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)
Short Url
Updated 04 September 2023
Follow

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.”


Pentagon chief warns China ‘preparing’ to use military force in Asia

Updated 5 sec ago
Follow

Pentagon chief warns China ‘preparing’ to use military force in Asia

  • US Secretary of Defense Pete Hegseth makes the remarks at an annual security forum in Singapore
  • Since taking office in January, Donald Trump has launched a trade war with China, sought to curb its access to key AI technologies and deepened security ties with allies

SINGAPORE: US Secretary of Defense Pete Hegseth warned Saturday that China was “credibly preparing” to use military force to upend the balance of power in Asia, vowing the United States was “here to stay” in the Indo-Pacific region.

The Pentagon chief made the remarks at an annual security forum in Singapore as the administration of US President Donald Trump spars with Beijing on trade, technology, and influence over strategic corners of the globe.

Since taking office in January, Trump has launched a trade war with China, sought to curb its access to key AI technologies and deepened security ties with allies such as the Philippines, which is engaged in escalating territorial disputes with Beijing.

“The threat China poses is real and it could be imminent,” Hegseth said at the Shangri-La Dialogue attended by defense officials from around the world.

Beijing is “credibly preparing to potentially use military force to alter the balance of power in the Indo-Pacific,” he added.

Hegseth warned the Chinese military was building the capabilities to invade Taiwan and “rehearsing for the real deal.”

Beijing has ramped up military pressure on Taiwan and held multiple large-scale exercises around the island, often described as preparations for a blockade or invasion.

The United States was “reorienting toward deterring aggression by communist China,” Hegseth said, calling on US allies and partners in Asia to swiftly upgrade their defenses in the face of mounting threats.

Hegseth described China’s conduct as a “wake-up call,” accusing Beijing of endangering lives with cyberattacks, harassing its neighbors, and “illegally seizing and militarizing lands” in the South China Sea.

Beijing claims almost the entire disputed waterway, through which more than 60 percent of global maritime trade passes, despite an international ruling that its assertion has no merit.

It has clashed repeatedly with the Philippines in the strategic waters in recent months, with the flashpoint set to dominate discussions at the Singapore defense forum, according to US officials.

As Hegseth spoke in Singapore, China’s military announced that its navy and air force were carrying out routine “combat readiness patrols” around the Scarborough Shoal, a chain of reefs and rocks Beijing disputes with the Philippines.

“China’s assertiveness in the South China Sea has only increased in recent years,” Casey Mace, charge d’affaires at the US embassy in Singapore, told journalists ahead of the meeting.

“I think that this type of forum is exactly the type of forum where we need to have an exchange on that.”

Beijing has not sent any top defense ministry officials to the summit, dispatching a delegation from the People’s Liberation Army National Defense University instead.

Hegseth’s hard-hitting address drew a critical reaction from Chinese analysts at the conference.

Da Wei, director of the Center for International Security and Strategy at Tsinghua University told reporters the speech was “very unfriendly” and “very confrontational,” accusing Washington of double standards in demanding Beijing respect its neighbors while bullying its own – including Canada and Greenland.

Former Senior Col. Zhou Bo, from the Center for International Security and Strategy at Tsinghua University said that training drills did not mean China would invade Taiwan, saying the government wanted “peaceful reunification.”

Hegseth’s comments came after Trump stoked new trade tensions with China, arguing that Beijing had “violated” a deal to de-escalate tariffs as the two sides appeared deadlocked in negotiations.

The world’s two biggest economies had agreed to temporarily lower eye-watering tariffs they had imposed on each other, pausing them for 90 days.

Reassuring US allies on Saturday, Hegseth said the Indo-Pacific was “America’s priority theater,” pledging to ensure “China cannot dominate us – or our allies and partners.”

He said the United States had stepped up cooperation with allies including the Philippines and Japan, and reiterated Trump’s vow that “China will not invade (Taiwan) on his watch.”

But he called on US partners in the region to ramp up spending on their militaries and “quickly upgrade their own defenses.”

“Asian allies should look to countries in Europe for a newfound example,” Hegseth said, citing pledges by NATO members including Germany to move toward Trump’s spending target of five percent of GDP.

“Deterrence doesn’t come on the cheap.”

EU foreign policy chief Kaja Kallas, also in Singapore, said the Trump administration’s “tough love” had helped push the continent to beef up its defenses.

“It’s love nonetheless, so it’s better than no love,” Kallas quipped when asked about Hegseth’s speech.


