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      Widening Racial Disparities Underlie Rise in Child Deaths in the U.S.

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      New research finds that the death rate among Black youths soared by 37 percent, and among Native American youths by 22 percent, between 2014 and 2020, compared with less than 5 percent for white youths.The NewsThanks to advancements in medicine and insurance, mortality rates for children in the United States had been shrinking for decades. But last year, researchers uncovered a worrisome reversal: The child death rate was rising.Now, they have taken their analysis a step further. A new study, published Saturday in The Journal of the American Medical Association, revealed growing disparities in child death rates across racial and ethnic groups. Black and Native American youths ages 1 to 19 died at significantly higher rates than white youths — predominantly from injuries such as car accidents, homicides and suicides.Dr. Coleen Cunningham, chair of pediatrics at the University of California, Irvine, and the pediatrician in chief at Children’s Hospital of Orange County, who was not involved in the study, said the detailed analysis of the disparities documented “a sad and growing American tragedy.”“Almost all are preventable,” she said, “if we make it a priority.”Flowers for Karon Blake, 13, who was shot and killed in Washington, D.C., in January 2023. Gun-related deaths were two to four times higher among Black and Native American youth than among white youth.Carolyn Kaster/Associated PressSome Context: A frightening trend examined more closely.Researchers at Virginia Commonwealth University and Children’s Hospital of Richmond had previously revealed that mortality rates among children and adolescents had risen by 18 percent between 2019 and 2021. Deaths related to injuries had grown so dramatically that they eclipsed all public health gains.The group, seeking to drill deeper into the worrying trend, obtained death certificate data from the Centers for Disease Control and Prevention’s public WONDER database and stratified it by race, ethnicity and cause for children ages 1 to 19. They found that Black and American Indian/Alaska Native children were not only dying at significantly higher rates than white children but that the disparities — which had been improving until 2013 — were widening.The data also revealed that while the mortality rates for children overall took a turn for the worse around 2020, the rates for Black, Native American and Hispanic children had begun increasing much earlier, around 2014.Between 2014 and 2020, the death rates for Black children and teenagers rose by about 37 percent, and for Native American youths by about by about 22 percent — compared with less than 5 percent for white youths.“We knew we would find disparities, but certainly not this large,” said Dr. Steven Woolf, a professor of family medicine at the V.C.U. School of Medicine, who worked on the research. “We were shocked.”We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Biden’s Challenges in Reaching Young Voters on TikTok Include Anger Over Gaza

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      For his campaign, navigating the platform has meant encountering over and over some of the thorniest issues plaguing Mr. Biden’s re-election bid.President Biden’s campaign is working to reach across the generation gap to the tens of millions of predominantly younger voters on TikTok, where the challenges are daunting and the rewards difficult to track.The obstacles range from anger over the war in Gaza to what social media experts describe as the unavoidably uncool nature of supporting the administration in power.Mr. Biden, 81, joined the app owned by a Chinese company last month, in what was widely seen as an effort to communicate with voters under 30, among whom he has polled poorly for months. In interviews and surveys, those voters indicated an unawareness about his administration’s accomplishments, something a word of mouth campaign on TikTok could alleviate.But navigating the platform and its more than 150 million users in the U.S. has involved confronting, usually in the comments sections of his own posts, some of the thorniest issues plaguing Mr. Biden’s re-election bid: disillusioned voters averse to politics, concerns about his age, outrage over the death toll in Gaza. Former President Donald J. Trump isn’t on the app, but his supporters are active. Adding to the puzzle, Mr. Biden’s aides are trying to sell his record on a platform his administration has argued poses a national security threat.President Joe Biden sits with attendees while listening to an opening speaker, during a campaign event at the El Portal restaurant in Phoenix, Arizona, on March 19, 2024.Tom Brenner for The New York TimesA bill to force TikTok to cut ties with its Chinese owner or otherwise face a ban in the U.S. is stalled in the Senate, but the president has said he’ll sign it if it passes — a position that has rankled even his staunchest young supporters.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Senegal’s Opposition Leaders Freed from Jail Days Before Election

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      The presidential candidate of the main opposition party, as well as its powerful founder, were released 10 days before the West African country is set to hold a national election.Two opposition party politicians were released from jail in Senegal on Thursday night, just 10 days before a nationwide election in which one of them is running for president.Hundreds of supporters celebrated in the streets of Dakar after Ousmane Sonko, Senegal’s foremost opposition leader, was freed along with Bassirou Diomaye Faye, his party’s candidate in the election on March 24.“You never gave up even when we were absent. You kept on fighting.” Mr. Faye told supporters in Dakar on Thursday evening. “Today we are ready to join you in the same fight.”The release is the latest in a series of unexpected moves by the incumbent president, Macky Sall, who cited allegations of corruption when he announced last month that he was canceling the election. Facing a backlash, he reversed course and set the election for Sunday, March 24 — just nine days before his term ends.After years of hinting that he might run again, Mr. Sall finally confirmed last July that he would step down after his two terms were up.Senegal, a coastal West African nation of 17 million people, is seen as a bastion of democracy relative to some of its West African neighbors, which are ruled by military juntas following a spate of coups in recent years.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Biden the President Wants to Curb TikTok. Biden the Candidate Embraces Its Stars.

