WASHINGTON: The spotlight on brain injuries suffered by American troops in Iraq this month is an example of America’s episodic attention to this invisible war wound, which has affected hundreds of thousands over the past two decades but is not yet fully understood.
Unlike physical wounds, such as burns or the loss of limbs, traumatic brain injuries aren’t obvious and can take time to diagnose. The full impact — physically and psychologically — may not be evident for some time, as studies have shown links between TBI and mental health problems. They cannot be dismissed as mere “headaches” — the word used by President Donald Trump as he said the injuries suffered by the troops in Iraq were not necessarily serious.
Gen. Mark Milley, chairman of the Joint Chiefs of Staff and a veteran of combat in Iraq and Afghanistan, told reporters Thursday that the number of service members diagnosed with TBI from the Jan. 8 Iranian missile attack in Iraq was still growing. Later, the Pentagon said it had reached 64, up from the 50 reported earlier this week. Milley said all are categorized as “mild” injuries, but in some cases the troops will be monitored “for the rest of their lives.”
Speaking alongside Milley, Defense Secretary Mark Esper said the Pentagon is vigorously studying ways to prevent brain injuries on the battlefield and to improve diagnosis and treatment. Milley said it’s possible, in some cases, that symptoms of TBI from the Iranian missile attack on an air base in Iraq on Jan. 8 will not become apparent for a year or two.
“We’re early in the stage of diagnosis, we’re early in the stage of therapy for these troops,” Milley said.
William Schmitz, national commander for the Veterans of Foreign Wars, last week cautioned the Trump administration against taking the TBI issue lightly.
“TBI is known to cause depression, memory loss, severe headaches, dizziness and fatigue,” sometimes with long-term effects,” he said, while calling on Trump to apologize for his “misguided remarks.”
Rep. Bill Pascrell, Jr., a New Jersey Democrat and founder of the Congressional Brain Injury Task Force, faulted Trump for displaying “a clear lack of understanding of the devastating impacts of brain injury.”
When it announced earlier this week that the number of TBI cases in Iraq had grown to 50, the Pentagon said more could come to light later. No one was killed in the missile attack, which was an Iranian effort to avenge the killing of Qassem Soleimani, its most powerful general and leader of its paramilitary Quds Force, in an American drone strike in Baghdad.
Details of the US injuries have not been made public, although the Pentagon said Tuesday that 31 of the 50 who were diagnosed with traumatic brain injury have recovered enough to return to duty. The severity of the other cases has not been disclosed.
The Pentagon did not announce the first confirmed cases until more than a week after the Iranian attack; at that point it said there were 11 cases. The question of American casualties took on added importance at the time of the Iranian strike because the degree of damage was seen as influencing a US decision on whether to counterattack and risk a broader war with Iran. Trump chose not to retaliate, and the Iranians then indicated their strike was sufficient for the time being.
The arc of attention to TBI began in earnest, for the US military, in the early years after it invaded Iraq in 2003 to topple President Saddam Hussein. His demise gave rise to an insurgency that confounded the Americans with crude but devastatingly effective roadside bombs. Survivors often suffered not just grievous physical wounds but also concussions that, along with psychological trauma, became known as the invisible wounds of war.
“For generations, battlefield traumatic brain injuries were not understood and often dismissed,” said Sen. Jeanne Shaheen, a New Hampshire Democrat.
The injuries have often been dismissed in part because the problem is not fully understood, although the Pentagon began focusing on the problem in the early 1990s when it established a head injury program that grew into today’s Defense and Veteran’s Brain Injury Center. Among its work, the center provides published reviews of research related to TBI, including links between severe TBI and behavioral issues such as alcohol abuse and suicide.
A study published this month by University of Massachusetts Amherst health services researchers concluded that military members who suffered a moderate or severe TBI are more likely than those with other serious injuries to experience mental health disorders.
Concern about TBI has recently given rise to questions about whether military members may suffer long-term health damage even from low-level blasts away from the battlefield, such as during training with artillery guns and shoulder-fired rockets.
“We’re finding that even a mild blast can cause long-term, life-changing health issues,” said Riyi Shi, a professor of neuroscience and biomedical engineering at Purdue University.
