Upward of 20,000 Ukrainian amputees face trauma on a scale unseen since WWI

At a rehabilitation hospital in the western city of Lviv, soldiers rely as much on each other as they do upon the physicians and rehabilitation specialists they will need to adapt to their new prostheses. (AP)
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Updated 04 September 2023
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Upward of 20,000 Ukrainian amputees face trauma on a scale unseen since WWI

  • The hardest part for many amputees is learning to live with the pain — pain from the prosthesis, pain from the injury itself, pain from the lingering effects of the blast shockwave
  • Rudneva estimated that 20,000 Ukrainians have endured at least one amputation since the war began

LVIV: The small band of soldiers gather outside to share cigarettes and war stories, sometimes casually and sometimes with a degree of testiness over recollections made unreliable by their last day fighting, the day the war took away their limbs.
Some clearly remember the moment they were hit by anti-tank mines, aerial bombs, a missile, a shell. For others, the gaps in their memories loom large.
Vitaliy Bilyak’s skinny body is a web of scars that end with an amputation above the knee. During six weeks in a coma, Bilyak underwent over 10 surgeries, including his jaw, hand, and heel, to recover from injuries he received April 22 driving over a pair of anti-tank mines.
“When I woke up, I felt like I was born again and returned from the afterlife,” said Bilyak, who is just beginning his path to rehabilitation. He does not yet know when he’ll receive a prosthesis, which must be fitted individually to each patient.
Ukraine is facing a future with upward of 20,000 amputees, many of them soldiers who are also suffering psychological trauma from their time at the front. Europe has experienced nothing like it since World War I, and the United States not since the Civil War.
Mykhailo Yurchuk, a paratrooper, was wounded in the first weeks of the war near the city of Izium. His comrades loaded him onto a ladder and walked for an hour to safety. All he could think about at the time, he said, was ending it all with a grenade. A medic refused to leave his side and held his hand the entire time as he fell unconscious.
When he awoke in an intensive care unit the medic was still there.
“Thank you for holding my hand,” Yurchuk told him.
“Well, I was afraid you’d pull the pin,” the medic replied. Yurchuk’s left arm was gone below the elbow and his right leg above the knee.
In the 18 months since, Yurchuk has regained his equilibrium, both mentally and physically. He met the woman who would become his wife at the rehabilitation hospital, where she was a volunteer. And he now cradles their infant daughter and takes her for walks without the slightest hesitation. His new hand and leg are in stark black.
Yurchuk has himself become the chief motivator for new arrivals from the front, pushing them as they heal from their wounds and teaching them as they learn to live and move with their new disabilities. That kind of connection will need to be replicated across Ukraine, formally and informally, for thousands of amputees.
“Their whole locomotive system has to be reoriented. They have a whole redistribution of weight. That’s a really complicated adjustment to make and it needs to be made with another human being,” said Dr. Emily Mayhew, a medical historian at Imperial College who specializes in blast injuries.
There are not nearly enough prosthetic specialists in Ukraine to handle the growing need, said Olha Rudneva, the head of the Superhumans center for rehabilitating Ukrainian military amputees. Before the war, she said, only five people in all of Ukraine had formal rehabilitation training for people with arm or hand amputations, which in normal circumstances are less common than legs and feet as those sometimes are amputated due to complications with diabetes or other illnesses.
Rudneva estimated that 20,000 Ukrainians have endured at least one amputation since the war began. The government does not say how many of those are soldiers, but blast injuries are among the most common in a war with a long front line.
Rehabilitation centers Unbroken and Superhumans provide prostheses for Ukrainian soldiers with funds provided by donor countries, charity organizations and private Ukrainian companies.
“Some donors are not willing to provide military aid to Ukraine but are willing to fund humanitarian projects,” said Rudneva.
Some of the men undergoing rehabilitation regret they’re now out of the war, including Yurchuk and Valentyn Lytvynchuk.
Lytvynchuk, a former battalion commander, draws strength from his family, especially his 4-year-old daughter who etched a unicorn on his prosthetic leg.
He headed recently to a military training ground to see what he could still do.
“I realized it’s unrealistic. I can jump into a trench, but I need four-wheel drive to get out of it. And when I move ‘fast’ a child could catch me,” he said. Then, after a moment, he added: “Plus, the prosthesis falls off.”
The hardest part for many amputees is learning to live with the pain — pain from the prosthesis, pain from the injury itself, pain from the lingering effects of the blast shockwave, said Mayhew, who has spoken with several hundred military amputees over the course of her career. Many are dealing with disfigurement and the ensuing cosmetic surgeries.
“That comorbidity of PTSD and blast injury and pain — those are very difficult to unpick,” she said. “When people have a physical injury and they have a psychological injury that goes with it, those things can never be separated. ”
For the severely injured, rehabilitation could take longer than the war ultimately lasts.
The cosmetic surgeries are crucial to allowing the soldiers to feel comfortable in society. Many are so disfigured that it’s all they believe anyone sees in them.
“We don’t have a year, two,” said Dr. Natalia Komashko, a facial surgeon. “We need to do this as if it was due yesterday.”.
Bilyak, the soldier who drove over anti-tank mines, still sometimes finds himself dreaming of battle.
“I’m lying alone in the ward on the bed, and people I don’t know come to me. I realize they’re Russians and they start shooting me point-blank in the head with pistols, rifles,” he recounted. “They start getting nervous because they’re running out of bullets, and I’m alive, I show them the middle finger and laugh at them.”


