2 bombers target mobile phone firms in Nigeria






KANO, Nigeria (AP) — Authorities blame a radical Islamist sect for twin suicide car bombings targeting two major mobile phone companies, an official said Saturday, blacking out a top operator’s network in most of Nigeria‘s northern commercial hub.


A suicide bomber drove an explosive-laden car into the facilities of the Nigerian subsidiary of Bharti Airtel Ltd. of India at about 8 a.m. in the city of Kano, said Capt. Iweha Ikedichi, who speaks for a special taskforce deployed in Kano to reduce the threat of the Islamic rebels known as Boko Haram. The attack left an Airtel worker injured, authorities said. It also damaged a switch station, said James Eze, an Airtel spokesman. He said the company was still assessing how bad the damage was, but declined to comment further.






Switch stations control the regional mobile phone network and if they are seriously damaged, the entire network could go down. An Airtel staff who spoke on condition of anonymity because he is not authorized to speak to the press said the targeted switch station covered six northern states, including Kano. But while Airtel’s network appeared to be down across Kano Sunday, calls to lines in some of the other states went through.


At about the same time as the Airtel attack, another bomber targeted the facilities of the Nigerian subsidiary of South Africa-based MTN Group Ltd., about two miles (three kilometers) away. That attack was botched by security officers who shot the bomber, causing an explosion at the company’s gate, Ikedichi said.


The target of the foiled attack was MTN’s switch station, said Funmilayo Omogbenigun, spokeswoman for Nigeria’s largest cell phone network provider.


Authorities suspect the Boko Haram sect is behind the attacks. The group is held responsible for more than 770 deaths this year alone, according to figures compiled by The Associated Press. Boko Haram’s campaign of bombings and shootings has targeted mosques, churches, schools, universities and government buildings. But, four months ago, the group broadened its scope by attacking mobile phone towers for the first time.


In September, a series of attacks damaged more than 31 towers operated by all the major mobile phone providers in the country. Other attacks have occurred since then, further straining the one link Nigeria relies on for communication in a country with very few landlines. While no one claimed responsibility for the attacks, the Islamist sect had threatened mobile phone companies earlier in the year, warning that they would be targeted for cooperating with the government to flush out its members.


In Nigeria, Africa’s most populous country with more than 160 million people, mobile phones serve as a valuable lifeline in both cities and rural communities. Landlines remain almost nonexistent, as the state-run telephone company has collapsed and repeated efforts to privatize it have failed. More 87 million mobile phone lines were in use in 2009, according to estimates.


“Never would we have expected that telecommunications could be targeted,” said Damien Udeh, a spokesman for the Association of Licensed Telecommunications Operators of Nigeria. “It portends a dangerous situation for everybody, especially government.”


___


Associated Press writer Yinka Ibukun contributed to this report from Lagos, Nigeria


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Iron Butterfly bassist Lee Dorman dies at age 70






LOS ANGELES (AP) — Lee Dorman, the bassist for psychedelic rock band Iron Butterfly, has died at age 70.


Orange County sheriff‘s spokeswoman Gail Krause says Dorman was found dead in a vehicle Friday morning. A coroner’s investigation is under way, but foul play is not suspected.






Krause said Dorman may have been on his way to a doctor’s appointment when he died.


Iron Butterfly was formed and rose to prominence in the late 1960s. Its second album, “In-A-Gadda-Da-Vida,” sold more than 30 million copies, according to the band’s website. The title track’s distinctive notes have been featured in numerous films and TV shows including “The Simpsons,” ”That ’70s Show” and in the series finale of “Rescue Me.”


Douglas Lee Dorman was born in September 1942 and had been living in Laguna Niguel, a coastal city in Southern California, when he died.


A message sent through the band’s website was not immediately returned.


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Violence, fear & suspicion imperil Pakistan’s war on polio






ISLAMABAD, Pakistan (Reuters) – Pakistani health worker Bushra Bibi spent eight years trekking to remote villages, carefully dripping polio vaccine into toddlers’ pursed mouths to protect them from the crippling disease.


Now the 35-year-old mother is too scared to go to work after masked men on motorbikes gunned down nine of her fellow health workers in a string of attacks this week.






“I have seen so much pain in the eyes of mothers whose children have been infected. So I have never seen this as just a job. It is my passion,” she said. “But I also have a family to look after … Things have never been this bad.”


