The Brief

After spiking in 2021, the maternal mortality rate in the U.S. improved significantly the following year, according to a new report from the Centers for Disease Control and Prevention..

The data shows that 817 women died of maternal causes in the U.S. in 2022, compared to 1,205 in 2021. These are deaths that take place during pregnancy or within 42 days following delivery, according to the World Health Organization, "from any cause related to or aggravated by the pregnancy or its management, but not from accidental or incidental causes."

"I think that the bump [in 2021] reflects the pandemic and we're returning to pre-pandemic levels," says study author Donna Hoyert, who a health scientist at the CDC's National Center for Health Statistics.

The maternal mortality rate in 2022 was 22.3 deaths per 100,000 live births. That's a significant decrease from the 2021 rate of 32.9, but it's still much higher than the rate in other wealthy countries.

There continue to be enormous racial disparities in the U.S. maternal mortality rate as well — the rate for Black women was 49.5 deaths per 100,00 births in 2022, compared to a rate of 19 deaths for white women. Research shows the vast majority of these deaths are preventable.

Dr. Veronica Gillispie-Bell is an OB-GYN in New Orleans who was not involved in the CDC report. She agrees that COVID-19 was likely the reason for the major spike in maternal mortality.

"I really think that 2021 was actually an outlier because of the circumstances," Gillispie-Bell says. "We know that because of COVID-19, there were disruptions to care that obviously impacted our ability to care for pregnant individuals, plus there were pregnant individuals who were dying from COVID." It's hard to know for certain since the CDC report did not include cause of death, she adds.

She's encouraged that the 2022 numbers are slightly lower than 2020 — 817 in 2022 versus 861 in 2020. "It could mean that we're moving in the right direction — I think we need more years of data to know," she says.

CDC's newest data comes several weeks after an academic study cast doubt on the agency's methodology, suggesting that a pregnancy checkbox on death certificates was causing the numbers to be much higher than they are in reality. CDC strongly rejected the study's findings.

Hoyert also defends CDC's methodology. "There was plenty of literature before we made the changes that we were underestimating [maternal deaths] without a checkbox, and so we did add the checkbox," she says, explaining that they have continued to do evaluations and issue guidance to ensure it's being used correctly.

"I think CDC is doing great work in collecting the data and sharing that back," CDC Director Mandy Cohen told NPR last month. "We disagree with how that study was looking at it, and think it's unacceptable for moms to be dying at that rate here in the United States."

The stakes for getting these numbers right are high in a post-Roe America. Reproductive health advocates warn that abortion bans threaten women's lives, and if CDC's data is not viewed as reliable by the public, that could make it hard to evaluate the impact of these restrictions.

Dr. Gillispie-Bell says the public should still put a great deal of stock into CDC's analysis. She also pointed to the work of state maternal mortality review committees around the country – she is the medical director of the committee in Louisiana. They are supported and funded by CDC.

"The first step for our maternal mortality review committee — once we get the death certificate with that pregnancy checkbox — is to then start extracting data to confirm ... so our numbers are very accurate," she says.

Not all states have these committees validating maternal deaths and making recommendations to reduce their numbers. CDC Director Cohen pointed out the agency now has funding available for each state. She also pointed out that CDC's data has already led to policy changes to reduce maternal deaths, including allowing Medicaid coverage to continue for a year postpartum.

"I think we're making strides, which is great," Cohen added. "We have more work to do."

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TEL AVIV, Israel — Israel and the U.S. have launched what Israel describes as a preemptive military strike against Iran, amid weeks of escalating tensions and heightened U.S. military presence in the region.

A person briefed on the operation told NPR the strike is being conducted jointly with the U.S. There was no immediate U.S. comment about the strikes.

Iranian government media report rocket fire in parts of the capital, Tehran. State television has broadcast footage showing smoke rising after a blast in the city. The extent of the damage and potential casualties has not yet been confirmed.

Air raid sirens sounded across Israel at approximately 8:15 a.m. local time, warning civilians to prepare to enter bomb shelters.