Chile president to ramp up decarbonization, pressure on Israel as term winds down

Updated 4 sec ago
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Chile president to ramp up decarbonization, pressure on Israel as term winds down

  • Boric, an outspoken critic of Israel, had recently recalled military personnel from Chile’s embassy in the country and summoned the ambassador for questioning

VALPARAISO, Chile: Chile’s President Gabriel Boric said on Sunday that he will accelerate renewable energy efforts and step up pressure against Israel over its war in Gaza among other initiatives during his government’s last nine months in office.
In a wide-ranging three-hour speech from Congress in the coastal city of Valparaiso that marked his last annual address, Boric also discussed crime, infrastructure, the economy and abortion rights.
In comments that sparked the largest amount of cheers and jeers from opposite sides of Congress, Boric said he will introduce a law to ban imports from what he called “illegally occupied territories” and back efforts by Spain for an arms embargo against Israel.
Boric, an outspoken critic of Israel, had recently recalled military personnel from Chile’s embassy in the country and summoned the ambassador for questioning.
Chile’s government will also introduce an “accelerated decarbonization” bill that aims to boost investment in renewable energy sources, help end coal-powered thermoelectric plants and move the country’s 2040 goal to decarbonize the electric grid up to 2035.
Boric added that a bill to speed up the permitting process for new projects was weeks away from being approved, a long-awaited request by miners, renewable energy companies and other investors. Its goal is to cut permitting times by 30 percent to 70 percent, Boric said.
“Investment projects won’t develop to their full potential if we don’t modernize and speed up permitting,” Boric said, while also touting his plan to expand lithium mining, led by state copper giant Codelco.
Critics have rebuked Boric for not making major reforms he promised as a candidate, and for failing to see through a rewrite of the dictatorship-era constitution that was knocked back twice by voters.
Boric appeared to recognize the complaints, while defending his record.
“Have we achieved everything we wanted, with the depth we wanted? No, but we have made progress in that direction, with the conditions under which we had to govern,” he said.

 


Zelensky says Ukraine used 117 drones in attacks on Russian air bases

Updated 01 June 2025
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Zelensky says Ukraine used 117 drones in attacks on Russian air bases

KYIV: Ukraine’s President Volodymyr Zelensky said Sunday it deployed 117 drones in a massive attack against Russian air bases that he called “our most long-range operation” in more than three years of war.
“A total of 117 drones were used in the operation. And a corresponding number of drone operators worked,” Zelensky said in a statement, adding that “34 percent of the strategic cruise missile carriers at the airfields were hit.”


Bangladesh opens trial of deposed ex-Prime Minister Sheikh Hasina

Updated 01 June 2025
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Bangladesh opens trial of deposed ex-Prime Minister Sheikh Hasina

  • The investigators brought charges of crimes against humanity against Hasina over killing of hundreds of students in a mass uprising last year
  • Hasina has been in exile in India since Aug. 5, 2023, while former Home Minister Asaduzzaman Khan is missing and possibly also is in India

DHAKA: A special tribunal set up to try Bangladesh’s ousted Prime Minister Sheikh Hasina began proceedings Sunday by accepting the charges of crimes against humanity filed against her in connection with a mass uprising in which hundreds of students were killed last year.

The Dhaka-based International Crimes Tribunal directed investigators to produce Hasina, a former home minister and a former police chief before the court on June 16.

Hasina has been in exile in India since Aug. 5, 2023, while former Home Minister Asaduzzaman Khan is missing and possibly also is in India. Former police chief Chowdhury Abdullah Al Mamun has been arrested. Bangladesh sent a formal request to India to extradite Hasina in December.

State-run Bangladesh Television broadcast the court proceedings live.

In an investigation report submitted on May 12, the tribunal’s investigators brought five allegations of crimes against humanity against Hasina and the two others during the mass uprising in July-August last year.

According to the charges, Hasina was directly responsible for ordering all state forces, her Awami League party and its associates to carry out actions that led to mass killings, injuries, targeted violence against women and children, the incineration of bodies and denial of medical treatment to the wounded.

Three days after Hasina’s ouster, Nobel Peace Prize laureate Muhammad Yunus took over as the nation’s interim leader.

In February, the UN human rights office estimated that up to 1,400 people may have been killed in Bangladesh over three weeks in the crackdown on the student-led protests against Hasina, who ruled the country for 15 years.

