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Weeks before the US Supreme Court overturned Roe v Wade last year, Oklahoma’s Republican governor vowed to “outlaw” abortion in the state entirely, and pledged to sign any legislation that promised to do just that. Governor Kevin Stitt signed several anti-abortion bills into law, including a measure that outlaws abortion at roughly six weeks of pregnancy, and another banning all abortions with exceptions only to save the patient’s life in a medical emergency or if the pregnancy is the result of rape, sexual assault or incest that has been reported to law enforcement. On 31 May, the highest court in the state struck down both of them. But abortion access remains out of reach for most patients in the state, after that same court upheld a far-reaching abortion ban from more than 100 years ago earlier this year. A state law from 1910 makes it a felony punishable up to five years in prison for anyone to perform or help someone seek an abortion unless to save the patient’s life. “This ruling, while providing clarity in emergency situations, does not change the landscape of care significantly,” Emily Wales, president and CEO of Planned Parenthood Great Plains, said in a statement. Oklahoma was the first state in the US to successfully outlaw abortion despite a constitutional right to abortion care that was affirmed by Roe v Wade. But in March, the state’s Supreme Court ruled that the state’s constitution “creates an inherent right of a pregnant woman to terminate a pregnancy when necessary to preserve her life,” though the court declined to weigh in on whether the constitution protects abortion access in other circumstances. The court also ruled that doctors should be able to use their own medical judgment to determine whether to provide an abortion when a patient’s life is at risk “due to the pregnancy itself or due to a medical condition that the woman is either currently suffering from or likely to suffer from during the pregnancy.” But it also preserved the 1910 law, a 113-year-old ban on abortion care that threatens providers with prison. The court’s decision on 31 May reaffirmed its decision recognising a right to abortion care in life-threatening cases, and struck down two the overlapping bans. In the months after the Supreme Court’s decision in Dobbs v Jackson Women’s Health Organization, which struck down a constitutional right to abortion care, clinics in Oklahoma have been forced to close, and patients have traveled thousands of miles for legal abortion care in a region surrounded by states where abortion is severely restricted or effectively outlawed. Even in cases of emergencies, there appears to be no hospital in Oklahoma that provides “clear, consistent policies for emergency obstetric care to pregnant patients,” according to an April report from Physicians for Human Rights, Oklahoma Call for Reproductive Justice and the Center for Reproductive Rights. Oklahoma hospitals “offered opaque, contradictory, and incorrect information about abortion availability and approval processes in obstetric emergencies, as well as little reassurance that clinicians’ medical judgment and pregnant patients’ needs would be prioritized,” according to the report. Only two out of 24 hospitals described providing legal support for providers in such situations, and representatives for three hospitals claimed their facilities do not provide abortions at all, the report found. Abortion rights advocates welcomed the court’s decision on 31 May, which abortion rights advocates said will at least allow doctors to clearly rely on their own medical judgment to provide care when a patient’s life is in jeopardy. “After months of uncertainty and chaos, Oklahomans should finally be able to access the life-saving care they need in their home state,” according to Dr Alan Braid, an abortion provider and plaintiff in the case challenging the overlapping abortion bans. “Heartbreakingly, we were forced to close our Tulsa clinic due to Oklahoma’s abortion bans, but I will continue to serve patients in the region at clinics in Illinois and New Mexico,” he added. “While we are relieved the court upheld the right to abortion in medical emergencies, this does not diminish the fact that care remains out of reach for the majority of Oklahomans,” according to Ms Wales. Following the state Supreme Court decision on 31 May, Oklahoma Attorney General Gentner Drummond clarified that “except for certain circumstances outlined in that statute, abortion is still unlawful in the state of Oklahoma” because of the 1910 law. Governor Stitt accused the court of using “activism to create a right to an abortion in Oklahoma.” “This court has once more over-involved itself in the state’s democratic process, and has interceded to undo legislation created by the will of the people,” he said in a statement. Within the last year, more than a dozen states – including most of the entire US South – have outlawed abortion care for most pregnancies. Read More ACLU sues Nebraska over combined law targeting abortion and gender-affirming care: ‘Egregious overreach’ South Carolina judge halts six-week abortion ban as state Supreme Court set to review new law Doctor who provided abortion care to 10-year-old rape survivor reprimanded in case that drew national scrutiny Anti-abortion laws harm patients facing dangerous and life-threatening complications, report finds

