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.”
Upward of 20,000 Ukrainian amputees face trauma on a scale unseen since WWI
https://arab.news/n44xt
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
African health agency says DRC fighting has spawned ‘health emergency’
- The head of Africa’s health agency said the situation in the DRC city of Goma was a “full-scale public health emergency,” warning that the fighting there could fuel major pandemics
ADDIS ABABA: The head of Africa’s health agency said the situation in the DRC city of Goma was a “full-scale public health emergency,” warning that the fighting there could fuel major pandemics.
The Rwanda-backed M23 armed group has been advancing across the Democratic Republic of Congo’s volatile east, which has been the scene of numerous infectious disease outbreaks.
Earlier this week, M23 seized control of most of North Kivu’s capital Goma, a densely populated city of three million people, one million of whom are displaced.
Jean Kaseya, head of the African Centers for Disease Control and Prevention (Africa CDC), said it was these “extreme conditions, combined with insecurity and mass displacement have fueled the mutation of the mpox virus.”
The clade 1b variant of mpox, which has been recorded in many countries across the world in recent months, first emerged in the neighboring South Kivu province in 2023.
“Goma has become the epicenter, spreading mpox across 21 African countries,” he said in a letter sent on Friday to African leaders.
“This is not only a security issue — it is a full-scale public health emergency,” Kaseya said.
“This war must end. If decisive action is not taken, it will not be bullets alone that claim lives — it will be the unchecked spread of major outbreaks and potential pandemics that will come from this fragile region... devastating economies and societies across our continent,” he said.
The conditions had also led to “widespread measles, cholera and other outbreaks, claiming thousands more lives.”
The conflict in the eastern DRC is a dramatic escalation in a region that has seen decades of conflict involving multiple armed groups, which over the past three decades have claimed an estimated six million lives.
International observers have sounded the alarm on the humanitarian impact of the escalating conflict.
Colombia offers to pay for repatriations from US
BOGOTA: Colombia has offered to pay for the “dignified” deportation of its citizens from the United States, the foreign ministry said Friday, a week after a public spat between presidents Gustavo Petro and Donald Trump over the removal of migrants.
The two leaders had issued threats and counter threats of major trade tariffs of up to 50 percent, and Washington’s embassy in Bogota stopped issuing visas from Monday to Friday in retaliation for Petro’s refusal to allow US military planes to return Colombian migrants to their country.
Petro had accused the United States of treating the migrants like criminals, placing them in shackles and handcuffs.
Colombia’s foreign ministry said Friday it had proposed to Mauricio Claver-Carone, Trump’s special envoy for Latin America, that Bogota would “immediately assume the transfer of all citizens deported by the United States,” covering transportation costs for its nationals, according to a statement.
Petro has said his government would not allow expelled migrants to travel in handcuffs.
The Trump administration had announced this week a series of sanctions against Colombia, before backtracking, with the White House saying Bogota had accepted its conditions and reversed course.
On Tuesday and Wednesday, Colombian military and civilian aircraft repatriated the first groups of migrants to Bogota.
According to Petro, hundreds of Colombians, including several children, were returned to their country in “dignified” conditions. None of them were “confirmed criminals,” he added.
Colombia is expecting the return of around 27,000 migrants whose deportation orders have been signed in the last six months by the Trump administration or that of his Democratic predecessor Joe Biden, a Colombian presidential source told AFP.
Trump has pledged to carry out the largest deportation campaign in US history, vowing to expel millions of undocumented immigrants, many from Latin American nations.
The United States is Colombia’s largest trade partner and it has provided millions of dollars in aid over decades to fight drug trafficking and terrorism.
Rubio to make debut in Panama as Trump threatens to take canal
- Marco Rubio’s travel comes the same day that Trump’s promised tariffs on the three largest US trading partners – Canada, Mexico and China – are set to come into effect
- Rubio will travel later to four other small Latin American countries for an agenda focused on migration, a highly unusual first trip for the top US diplomat
WASHINGTON: Marco Rubio heads Saturday to Panama on his debut trip abroad as US secretary of state as he looks for how to follow up on President Donald Trump’s extraordinary threat to seize the Panama Canal.
Rubio’s travel comes the same day that Trump’s promised tariffs on the three largest US trading partners – Canada, Mexico and China – are set to come into effect, another step showing a far more aggressive US foreign policy.
Rubio will travel later to four other small Latin American countries for an agenda focused on migration, a highly unusual first trip for the top US diplomat, whose predecessors were more likely to start the job with language of cooperation with major allies.
Trump has refused to rule out military force to seize the Panama Canal, which the United States handed over at the end of 1999, saying that China has exerted too much control through its investment in surrounding ports.
In his inaugural address, Trump said that the United States will be “taking it back” – and he refused to back down Friday.
“They’ve already offered to do many things,” Trump said of Panama, “but we think it’s appropriate that we take it back.”
He alleged that Panama was taking down Chinese-language signs to cover up how “they’ve totally violated the agreement” on the canal.
“Marco Rubio is going over this talk to the gentleman that’s in charge,” Trump told reporters.
Panamanian President Jose Raul Mulino, generally considered an ally of the United States, has ruled out opening negotiations after complaining to the United Nations about Trump’s threat.
