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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Agecnies
July 13,2020

Moscow, Jul 13: Russia has become the first nation to complete clinical trials of a COVID-19 vaccine on humans. Chief researcher Elena Smolyarchuk, who heads the Center for Clinical Research on Medications at Sechenov University, told Russian news agency TASS on Sunday that the human trials for the vaccine have been completed at the university and the volunteers will be discharged soon.

"The research has been completed and it proved that the vaccine is safe. The volunteers will be discharged on July 15 and July 20," Smolyarchuk was quoted as saying in the report.

Though the results have been favourable with respect to the medication’s effectiveness, no further information was provided on when this vaccine would enter commercial production stage.

Russia had allowed clinical trials of two forms of a potential COVID-19 vaccine developed by the Gamaleya National Research Center for Epidemiology and Microbiology on June 18.

The first vaccine, in the form of a solution for intramuscular administration, was carried out at the Burdenko Military Hospital.

Another vaccine, in the form of a powder for the preparation of a solution for intramuscular administration, was carried out at Sechenov First Moscow State Medical University.

The first stage of research on the vaccine at Sechenov University involved a group of 18 volunteers and the second group involved 20 volunteers.

After vaccination, all volunteers were expected to remain in isolation in a hospital for 28 days.

Earlier, results of the COVID-19 vaccine tests performed on a group of volunteers in Russia showed that they were developing immunity to the coronavirus.

"The data obtained by the Gamalei National Research Center for Epidemiology and Microbiology, proves that volunteers of the first and second groups are forming an immune response after injections of the vaccine against the coronavirus," according to an earlier statement from the Russian Defense Ministry.

Russia has reported 719,449 cases and 11,188 deaths to date.

There are at least 21 vaccines currently under key trials, according to the World Health Organisation (WHO).

The overall number of global COVID-19 cases crossed 12.9 million, while the deaths have increased to more than 5,69,000, according to Johns Hopkins University in the US.

As of Monday morning, the total number of cases stood at 1,29,10,357, while the fatalities rose to 5,69,128.

The US accounted for the world's highest number of infections at over 33 lakh. Brazil came in the second place with over 18 lakh infections. India is third worst affected with over 8.7 lakh people reported to have COVID-19.

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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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Agencies
January 9,2020

Washington, Jan 9: The U.S. and Iran stepped back from the brink of possible war Wednesday as President Donald Trump signaled he would not retaliate militarily for Iran's missile strikes on Iraqi bases housing U.S. troops. No one was harmed in the strikes, but U.S. forces in the region remained on high alert.

Speaking from the White House, Trump seemed intent on deescalating the crisis, which spiralled after he authorized the assassination of Iran's top general, Qassem Soleimani. Iran responded overnight by firing more than a dozen missiles at two installations in Iraq, its most direct assault on America since the 1979 seizure of the U.S. Embassy in Tehran.

Trump's takeaway was that “Iran appears to be standing down, which is a good thing for all parties concerned and a very good thing for the world.”

The region remained on edge, however, and American troops including a quick-reaction force dispatched over the weekend were on high alert. Hours after Trump spoke, an ‘incoming’ siren went off in Baghdad's Green Zone after what seemed to be small rockets “impacted” the diplomatic area, a Western official said. There were no reports of casualties.

Iran's Supreme Leader Ayatollah Ali Khamenei said the overnight strike was not necessarily the totality of Iran's response. “Last night they received a slap,” Khamenei said. “These military actions are not sufficient (for revenge). What is important is that the corrupt presence of America in this region comes to an end.”

The strikes had pushed Tehran and Washington perilously close to all-out conflict and left the world waiting to see whether the American president would respond with more military force. Trump, in his nine-minute, televised address, spoke of a robust U.S. military with missiles that are “big, powerful, accurate, lethal and fast.'' But then he added: “We do not want to use it."

Iran for days had been promising to respond forcefully to Soleimani's killing, but its limited strike on two bases--one in the northern Iraqi city of Irbil and the other at Ain al-Asad in western Iraq--appeared to signal that it too was uninterested in a wider clash with the U.S. Foreign minister Mohammad Javad Zarif tweeted that the country had “concluded proportionate measures in self-defence.”

Trump said the U.S. was “ready to embrace peace with all who seek it.” That marked a sharp change in tone from his warning a day earlier that “if Iran does anything that they shouldn't be doing, they're going to be suffering the consequences, and very strongly.”

Trump opened his remarks at the White House by reiterating his promise that “Iran will never be allowed to have a nuclear weapon.” Iran had announced in the wake of Soleimani's killing that it would no longer comply with any of the limits on uranium enrichment in the 2015 nuclear deal crafted to keep it from building a nuclear device.

The president, who had earlier pulled the U.S. out of the deal, seized on the moment of calm to call for negotiations toward a new agreement that would do more to limit Iran's ballistic missile programmes and constrain regional proxy campaigns like those led by Soleimani.

Trump spoke of new sanctions on Iran, but it was not immediately clear what those would be.

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