After the deaths, the United Nations put its workers on lockdown. Immunizations by the Pakistani government continued in parts of the country. But the violence raised fresh questions over stability in the South Asian nation.


Pakistan’s Taliban insurgency, convinced that the anti-polio drive is just another Western plot against Muslims, has long threatened action against anyone taking part in it.


The militant group’s hostility deepened after it emerged that the CIA – with the help of a Pakistani doctor – had used a vaccination campaign to spy on Osama bin Laden’s compound before he was killed by U.S. special forces in a Pakistan town last year.


Critics say the attacks on the health workers are a prime example of the government’s failure to formulate a decisive policy on tackling militancy, despite pressure from key ally the United States, the source of billions of dollars in aid.


For years, authorities were aware that Taliban commanders had broadcast claims that the vaccination drive was actually a plot to sterilize Muslims.


That may seem absurd to the West, but in Pakistan such assertions are plausible to some. Years of secrecy during military dictatorships, frequent political upheaval during civilian rule and a poor public education system mean conspiracy theories run wild.


“Ever since they began to give these polio drops, children are reaching maturity a lot earlier, especially girls. Now 12 to 13-year-old girls are becoming women. This causes indecency in society,” said 45-year-old Mir Alam Khan, a carpet seller in the northern town of Dera Ismail Khan.


The father of four didn’t allow any of his children to receive vaccinations.


“Why doesn’t the United States give free cures for other illnesses? Why only polio? There has to be an agenda,” he said.


While health workers risk attacks by militants, growing suspicions from ordinary Pakistanis are lowering their morale. Fatima, a health worker in the northwestern city of Peshawar, said that reaction to news of the CIA polio campaign was so severe that many of her colleagues quit.


“People’s attitudes have changed. You will not believe how even the most educated and well-to-do people will turn us away, calling us U.S. spies and un-Islamic,” said the 25-year-old who did not give her last name for fear of reprisals.


“Boys call us names, they say we are ‘indecent women’.”


Pakistan’s government has tried to shatter the myths that can undermine even the best-intentioned health projects by turning to moderate clerics and urging them to issue religious rulings supporting the anti-polio efforts.


Tahir Ashrafi, head of the All Pakistan Ulema Council, said the alliance of clerics had done its part, and it was up to the government to come to the rescue of aid workers.


“Clerics can only give fatwas and will continue to come together and condemn such acts,” he said. “What good are fatwas if the government doesn’t provide security?”


RISK OF POLIO RETURNING


That may be a tall order in Pakistan, where critics allege government officials are too busy lining their pockets or locked in power struggles to protect its citizens, even children vulnerable to diseases that can cripple or disfigure them.


Pakistani leaders deny such accusations.


Politicians also have a questionable track record when it comes to dealing with all the other troubles afflicting nuclear-armed Pakistan.


The villages where health workers once spent time tending to children often lack basic services, clinics, clean water and jobs. Industries that could strengthen the fragile economy are hobbled by chronic power cuts.


Deepening frustrations with those issues often encourage Pakistanis to give up on the state and join the Taliban.


So far it’s unclear who is behind the shootings. The main Taliban spokesman said they were opposed to the vaccination scheme but the group distanced itself from the attacks.


But another Taliban spokesman in South Waziristan said their fighters were behind an attack on a polio team in the northwestern town of Lakki Marwat on Monday. “The vaccinations were part of “a secret Jewish-American agenda to poison Pakistanis”, he said.


What is clear is the stakes are high.


Any gaps in the program endanger hard-won gains against a disease that can cause death or paralysis within hours.


A global effort costing billions of dollars eradicated polio from every country except Nigeria, Afghanistan and Pakistan.


Vaccinations cut Pakistan‘s polio cases from 20,000 in 1994 to 56 in 2012 and the disease seemed isolated in a pocket in the north. But polio is spread person-to-person, so any outbreak risks re-infecting communities cleared of the disease.


Last year, a strain from Pakistan spread northeast and caused the first outbreak in neighboring China since 1999.


Oliver Rosenbauer, a spokesman for the World Health Organization, said the group had been coming closer to eradicating the disease.


“For the first time, the virus had been geographically cornered,” he said. “We don’t want to lose the gains that had been made … Any suspension of activities gives the virus a new foothold and the potential to come roaring back and paralyze more children.”