India monsoon floods kill five in northeast

Updated 36 min 17 sec ago
Follow

India monsoon floods kill five in northeast

  • India’s annual monsoon season from June to September offers respite from intense summer heat and is crucial for replenishing water supplies, but also brings widespread death and destruction

GUWAHATI: Torrential monsoon rains in India’s northeast triggered landslides and floods that swept away and killed at least five people in Assam, disaster officials said Saturday.
India’s annual monsoon season from June to September offers respite from intense summer heat and is crucial for replenishing water supplies, but also brings widespread death and destruction.
The deaths recorded are among the first of this season, with scores often killed over the course of the rains across India, a country of 1.4 billion people.
The monsoon is a colossal sea breeze that brings South Asia 70-80 percent of its annual rainfall.
Rivers swollen by the lashing rain — including the mighty Brahmaputra and its tributaries — broke their banks across the region.
But the intensity of rain and floods has increased in recent years, with experts saying climate change is exacerbating the problem.
Assam State Disaster Management Authority officials on Saturday confirmed five deaths in the last 24 hours.
A red alert warning had been issued for 12 districts of Assam after non-stop rains over the last three days led to flooding in many urban areas.
The situation was particularly bad in the state capital Guwahati.
City authorities have disconnected the electricity in several districts to cut the risk of electrocution.
Several low-lying areas of Guwahati were flooded, with hundreds of families forced to abandon homes to seek shelter elsewhere.
Chief Minister Himanta Biswa Sarma said his government had deployed rescue teams.
“We have been reviewing the impending situation for the last three days,” he said in a statement, saying that supplies of rice had been dispatched as food aid.
South Asia is getting hotter and in recent years has seen shifting weather patterns, but scientists are unclear on how exactly a warming planet is affecting the highly complex monsoon.
On Monday, lashing rains swamped India’s financial capital Mumbai, where the monsoon rains arrived some two weeks earlier than usual, the earliest for nearly a quarter century, according to weather forecasters.


Swiss glacier collapse offers global warning of wider impact

Updated 51 min 23 sec ago
Follow

Swiss glacier collapse offers global warning of wider impact

DUSHANBE, Tajikistan: The collapse of the Swiss Birch glacier serves as a chilling warning of the escalating dangers faced by communities worldwide living under the shadow of fragile ice, particularly in Asia, experts say.
Footage of the May 28 collapse showed a huge cloud of ice and rubble hurtling down the mountainside, into the hamlet of Blatten.
Ali Neumann, disaster risk reduction adviser to the Swiss Development Cooperation, noted that while the role of climate change in the specific case of Blatten “still needs to be investigated,” the wider impacts were clear on the cryosphere — the part of the world covered by frozen water.
“Climate change and its impact on the cryosphere will have growing repercussions on human societies that live near glaciers, near the cryosphere, and depend on glaciers somehow and live with them,” he said.
The barrage largely destroyed Blatten, but the evacuation of its 300 residents last week averted mass casualties, although one person remains missing.
“It also showed that with the right skills and observation and management of an emergency, you can significantly reduce the magnitude of this type of disaster,” Neumann said at an international UN-backed glacier conference in Tajikistan.
Stefan Uhlenbrook, Director for Hydrology, Water and Cryosphere at the World Meteorological Organization (WMO), said it showed the need for vulnerable regions like the Himalayas and other parts of Asia to prepare.
“From monitoring, to data sharing, to numerical simulation models, to hazard assessment and to communicating that, the whole chain needs to be strengthened,” Uhlenbrook said.
“But in many Asian countries, this is weak, the data is not sufficiently connected.”
Swiss geologists use various methods, including sensors and satellite images, to monitor their glaciers.
Asia was the world’s most disaster-hit region from climate and weather hazards in 2023, the United Nations said last year, with floods and storms the chief cause of casualties and economic losses.
But many Asian nations, particularly in the Himalayas, lack the resources to monitor their vast glaciers to the same degree as the Swiss.
According to a 2024 UN Office for Disaster Risk Reduction report, two-thirds of countries in the Asia and Pacific region have early warning systems.
But the least developed countries, many of whom are in the frontlines of climate change, have the worst coverage.
“Monitoring is not absent, but it is not enough,” said geologist Sudan Bikash Maharjan of the Nepal-based International Center for Integrated Mountain Development (ICIMOD).
“Our terrains and climatic conditions are challenging, but also we lack that level of resources for intensive data generation.”
That gap is reflected in the number of disaster-related fatalities for each event.
While the average number of fatalities per disaster was 189 globally, in Asia and the Pacific it was much higher at 338, according to the Belgium-based Center for Research on the Epidemiology of Disasters’ Emergency Events Database.
Geoscientist Jakob Steiner, who works in climate adaptation in Nepal and Bhutan, said it is not as simple as just exporting the Swiss technological solutions.
“These are complex disasters, working together with the communities is actually just as, if not much more, important,” he said.
Himalayan glaciers, providing critical water to nearly two billion people, are melting faster than ever before due to climate change, exposing communities to unpredictable and costly disasters, scientists warn.
Hundreds of lakes formed from glacial meltwater have appeared in recent decades. They can be deadly when they burst and rush down the valley.
The softening of permafrost increases the chances of landslides.
Declan Magee, from the Asian Development Bank’s Climate Change and Sustainable Development Department, said that monitoring and early warnings alone are not enough.
“We have to think... about where we build, where people build infrastructure and homes, and how we can decrease their vulnerability if it is exposed,” he said.
Nepali climate activist and filmmaker Tashi Lhazom described how the village of Til, near to her home, was devastated by a landslide earlier in May.
The 21 families escaped — but only just.
“In Switzerland they were evacuated days before, here we did not even get seconds,” said Lhazom.
“The disparity makes me sad but also angry. This has to change.”


