Venezuela's food shortages, inflation and crumbling medical sector have become such a source of anguish that a growing number of young women are reluctantly opting for sterilizations rather than face the hardship of pregnancy and child-rearing. Traditional contraceptives like condoms or birth control pills have virtually vanished from store shelves, pushing women towards the hard-to-reverse surgery. While no recent national statistics on sterilizations are available, doctors and health workers say demand for the procedure is growing. (Photo by Carlos Garcia Rawlins/Reuters)

Migrants scramble aboard a train at the station in Beli Manastir, Croatia September 18, 2015. Migrant numbers in Europe will build up in coming days and their flows may fragment further into new routes, the U.N. refugee agency said on Friday, urging the European Union to grasp a last chance to resolve the refugee crisis next week. (Photo by Laszlo Balogh/Reuters)

The competition is run by Royal Observatory Greenwich sponsored by Insight Investment and in association with BBC Sky at Night Magazine. This year astrophotographers from 91 countries sent in more than 4,200 spectacular entries. Here: The Milky Way rises above an isolated lighthouse in Tasmania. Shot by James Stone of Australia. (Photo by James Stone/Astronomy Photographer of the Year 2018)

Dozens of people participate in the religious pilgrimage to the National Shrine of El Rincon, in the municipality of Boyeros, in Havana, Cuba, 17 December 2018. As is customary every year, thousands of people in mass attend the shrine to pay tribute to Saint Lazarus, to whom the faithful come for personal requests and miracles. (Photo by Ernesto Mastrascusa/EPA/EFE)

Two men help each other cross a street covered in deep mud in Copiapo, Chile, Thursday, March 26, 2015. Unusually heavy thunder storms and torrential rains that began on Tuesday have blocked roads, caused power outages and affected some 600 people on this normally dry region. (Photo by Aton Chile/Marcelo Hernandez/AP Photo)

Student protestors, including one girl with a camera, struggle with soldiers from the Chinese Army, the PLA. Tiananmen Square, 1989. (Photo by Jeff Widener/Associated Press)

Sheriffs' deputies look at wreckage from the crash of Virgin Galactic's SpaceShipTwo near Cantil, California November 2, 2014. A suborbital passenger spaceship being developed by Richard Branson's Virgin Galactic company crashed during a test flight on Friday at the Mojave Air and Space Port in California, killing one crew member and seriously injuring the other, officials said. (Photo by David McNew/Reuters)

“Double head vulture”. On the day of windy days during raptors migration some people in my country start to catch these tired raptors, so in this day we go to photograph some raptors and we saw these tow tired vultures, so we start to drag them away from the hunters until they reach a good hidden place, to make them safe until they start a new journey. Photo location: Kuwait. (Photo and caption by Mohd Khorshed/National Geographic Photo Contest)