MOURNING FAMILIES


Condemnation of the killings has been nearly universal. Clerics called for demonstrations to support health workers, the government has promised compensation for the deaths and police have vowed to provide more protection.


For women like Fehmida Shah, it’s already too late. The 44-year-old health worker lived with her family in a two-room house before gunmen shot her on Tuesday.


Her husband, Syed Riaz Shah, said she spent her tiny salary – the equivalent of just $ 2 a day – on presents for their four daughters. Even though the family was struggling, she always found some spare money for any neighbor in need.


“She was very kind and big hearted. All the women in our lane knew her,” he said.


“The entire neighborhood is in shock. Pray for my daughters. I will get through this. But I don’t know how they will.”


(Additional reporting by Imtiaz Shah in Karachi, Jibran Ahmad in Peshawar, Saud Mehsud in Dera Ismail Khan and Katharine Houreld in Islamabad; Editing by Michael Georgy and Sanjeev Miglani)


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Obama starts Hawaiian vacation, leaving Washington on ice


KAILUA, Hawaii (Reuters) - Taking what promised to be a very brief Christmas break from the ongoing struggle to avoid the "fiscal cliff" of tax hikes and spending cuts, President Barack Obama relaxed with his family on Saturday at a beach retreat in Hawaii.


Congress was to return to Washington next Thursday and Obama has pledged to work with lawmakers to strike a deal to avoid the economic shock from tax and spending measures set to take effect on January 1 if a deal can't be reached, which many economists say could push the U.S. economy back into recession.


The president is expected to indulge in some of his favorite pastimes on the island where he was born and raised: golf, an expedition for the local treat "shave ice," and an evening out with family and friends. He hit the links at the nearby Marine Corps base under sunny skies on Saturday afternoon.


On Sunday, he is expected to attend funeral services for Senator Daniel Inouye, the long-serving Democrat from Hawaii who died on Monday, but the president has no other public events on his schedule.


On Saturday, Democratic Senate Majority Leader Harry Reid said he had urged Hawaii Governor Neil Abercrombie, a Democrat, to name Inouye's successor "with due haste."


"It is critically important to ensure that the people of Hawaii are fully represented in the pivotal decisions the Senate will be making before the end of the year," Reid, of Nevada, said in a statement.


Obama's idyll was not expected to last more than four days, and he will likely retrace the more than 4,800-mile trip from the Aloha State to Washington after Christmas in a bid to cut a deal with Republicans, who failed on Thursday to agree on competing tax and spending bills of their own.


Before leaving Washington on Friday evening, Obama urged Congress to come up with a stopgap measure to spare the U.S. economy the jolt of $600 billion in tax increases and spending cuts economists say would likely derail the economy.


The president asked lawmakers for a stripped-down deal to continue lower tax rates on middle income earners and extend unemployment insurance benefits to avoid some of the worst effects of the "fiscal cliff" in the new year.


Obama's family holiday, in a quiet beach front community on the other side of the island from bustling Honolulu, should also provide some respite from the somber focus on the Newtown, Connecticut, school massacre and the consequent bitter debate over measures to change America's gun culture and prevent violence.


The president's weekly radio and Internet addresses, which in recent weeks have centered on his argument for extending tax cuts for all but the wealthiest Americans, on Saturday offered holiday greetings to U.S. military forces.


(Reporting By Mark Felsenthal and Richard Cowan; Editing by Vicki Allen, Todd Eastham and Paul Simao)



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Italy PM Monti resigns, elections likely in February






ROME (Reuters) – Italian Prime Minister Mario Monti tendered his resignation to the president on Friday after 13 months in office, opening the way to a highly uncertain national election in February.


The former European commissioner, appointed to lead an unelected government to save Italy from financial crisis a year ago, has kept his own political plans a closely guarded secret but he has faced growing pressure to seek a second term.






President Giorgio Napolitano is expected to dissolve parliament in the next few days and has already indicated that the most likely date for the election is February 24.


In an unexpected move, Napolitano said he would hold consultations with political leaders from all the main parties on Saturday to discuss the next steps. In the meantime Monti will continue in a caretaker capacity.


European leaders including German Chancellor Angela Merkel and European Commission President Jose Manuel Barroso have called for Monti’s economic reform agenda to continue but Italy’s two main parties have said he should stay out of the race.


