Poverty, misrule, Army - Pakistan's disaster

Agencies
January 11, 2019

London, Jan 11: The continued persistence of poverty, instability and maladministration fostered by the Pakistan Army, coupled with the presence of nuclear weapons and the large presence of religious zealots, is not only a disaster for Pakistan itself but also poses a grave danger for the entire world.

The powerful Pakistan Army, which has on occasions, overthrown democratically elected civilian governments, has always wielded considerable power in the matters of the country's internal affairs and its foreign policy.

According to The Economist, an English-language weekly magazine-format newspaper, Pakistan Army has not only defended the state ideology but it has defined it in two destructive ways since the country got created in 1947.

"The country exists to safeguard Islam, not a tolerant, prosperous citizenry. And the army, believing the country to be surrounded by enemies, promotes a doctrine of persecution and paranoia," the article stated.

Underlining the alarming effects, the piece elaborated, "Religiosity has bred extremism that at times has looked like tearing Pakistan apart. The state-backed those who took up arms in the name of Islam. Although they initially waged war on Pakistan's perceived enemies, before long they began to wreak havoc at home. Some 60,000 Pakistanis have died at the hands of militants, most of whom come under the Tehreek-e-Taliban Pakistan (TTP)."

Although the Army took action against the Pakistan Taliban following the Peshawar school massacre in 2014, "yet even today it shelters violent groups it finds useful." This is evident where Hafiz Saeed, the mastermind of the 26/11 Mumbai attacks, is roaming unharmed in the country.

Also, some leaders from the Afghan Taliban resides in Quetta, the capital of strife-torn Balochistan province.

"Melding religion and state has other costs, including the harsh suppression of local identities. Religious minorities, such as the Ahmadis, are cruelly persecuted. As for the paranoia, the army is no more the state's glorious guardian than India is the implacable foe. Of the four wars between the two countries, all of which Pakistan lost, India launched only one, in 1971-to put an end to the genocide Pakistan was unleashing in what became Bangladesh. Even if politicking before a coming general election obscures it, development interests India more than picking fights," The Economist article said.

"The paranoid doctrine helps the armed forces commandeer resources. More money goes to them than on development. Worse, it has bred a habit of geopolitical blackmail: help us financially or we might add to your perils in a very dangerous part of the world. This is at the root of Pakistan's addiction to aid, despite its prickly nationalism," it added.

For instance, China is constructing roads, railways, power plants and ports by investing over USD 60 billion under the China-Pakistan Economic Corridor (CPEC) project.

"The fantasy that, without other transformations, prosperity can be brought in from outside is underscored by CPEC's transport links. Without an opening to India, they will never fulfil their potential," said the piece.

Such is the situation that over 20 million children cannot go to school due to financial difficulties and less than 30 per cent of women are employed in Pakistan. Moreover, in the last 20 years, exports have grown at a fifth of the rate than India and Bangladesh.

The current Prime Minister of Pakistan Imran Khan has admitted the half of the problems the country is facing. Right now, his government is engaging with the International Monetary Fund (IMF) for a comprehensive bailout to thwart the balance-of-payments crisis.

The piece articulates that the Imran Khan-led government can improve the gloomy picture of Pakistan by taking strong actions against tax evasion, promoting independence to the monetary authority and unify the official and black-market exchange rates. It should also take steps to integrate the country's economy with the world in an aim to spur growth and development, The Economist reported.

However, there are challenges stating that "transformation depends on Pakistan doing away with the state's twin props of religion and paranoia and with them the army's power."

"Khan is not obviously the catalyst for radical change. But he must recognise the problem. He has made a start by standing up to demagogues baying for the death of Asiya Bibi, a Christian labourer falsely accused of blasphemy," the article said.

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News Network
March 26,2020

London, Mar 26: British Prime Minister Boris Johnson has said that the country's NHS risks becoming "overwhelmed" by the coronavirus outbreak and that the situation in Britain is just two or three weeks behind Italy.
"The numbers are very stark, and they are accelerating. We are only a matter of weeks -- two or three -- behind Italy," Johnson said, as reported by CNN.
"The Italians have a superb health care system. And yet their doctors and nurses have been completely overwhelmed by the demand. The Italian death toll is already in the thousands and climbing.
He added, "Unless we act together unless we make the heroic and collective national effort to slow the spread -- then it is all too likely that our own NHS will be similarly overwhelmed,"
"That is why this country has taken the steps that it has, in imposing restrictions never seen before either in peace or war." He said.
The problem reached a crunch point in the UK, which has dramatically increased its response to the virus outbreak this week.
Food banks that provide a lifeline for some of the estimated 14 million in poverty are running low on volunteers, many of whom have been forced to self-isolate, as well as the food itself, which is in short supply following panic-buying.
The UK has confirmed more 9,600 cases of the deadly virus with 460 deaths.
The global tally of cases has crossed 487,000 as on Thursday with 22,030 deaths globally as per the data presented by the Johns Hopkins University.

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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 28,2020

Tehran, Feb 28: The coronavirus epidemic in Iran has cost 26 lives, the health ministry announced Thursday, with a vice president becoming the latest top official to be infected as the spread appeared to accelerate.

Health ministry spokesman Kianoush Jahanpour told a news conference that the tally of infections had risen to 245 with 106 more cases confirmed -- the highest number for a single day since Iran announced its first infections on February 19.

The Islamic republic has the highest death toll from the virus outside China, where COVID-19 first emerged.

Among the latest coronavirus sufferers is one of Iran's seven vice presidents, Massoumeh Ebtekar, who oversees women's affairs.

Ebtekar, a former spokeswoman for students who took 52 Americans hostage at the US embassy in Tehran in 1979, is being treated at home and members of her team have been tested, state news agency IRNA reported.

Mojtaba Zolnour, head of parliament's national security and foreign affairs committee, also contracted the virus, appearing in a video posted by Fars news agency saying he was in self-quarantine.

The cleric is a deputy for the Shiite holy city of Qom in central Iran where the country's first cases were detected.

According to media reports, among the deceased in Qom on Thursday was theologian Hadi Khroroshahi, who in 1981 was named Iran's first ambassador to the Vatican.

The announcement by Zolnour comes two days after another top official, deputy health minister Iraj Harirchi, head of the government's coronavirus task force, said he too had contracted the virus.

On Wednesday, Iranian authorities announced domestic travel restrictions for people with confirmed or suspected infections.

They also placed curbs on access to major Shiite pilgrimage sites, including the Imam Reza shrine in second city Mashhad and the Fatima Masumeh shrine in Qom.

Visitors to the shrines will be allowed to visit on condition they are provided "with hand-washing liquids, proper (health) information, masks", Health Minister Saeed Namaki said.

They must "not gather together in groups but just pray and leave", he said.

In a rare move, authorities announced the cancellation of the main Friday weekly prayers in Tehran, Qom and Mashhad as well as in the capitals of 22 of Iran's 31 provinces and other infected areas.

"All of these decisions are temporary and if the situation changes, we might intensify or ease them," Namaki said.

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