A 2018 study by the federally funded RAND Corp. found a dearth of research and understanding of potential damage to the nervous system from repeated exposure to these lower-level blasts. That same year, the Center for a New American Security, a Washington think tank, released a study urging the Pentagon to conduct a blast surveillance program to monitor, record, and maintain data on blast pressure exposure for “any soldier, in training or combat, who is likely to be in a position where he or she may be exposed to blasts.” It said this should include brain imaging of soldiers who have been exposed to blasts as part of the study to better understand how blasts affect the brain.
Brain injuries in Iraq put attention on invisible war wounds
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Brain injuries in Iraq put attention on invisible war wounds
- Study says military members who suffered a moderate or severe TBI are more likely to experience mental health disorders
- Unlike physical wounds, such as burns or the loss of limbs, traumatic brain injuries aren’t obvious and can take time to diagnose
War has no winners, Taiwan president says in visit to Hawaii
- Taiwan President Lai Ching-te is making a sensitive two-day trip to Hawaii
- He is on his way to three Pacific island nations that maintain formal ties with Taiwan
Lai is making a sensitive two-day trip to Hawaii that is officially only a stopover on the way to three Pacific island nations that maintain formal ties with Taiwan, which China claims as its territory.
Speaking to members of the overseas Taiwan community and Hawaii politicians, including members of Congress Ed Case and Jill Tokuda, Lai referred to his visit to the USS Arizona Memorial earlier in the day and laid a wreath in memory of those who died in the 1941 Japanese attack.
“Our visit to the memorial today in particular reminds us of the importance of ensuring peace. Peace is priceless and war has no winner. We have to fight — fight together — to prevent war,” Lai said in English, in a speech carried live on television in Taiwan.
As Lai was attending the event, China said it had complained to Washington for arranging for his transit through US territory, while vowing “resolute countermeasures” against a potential arms sale to Taiwan that the US announced hours before Lai started his trip.
China’s foreign ministry lodged “stern representations” over the transit, China’s Taiwan Affairs Office said in a statement.
“We are firmly opposed to official exchanges between the United States and Taiwan, and we are firmly opposed to the ‘transit’ of leaders of the Taiwan region to the United States under any name and for any reason,” it said.
Security sources have told Reuters that China could launch a new round of war games around Taiwan in response to his visit, his first overseas trip since assuming office in May, having won election in January.
China has staged two rounds of major war games around Taiwan so far this year.
In his speech Lai switched to Taiwanese, also known as Hokkien, and said that by uniting together, all difficulties could be overcome. “Taiwan’s democracy can become a model for the international community,” he said.
Lai and his government reject Beijing’s sovereignty claims and say they have a right to visit other countries.
After Hawaii, Lai will go to the Marshall Islands, Tuvalu and Palau, with another stopover in the US territory of Guam. Hawaii and Guam are home to large US military bases.
Turmoil overshadows Romania vote as far right hopes to gain ground
BUCHAREST: Still reeling from this week’s shock developments, Romanians return to the polls to elect their parliament on Sunday, with the far right tipped to win, potentially heralding a shift in the NATO country’s foreign policy.
Romania was thrown into turmoil after a top court ordered a recount of the first round of last week’s presidential election won by Calin Georgescu, a little-known far-right admirer of Russian President Vladimir Putin.
Despite accusations of Russian influence and alleged interference via TikTok, Sunday’s parliamentary elections were going ahead as planned.
While the recounting of more than nine million ballots appeared to proceed quickly, people on the streets of Bucharest expressed worries about the recent twists and turns.
“What’s going on now doesn’t seem very democratic,” Gina Visan told AFP at a Christmas market in Bucharest.
“They should respect our vote. We’re disappointed, but we’re used to this kind of behavior,” said the 40-year-old nurse, echoing voter’s distrust in traditional parties.
Polling stations open at 7:00 am (0500 GMT) and close at 9:00 pm, with an exit poll due to be published shortly afterwards.
The first official results are expected later in the evening.
Amid allegations of irregularities and possible interference in the election, concerns over the transparency of the electoral process have emerged, with independent observers being denied access to the recount.
According to Septimius Parvu of the Expert Forum think-tank, the recount order by Romania’s Constitutional Court had “many negative effects,” including undermining confidence in institutions.
“We’ve already recounted votes in Romania in the past, but not millions of votes, with parliamentary elections in the middle of it all,” said Parvu.
“No decision made during this crucial period should limit the right of Romanians to vote freely nor further put at risk the credibility of the election process,” the US embassy in Romania stressed.
But the top court’s decision is likely to boost the far right, Parvu said.