Zhanna Samsonova was just 39 when she died, reportedly from “starvation and exhaustion”, thousands of miles from her birthplace in Moscow, Russia. The Instagram influencer’s tragic story has come under scrutiny due to her promotion of a completely “raw” diet, which reports have suggested was linked to her death. Under the name Zhanna D’Art, Samsonova regularly wrote about how she subsisted exclusively on fruit, vegetables, seeds, smoothies and juices while living in Malaysia. Her mother, Vera, attributed Samsonova’s death to a “cholera-like infection” that was exacerbated by her diet. In recent weeks, Samsonova had been unusually quiet on Instagram, with the exception of a troubling post shared just days before her death on 21 July. “Life is meaningless but worth living provided you recognise it’s meaningly,” she wrote, over a photo of herself wearing sunglasses, with a gasping expression on her face. Vera, 63, told Russian newspaper Novye Izvestia how she had begged her daughter to return home as she feared for her health. “I understood that Zhanna was about to die, but still I could not help her in any way. My daughter's life has turned into a nightmare,” she said, via LBC. She told the publication that she had “fought for years” to save her daughter, once an aspiring model, but she “refused to listen”. Samsonova is believed to have left Russia in 2006, buying a one-way ticket to spend the past 17 years travelling around Asia while blogging and practicing yoga. Photos shared by Vera showed a smiling Samsonova apparently taking part in a modelling contest. The images are in stark contrast to the final photos she shared of herself before her death, where she appeared visibly gaunt and malnourished. Her friends also spoke with local media, confessing they feared she was suffering from anorexia and that her diet was becoming increasingly limited. One of her neighbours, who was not named, said she was “horrified” when they met in Sri Lanka a few months ago, as Samsonova looked “exhausted” and had swollen legs “oozing lymph”. “They sent her home to seek treatment. However, she ran away again. When I saw her in Phuket, I was horrified,” the friend said, according to The Sun. “I lived one floor above her and every day I feared finding her lifeless body in the morning. I convinced her to seek treatment, but she didn’t make it.” Samsonova regularly made claims about the supposed benefits of her raw food diet, including that it offered “natural” protection from Covid-19. She also claimed that her body did not “require” water, writing last year that her fruit-based diet meant she had gone without water for the past six years. In recent months, she appeared to have become a fan of the durian fruit, sharing frequent posts that promoted it. “It’s that fabulous time of year again – Durian Season in Thailand!” she wrote in the caption of one of her final videos. “Wake Up And Smell the Durian! For all you durian lovers out there, isn’t it just the best? And for those who haven’t yet experienced the joy of durian, you’re in for a wild ride!” When she died, Samsonova had around 16,000 followers. At the time of writing, however, that number had increased to 33,000. There have been previous cases where people have starved to death due to their extreme diets, including children whose food intake was controlled by their parents. Last year, a vegan mother was sentenced to life in prison over the death of her 18-month-old son, who was fed a diet of raw fruits and vegetables. Prosecutors said that Sheila O’Leary’s son Ezra was severely malnourished, and weighed just 17 pounds when he died in September 2019. O’Leary was convicted by a Florida jury in June 2022 of first-degree murder, aggravated child abuse, aggravated manslaughter of a child, child abuse and two counts of child neglect. For anyone struggling with the issues raised in this article, eating disorder charity Beat’s helpline is available 365 days a year on 0808 801 0677. NCFED offers information, resources and counselling for those suffering from eating disorders, as well as their support networks. Visit eating-disorders.org.uk or call 0845 838 2040 Read More Vegan raw food influencer ‘dies of starvation and exhaustion’ ‘Love, obsession, extortion and murder’: The dramatic downfall of TikTok influencer who became a killer Royal family silent as Meghan Markle celebrates 42nd birthday Who was controversial vegan raw food influencer Zhanna D’Art: Health expert Dr Michael Mosley shares two tips for avoiding osteoporosis Will Smith says Willow ‘mutiny’ changed his view on family success

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