Monti, who handed in his resignation during a brief meeting at the presidential palace shortly after parliament approved his government’s 2013 budget, will hold a news conference on Sunday at which he is expected clarify his intentions.


Ordinary Italians are weary of repeated tax hikes and spending cuts and opinion polls offer little evidence that they are ready to give Monti a second term. A survey this week showed 61 percent saying he should not stand.


Whether he runs or not, his legacy will loom over an election which will be fought out over the painful measures he has introduced to try to rein in Italy’s huge public debt and revive its stagnant economy.


His resignation came a couple of months before the end of his term, after his technocrat government lost the support of Silvio Berlusconi‘s centre-right People of Freedom (PDL) party in parliament earlier this month.


Speculation is swirling over Monti’s next moves. These could include outlining policy recommendations, endorsing a centrist alliance committed to his reform agenda or even standing as a candidate in the election himself.


The centre-left Democratic Party (PD) has held a strong lead in the polls for months but a centrist alliance led by Monti could gain enough support in the Senate to force the PD to seek a coalition deal which could help shape the economic agenda.


BERLUSCONI IN WINGS


Senior figures from the alliance, including both the UDC party, which is close to the Roman Catholic Church, and a new group founded by Ferrari sports car chairman Luca di Montezemolo, have been hoping to gain Monti’s backing.


He has not said clearly whether he intends to run, but he has dropped heavy hints he will continue to push a reform agenda that has the backing of both Italy’s business community and its European partners.


The PD has promised to stick to the deficit reduction targets Monti has agreed with the European Union and says it will maintain the broad course he has set while putting more emphasis on reviving growth.


Berlusconi’s return to the political arena has added to the already considerable uncertainty about the centre-right’s intentions and increased the likelihood of a messy and potentially bitter election campaign.


The billionaire media tycoon has fluctuated between attacking the government’s “Germano-centric” austerity policies and promising to stand aside if Monti agrees to lead the centre right, but now appears to have settled on an anti-Monti line.


He has pledged to cut taxes and scrap a hated housing tax which Monti imposed. He has also sounded a stridently anti-German line which has at times echoed the tone of the populist 5-Star Movement headed by maverick comic Beppe Grillo.


The PD and the PDL, both of which supported Monti’s technocrat government in parliament, have made it clear they would not be happy if he ran against them and there have been foretastes of the kind of attacks he can expect.


Former centre-left prime minister Massimo D’Alema said in an interview last week that it would be “morally questionable” for Monti to run against the PD, which backed all of his reforms and which has pledged to maintain his pledges to European partners.


Berlusconi who has mounted an intensive media campaign in the past few days, echoed that criticism this week, saying Monti risked losing the credibility he has won over the past year and becoming a “little political figure”.


(Additional reporting by Gavin Jones, Massimiliano Di Giorgio and Paolo Biondi; Writing by Gavin Jones and James Mackenzie; Editing by Michael Roddy)


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Instagram diverts attention from botched policy change with another new filter









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“It’s a Wonderful Life” is top Christmas film with critics






LOS ANGELES (Reuters) – When it comes to Christmas films, “It’s a Wonderful Life” can still melt critics’ hearts nearly 70 years after it was released, according to a survey of the best-reviewed Christmas films.


The survey, to be released on Friday by review aggregator Rotten Tomatoes, found that the 1946 redemption story starring Jimmy Stewart edged out the 1942 Bing Crosby and Fred Astaire musical “Holiday Inn” and Tim Burton‘s 1993 stop-motion fantasy “The Nightmare Before Christmas.”






World War Two drama “Stalag 17,” released in 1953, and 1947′s “Miracle on 34th Street” round out the top five.


“It’s a Wonderful Life” vaulted to the top spot from No. 5 in 2009, when the list was last compiled, bumping “The Nightmare Before Christmas” from its best-reviewed status.


Films that use the holiday as a backdrop for the plot such as 1988′s “Die Hard,” which was No. 6 on the list, and 1983′s “Trading Places” at No. 9, were also eligible, the website said.


Rotten Tomatoes, which analyzes film reviews and assigns a score based on total critical reception, applied that same formula to Christmas films for the list, Matt Atchity, the website’s editor in chief, told Reuters.


“You look at the list and it’s all the classics … the cream floats to the top,” Atchity said, adding that the rankings were weighted to reflect the amount of reviews a film received, which could artificially boost or decline a score.


