US Student Otto Warmbier, Said To Be In Coma, Released From North Korea

Agencies
June 14, 2017

Washington, Jun 14: A plane carrying University of Virginia student Otto Warmbier, who had been detained in North Korea for 17 months and was in a coma for most of it, touched down in Cincinnati on Tuesday night.

pyongyang

The 22-year-old's return marks an end to the ordeal that his family has been through, not knowing what had happened to Warmbier since he was sentenced to 15 years in prison with hard labor in March last year. But the fact that he had been kept, comatose, in North Korea for more than a year could worsen the already tense relationship between Pyongyang and Washington.

Friends and well-wishers gathered outside Cincinnati's Lunken Airport Terminal ahead of the anticipated 10 p.m. arrival of the plane carrying Warmbier. Two mobile intensive care units arrived at the private terminal where his family was awaiting his arrival, and drove onto the tarmac when the plane landed.

Two women waiting outside the airport fence held signs: "WELCOME HOME OTTO" and "PRAYERS FOR OTTO," and said they were there to support his family.

Charlotte and David Simons, who said they have been friends of the family for more than 30 years, came to watch his flight come in, too. "We're just here to support Cindy and Fred and the family," Charlotte Simons said.

She was feeling "sick to my stomach for them," she said, thinking of how their son should have been graduating from college this spring.

David Simons was marveling that another country could treat an American like this. "I can only feel for what the family is going through," he said, shaking his head.

After a senior State Department official flew to Pyongyang to demand Warmbier's release on humanitarian grounds, he was flown out in a medical evacuation.

"We get to see our son Otto tonight," Fred Warmbier said in an interview Tuesday morning after his son was evacuated. "We'll be relieved to have him home and are looking forward to surrounding him with people who love him."

Warmbier's parents hadn't heard from or seen him since he was sentenced to 15 years in prison with hard labor in March of last year for attempting to steal a propaganda poster at the end of a five-day tour of North Korea.

But amid the relief, there were also new questions about what happened to him: How did a healthy young man fall into such a deep coma? The North Korean government told his parents that food poisoning was to blame. And how does the Trump administration respond?

Three other American citizens are being detained in North Korea, at a time when Kim Jong Un has been firing missiles and threatening to strike the United States. President Donald Trump has been vowing to exert "maximum pressure" on North Korea to make it abandon its nuclear weapons program but has also dangled the prospect of talks with Kim, whom he called a "smart cookie."

Warmbier was flown out of North Korea on the same day that Dennis Rodman, the controversial former basketball star, arrived for his fifth visit to Pyongyang.

Officials involved in securing Warmbier's release told The Washington Post that it had nothing to do with Rodman's trip to Pyongyang, calling it a "bizarre coincidence" that might have been a deliberate ploy from North Korea to distract from Warmbier's condition.

"Dennis Rodman had nothing to do with the release of Mr. Warmbier," said Heather Nauert, a State Department spokeswoman, adding that the government was "thankful" that he would soon be home in his parents' arms.

She also reiterated the State Department's travel advice against going to North Korea, with which the United States has no diplomatic relations.

"Let me reiterate this: We strongly, strongly suggest that Americans do not go to North Korea," Nauert said.

At the time of his arrest, Warmbier had been on an organized New Year's tour in North Korea, a five-day stopover on his way to Hong Kong for a study-abroad trip.

But on his final night in Pyongyang - New Year's Eve - he apparently went to a staff-only floor of his hotel and attempted to take down a large propaganda sign lauding the regime. He was charged with "hostile acts against the state."

Surrounded by North Korean guards, Warmbier delivered a highly scripted "confession" that appeared to have been written for him, and after an hour-long sham trial in March 2016, he was sentenced to 15 years in prison with hard labor.

He had not been seen in public since, and Swedish diplomats, representing U.S. interests, had been denied consular access to him. Officials involved in negotiations to free Warmbier and another American citizen being detained were told they were being treated as prisoners of war.

During a secret meeting in Oslo last month with Joseph Yun, the State Department's special representative for North Korea, high-level North Korean officials agreed that Swedish diplomats in Pyongyang would be allowed to visit the four Americans imprisoned by the North.

But in Pyongyang, the Swedes were allowed to see only one detainee, and it wasn't Warmbier.

As the Americans continued to push for the Swedish diplomats to see all four, North Korea's ambassador to the United Nations urgently requested a meeting with Yun in New York, according to Trump administration officials, who spoke on the condition of anonymity about the still-secret arrangements. There, North Korean officials told Yun about Warmbier's condition.

He informed Secretary of State Rex Tillerson, who consulted with the president, the officials said.

