

Suu Kyi was detained Feb. 1, 2021, when the army seized power from her elected government. She has not been seen publicly since then, and the last official photo of her released was in April, when she was moved from prison to house arrest and her sentence was reduced as part of a prisoner amnesty for a Buddhist holiday.

The country’s military leaders, who have faced sanctions and widespread international isolation since seizing power in 2021, have sought to project a return to normalcy by holding a 2025 election and increasing engagement with regional neighbors.

However, critics say the transition to a nominally elected government largely composed of former generals and holdovers from the previous military-led government has done little to change the military’s grip on power.

Nay Phone Latt, a spokesperson for the opposition National Unity Government, said the ICRC’s meeting with Suu Kyi shouldn’t be taken as a real move to address human rights or democracy issues.

“Since, from the outset, a country’s leader was wrongfully arrested and imprisoned by finding faults where there were none, she must be released without any conditions,” he said.

SPOKANE, Wash. — Light winds and lower temperatures were in the forecast Monday to help firefighters battle wildfires in eastern Washington state that destroyed at least 600 structures and forced the evacuation of 60,000 people in the Spokane area.

The fires in and around Spokane, the state’s second-largest city, burned about 12.5 square miles by Monday morning and filled the sky with smoke and haze. They were 0% contained, Courtney James, a spokesperson for the Washington State Department of Natural Resources, said.

No major injuries or deaths were reported by Monday, though authorities were checking for missing people, said Cpl. Mark Gregory, a spokesperson for the Spokane County Sheriff’s Office.

“Initially, we had approximately 290 missing person reports, and at this point we have cleared all except 14,” Gregory said. “These may not all be specifically associated with the Spokane Complex Fires.”

The wildfires were among dozens across the Western U.S. that are stretching the ability of federal, state, and local agencies to fight them. At least 390 square miles have burned across Washington.

Homes, cars, possessions lost in flames

Entire Spokane neighborhoods lost homes. Chimneys that somehow withstood heat and flames were still standing like lone sentinels, symbols of what was there just a few days earlier.

Online efforts to help people swiftly popped up as friends of fire victims posted numerous appeals for money, clothes, and basic necessities. Kory and MacKensie Aspaas were away with their children when the disaster hit.

“They are coming back from being out of town to a life that’s been completely wiped out,” friend Kali Butler said.

Officials said Sunday that the evacuees in Spokane included patients at its U.S. Veterans Affairs hospital. Investigators had yet to determine how the blazes started.

The weather forecast for Monday called for cooler temperatures and light winds, but no rain.

“We are not out of danger,” U.S. Sen. Maria Cantwell said Sunday. “The next couple of days will be challenging.”

Grassland in flames in parts of Idaho, Oregon, Utah

Spokane was not the only place struggling to contain fires.

Crews using bulldozers and helicopters continued for a 10th day to fight a fire that has burned nearly 525 square miles of grassland in western Idaho and eastern Oregon. The area is home to cattle ranches, and authorities said the fire is threatening more than 600 homes and 800 other structures.

The weather in the area was expected to remain sunny and dry well into the week, with temperatures rising to more than 90 degrees Fahrenheit on Wednesday. Officials say the fire was caused by lightning.

In central Utah, a massive blaze more than doubled in size over the weekend and was nearly 57 square miles by Monday morning. More than 100 cattle have been killed, according to local law enforcement.

Officials called the fire “catastrophic” as heavy winds helped flames jump containment lines.

The fire is moving north toward Fillmore, a town of about 2,600 people and the seat of Millard County. Mandatory evacuations were ordered Sunday evening for the southern portion of Fillmore.

The National Weather Service issued warnings about the air quality across the Northwest. It issued red flag fire warnings for parts of Utah and Montana and western Nebraska, and extreme heat warnings for the southern parts of Arizona, California, and Nevada and northern Montana.

Spokane sets up shelter for impacted residents

In Spokane, about 400 people were staying at the city’s main convention center, which was turned into a shelter, officials said.

Spokane Public Schools opened a free emergency drop-in camp for children on Monday. Trials at the county court were pushed to Aug. 10.

Meanwhile, several larger fires continued to burn in less populated areas northwest of Spokane, including one about 80 miles from the city that has burned about 210 square miles. Another fire in eastern Oregon, about 70 miles to the northwest in the Stinkingwater Mountains, has burned about 336 square miles.

“The whole northwest is heavily impacted right now,” said Keila Vizcarra, the spokesperson for the federal team from California handling what’s been named the Big Grass Fire in western Idaho and eastern Oregon.

CEUTA, Spain — The teenage girl made it through the waves to Spanish territory. Her little brother did not, drowning in the Mediterranean, while their mother disappeared in the chaos when tens of thousands of people surged through the breakwater, trying to leave Morocco behind.

The tragic story of a 17-year-old from Tangier is representative of the plight of many of the more than 800 minors who four days after the collective push by migrants into Ceuta face a scary present and an uncertain future.

She told an Associated Press photojournalist how she and her family joined the massive crowd that tried to swim around a border fence to reach the Spanish territory on Thursday. Like many, she said, they did so seeking better opportunities. The AP is withholding her identity because she is a minor in a vulnerable situation.

She described how she saw Spanish police pull the body of her 8-year-old brother from the water.

She made it to the shore but became separated from her mother, and has spent the last four days on her own. She said some locals gave her food and some clothing, with one woman taking her into her home so she could bathe. She then went to a center for youths run by the government for some help, but found it was full.

“I saw people stepping on the dead,” she said through a translator since she doesn’t speak Spanish. “Now we are children begging on the street.”

She is one of some 860 minors who remained in Ceuta on Monday after crossing over, according to local officials. AP journalists saw other minors asking for food.

Those minors now make up a large part of the 3,000-5,000 migrants who have avoided expulsion from Ceuta of the original 60,000 who came across. Spanish authorities confirmed 72 people died, mostly in the water, during the crossing. Morocco reported 11 deaths which are not included in the Spanish total, the Spanish interior ministry said.

Minors must be cared for under Spanish law

Spanish law says that adult migrants can apply for asylum. If rejected, they will face expulsion procedures. The bar is normally very high for Moroccans to be granted humanitarian protection.

Migrant minors who are unaccompanied by adults, however, are supposed to be granted protection and taken care of by Spanish authorities.

An AP journalist witnessed Spanish soldiers escorting an unaccompanied Moroccan boy who was crying and begging not to be sent back to Morocco. A few yards before reaching the border, and due to pressure from local residents who insisted he was a minor, as well as the presence of the media, a lieutenant colonel in the Spanish Army stopped the repatriation and transferred the boy to the Spanish Civil Guard.

Most of the Moroccan adults have either voluntarily gone home or were pushed back by Spanish police. Among those who remain in Ceuta are significant numbers of people from other countries, including Sudanese fleeing their war-torn country, Palestinians from Gaza, and Afghans, as well as people from several African nations.

The city’s migrant center with a capacity for 600 people is completely full. Food is scarce among the migrants, according to reporting by AP journalists.

“The strategy is that hunger, thirst, and exhaustion forces these people to finally decide to voluntarily return to Morocco,” said local migration activist Ramsés Mohamed Azumik of Asociación Elín.

Many migrants sleep or rest on the beach or hills surrounding the speck of Spain. In the hazy distance, mainland Europe, their ultimate goal, lies across the sea.