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      At a party for social media influencers at the White House this week, President Biden’s political concerns collided with his national security concerns.The White House is so concerned about the security risks of TikTok that federal workers are not allowed to use the app on their government phones. Top Biden administration officials have even helped craft legislation that could ban TikTok in the United States.But those concerns were pushed aside on Thursday, the night of President Biden’s State of the Union address, when dozens of social media influencers — many of them TikTok stars — were invited to the White House for a watch party.The crowd took selfies in the State Dining Room, drank bubbly with the first lady and waved to Mr. Biden from the White House balcony as he left to deliver his speech to Congress.“Don’t jump, I need you!” Mr. Biden shouted to the young influencers filming from above, in a scene that was captured — naturally — in a TikTok video, which was beamed out to hundreds of thousands of people.Thursday’s party at the White House was an example of Mr. Biden’s political concerns colliding head-on with his national security concerns. Despite growing fears that ByteDance, the Chinese parent company of TikTok, could infringe on the personal data of Americans or manipulate what they see, the president’s campaign is relying on the app to energize a frustrated bloc of young voters ahead of the 2024 election.“From a national security perspective, the campaign joining TikTok was definitely not a good look — it was condoning the use of a platform that the administration and everyone in D.C. recognizes is a national problem,” said Lindsay Gorman, head of technology and geopolitics at the German Marshall Fund and a former tech adviser for the Biden administration.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Appeals Court Allows Indiana Ban on Transition Care for Minors to Take Effect

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      A lower court had mostly blocked enforcement of a state law that banned gender-transition care for minors, but a federal appellate court lifted that injunction on Tuesday.Indiana’s ban on hormone treatments and puberty blockers for transgender minors can go into effect, a federal appeals court ruled on Tuesday, undoing a lower court decision last year that had largely blocked the law.The three-paragraph ruling by a panel of judges from the U.S. Court of Appeals for the Seventh Circuit, based in Chicago, said it was staying a preliminary injunction that the district court had issued in June, just before the law was scheduled to take effect last summer.The appellate judges did not explain their reasoning but simply said that a full opinion on the case would be issued in the future.The decision further unsettles the national legal landscape around transgender care for minors, with bans blocked in some states but not others, and it could lead to abrupt changes in treatment for young people in Indiana.“This ruling is beyond disappointing and a heartbreaking development for thousands of transgender youth, their doctors and their families,” the American Civil Liberties Union and the A.C.L.U. of Indiana, which brought the lawsuit challenging the ban, said in a statement. “As we and our clients consider our next steps, we want all the transgender youth of Indiana to know this fight is far from over,” the statement added.The Indiana attorney general, Todd Rokita, whose office defended the law in court, said on social media that “we are proud to win this fight.”“Our common-sense state law, banning dangerous and irreversible gender-transition procedures for minors, is now enforceable,” said Mr. Rokita, a Republican. Republican-led states have raced to ban gender-transition care for minors in recent years, leading to a series of lawsuits in federal and state courts that so far have had mixed results. Many legal experts on both sides of the issue expect the legality of the bans to ultimately be decided by the U.S. Supreme Court.The Indiana ban passed the Republican-controlled legislature last spring by large margins and was signed into law by Gov. Eric Holcomb, a Republican. Supporters of the law claimed they were seeking to protect young people from making life-altering decisions that they might later regret.Families of transgender children sued to block the law, saying that it would put transgender youths at immediate risk of unwanted changes to their bodies, which would have lifelong consequences.A federal district judge, James Patrick Hanlon, who was appointed by President Donald J. Trump, temporarily blocked portions of the law banning hormone treatments and puberty blockers for minors while the lawsuit proceeded. He allowed a ban on gender-transition surgeries for minors to take effect as scheduled.But after hearing arguments this month, a three-judge panel from the Seventh Circuit, made up of two judges appointed by Republican presidents and one appointed by a Democratic president, lifted Judge Hanlon’s injunction. More