Yun was instructed to prepare to travel to Pyongyang with the intention of bringing Warmbier back to the United States. A medical team and aircraft were organized, and North Korea was informed that a delegation would travel there.

"It wasn't a situation where they asked," one official said of the U.S. representatives. The North Koreans "were informed that the airplane would land, American and medical officials would get out."

Yun was under orders, which the official said came directly from Trump, to demand to see Warmbier immediately, and, "if he was in bad shape," to demand his immediate release and evacuation on the plane's return flight to the United States.

Yun arrived in Pyongyang early Monday with two American physicians. They were immediately taken to Warmbier. Yun insisted on Warmbier's immediate release on humanitarian grounds, officials said, and the North Koreans agreed.

Tillerson called Trump at 8:35 a.m. Tuesday to inform him that Warmbier was on an airplane en route to the United States, an official said. The last instruction the president left Tillerson was: "Take care of Otto," the official said.

The Warmbier family said they were informed that North Korean officials had told American envoys that their son became ill with botulism soon after his show trial.

The North Korean account, the family said, claimed that Warmbier then fell into a coma after being given a sleeping pill. The Warmbiers said they were told their son has remained in a coma since then.

There was no immediate confirmation from U.S. officials of North Korea's description of his illness - including whether he was stricken with botulism, a potentially fatal disease that is caused by a toxin but is not usually associated with loss of consciousness. U.S. officials in touch with Yun and medical personnel declined to say whether Warmbier remains in a coma or to make any comment on his current medical condition.

North Korean representatives at the United Nations did not respond to repeated requests for comment.

North Korea has woefully inadequate medical care, and it is not clear how North Korean doctors had been caring for Warmbier for more than a year in an unconscious state.

Warmbier was to have graduated last month had he not been detained.

"While the entire University of Virginia community is relieved to learn of Otto's release from North Korea, we are deeply concerned and saddened to learn from his family that he is in a coma," U-Va. President Teresa Sullivan said in a statement Tuesday.

Annabella Vagonis, a family friend from Reston, Virginia, whose daughter was close with Warmbier at U-Va., said, "We were at turns incredulous, shocked, surprised, joyful and sad, all kind of emotions within a nanosecond of each other when we got the news this morning.

"We are so incredibly joyful that he is finally coming home. We are concerned about his overall health and not knowing the details of his being in a coma. We're hopeful that with the excellent medical care that he'll receive that we'll receive some good news once they examine him. "

Sen. Rob Portman, R-Ohio, called Warmbier's arrest and trial "unnecessary and appalling," while lawmakers from Virginia also denounced North Korea's actions.

The three other Americans detained by North Korea remain there.

A former Virginia resident and naturalized American citizen, Kim Dong-chul, was arrested shortly after Warmbier on accusations of espionage and was sentenced to 10 years with hard labor.

In April and May, North Korea detained two other Korean Americans, both of them affiliated with the Pyongyang University of Science and Technology, a private institution run by Korean American Christians.

Previous detainees have been released after visits from high-profile Americans, including former presidents Jimmy Carter and Bill Clinton. But efforts to persuade North Korea to release the men now held had not been successful until Warmbier's release Tuesday.

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Agencies
February 25,2020

Washington, Feb 25: Democratic presidential front-runner Senator Bernie Sanders on Monday slammed President Donald Trump for selling weapons to India, saying that the US should instead partner with New Delhi to fight climate change to save the planet.

Sanders, who has won the Nevada and New Hampshire primaries and tied in Iowa, made the comments after Trump, who is on a two-day visit to India, on Monday announced that the US will sign defence trade deals worth USD 3 billion with India.

In an address at a massive "Namaste Trump" rally at Motera stadium in Ahmedabad, Trump announced that deals to sell state-of-the-art military helicopters and other equipment worth over USD 3 billion will be sealed with India on Tuesday.

“Instead of selling USD 3 billion in weapons to enrich Raytheon, Boeing and Lockheed, the United States should be partnering with India to fight climate change,” Sanders said in a tweet, the first by a Democratic presidential candidate on Trump's India visit.

“We can work together to cut air pollution, create good renewable energy jobs, and save our planet,” he said.

However, a former White House official defended the US' decision to sell arms and weapons to India.

“I'm proud of my service in the White House, in which we poured enormous energy into deepening climate and green tech cooperation w/ India... and also advancing security cooperation and defense sales. I'd like to think both can be part of a strong, values-based partnership,” Joshua White said.

According to the US State Department, India plays a vital role in the US vision for a free and open Indo-Pacific.

