Ambulance bomb kills 95, wounds 158 in Kabul: official

Agencies
January 27, 2018

Kabul, Jan 27: An explosives-packed ambulance blew up in a crowded area of Kabul today, killing at least 95 people and wounding 158 others, officials said, in one of the biggest blasts to rock the war-torn city in recent years.

The Taliban-claimed assault -- the second carried out by the militant group in the Afghan capital in a week -- triggered chaotic scenes as terrified survivors fled the area scattered with body parts, blood and debris, and hospitals were overwhelmed by the large number of wounded.

It came as both the insurgents and the Islamic State group have escalated their attacks on Kabul, one of the deadliest places in Afghanistan for civilians.

An news agency reporter saw "lots of dead and wounded" civilians in the Jamuriate hospital, which is metres away from the blast and where medical staff struggled to treat the bloodied men, women and children lying on the floor in corridors.

Health ministry spokesman Waheed Majroh said that the toll "now stands at 95 dead, 158 wounded", shortly after the interior ministry warned that an earlier death toll of 63 could rise.

The blast happened in an area where several high-profile organisations, including the European Union, have offices. Members of the EU delegation in Kabul were in their "safe room" and there were no casualties, an official told AFP.

The force of the explosion shook windows of buildings at least two kilometres away and caused some low-rise structures in the immediate vicinity to collapse.

The suicide bomber passed through at least one checkpoint in the ambulance, saying he was taking a patient to Jamuriate hospital, an interior ministry spokesman told AFP.

"At the second checkpoint he was recognised and blew his explosive-laden car," Nasrat Rahimi said.

Rahimi told a news conference that most of the victims were civilians. He said the Taliban-affiliated Haqqani Network was responsible and four suspects had been arrested.

Twenty minutes before the blast an news agency reporter saw police checking ambulances several hundred metres from the scene of the explosion, as the drivers and patients stood on the street. Ambulances are rarely checked in the city.

The International Committee of the Red Cross in Afghanistan condemned the use of an ambulance in the bombing, saying on Twitter it was "unacceptable and unjustifiable".

The Taliban used social media to claim responsibility for the attack, which comes exactly a week after its insurgents stormed Kabul's landmark Intercontinental hotel, killing at least 25 people, the majority foreigners.

Photos shared on social media purportedly of the blast -- the deadliest in Kabul since a truck bomb ripped through the city's diplomatic quarter on May 31, killing 150 people and wounding hundreds -- showed a huge plume of smoke rising into the sky.

Near the blast site civilians walked through debris- covered streets carrying wounded on their backs as others loaded several bodies at a time into ambulances and private cars to take them to medical facilities around the city.

The Italian NGO Emergency said 131 wounded had been taken to its hospital, with its coordinator Dejan Panic tweeting that it had been a "massacre".

A photo posted on Emergency's Twitter account showed hospital staff treating injured people in an outdoor walkway next to a garden.

A man told Ariana TV he had taken his wounded brother to Jamuriate and Emergency hospitals but had been turned away.

"They are asking people with non-life threatening wounds to go to other hospitals," he said.

Aminullah, whose stationery shop is just metres from where the explosion happened, said the force of the explosion shook the foundations of his building.

"The building shook. All our windows broke. The people are in shock in our market," he said.

A man told Tolo News he was passing the area when the explosion happened.

"I heard a big bang and I fainted," he said, outside the Emergency hospital.

"There were dozens of people who were killed and wounded. There were pools of blood."

The attack was condemned by the presidential palace as a "crime against humanity". There was international outcry too, with NATO, the US embassy in Kabul and British foreign minister Boris Johnson among those expressing horror at the latest attack.

The offices of the High Peace Council, charged with negotiating with the Taliban which has been waging a more than 16-year insurgency in the war-torn country, are also near the blast site.

"It targeted our checkpoint. It was really huge -- all our windows are broken," Hassina Safi, a member of High Peace Council said.

"So far we don't have any reports if any of our members are wounded or killed."

A security alert issued this morning had warned that the Islamic State group was planning "to conduct aggressive attacks" on supermarkets, shops and hotels frequented by foreigners.

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News Network
January 28,2020

Mumbai, Jan 28: Flag carrier Air India has kept one of its 423-seater jumbo planes ready in Mumbai for the evacuation of Indian citizens from Wuhan in China in the wake of the coronavirus outbreak in that country, an official source said on Tuesday.

The airline is awaiting necessary approvals from the ministries of external affairs and health to operate the special flight, the source said. The health ministry's nod is required because the operating crew has to fly in a virus outbreak territory.

"We have kept a Boeing 747-400 ready in Mumbai to operate an evacuation flight to China whenever we get a go ahead from the government," the source said.

Some 250 Indians are to be evacuated.

At a meeting of top secretaries called by the cabinet secretary on Monday, the government decided to be prepared for possible evacuation of Indian nationals in Wuhan.

