We have more than one way to deal with Pakistan, says US

Agencies
January 6, 2018

Washington, Jan 6: The US is keeping "all options" on the table apart from suspending about USD 2 billion in security aid to Pakistan to put pressure on it to take decisive action against the Taliban and the Haqqani network and eliminate their safe havens, the White House warned.

The US had on Thursday suspended about USD 2 billion in security aid to Pakistan over its failure to crack down on terrorists.

The freezing of all security assistance to Pakistan comes after President Donald Trump in a New Year's Day tweet accused the country of giving nothing to the US but "lies and deceit" and providing "safe haven" to terrorists in return for USD 33 billion aid over the last 15 years.

"The US does have a range of tools that we're looking at beyond just the security assistance issue to deal with Pakistan and to try to convince it to crack down on the Taliban and Haqqani network," a senior Trump administration official told reporters.

"Certainly no one should doubt the US resolve to address this threat and all options I would say will be on the table," said the official on condition of anonymity.

The suspended amount includes USD 255 million in the Foreign Military Funding (FMF) for the fiscal year 2016 as mandated by Congress.

It also includes USD 900 million in the Coalition Support Funds (CSF) money to Pakistan for the fiscal year 2017. In addition, the Department of Defence has suspended other unspent money from previous fiscal years.

While some policy makers have been asking the White House to revoke the non-NATO ally status of Pakistan and put pressure on the country through multilateral institutions like the International Monetary Fund and the United Nations, Pentagon generals have indicated unilateral actions.

However, the official refrained from divulging any of the options that the administration is considering against Pakistan.

"I'm not able to comment on specific steps at this time. But nobody should doubt our resolve in trying to address these threats. We're looking at all options. We hope that we can cooperate with Pakistan. But we do have options that we're considering," the official said.

The US wants action against the existing safe havens of the Taliban and the Haqqani network and demolish its ability to carry out strikes across the border in Afghanistan, the Official said and expressed hope that Pakistan would take actions that the US was seeking.

"....That will allow the relationship to return to a more positive trajectory," the official said.

In August, while unveiling his new South Asia strategy, Trump had accused Pakistan of giving "safe haven to agents of chaos, violence, and terror," and said the time had come "for Pakistan to demonstrate its commitment to civilisation, order, and to peace".

Trump's new policy, the official said, is driven by his desire to have a successful strategy in Afghanistan.

"We firmly believe that for the future of the region, Pakistan needs to crack down on these terrorist elements. Unless they take a comprehensive approach to the terrorism problem it is going to threaten US interests and everybody's interests including Pakistan?s," the official said.

He said the announcement of the suspension of the security assistance to Pakistan clearly reflected the US' frustration over Pakistan's failure to crack down on all terrorists who find shelter on its territory.

"There has been ample time for Pakistan to show it is taking our request seriously. Unfortunately, we have not seen the kind of meaningful action that we were seeking," the White House official rued.

Responding to a question, the official said US has "a number of tools in its toolkit" and can "take unilateral" steps.

But at this time, the US prefers to cooperate with Pakistan and is hopeful about it, the official said.

"And we want to indicate Pakistan our seriousness about the issue of dealing with safe havens," the official said.

Meanwhile, Defence Secretary Jim Mattis said the US would restore the suspended security assistance to Pakistan if it takes action against terrorist groups.

"We would restore the aid if we see decisive movements against the terrorists, who are as much of a threat against Pakistan as they are against us," Mattis told reporters.

The US is still working with Pakistan, he said, but refrained from going into details.

"The specific individual things we're doing are best handled in private, to ensure that we can be most productive. And that's what we're working now," he said.

Mattis had travelled to Pakistan last month for talks with the top Pakistani leadership.

"There's a campaign plan now that starts regionally. So we started thinking about India and Pakistan and Afghanistan. We reinforced some of our forces there, because we found some forces didn't have the American advisers they needed, and the ones with advisers seemed to always win. The ones without them did not fare so well," he said.

The New York Times said Pakistan had played a double game by accepting American funding while backing militants who protect Pakistani interests in Afghanistan and Kashmir, but Trump administration cannot afford to walk away from the country.

"Mr Trump is not the first to call a spade a spade...But President Trump cannot afford to walk away from Pakistan, which has often provided vital intelligence and has the world's fastest-growing nuclear arsenal. Whether Pakistan will cooperate after the aid freeze remains to be seen," the paper said.

"...President Trump's bombast and the precipitous way the decision seems to have been made have led to doubts that Mr Trump has a serious plan for managing the ramifications of this move," New York Times said.

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News Network
March 30,2020

Geneva, Mar 30: The number of confirmed COVID-19 cases worldwide has reached 634,835, among them 29,957 fatalities, the World Health Organization (WHO) said on Sunday.

Over the past 24 hours, 63,159 people were confirmed to be infected with the novel coronavirus and 3,464 people died, the WHO said.

According to the latest situation report, the majority of the confirmed cases - more than 361,000 - are presently concentrated in Europe, with Italy leading the tally with over 92,000 cases, followed by Spain with over 72,000 cases, and Germany with over 52,000 cases.

Italy and Spain are also the countries that top the worldwide death toll from COVID-19, with 10,023 and 5,690 fatalities, respectively.

The second most affected region is currently the Americas with over 120,000 verified COVID-19 cases, of which the majority - over 103,000 - have been found in the United States. The US is also the country with the highest single tally of COVID-19 cases at the moment.
The WHO declared COVID-19 a pandemic on March 11.

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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 10,2020

New York, Jan 10: The US's National Transportation Safety Board (NTSB) announced that it has accepted an invitation from Tehran to participate in its investigation into the crash of a Ukrainian plane amid speculations that an Iranian missile might have brought down the plane.

The federal agency said in a statement on Thursday that the Iran Civil Aviation Organization has notified them that they could take part in the investigation of the plane crash that occurred shortly after taking off from Tehran on Wednesday, killing all 176 people on board, reports the Efe news.

"The NTSB has designated an accredited representative to the investigation of the crash," said the independent US government agency tasked with investigating transport accidents.

Since the aircraft was a US-made Boeing 737-800, international regulations allow Washington to be a part of the accident investigation.

However, it remains unclear to what extent the NTSB representative will be able to play an active role in the probe, as US sanctions complicate cooperation with Iran, and the two countries have no diplomatic relations.

The NTSB announcement came hours after US intelligence sources told several media outlets that the Kiev-bound Ukrainian International Airlines (UIA) flight 752 could have been accidentally shot down by an Iranian missile.

Canadian Prime Minister Justin Trudeau later confirmed that his government had "evidence" indicating that the aircraft "was shot down by an Iranian surface to air missile", although he added it may have been unintentional.

The accident occurred on the same day after Iran launched more than a dozen ballistic missiles at two US military bases in Iraq, in retaliation for the killing of Iranian Major General Qasem Soleimani in an American drone attack in Baghdad on January 3.

However, the Iranian authorities have denied that they had accidentally shot down the plane and claimed the accusations were a part of a psychological warfare campaign against Tehran.

Iranian foreign ministry spokesman Abbas Mousavi said they welcomed the presence of experts from countries whose citizens have died in the tragic accident, and requested Trudeau and any other government to provide any information they had regarding the crash.

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