In 2016, the US designated India as a Major Defence Partner. Commensurate with this designation, India in 2018 was granted Strategic Trade Authorization tier 1 status, which allows New Delhi to receive license-free access to a wide range of military and dual-use technologies that are regulated by the Department of Commerce.

Bilateral defence trade with India in a little over a decade has increased from near zero in 2008 to USD20 billion.

Among some of the key foreign military sales notified to Congress include MH-60R Seahawk helicopters (USD2.6 billion), Apache helicopters (USD2.3 billion), P-8I maritime patrol aircraft (USD3 billion), and M777 howitzers (USD737 million).

India was the first non-treaty partner to be offered a Missile Technology Control Regime Category-1 Unmanned Aerial System – the Sea Guardian UAS manufactured by General Atomics.

The State Department is also advocating for the Lockheed Martin F-21 and Boeing F/A-18 – two state of the art fighter aircraft that India is currently evaluating.

These platforms provide critical opportunities to enhance India's military capabilities and protect shared security interests in the Indo-Pacific region, it argued.

The top categories of DCS to India include aircraft, electronics and gas turbine engines.

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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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News Network
February 19,2020

London, Feb 19: UK Home Secretary Priti Patel today announced the launch of the Britain's new points-based visa system, aimed at attracting the "brightest and the best" from the world, including from India, and cutting down numbers of cheap, low-skilled workers coming to the country.

The new system will come into force from January 1, 2021 at the end of the transition period after the UK's exit from the European Union (EU) last month, which will formally end free movement of people within the economic bloc for the UK as a non-member.

The new post-Brexit system, which will apply equally to the EU and non-EU countries like India, is based on assigning points for specific skills, qualifications, salaries and professions, with visas only awarded to those who gain enough points.

"Today is a historic moment for the whole country. We're ending free movement, taking back control of our borders and delivering on the people's priorities by introducing a new UK points-based immigration system, which will bring overall migration numbers down," said Ms Patel, the senior-most Indian-origin Cabinet minister.

"We will attract the brightest and the best from around the globe, boosting the economy and our communities, and unleash this country's full potential," Ms Patel, in charge of the UK's visa and immigration system, said.

The UK Home Office said the new system is a direct response to the 2016 referendum in favour of Brexit, which was seen as a vote to end the country's reliance on cheap migrant labour and reduce overall levels of migration with tighter security.

"The new single global system will treat the EU and non-EU citizens equally. It will give top priority to those with the highest skills and the greatest talents, including scientists, engineers and academics," the Home Office said.

The Global Talent Scheme, a fast-track visa to be in operation from Friday, will also apply to the EU citizens from next year to allow highly-skilled scientists and researchers to come to the UK without a job offer.

Professor Alice Gast, President of Imperial College London, said: "British science is global. The new post-study work and Global Talent visas will help us to attract the world's brightest students and researchers, wherever they come from."

"From the race to develop a coronavirus vaccine to clean energy, British science's international collaborations drive innovation and excellence."

The government said the points threshold for the new system will be carefully set to attract the talent the UK needs. Skilled workers will need to meet a number of relevant criteria, including specific skills and the ability to speak English, to be able to work in the UK. All applicants will be required to have a job offer and, in line with the Migration Advisory Committee''s (MAC) recommendations, the minimum salary threshold will be set at 25,600 pounds - lower than the previous 30,000 pounds level for Tier 2 work visas.

The new points-based system will also expand the skills threshold for skilled workers.

Those looking to live and work in the UK will need to be qualified up to A-level or equivalent, rather than degree-level under the current system. This will provide greater flexibility and ensure UK business has access to a wide pool of skilled workers, the Home Office said.

In line with the British Prime Minister Boris Johnson's manifesto commitment in the December 2019 General Election, there will be no specific route for low-skilled workers.

"It is estimated 70 per cent of the existing EU workforce would not meet the requirements of the skilled worker route, which will help to bring overall numbers down in future," the Home Office said.

Student visa routes will also be points-based and be opened up to EU citizens from next year.

Those wishing to study in the UK will need to demonstrate that they have an offer from an approved educational institution, that they can support themselves financially and that they speak English.

To address the specific labour concerns of the agricultural sector reliant on seasonal workers from the EU, the Seasonal Workers Pilot will be expanded in time for the 2020 harvest from 2,500 to 10,000 places.

EU citizens and other non-visa nationals will not require a visa to enter the UK when visiting the UK for up to six months.

However, the use of national identity cards will be phased out for travel to the UK and the Home Office highlighted that as part of its post-Brexit offer, those EU citizens resident in the UK by December 31 2020 can still apply to settle in the UK through the EU Settlement Scheme until June 2021.

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