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)

Vets of Animals Asia Foundation's Vietnam Bear Rescue Center hold a paw of a sun bear as they check its health while it is rescued from a Vietnamese family in Nam Dinh province, south of Hanoi, Vietnam August 18, 2016. A man in northern Vietnam has voluntarily handed over a bear his family had caged for seven years to an animal rights organization, which will take it to a nearby sanctuary. (Photo by Reuters/Kham)

Eight-year-old handicapped Chinese girl Qian Hongyan crawls with two home-made props and part of a basketball at Zhuangxia Village on January 5, 2005 in Luliang County of Qujing City, Yunnan Province, China.

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A clown performs next to the Monument to the Revolution as he takes part in the Latin American Clown Convention in Mexico City, Mexico, October 21, 2015. The convention will be held from October 19 to 22 in Mexico City. (Photo by Henry Romero/Reuters)

In this July 15, 2015 photo, Nepalese amputee victims Khendo Tamang, left, and Nirmala Pariyar, both 8, share a single pair of shoes at the Bir Trauma Center in Kathmandu, Nepal. After suffering serious leg wounds in Nepal's massive 2015 earthquake that killed and injured thousands, both girls were brought to the Bir Trauma Center in Kathmandu, to receive single leg amputations. Following their surgeries, Nirmala's relentless cheerfulness drew a still very depressed Khendo close and both found an inseparable friendship which has helped their emotional wounds heal. (Photo by Niranjan Shrestha/AP Photo)

Members of the Times Square Alliance snow clearing team take a photo on a snowbank at Times Square in the Manhattan borough of New York January 23, 2016. A winter storm dumped nearly 2 feet (58 cm) of snow on the suburbs of Washington, D.C., on Saturday before moving on to Philadelphia and New York, paralyzing road, rail and airline travel along the U.S. East Coast. (Photo by Shannon Stapleton/Reuters)

In this June 29, 2018 photo, a wild horse shakes off dust near a watering hole outside Salt Lake City. Harsh drought conditions in parts of the American West are pushing wild horses to the brink and forcing extreme measures to protect them. (Photo by Rick Bowmer/AP Photo)