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spread of the virus to expectant moms and their unborn babies. There she found she’d gotten pregnant accidentally. Her pleasure was tempered by worry that the child might have contracted Zika, which may trigger microcephaly and other birth defects. But a barrage of medical tests confirmed all was well. In 2014, when Shalon was 34, medical problems forced the problem. For years she’d been affected by uterine fibroids — non-malignant tumors that have an effect on as much as 80 % of black women, leading to heavy menstrual bleeding, anemia and pelvic ache. No one is aware of what causes fibroids or why blacks are so prone. What is understood is that the tumors can intervene with fertility — indeed, black girls are almost twice as more likely to have infertility issues as whites, and after they endure therapy, there’s much less chance that the therapies will succeed. Surgery bought her somewhat time, however her OB-GYN urged her to not delay getting pregnant much longer. Thirty years in the past, Portland was a much more uncomfortable place to be black. African-American life there was usually characterized by social isolation, which Geronimus’ research suggests can be particularly tense. Samuel Irving spent years working as a railroad engineer; he got a legislation diploma and later ran a city

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