Films from the 1960s and 1970s were notably absent from the list. Atchity said studios were more focused at that time on work by big-name directors than on seasonal films.


Here are the 25 best-reviewed Christmas films of all time, according to website Rotten Tomatoes:


* “It’s a Wonderful Life” (1946)


* “Holiday Inn” (1942)


* “The Nightmare Before Christmas” (1993)


* “Stalag 17″ (1953)


* “Miracle on 34th Street” (1947)


* “Die Hard” (1988)


* “Arthur Christmas” (2011)


* “A Christmas Story” (1983)


* “Trading Places” (1983)


* “Rare Exports: A Christmas Tale” (2010)


* “Lethal Weapon” (1987)


* “A Midnight Clear” (1992)


* “A Christmas Tale” (2008)


* “While You Were Sleeping” (1995)


* “Scrooge (A Christmas Carol)” (1951)


* “Elf” (2003)


* “Kiss Kiss, Bang Bang” (2005)


* “Gremlins” (1984)


* “The Santa Clause” (1994)


* “The Bishop’s Wife” (1947)


* “Bad Santa” (2003)


* “8 Women” (2002)


* “Batman Returns” (1992)


* “White Christmas” (1954)


* “The Ref” (1994)


The full list can been seen at http://www.rottentomatoes.com/guides/best_christmas_movies_2012/?hub=10


(Reporting by Eric Kelsey, editing by Jill Serjeant and Stacey Joyce)


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Federal judge blocks Missouri law to deny birth control coverage






(Reuters) – A federal judge on Friday blocked a new Missouri law that requires health insurers to offer plans that exclude contraception coverage if employers or individuals object to birth control on moral or religious grounds.


U.S. District Judge Audrey Fleissig granted a temporary restraining order preventing the enforcement of the law, writing that it appears to conflict with the new federal health care law.






Republican lawmakers in Missouri drafted the law in response to President Barack Obama‘s policy of requiring insurers to cover birth control for free as part of the new federal health care law, even if they work for a church or other employer that has a moral objection.


State lawmakers in September overrode a veto by Democratic Governor Jay Nixon to enact the law.


The Missouri Insurance Coalition, a nonprofit whose members include health insurers that do business in the state, asked the judge to block the state law, arguing that it conflicts with federal law and is therefore invalid.


Fleissig wrote that the coalition is likely to succeed on that claim “given what appears to be an irreconcilable conflict” between the federal and state laws.


At a hearing, the judge wrote, the Missouri Department of Insurance “could offer no response to how there would not be a direct conflict” between the federal and state laws if an insurer offered a health insurance plan “that acquiesced to an employer’s decision not to offer contraceptive coverage.”


She is expected to schedule a hearing on a preliminary injunction.


(Reporting By Corrie MacLaggan; editing by Todd Eastham)


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NRA move exposes deep divide on guns


WASHINGTON (Reuters) - Any chance for national unity on U.S. gun violence appeared to wane a week after the Connecticut school massacre, as the powerful NRA gun rights lobby called on Friday for armed guards in every school and gun-control advocates vehemently rejected the proposal.


The solution offered by the National Rifle Association defied a push by President Barack Obama for new gun laws, such as bans on high-capacity magazines and certain semiautomatic rifles.


At a hotel near the White House, NRA Chief Executive Wayne LaPierre said a debate among lawmakers would be long and ineffective, and that school children were better served by immediate action to send officers with firearms into schools.


LaPierre delivered an impassioned defense of the firearms that millions of Americans own, in a rare NRA news briefing after the Newtown, Connecticut, shooting in which a gunman killed his mother, and then 20 children and six adults at an elementary school.


"Why is the idea of a gun good when it's used to protect our president or our country or our police, but bad when it's used to protect our children in their schools?" LaPierre asked in comments twice interrupted by anti-NRA protesters whom guards forced from the room.


Speaking to about 200 reporters and editors but taking no questions, LaPierre dared politicians to oppose armed guards.


"Is the press and political class here in Washington so consumed by fear and hatred of the NRA and America's gun owners," he asked, "that you're willing to accept a world where real resistance to evil monsters is a lone, unarmed school principal?"


Proponents of gun control immediately rejected the idea, hardening battle lines in a social debate that divides Americans as much as abortion or same-sex marriage.