The tribunal was established by Hasina in 2009 to investigate and try crimes involving Bangladesh’s independence war in 1971. The tribunal under Hasina tried politicians, mostly from the Jamaat-e-Islami party, for their actions during the nine-month war against Pakistan. Aided by India, Bangladesh gained independence from Pakistan under the leadership of Sheikh Mujibur Rahman, Hasina’s father and the country’s first leader.


Macron condemns ‘unacceptable’ violence during football celebrations

Updated 01 June 2025
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Macron condemns ‘unacceptable’ violence during football celebrations

  • Two people died and police made nearly 600 arrests across France overnight as football fans celebrated PSG’s 5-0 triumph over Inter Milan in Munich
  • Macron hosted Coach Luis Enrique and his team after their victory parade on the famed Champs Elysee

PARIS: French President Emmanuel Macron on Sunday condemned the “unacceptable” violence during celebrations following Paris Saint-Germain’s Champions League final victory, as he welcomed the triumphant team to the Elysee palace.
“Nothing can justify what has happened in the last few hours, the violent clashes are unacceptable,” the French leader said.
“We will pursue, we will punish, we will be relentless,” he added before congratulating the players on their win.
Two people died and police made nearly 600 arrests across France overnight as football fans celebrated PSG’s 5-0 triumph over Inter Milan in Munich.
“The violent clashes that took place are unacceptable and have come at a heavy cost: two people are dead, around 30 police officers and several firefighters have been injured,” Macron said.
“My thoughts are also with the police officer in Coutances who is currently in a coma,” he added.
Macron hosted Coach Luis Enrique and his team after their victory parade on the famed Champs Elysee, thanking the players for their quick condemnation of the previous night’s chaos.
“These isolated acts are contrary to the club’s values and in no way represent the vast majority of our supporters, whose exemplary behavior throughout the season deserves to be commended,” the club said on Sunday.


British FM says Morocco’s autonomy plan for W. Sahara ‘most credible’ solution

Updated 01 June 2025
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British FM says Morocco’s autonomy plan for W. Sahara ‘most credible’ solution

  • Britain previously backed self-determination for the disputed Western Sahara, which Morocco claims as an integral part of its kingdom
  • Spain and Germany now officially back the Moroccan autonomy plan, while France last summer recognized Morocco’s sovereignty over the territory

RABAT: British Foreign Minister David Lammy said on Sunday that Morocco’s autonomy plan for the territory of Western Sahara was the “most credible” solution to the decades-long dispute, reversing London’s long-standing position.
Western Sahara, a mineral-rich former Spanish colony, is largely controlled by Morocco but has been claimed in its entirety for decades by the pro-independence Polisario Front, which is backed by Algeria.
Morocco has been campaigning for broad support for its autonomy plan after obtaining US recognition of Morocco’s sovereignty over the disputed territory in 2020, in exchange for the normalization of diplomatic relations with Israel.
“The United Kingdom considers Morocco’s autonomy proposal submitted in 2007 as the most credible, viable and pragmatic basis for a lasting resolution of the dispute,” Lammy told reporters in Rabat.
Britain previously backed self-determination for the disputed territory, which Morocco claims as an integral part of its kingdom.

The United Kingdom considers Morocco’s autonomy proposal submitted in 2007 as the most credible, viable and pragmatic basis for a lasting resolution of the dispute

UK Foreign Minister David Lammy

Moroccan foreign minister Nasser Bourita welcomed the shift, saying the new British position contributed “greatly to advancing this momentum and promoting the UN path toward a definitive and mutually acceptable solution based on the autonomy initiative.”
Rabat’s push for support for its autonomy plan has seen success.
Spain and Germany now officially back the Moroccan autonomy plan, while France last summer recognized Morocco’s sovereignty over the territory.
“This year is a vital window of opportunity to secure a resolution before we reach 50 years of the dispute in November,” said Lammy.
The foreign minister also said it encouraged “relevant parties to engage urgently and positively with the United Nations-led political process.”
The United Nations considers Western Sahara a “non-self-governing territory” and has had a peacekeeping mission there since 1991, whose stated aim is to organize a referendum on the territory’s future.
But Rabat has repeatedly ruled out any vote where independence is an option, instead proposing an autonomy plan.
The ceasefire collapsed in mid-November 2020 after Moroccan troops were deployed to the far south of the territory to remove separatists blocking the only route to Mauritania — a route they claimed was illegal, as it did not exist in 1991.
The UN Security Council is calling for negotiations without preconditions, while Morocco insists they focus solely on its autonomy plan.
“The only viable and durable solution will be one that is mutually acceptable to the relevant parties and is arrived at through compromise,” added Lammy.
In a joint statement, the United Kingdom noted that its export credit agency, UK Export Finance, may consider supporting projects in the Sahara as part of its commitment to mobilize 5 billion British pounds (approximately 5.9 billion euros) for new economic initiatives in Morocco.