Russian attacks kill two in Ukraine

Updated 31 May 2025
Follow

Russian attacks kill two in Ukraine

  • Diplomatic efforts to end the war have accelerated in recent weeks, with both sides meeting earlier this month for their first round of direct talks in more than three years

KYIV: Russian shelling and air strikes on southern Ukraine overnight killed a man and a nine-year-old girl in separate attacks, Ukrainian officials said on Saturday.

In the Zaporizhzhia region, “Russians hit a residential area with guided aerial bombs,” killing the girl and wounding a 16-year-old boy, Ivan Fedorov, head of the regional military administration, said on the Telegram platform.

One house was destroyed and several others damaged by the blast, he added.

In a separate assault on the city of Kherson, a “66-year-old man sustained fatal injuries” from Russian shelling, Oleksandr Prokudin, Kherson region’s governor, wrote on Telegram.

Since Russia invaded Ukraine in February 2022, tens of thousands of people have been killed, swaths of eastern and southern Ukraine destroyed, and millions forced to flee their homes.

One person was wounded in a Russian drone strike in the Ukrainian city of Kharkiv, its mayor said.

In Russia, Ukrainian drone attacks wounded 10 people in the Kursk region overnight, acting governor Alexander Khinshtein said.

Diplomatic efforts to end the war have accelerated in recent weeks, with both sides meeting earlier this month for their first round of direct talks in more than three years.

But the negotiations in Istanbul yielded only a prisoner exchange and promises to stay in touch.

Ukrainian President Volodymyr Zelensky said on Friday that his government did not expect results from further talks with Russia unless Moscow provided its peace terms in advance, accusing the Kremlin of doing “everything” it could to sabotage a potential meeting.

“There must be a ceasefire to continue moving toward peace. We need to stop the killing of people,” Zelensky added in a statement on Telegram.

The Ukrainian leader also said he had discussed with Turkish President Recep Tayyip Erdogan “a possible next meeting in Istanbul and under what conditions Ukraine is ready to participate,” with both agreeing that the next round of talks with Moscow “cannot and should not be a waste of time.”

Russia has said it will send a team of negotiators to Istanbul for a second round of talks on Monday, but Kyiv has yet to confirm if it will attend.


Australia’s defense minister urges greater military openness from China

Updated 31 May 2025
Follow

Australia’s defense minister urges greater military openness from China

  • Richard Marles says that while China remains an important strategic partner to Australia, more open communication between the two nations is key for a "productive" relationship

SINGAPORE: Australian Defense Minister Richard Marles on Saturday urged greater transparency from China over its military modernization and deployments as Pacific nations brace for a more assertive Chinese presence.
Speaking to Reuters on the sidelines of the Shangri-La Dialogue defense meeting in Singapore, Marles said that while China remains an important strategic partner to Australia, more open communication between the two nations is key for a “productive” relationship.
“When you look at the growth in the Chinese military that has happened without a strategic reassurance, or a strategic transparency....we would like to have a greater transparency in what China is seeking to do in not only its build up, but in the exercises that it undertakes,” said Marles.
“We want to have the most productive relationship with China that we can have ... we hope that in the context of that productive relationship, we can see greater transparency and greater communication between our two countries in respect of our defense.”
Both Australia and New Zealand raised concerns in February after three Chinese warships conducted unprecedented live-fire drills in the Tasman Sea.
Both nations complained of late notice over the drills by China, which led to the diversion of 49 commercial flights.
Marles said that while the drills were in accordance with international law, China should have been less disruptive.
He also said Australia was able to closely scrutinize the Chinese task-force.
“It’s fair to say that this was done in a bigger way than they have done before, but equally, that was meant from our point of view, by a much greater degree of surveillance than we’ve ever done,” he said.
“From the moment that Chinese warships came within the vicinity of Australia, they were being tailed and tracked by Australian assets ... we were very clear about what exercises China was undertaking and what capability they were seeking to exercise and to build.”
Chinese officials have signalled that more such exercises could be expected as it was routine naval activity in international waters. Defense analysts say the exercises underscore Beijing’s ambition to develop a global navy that will be able to project power into the region more frequently.
Australia has in recent times pledged to boost its missile defense capability amid China’s nuclear weapons buildup and its blue-water naval expansion, as the country targets to increase its defense spending from roughly 2 percent of GDP currently to 2.4 percent by the early 2030s.
The nation is scheduled to pay the United States $2 billion by the end of 2025 to assist its submarine shipyards, in order to buy three Virginia-class nuclear-powered submarines starting in 2032 — its biggest ever defense project.