A brief NRA statement three days earlier in which the group said it wanted to contribute meaningfully to ways to prevent school massacres led to speculation that compromise might be possible, or that the NRA was too weak to defeat new legislation.


"The NRA's leadership had an opportunity to help unite the nation behind efforts to reduce gun violence and avert massacres like the one at Sandy Hook Elementary School," said Democratic Representative Carolyn McCarthy of New York. She supports new limits on ammunition and firearms, and universal background checks for gun buyers.


WAITING FOR A COMPROMISE


Adam Winkler, author of "Gunfight," a history of U.S. gun rights, said he expected the NRA might yield on background checks. About 40 percent of gun purchasers are not checked, according to some estimates.


"The NRA missed a huge opportunity to move in the direction of compromise. Instead of offering a major contribution to the gun debate, which is what they promised, we got the same old tired clichés," said Winkler, a law professor at the University of California at Los Angeles.


A Reuters/Ipsos poll on Monday showed the percentage of Americans favoring tough gun regulations rising 8 points after the Newtown shooting, to 50 percent.


Inside the NRA, though, attitudes might not change much.


"The anti-gun forces which are motivated by hysteria and a refusal to deal with the facts are going to be facing a counter-attack here that is going to be very, very effective," said Robert Brown, an NRA board member and the publisher of Soldier of Fortune, a military-focused magazine.


During the news conference, LaPierre laid out a plan for a "National School Shield" and said former U.S. congressman Asa Hutchinson from Arkansas would head up the NRA's effort to develop a model security program for schools.


The NRA is far and away America's most powerful gun organization and dwarves other groups with its lobbying efforts. In 2011, it spent $3.1 million lobbying lawmakers and federal agencies, while all gun-control groups combined spent $280,000, according to records the groups filed with Congress.


ECHOES OF COLUMBINE


Ken Blackwell, another NRA board member, said NRA leaders were discussing how to react to the Newtown shooting on the day it happened, helping LaPierre formulate a position.


"He and the team of lawyers around him are very bright and they understand the Constitution," said Blackwell, a Republican former state official in Ohio.


The Second Amendment to the U.S. Constitution as interpreted by the Supreme Court in 2008 guarantees an individual right to own firearms, though it allows for some limits.


While LaPierre's proposal to arm schools came as a surprise to those who hoped for compromise, it is not new.


Former NRA president, the late actor Charlton Heston, made a similar proposal after the 1999 Columbine High School massacre near Denver that killed 12 students and one teacher.


"If there had been even one armed guard in the school, he could have saved a lot of lives and perhaps ended the whole thing instantly," Heston said in April 1999, according to The New York Times.


Columbine had an armed sheriff's deputy who exchanged gunfire outside the school with one of the two teenage killers, according to a Jefferson County, Colorado, sheriff's office report. The deputy was unable to hit or stop the student, who was armed with a semiautomatic rifle, from entering the school, and the deputy stayed in a parking lot with police, the report said.


Protesters at the news briefing on Friday accused the NRA of being complicit in gun deaths.


"If teachers can stand up to gunmen, Congress can stand up to the NRA," said Medea Benjamin, co-director of the peace group Code Pink, who was escorted from the news conference.


(Additional reporting by Susan Heavey, Patrick Rucker and Alina Selyukh in Washington, and Stephanie Simon and Keith Coffman in Denver, Colorado; Editing by Karey Wutkowski, Mary Milliken and Eric Beech)



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Wounded presage health crisis for postwar Syria






ATMEH, Syria (AP) — A baby boy joined the ranks of Syria’s tens of thousands of war wounded when a missile fired by Bashar Assad‘s air force slammed into his family home and shrapnel pierced his skull.


Four-month-old Fahed Darwish suffered brain damage and, like thousands of others seriously hurt in the civil war, he will likely need care well after the fighting is over. That’s something doctors say a post-conflict Syria won’t be able to provide.






Making things worse, there has been a sharp spike in serious injuries since the summer, when the regime began bombing rebel-held areas from the air, and doctors say a majority of the wounded they now treat are civilians.


This week, Fahed was recovering from brain surgery in an intensive care unit, his head bandaged and his body under a heavy blanket, watched over by Mariam, his distraught 22-year-old mother.


She said that after her first-born is discharged from the hospital in Atmeh, a village in an area of relative safety near the Turkish border, they will have to return to their village in a war zone in central Syria.