The NATO member of 19 million people has so far resisted rising nationalism in the region, but experts say it faces an unprecedented situation as anger over soaring inflation and fears of being dragged into Russia’s war in neighboring Ukraine have mounted.
George Sorin in Bucharest said he hopes the far right will score well, claiming the current parliament had mostly served the interests of “Brussels and Ukraine” instead of “national interests.”
Outgoing President Klaus Iohannis said Sunday’s vote would determine Romania’s future — whether it will “remain a country of freedom and openness or collapse into toxic isolation and a dark past.”
Romania’s political landscape has been shaped by two major parties for the past three decades, but analysts predict a fragmented parliament to emerge from Sunday’s vote, influencing the chances of forming a future government.
Polls show that three far-right parties are predicted to claim more than 30 percent of the vote share combined.
Among them is the AUR party, whose leader George Simion won nearly 14 percent of the presidential vote, which actually topped the latest polls on more than 22 percent.
“We are here, standing, alive, more numerous than ever, and with a huge opportunity ahead of us,” Simion — a fan of US President-elect Donald Trump — recently told his supporters.
The Party of Young People (POT), which was founded in 2023 and has meanwhile thrown its support behind Georgescu, could reach the five-percent threshold to enter parliament and there is also the extreme-right SOS Romania party, led by firebrand Diana Sosoaca.
In recent years, around 30 percent of Romanians have embraced far-right views, even if they have not always voted for them in elections.
Elena Lasconi’s pro-European USR party has warned that the country faces “a historic confrontation” between those who wish to “preserve Romania’s young democracy” and those who want to “return to the Russian sphere of influence.”
The ruling Social Democrats (PSD) and the National Liberal Party (PNL), which suffered a defeat in the presidential ballot, have centered their campaigns on their “experience.”
“The political scene is completely reset,” said political scientist Remus Stefureac, adding that 2025 “will be extremely complicated in terms of security risks.”
UK business confidence lowest since COVID-19 pandemic, IoD says
- The IoD survey took place between Nov. 15 and Nov. 27 and was based on 601 responses, mostly from small businesses
LONDON: Britain’s Institute of Directors said on Sunday that optimism among its members had fallen to the lowest since the onset of the COVID-19 pandemic, following tax rises in finance minister Rachel Reeves’ first budget on Oct. 30.
Investment plans and employment intentions were the weakest since May 2020 last month, while a gauge of business leaders’ optimism sank to its lowest since April 2020 at -65, down from -52 in October.
“As businesses continue to absorb the consequences of the Budget for their business plans, confidence has continued to plummet,” IoD Chief Economist Anna Leach said.
“Far from fixing the foundations, the Budget has undermined them, damaging the private sector’s ability to invest in their businesses and their workforces,” she added.
The IoD report adds to a chorus of complaints by businesses since the budget and other signs of an economic slowdown.
Last week Reeves promised the Confederation of British Industry that she would not be “coming back with more borrowing or more taxes” at future budgets.
Reeves announced 40 billion pounds ($51 billion) of tax rises at the budget, including a 25 billion pound increase in employers’ annual social security contributions.
Labour had only pointed to around 8 billion pounds of tax rises before the election and Reeves blamed the extra increases in large part on what she said was an unexpectedly poor fiscal legacy left by the previous Conservative government.
A planned tightening of employment laws was also likely to increase costs for employers, the IoD said.
The IoD survey took place between Nov. 15 and Nov. 27 and was based on 601 responses, mostly from small businesses.
Iceland votes for a new parliament after political disagreements force an early election
- Iceland, a nation of about 400,000 people, is proud of its democratic traditions, describing itself as arguably the world’s oldest parliamentary democracy
REYKJAVIK, Iceland: Icelanders voted to elect a new parliament Saturday after disagreements over immigration, energy policy and the economy forced Prime Minister Bjarni Benediktsson to pull the plug on his coalition government and call an early election.
All polling stations managed to open despite fierce weather in the sub-Arctic nation that left roads in many areas blocked by snow. Ballot-counting began after polls closed at 10 p.m. local time (2200GMT), with results expected early Sunday.
This is Iceland’s sixth general election since the 2008 financial crisis devastated the economy of the North Atlantic island nation and ushered in a new era of political instability.
Opinion polls suggested the country could be in for another upheaval, with support for the three governing parties plunging. Benediktsson, who was named prime minister in April following the resignation of his predecessor, struggled to hold together the unlikely coalition of his conservative Independence Party with the centrist Progressive Party and the Left-Green Movement.