In an official statement, Israel's Defense Minister Israel Katz described the operation as a preemptive action aimed at neutralizing threats against Israel.

"As a result, a missile and drone attack against the State of Israel and its civilian population is expected in the immediate future."

He stated that missile and drone attacks from Iran were expected imminently. A 48-hour state of emergency has been declared nationwide.

Israel has closed its airspace to all passenger flights, and civil defense protocols have been activated. Regional military forces remain on high alert.

The strike follows weeks of speculation about potential military action against Iran, particularly amid a significant U.S. military buildup in the Middle East.

This is a developing story and will be updated.

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Facing a multi-million-dollar budget shortfall for the upcoming school year, Pasadena Unified's school board voted unanimously this week to finalize a plan to send layoff notices to more than 160 staff members as part of an effort to balance its budget that began last fall.

The district has maintained that the job reductions are necessary because of a $30 million budget deficit, part of a financial crisis made worse by the Eaton Fire.

California schools must notify employees about potential layoffs for the following school year by March 15. The number of current employees who will be out of a job next year is still unclear, in part, because people may be reassigned to vacant positions. In the past, PUSD has also rescinded some layoff notices before they took effect.

Parents, teachers and union leaders at the Thursday meeting criticized the district for targeting teachers and school staff for layoffs instead of administrative positions.

“ Teaching for PUSD means anxiety every March as it approaches, because we don't know if we're going to get to keep our job or not,” said Genevieve Miller, a PUSD teacher who said her children also graduated from the district. “ There's a different way forward.”

Board members acknowledged the decision they made was difficult.

“ I just want to be very clear that this is not the outcome that anybody prefers,” Board member Yarma Velázquez said. “Workforce reductions and the continuous, year after year position of being in this place where we have to reduce positions is draining and it is painful.

“I am very aware of what the implications are for all of the people that work here at PUSD.”

The board meeting

At the meeting, which started at 4 p.m. and nearly lasted until midnight, parents highlighted the potential of families and teachers choosing to leave the district because of the layoffs.

“ Right now, the [PUSD] community is in fight mode, as you can see from the turnout and other comments being made here tonight,” said parent Neil Tyler. “But if you approve these resolutions as proposed tonight, a large chunk of the community will quickly shift to flight mode and the death spiral of this district will begin.”

Jonathan Gardner, president of United Teachers of Pasadena, told the board that the cuts meant the district would lose dozens of middle and high school teachers and child development staff.

“ The best thing for kids and staff is always stability and making sure that we have full staff,” Gardner said. “The priorities should be working from the student experience out. Instead, what we see is millions and millions of dollars being spent on contracted services and millions and millions being spent on extra staffing at the central office.”

Speakers also noted that Pasadena Unified had endured years of budget cuts, which affected teachers, librarians and office staff.

Others said PUSD was failing to meet its requirement under California law to commit at least 55% of the district’s education expenses to teacher salaries.

LAist reached out to the district for comment on this but has not yet received a response.

Pasadena Unified board members said the cuts were necessary, especially after warnings from regulators that they could be out of compliance with requirements to balance the budget.

“For the sake of the district's solvency, I feel like it would be irresponsible if I took an action that put this district in jeopardy,” board member Michelle Bailey said Thursday night. “I can't in good conscience take that kind of action.”

About the budget issues

Concerns over declining enrollment numbers, which are tied to funding, have been growing since the Eaton Fire.

A report commissioned by a state agency recommended that the state increase its funding for the school system to help with fire recovery.

Some observers said Pasadena Unified’s budget issues date back much longer than that.

“Over the past 30 years, Pasadena Unified has faced a mounting fiscal calamity, one that you can no longer ignore or postpone,” Octavio Castelo, director of business advisory services for the Los Angeles County Office of Education, told Pasadena Unified’s board in November. “Despite your best efforts and intentions, the district has not been able to live within its means."

Cutting staff will likely mean losing some school programs, including language and music.