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      Senegal Parliament Delays Elections Until December After Opposition Showdown

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      President Macky Sall abruptly postponed elections scheduled for this month, and on Monday, legislators in the West African nation voted to allow him to stay in office months after his presidency is to end.Senegal’s Parliament voted late Monday to delay elections until December, after opposition lawmakers seeking to block the vote were thrown out of the National Assembly. The vote came after President Macky Sall last week postponed the upcoming ballot, a move critics condemned as an “institutional coup.”Voters had been preparing to go to the polls on Feb. 25, until Mr. Sall — who has said he is not seeking a third term — announced on Saturday that he was postponing the election. Experts and many opposition and civil society leaders called it a power grab by an unpopular president who is not certain that his chosen successor would win.But on Monday night, police officers in helmets and bulletproof vests expelled opposition members from the National Assembly, preventing them from voting after a marathon session debating the legality of Mr. Sall’s move. The bill then passed with a vote of 105 to 1. In effect, Mr. Sall will be allowed to stay on until the election is held on Dec. 15, nearly 10 months after his presidency is supposed to conclude.Anticipating an outburst of protest, the government on Monday morning cut internet access to cellphones, banned motorcycles in the capital, Dakar, and sent hundreds of security forces into the streets in a show of force. The big public protests that had been expected for Monday afternoon never materialized; Dakar’s streets emptied, as many residents chose to stay indoors.When Mr. Sall announced that he was postponing the election, he said in his address to the nation that a dispute between the national assembly and the constitutional court needed to be resolved before a vote could be held, but critics dismissed this as a “manufactured crisis.”On Sunday, isolated protests broke out across Dakar, but they were quickly put down by security forces who used tear gas and arrested several demonstrators, including former Prime Minister Aminata Touré.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe. More

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      Trump’s Landslide Victory in Iowa

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      More from our inbox:Young Voters: Vote!U.S. Strikes in YemenThe Genocide Charges Against IsraelDonald J. Trump at a caucus site in Clive, Iowa, on Monday evening. His victory was called by The Associated Press only 31 minutes after the caucuses had begun.Doug Mills/The New York TimesTo the Editor:Re “Trump Wins Iowa in Key First Step Toward Rematch” (front page, Jan. 16):If you weren’t scared before Monday night’s Iowa caucuses, you should be terrified now. The disgraced, twice-impeached, quadruple-indicted former president came within one vote of winning all 99 of Iowa’s counties, and received 51 percent of the vote.Ron DeSantis came in a distant second with 21 percent of the vote, and Nikki Haley was a distant third with just 19 percent of the vote.The bid for the Republican nomination for president is all but over, leaving America with a terrible choice between the autocratic and awful former president, and the obviously too old and frail current president.Unless Ms. Haley can win convincingly in New Hampshire, and match Donald Trump in South Carolina, the former president will be the nominee.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber?  More

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      After the Iowa Shooting, Demands That Politicians Act