“My expectation is like, something new (is) going to happen, hopefully,” said Hörður Guðjónsson, voting in the capital, Reykjavik. “We always have had these old parties taking care of things. I hope we see the light now to come in with a younger people, new ideas.”
Iceland, a nation of about 400,000 people, is proud of its democratic traditions, describing itself as arguably the world’s oldest parliamentary democracy. The island’s parliament, the Althingi, was founded in 930 by the Norsemen who settled the country.
How does the election work?
Voters are choosing 63 members of the Althingi in an election that will allocate seats both by regional constituencies and proportional representation. Parties need at least 5 percent of the vote to win seats in parliament. Eight parties were represented in the outgoing parliament, and 10 parties are contesting this election.
Turnout is traditionally high by international standards, with 80 percent of registered voters casting ballots in the 2021 parliamentary election.
Why now?
A windswept island near the Arctic Circle, Iceland normally holds elections during the warmer months of the year. But Benediktsson decided on Oct. 13 that his coalition couldn’t last any longer, and he asked President Halla Tómasdóttir to dissolve the Althingi.
“The weakness of this society is that we have no very strong party and we have no very strong leader of any party,’’ said Vilhjálmur Bjarnason a former member of parliament. “We have no charming person with a vision … That is very difficult for us.”
Despite the electoral headwinds, Benediktsson expressed confidence that his Independence Party could emerge on top.
“It was an uphill battle for my party, initially, but as we moved on into the election campaign, I think things started to turn our way and I feel that this will be a very exciting election day,” he said.
Why is Iceland’s politics so fractured?
The splintering of Iceland’s political landscape came after the 2008 financial crisis, which prompted years of economic upheaval after the country’s debt-swollen banks collapsed.
The crisis led to anger and distrust of the parties that had traditionally traded power back and forth, and prompted the creation of new parties ranging from the environment focused Left-Green Alliance to the Pirate Party, which advocates direct democracy and individual freedoms.
“This is one of the consequences of the economic crash,’’ said Eva H. Önnudóttir, a professor of political science at the University of Iceland. “It’s just the changed landscape. Parties, especially the old parties, have maybe kind of been hoping that we would go back to how things were before, but that’s not going to happen.”
What are the issues?
Like many Western countries, Iceland has been buffeted by the rising cost of living and immigration pressures.
Inflation peaked at an annual rate of 10.2 percent in February 2023, fueled by the fallout from the COVID-19 pandemic and Russia’s full-scale invasion of Ukraine in February 2022. While inflation slowed to 5.1 percent in October, that is still high compared with neighboring countries. The US inflation rate stood at 2.6 percent last month, while the European Union’s rate was 2.3 percent.
Iceland is also struggling to accommodate a rising number of asylum-seekers, creating tensions within the small, traditionally homogenous country. The number of immigrants seeking protection in Iceland jumped to more than 4,000 in each of the past three years, compared with a previous average of less than 1,000.
What about the volcano?
Repeated eruptions of a volcano in the southwestern part of the country have displaced thousands of people and strained public finances. One year after the first eruption forced the evacuation of the town of Grindavik, many residents still don’t have secure housing, leading to complaints that the government has been slow to respond.
But it also added to a shortage of affordable housing exacerbated by Iceland’s tourism boom. Young people are struggling to get a foot on the housing ladder at a time when short-term vacation rentals have reduced the housing stock available for locals, Önnudóttir said.
“The housing issue is becoming a big issue in Iceland,” she said.
Trump taps Kash Patel for FBI director, a loyalist who would aid effort to upend law enforcement
- Patel, the child of Indian immigrants and a former public defender, spent several years as a Justice Department prosecutor before catching the Trump administration’s attention as a staffer for the House Permanent Select Committee on Intelligence
WASHINGTON: President-elect Donald Trump has nominated Kash Patel to serve as FBI director, turning to a fierce ally to upend America’s premier law enforcement agency and rid the government of perceived “conspirators.” It’s the latest bombshell Trump has thrown at the Washington establishment and a test for how far Senate Republicans will go in confirming his nominees.
“I am proud to announce that Kashyap ‘Kash’ Patel will serve as the next Director of the Federal Bureau of Investigation,” Trump posted Saturday night on Truth Social. “Kash is a brilliant lawyer, investigator, and ‘America First’ fighter who has spent his career exposing corruption, defending Justice, and protecting the American People.”
