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The abortion access landscape has become fluid and uncertain in the nearly three years since the Supreme Court reversed Roe v. Wade—and so too has tracking the threats to that access.

That’s the main takeaway from the National Abortion Federation’s 2023/2024 Violence and Disruption report, which tracks violence and harassment against abortion providers and clinics. Rather than report out clinic violence incident rates as compared to prior years, this year’s interactive report, published today, compares the violence and disruption that NAF tracked in 2023 and 2024 to all the data they have tracked since 1977, when NAF first started tracking incidents their member clinics experienced.

In addition to the long look back on threats and violence, NAF’s report features a “heat map” that demonstrates the states in which providers experienced the highest levels of threats or violence. The report also includes an audio storyteller map where viewers can hear directly from providers at clinics across the country about their experiences with anti-abortion violence and disruption.

“Harassment and violence shouldn’t just be part of the job for abortion providers,” NAF Chief Program Officer Melissa Fowler said during a press conference.

Fowler also said that while the report shows the decades-long attacks on providers, “there are real people behind these numbers.”

Some key findings from the report include:

• 296 death threats or threats of harm from 2023 through 2024 for a total of 1,652 since 1977;
• 12 bomb threats from 2023 through 2024, with 699 total from 1977 to 2024; and
• 777 clinic obstructions in 2023 and 2024, for a total of 18,329 from 1977 through 2024.

NAF recorded a higher number of obstruction incidents in 2024 than 2023—but it also represented a decline compared to previous years, which the report attributed as a likely result of post-abortion ban clinic closures. To read between the lines: Many of the sites that previously experienced the highest levels of activity are no longer operating.

It’s important context, because anti-choice extremists are emboldened with President Donald Trump in office. And they should be—just days into his second term, Trump pardoned 23 convicted clinic protesters, many of whom were in prison, for violating the Freedom of Access to Clinic Entrances (FACE) Act, the federal law passed in response to escalating abortion clinic violence and the 1993 murder of Dr. David Gunn in Florida. Additionally, Trump’s Department of Justice has said it will not enforce the law except in “extraordinary circumstances,” like those involving extreme bodily harm, death, or significant property damage.

“With no clinics to protest in these Southern states, we have people traveling to us—it almost feels like a form of abortion tourism,” said Calla Hales, executive director of A Preferred Women’s Health Center, describing the regular scene outside her Charlotte, North Carolina clinic during the press conference.

“Somewhere between 50 and 300 strangers yelling at you is a wild experience that I don’t wish on anyone … it has become an entirely new ballgame and a new experience,” Hales added.”