“We have nowhere else to go,” she said.


Even for those who have escaped direct injury, the civil war is posing a mounting health threat. Half the country’s 88 public hospitals and nearly 200 clinics have been damaged or destroyed, the World Health Organization says, leaving many without access to health care. Diabetics can’t find insulin, kidney patients can’t reach dialysis centers. Towns are running out of water-purifying materials. Many of the hundreds of thousands displaced by the fighting are exposed to the cold in tents or unheated public buildings.


“You are talking about a public health crisis on a grand scale,” said Dr. Abdalmajid Katranji, a hand and wrist surgeon from Lansing, Michigan, who regularly volunteers in Syria.


No one knows just how many people have been injured since the uprising against Assad erupted in March 2011, starting out with peaceful protests that turned into an armed insurgency in response to a violent government crackdown.


More than 43,000 have been killed in the past 21 months, said Rami Abdul-Rahman, head of the Britain-based Syrian Observatory for Human Rights, basing his count on names and details provided by activists in Syria. He said the number of wounded is so large he can only give a rough estimate, of more than 150,000.


Casualties began to rise dramatically at the start of the summer. At the time, the regime, its ground troops stretched thin, began bombing from the air to prevent opposition fighters from gaining more territory.


Seemingly random bombings have razed entire villages and neighborhoods, driving terrified civilians from their homes, with an estimated 3 million Syrians out of the country’s population of 23 million now displaced.


About 10 percent of the wounded suffer serious injuries and many of those will need long-term care and rehabilitation, said Dr. Omar Aswad of the Union of Syrian Medical Relief Organizations, an umbrella for 14 aid groups.


This includes artificial limbs and follow-up surgery. “This is of course not available and will be one of the major (health) problems in the months right after the war,” said Mago Tarzian, emergency director for the Paris-based Doctors Without Borders.


For now, aid groups are struggling to provide even emergency treatment in under-equipped clinics.


The two dozen small hospitals and field clinics in rebel-run areas of Idlib province in the north only have a few Intensive Care Unit beds between them, said Aswad. None has a CT scanner, an important diagnostic tool.


“We need generators, we need medical supplies and the most pressing is medicine,” he said.


The challenge has been compounded by new types of injuries.


The regime has begun dropping incendiary bombs that can cause severe burns, according to the New York-based Human Rights Watch, citing amateur video and witness accounts.


Ole Solvang, a researcher for the group, said he saw remnants of such a bomb on a recent Syria trip. Aswad said doctors in Idlib and nearby Aleppo province reported seeing patients with burns from such weapons.


Doctors and hospitals have also been targeted. Aswad, who fled the city of Idlib in March after regime forces entered it, said five friends in a secret association of anti-regime physicians have been arrested. Hospitals, ambulances and doctors have been attacked, Solvang said, calling it “a worrying trend that makes the medical situation even worse.”


One of the bright spots is a 50-bed emergency care clinic set up six weeks ago in a former elementary school in Atmeh.


Largely funded by a wealthy Syrian expatriate, the Orient clinic, with five ICU beds, handles some of the most serious cases in a radius of some 150 kilometers (90 miles), said its director, orthopedic surgeon Abdel Hamid Dabbak.


In the past, seriously wounded patients had to go to Turkey, risking dangerous delays at the border, he said. Now, once patients are stabilized in Atmeh, they are sent to a sister clinic across the border for follow-up care.


In Orient’s ICU, a 24-year-old rebel fighter was breathing oxygen through a mask. He had been brought in a day earlier, bleeding heavily from stomach wounds and close to death, said Dr. Maen Martini, a volunteer physician from Joliet, Illinois. After surgery, he stabilized and was taken off a respirator. A delayed crossing into Turkey would have killed him, Martini said.


The fighter’s neighbor was little Fahed, whose house had been struck by a missile on Saturday in the village of Kafr Zeita in Hama province. “The roof collapsed on us,” his mother said of the attack. “We ran out … I saw him bleeding from his head, but it was just a small cut.”


The local clinic said the injury was more serious than it seemed and the family rushed to Atmeh, more than 100 kilometers (60 miles) to the north.


Since surgery, Fahed has been nursing and has moved his arms and legs, and the doctor is hoping for a near-complete recovery.


“Clinically, he has improved dramatically,” he said.


Middle East News Headlines – Yahoo! News





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