“ You have Mary Jackson [Elementary in Altadena] — it's a science magnet school, and they're cutting the science teacher,” Gardner, the teacher’s union president, told LAist. “That's the heart of the school.”

What happens next

The layoff notices are expected to be sent to affected staff members by mid-March.

The district will have until summer to finalize the list.

K-12 education reporter Mariana Dale contributed reporting.

The Los Angeles Unified School Board voted unanimously Friday to place Superintendent Alberto Carvalho on paid administrative leave pending the outcome of an investigation.

The FBI searched Carvalho’s home and district offices Wednesday. A DOJ spokesperson said the agency had a court-authorized warrant but declined to provide additional details. The FBI told LAist media partner CBS LA that the underlying affidavit remained under court-ordered seal.

The board also appointed current Chief of School Operations Andres Chait as acting superintendent after the seven-hour closed meeting Thursday and Friday.

“I know that this is a very challenging time,” said Board President Scott Schmerelson in a brief public statement after the decision was announced. “I want you to know that the board believes in you, supports you and knows that you will continue to do your very best to support the students and families of the district.”

Schmerelson clarified in an email to LAist that he was referring to Chait. The seven-member board exited the meeting room without taking questions. Carvalho was not present and has not made a public statement since the searches Wednesday.

The district posted a statement online later in which Schmerelson wrote that “today’s action is aimed at fulfilling our promise to students and families to provide an excellent public education without distraction.”

The board’s decision provided clarity about district leadership but did not shed light on the reason for the searches, which have been the subject of widespread speculation.

“While we understand the need for information, we cannot discuss the specifics of this matter pending investigation,” read the district’s statement.

Who is the acting superintendent?

Chait has worked for the district for nearly three decades. The chief of school operations’ responsibilities are varied and include athletics, the district’s office of emergency management and staff investigations. Chait has presented to the board on everything from school safety to the cell phone ban and the district’s calendar.

Chief of School Operations Andres Chait has worked for LAUSD for nearly three decades.

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Courtesy of Los Angeles Unified School District

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“I am humbled by the board’s confidence in appointing me to serve as acting superintendent during this critical time," Chait said in the district’s statement. "Our focus remains clear: to ensure stability, continuity and strong leadership for our students, families and employees."

What we know about AllHere, LAUSD’s AI tool

A spokesperson for the FBI in Miami confirmed Wednesday’s L.A. searches are linked to a search of a South Florida home the same day. That property, identified by local media outlets, belongs to Debra Kerr, who was associated with the company LAUSD contracted to create a short-lived AI tool called AllHere.

Federal authorities have not connected AllHere to this week’s investigation.

Los Angeles Unified approved a $6.2 million contract with AllHere in June 2023 to develop a tool that would create an “individual acceleration plan,” using district data and featuring an artificial intelligence chatbot.

LAUSD debuted “Ed” the following March as a "personal assistant" to students that would point them toward mental health resources and nudge students who were falling behind.

Within three months of its debut, the company behind Ed, AllHere, furloughed the bulk of its staff; its CEO was later charged with fraud. The district defended the process it used to debut that chatbot, which cost $3 million.

Parents and educators demanded transparency after the district shut down the chatbot.

Many questions remain

The federal investigation comes at a time when LAUSD is financially strained, cutting hundreds of jobs and facing pressure from the district’s largest labor unions to settle new contracts.

SEIU Local 99, which represents school support staff and United Teachers Los Angeles (UTLA) have issued statements calling on the district to clearly communicate about the status of the superintendent and the investigation.

"UTLA educators and our school communities have long raised concerns about LAUSD rapidly increasing spending on education tech and outside contractors, while investment in classrooms and educators has declined,” UTLA wrote in a statement provided to LAist.

Carvalho has been superintendent of LAUSD since 2022, and the board unanimously renewed his contract in 2025. Prior to coming to L.A., Carvalho had worked for the Miami-Dade County school district for decades, 30 years as a teacher and the last 14 years as the district's supervisor.

Carvalho's time at LAUSD has included a number of wins for the district, including gains in test scores and participation in AP classes.