The selection is in keeping with Trump’s view that the government’s law enforcement and intelligence agencies require a radical transformation and his stated desire for retribution against supposed adversaries. It shows how Trump, still fuming over years of federal investigations that shadowed his first administration and later led to his indictment, is moving to place atop the FBI and Justice Department close allies he believes will protect rather than scrutinize him.
Patel “played a pivotal role in uncovering the Russia, Russia, Russia Hoax, standing as an advocate for truth, accountability, and the Constitution,” Trump wrote Saturday night.
It remains unclear whether Patel could be confirmed, even by a Republican-led Senate, though Trump has also raised the prospect of using recess appointments to push his selections through.
Patel would replace Christopher Wray, who was appointed by Trump in 2017 but quickly fell out of favor with the president and his allies. Though the position carries a 10-year term, Wray’s removal was not unexpected given Trump’s long-running public criticism of him and the FBI, including after a search of his Florida’s property for classified documents and two investigations that resulted in his indictment.
Patel’s past proposals, if carried out, would lead to convulsive change for an agency tasked not only with investigating violations of federal law but also protecting the country from terrorist attacks, foreign espionage and other threats.
He’s called for dramatically reducing the FBI’s footprint, a perspective that dramatically sets him apart from earlier directors who have sought additional resources for the bureau, and has suggested closing down the bureau’s headquarters in Washington and “reopen it the next day as a museum of the deep state” — Trump’s pejorative catch-all for the federal bureaucracy.
And though the Justice Department in 2021 halted the practice of secretly seizing reporters’ phone records during leak investigation, Patel has said he intends to aggressively hunt down government officials who leak information to reporters and change the law to make it easier to sue journalists.
During an interview with Steve Bannon last December, Patel said he and others “will go out and find the conspirators not just in government but in the media.”
“We’re going to come after the people in the media who lied about American citizens who helped Joe Biden rig presidential elections,” Patel said, referring to the 2020 presidential election in which Biden, the Democratic challenger, defeated Trump. “We’re going to come after you, whether it’s criminally or civilly. We’ll figure that out. But yeah, we’re putting you all on notice.”
Trump also announced Saturday that he would nominate Sheriff Chad Chronister, the top law enforcement officer in Hillsborough County, Florida, to serve as the administrator of the Drug Enforcement Agency.
Chronister is another Florida Republican named to Trump’s administration. He has worked for the Hillsborough County Sheriff’s Office since 1992 and became the top law enforcement officer in Hillsborough County 2017. He also worked closely with Trump’s choice for attorney general, Pam Bondi.
Patel, the child of Indian immigrants and a former public defender, spent several years as a Justice Department prosecutor before catching the Trump administration’s attention as a staffer for the House Permanent Select Committee on Intelligence.
The panel’s then-chairman, Rep. Devin Nunes, R-Calif., was a strong Trump ally who tasked Patel with running the committee’s investigation into Russian interference in the 2016 campaign. Patel ultimately helped author what became known as the “Nunes Memo,” a four-page report that detailed how it said the Justice Department had erred in obtaining a warrant to surveil a former Trump campaign volunteer. The memo’s release faced vehement opposition from Wray and the Justice Department, who warned that it would be reckless to disclose sensitive information.
A subsequent inspector general report identified significant problems with FBI surveillance during the Russia investigation, but also found no evidence that the FBI had acted with partisan motives in conducting the probe and said there had been a legitimate basis to open the inquiry.
The Russia investigation fueled Patel’s suspicions of the FBI, the intelligence community and also the media, which he has called “the most powerful enemy the United States has ever seen.” Seizing on compliance errors in the FBI’s use of a spy program that officials say is vital for national security, Patel has accused the FBI of having “weaponized” its surveillance powers against innocent Americans.
Patel parlayed that work into influential administration roles on the National Security Council and later as chief of staff to acting Defense Secretary Christopher Miller.
He continued as a loyal Trump lieutenant even after he left office, accompanying the president-elect into court during his criminal trial in New York and asserting to reporters that Trump was the victim of a “constitutional circus.”
In addition to his 2023 memoir, “Government Gangsters: The Deep State, the Truth, and the Battle for Our Democracy,” Patel has published two children’s books that lionize Trump. “The Plot Against the King” features a thinly veiled Hillary Clinton as the villain going after “King Donald,” while Kash, a wizard called the Distinguished Discoverer, exposes a nefarious plot.
