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)

Revellers chat on Havana's Malecon seafront before performing at a carnival parade, Cuba, August 12, 2016. (Photo by Alexandre Meneghini/Reuters)

Jeepneys are seen as an enforcer manages traffic at a busy street in Manila on May 30, 2017. Jeepneys, once hailed as the “King of the Road” and a cultural symbol in the Phillipines to rival New York's yellow taxis, may soon disappear from Manila's gridlocked streets, as authorities move to phase out the Philippines' iconic World War II-era minibuses, citing pollution and safety concerns. (Photo by Noel Celis/AFP Photo)

Dan Copeland, left, and Alex Morneau of Biddeford, Maine, former high school cheerleaders, perform back flips while enjoying the record breaking heat, Thursday, May 18, 2017, at Old Orchard Beach, Maine. The temperature climbed well into the 90s in many locations throughout the state. (Photo by Robert F. Bukaty/AP Photo)

A Raramuris indigenous woman takes part in the “Ultra maraton de los Canones 2017” (Ultra marathon of the Canyons), at La Sinforosa Canyon, in Guachochi, Chihuahua state, Mexico on July 15, 2017. More than 600 participants from different countries take part in the 63 and 100 kilometers races, along the Tarahumara mountain range. (Photo by Herika Martinez/AFP Photo)

People smear black ash with hands onto each other to wish for good luck and fortune during a traditional festival of the Yi ethnic minority in Qiubei County, Yunnan province, China July 18, 2017. (Photo by Ren Dong/Reuters/CNS)

Lowry Park Zoo elephants Matjeka, 23, and her 1-year-old daughter, Mavi, apply a liberal coating of “sunscreen” to themselves in a clay mud wallow at the park Tuesday, August 12, 2014, in Tampa, Fla., on the park's first observation of World Elephant Day to raise awareness of the wild African elephant crisis. “Elephants are prone to being sunburned”, said associate curator Chris Massaro. “What they need is lot of mud or clay to roll around in and cover up their skin so it will protect it from the sun”. (Photo by Cherie Diez/AP Photo/The Tampa Bay Times)

A “Free Syrian Army” fighter in the Bustan Pasha neighborhood of Aleppo, Syria, August 21, 2013. (Photo by James Lawler Duggan)