Accordingly, Ministry of External Affairs will make a request to the Chinese authorities for evacuation of Indian nationals, mostly students, stuck in Wuhan city. The Ministry of Civil Aviation and Ministry of Health will make arrangements for transport and quarantine facilities respectively, an official release said on Monday.

Wuhan along 12 other cities have been completely sealed by the Chinese authorities to stop the virus from spreading. The death toll climbed to 80 with 2,744 confirmed cases.

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News Network
February 14,2020

Feb 14: R K Pachauri, a former chief of The Energy and Resources Institute, passed away on Thursday after a prolonged cardiac ailment, TERI Director General Ajay Mathur said.

He was 79.

"It is with immense sadness that we announce the passing away of R K Pachauri, the founder Director of TERI. The entire TERI family stands with the family of Dr Pachauri in this hour of grief," Mathur said in a statement issued by the TERI.

"TERI is what it is because of Dr Pachauri's untiring perseverance. He played a pivotal role in growing this institution, and making it a premier global organisation in the sustainability space," said Mathur, who succeeded Pachauri at TERI in 2015. Pachauri was admitted to Escorts Heart Institute in the national capital where he underwent open heart surgery and was put on life support on Tuesday, sources said.

In the statement issued by TERI, its Chairman Nitin Desai hailed Pachauri's contribution to global sustainable development as "unparalleled".

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News Network
April 28,2020

Washington, Apr 28: After nearly three weeks in an intensive care unit in Los Angeles, doctors treating 41-year-old Broadway actor Nick Cordero for COVID-19 were forced to amputate his right leg.

The flow of blood had been impeded by a blood clot: yet another dangerous complication of the disease that has been bubbling up in frontline reports from China, Europe and the United States.

To be sure, so-called "thrombotic events" occur for a variety of reasons among intensive care patients, but the rates among COVID-19 patients are far higher than would be otherwise expected.

"I have had 40-year-olds in my ICU who have clots in their fingers that look like they'll lose the finger, but there's no other reason to lose the finger than the virus," Shari Brosnahan, a critical care doctor at NYU Langone said.

One of these patients is suffering from a lack of blood flow to both feet and both hands, and she predicts an amputation may be necessary, or the blood vessels may get so damaged that an extremity could drop off by itself.

Blood clots aren't just dangerous for our limbs, but can make their way to the lungs, heart or brain, where they may cause lethal pulmonary embolisms, heart attacks, and strokes.

A recent paper from the Netherlands in the journal Thrombosis Research found that 31 percent of 184 patients suffered thrombotic complications, a figure that the researchers called "remarkably high" -- even if extreme consequences like amputation are rare.

Behnood Bikdeli, a doctor at New York-Presbyterian Hospital, assembled an international consortium of experts to study the issue. Their findings were published in the Journal of The American College of Cardiology.

The experts found the risks were so great that COVID-19 patients "may need to receive blood thinners, preventively, prophylactically," even before imaging tests are ordered, said Bikdeli.

What exactly is causing it? The reasons aren't fully understood, but he offered several possible explanations.

People with severe forms of COVID-19 often have underlying medical conditions like heart or lung disease -- which are themselves linked to higher rates of clotting.

Next, being in intensive care makes a person likelier to develop a clot because they are staying still for so long. That's why for example people are encouraged to stretch and move around on long haul flights.

It's also now clear the COVID-19 illness is associated with an abnormal immune reaction called "cytokine storm" -- and some research has indicated this too is linked to higher rates of clotting.

There could also be something about the virus itself that is causing coagulation, which has some precedent in other viral illnesses.

A paper in the journal The Lancet last week showed that the virus can infect the inner cell layer of organs and of blood vessels, called the endothelium. This, in theory, could interfere with the clotting process.

According to Brosnahan, while thinners like Heparin are effective in some patients, they don't work for all patients because the clots are at times too small.

"There are too many microclots," she said. "We're not sure exactly where they are."

Autopsies have in fact shown some people's lungs filled with hundreds of microclots.

The arrival of a new mystery however helps solve a slightly older one.

Cecilia Mirant-Borde, an intensive care doctor at a military veterans hospital in Manhattan, told AFP that lungs filled with microclots helped explain why ventilators work poorly for patients with low blood oxygen.

Earlier in the pandemic doctors were treating these patients according to protocols developed for acute respiratory distress syndrome, sometimes known as "wet lung."

But in some cases, "it's not because the lungs are occupied with water" -- rather, it's that the microclotting is blocking circulation and blood is leaving the lungs with less oxygen than it should.

It has just been a little under five months since the virus emerged in Wuhan, China, and researchers are learning more about its impact every day.

"While we react surprised, we shouldn't be as surprised as we were. Viruses tend to do weird things," said Brosnahan.

While the dizzying array of complications may seem daunting, "it's possible there'll be one or a couple of unifying mechanisms that describe how this damage happens," she said.

"It's possible it's all the same thing, and that there'll be the same solution."

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