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      More from our inbox:Motivating Young People to Vote for Biden‘A Glimmer of Hope’Immigration Judges Are Needed. I Volunteer!The Inmates and the CatsParents picked up their children from a reunification center in Perry, Iowa, on Thursday morning.Rachel Mummey for The New York TimesTo the Editor:Re “One Confirmed Dead Among Several Victims in Iowa School Shooting” (news article, Jan. 5):It has happened again, this time in Perry, Iowa, and it will keep happening until voters confront the politicians. With a majority of Americans saying they favor stricter gun laws such as universal background checks, there is no better time than now, in this election year, for voters to ask the candidates to support efforts to reduce gun violence in America.Republicans, especially recently, are demanding yes or no answers to critical questions. In town halls and at rallies and caucuses, candidates need to be confronted: Will you commit to specific steps to insure the safety of our schoolchildren, yes or no?There is no better time or place to demand yes or no answers to questions about gun safety than in Iowa in the next two weeks.David SimpsonRindge, N.H.To the Editor:I’m distressed and angered about another public school shooting — and there is still no action from state and local governments regarding protecting our children from these violent acts. As a public-school teacher and a parent, I fear for my own children as well as my students.We know we need to keep guns out of the hands of violent and mentally unstable people, but we also need to keep people who are violent out of our schools. We need changes to our laws and policies if we are going to stop this epidemic of gun violence against our children.Kathryn FamelyFalmouth, Mass.To the Editor:Re “In Nashville, Parents Believed Time Had Come for Gun Limits” (front page, Dec. 29):The parents of Tennessee children who were present during the Covenant School mass shooting last March deserve all the credit in the world for standing up to be counted in the fight against the madness of the easy access to firearms in this country.In some ways, fighting for change in an extremely red state like Tennessee is at the same time more difficult and frustrating, yet also more valuable.When a Republican or a conservative person is persuaded that we need to strengthen common-sense gun laws, eliminate the gun show loophole and ban the sale of high-speed automatic rifles, the accomplishment is greater. Most Democrats already favor such restrictions.The stories of these parents’ encounters with Tennessee lawmakers, while inspiring, are also infuriating. It seems unfathomable that a legislator would sympathize in private with these parents who are trying to make the world safer for schoolchildren, yet then vote against any measure that might actually accomplish that goal.For these parents and others frustrated and enraged by these gutless lawmakers, I can suggest one other tactic. Perhaps only the thought of political defeat would be persuasive. It may seem unpalatable for a lifelong conservative Republican to vote for the Democratic candidate, yet doing so once over this life-or-death issue may be the only way to alter the behavior of obstinate politicians.Marc SpringerBrookline, Mass.Motivating Young People to Vote for Biden Damon Winter/The New York TimesTo the Editor:Re “Young Voters Have an Entirely Different Concept of Politics,” by Michelle Cottle (Opinion, Jan. 3):Ms. Cottle brings up the problem of President Biden’s lack of appeal to young voters. Mr. Biden’s strongest suit is still this: He’s not Donald Trump.If young voters care about the environment, all Democrats have to do is feature Mr. Trump’s “I want to drill, drill, drill!” remark in their ads, along with his comments ignoring climate change.Even more important is Mr. Trump’s nominating for the Supreme Court conservative justices who have taken away women’s rights over their own bodies.If young voters aren’t feeling motivated to vote by these issues, they should be.Christine GrafSt. Paul, Minn.To the Editor:I absolutely agree with Michelle Cottle’s observation that Bernie Sanders was crucial to Joe Biden’s support among young people in the 2020 election. If you compare this year’s primary season with the 2020 one, this year’s so far is very lackluster for the Democrats.To give it the energy of the 2020 primary season, Mr. Biden needs to put Bernie Sanders — and Elizabeth Warren — on the road again, especially on college campuses. And they need to talk about what they hope to accomplish in a second Biden administration, not just about what has been accomplished so far.These two will provide the energy and vision that young people crave and will give them the motivation to show up at the polls on Election Day.Paul MarshLansing, Mich.‘A Glimmer of Hope’Students playing between classes this month at the Hand in Hand school in Jerusalem.Tamir Kalifa for The New York TimesTo the Editor:Re “In a Jewish-Arab School, an Oasis From Division but Not From Deep Fears” (news article, Jan. 1):I was delighted to read this story on the first day of 2024. Day after day reading about the atrocities committed in Israel and the resulting horrors happening in Gaza has been so depressing. Reading 9-year-old Ben, a “religious Jew,” say that his best friend is Arab gave me a glimmer of hope for the future.Scott BaleStamford, Conn.Immigration Judges Are Needed. I Volunteer! Fred Ramos for The New York TimesTo the Editor:Re “Migrant Surge Stretches U.S. Border Patrol Thin” (front page, Dec. 29):I am a recently retired lawyer. Your description of the unmanageable burdens immigration is placing on our resources jolted me to ponder an untapped but significant solution to the limited number of immigration judges needed to process the backlog of asylum cases (as distinguished from the more complex deportation proceedings).There are thousands of ready, willing and able retired lawyers and judges throughout our country who could be quickly trained and qualified locally or online to process asylum cases.Many in this cohort already voluntarily serve our state and federal courts as appointed and volunteer lawyers for those who cannot afford a lawyer. Many also serve as court-appointed court mediators without compensation. I suggest that activating these resources would rapidly reduce the huge backlog of asylum cases.I hereby volunteer if anyone at the Departments of Justice or Homeland Security wants my help.Les WeinsteinLos AngelesThe writer is a member of the California State Bar and a former U.S. Department of Justice trial lawyer.The Inmates and the Cats Cristobal Olivares for The New York TimesTo the Editor:I’m glad that “Cats Filled This Chilean Prison. Then, the Inmates Fell in Love” ran on the front page of the very first paper of 2024.There’s no end to bad news, and it was uplifting to read about programs that connect prisoners with animals and specifically about Chillona, “a relaxed black cat that has become the darling of a nine-man cell crammed with bunk beds.”Bonding with pets apparently leads to an increase in empathy and a decrease in recidivism. When the inmates in Santiago care for the cats, the cats, in return, offer “love, affection and acceptance.”Talk about a win-win.Carol WestonNew York More