President Donald Trump’s administration released a lengthy review of transgender health care on Thursday that advocates for a greater reliance on behavioral therapy rather than broad gender-affirming medical care for youths with gender dysphoria.

The 409-page Health and Human Services report questions standards for the treatment of transgender youth issued by the World Professional Association for Transgender Health and is likely to be used to bolster the government’s abrupt shift in how to care for a subset of the population that has become a political lightning rod. Medical experts sharply criticized it as inaccurate.

This new “best practices” report is in response to an executive order Trump issued days into his second term that says the federal government must not support gender transitions for anyone under age 19.

“Our duty is to protect our nation’s children — not expose them to unproven and irreversible medical interventions,” National Institutes of Health Director Dr. Jay Bhattacharya said in a statement. “We must follow the gold standard of science, not activist agendas.”

 TOKYO (AP) — Shouting “banzai!” or “live long,” thousands of people marched in Tokyo streets to the banging of traditional drums Thursday as Japan kicked off celebrations to mark May Day.

The holiday, also known as International Workers’ Day or Labor Day, marks the struggles and achievements of workers and the labor movement. Thousands of people are expected to attend rallies and marches across the U.S., including in Chicago, Los Angeles, New York and Philadelphia.

“For our children to be able to live with hope, the rights of workers must be recognized,” said Junko Kuramochi, a member of a mothers’ group who marched in Japan’s capital.

U.S. organizers say their message this year is focused on fighting President Donald Trump’s policies targeting immigrants, federal workers and diversity initiatives.

Even in Japan, some said Trump’s policies hung over the day like a shadow. One truck in the Tokyo march featured a doll that looked like Trump.

 ATTARI, India (AP) — Pakistan said Wednesday it had “credible intelligence” that India is planning to attack it within days, as soldiers from both sides exchanged gunfire along their borders and Pakistanis headed home in compliance with New Delhi’s orders for them to leave the country following last week’s deadly attack in Indian-controlled Kashmir.

India’s moves to punish Pakistan after accusing it of backing the attack in Pahalgam, which Islamabad denies, have driven tensions between the nuclear-armed rivals to their highest point since 2019, when the two sides came close to war after a suicide car bombing in Kashmir.

 KYIV, Ukraine (AP) — Ukraine will send a team to Washington next week to begin negotiations on a new draft of a deal that would give the U.S. access to Ukraine’s valuable mineral resources, Economy Minister Yuliia Svyrydenko told The Associated Press.

“The new draft agreement from the U.S. shows that the intention to create a fund or jointly invest remains,” Svyrydenko said Saturday, during a trip to northern Ukraine.

The delegation from Kyiv will include representatives from the Ministries of Economy, Foreign Affairs, Justice and Finance.

The long-running negotiations over a mineral deal have already strained relations between Kyiv and Washington. The two sides had been preparing in February to sign a framework agreement but the plan was derailed following a contentious meeting in the Oval Office between U.S. President Donald Trump, Vice President JD Vance and Ukrainian President Volodymyr Zelenskyy.

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