“I cannot negotiate, much less open a process of negotiations on the canal,” Mulino said Thursday.
The issue “is sealed. The canal is Panama’s,” Mulino said.
Mulino’s government, however, has ordered an audit of CK Hutchison Holdings, the Hong Kong company that operates ports on both sides of the canal.
It remains to be seen if or how Rubio carries out the threat. Some experts believe that Trump was simply applying pressure and could declare a win by the United States ramping up investment in the canal – an outcome that most Panamanians would welcome.
Rubio has played down the military option but also not contradicted his boss.
“I think the president’s been pretty clear he wants to administer the canal again. Obviously, the Panamanians are not big fans of that idea,” Rubio told SiriusXM radio in an interview before the trip.
He acknowledged that Panama’s government “generally is pro-American” but said that the Panama Canal is a “core national interest for us.”
“We cannot allow any foreign power – particularly China – to hold that kind of potential control over it that they do. That just can’t continue,” Rubio said.
The canal remains the crucial link between the Atlantic and Pacific oceans and coasts, with 40 percent of US container traffic going through it.
Trump administration officials said they were blaming not Mulino but previous Panamanian president Juan Carlos Varela who in 2017 – during Trump’s first term as president – moved to sever ties with Taiwan in favor of China.
“It wasn’t just a diplomatic recognition. He literally opened the floodgates and gave strategic assets throughout the Canal Zone to China,” said Mauricio Claver-Carone, the US special envoy on Latin America.
He charged that Panama unfairly raised costs for US ships while also seeking assistance from the United States for canal upkeep. Panama attributes rising costs to the effects of a drought, exacerbated by climate change.
Trump has quickly made clear he will exercise swift pressure to bend other countries to his will, especially on his signature issue of deporting undocumented immigrants.
On Sunday, he threatened major tariffs against Colombia to force its president to back down after he insisted that repatriated migrants be treated in a more dignified way.
Plane with 2 aboard crashes in Philadelphia and sets multiple homes ablaze
- Jet Rescue Air Ambulance said its aircraft crashed with four crew members, one pediatric medical patient and the patient’s mother on board
A medevac plane crashed soon after takeoff in Philadelphia on Friday with a child and five others on board, the air ambulance company that operated it said, adding that it had not confirmed any survivors.
Jet Rescue Air Ambulance, based in Mexico and licensed to operate in the US, said its aircraft crashed with four crew members, one pediatric medical patient and the patient’s mother on board.
“At this time we cannot confirm any survivors,” the company said in a statement.
State and local officials said late on Friday they could not yet confirm how many people may have died on the ground after the plane slammed into a heavily populated portion of the city. Videos taken by witnesses of the crash clearly showed body parts strewn about the streets and inside nearby homes.
The Mexican government said all those on the plane were Mexican nationals, CNN reported.
The child was a girl on her way home with a final destination of Tijuana, Shai Gold, who works on corporate strategy with Jet Rescue Air Ambulance, told CNN. Her mother was also aboard, he said.
“We are terribly shocked by this tragic turn of events,” Gold said. “This was a very seasoned crew. We are a leading air ambulance company, we fly 600 to 700 times a year.”
He said the company had invested heavily in maintaining its aircraft to the highest international standards and that the plane that crashed had been in excellent flying condition.
“We really don’t know what happened,” Gold said.
Pennsylvania Governor Josh Shapiro told a press conference at the crash scene that “we know there will be loss in this region.”
“We want to offer our thoughts and our serious prayers for those that are grieving at this moment,” Shapiro said.
President Donald Trump wrote on social media that it was “so sad to see the plane go down in Philadelphia, Pennsylvania. More innocent souls lost. Our people are totally engaged. First Responders are already being given credit for doing a great job.”
The crash follows this week’s collision of an American Airlines jet and a US Army Black Hawk helicopter over Washington, D.C., which killed 67 in the deadliest airplane crash in the US since 2009.
The Federal Aviation Administration said six people were on the Learjet 55 that crashed around 6:30 p.m. (0030 GMT) on Friday. Local media reported it was near the Roosevelt Mall in northeast Philadelphia and that there were multiple injuries on the ground.
Video aired on local TV stations showed the plane in a sharp dive before hitting the ground and exploding in a massive fireball.
Philadelphia Mayor Cherelle Parker told a press conference at the scene that several houses and cars had been engulfed in flames. She said the situation is “all hands on deck, that’s where we are right now.”
Officials said it was not clear what led to the crash. The weather was cold and rainy and with low visibility when the plane went down.
The air ambulance had left Northeast Philadelphia Airport and was headed to Springfield-Branson National Airport in Missouri, about 1,800km to the southwest, the FAA said in a statement.
A large fire and several fire trucks were visible at the crash scene in images broadcast by the Philadelphia CBS affiliate. About two hours after the crash the fires were mostly out, according to TV images.
The Philadelphia police and fire departments did not respond to requests for comment.
Peace prospects look bleak in Myanmar as a civil war rages
- Political situation remains tense with no negotiation space in sight between the military government and the major opposition groups
- The UN Human Rights Office said the military ramped up violence against civilians last year to unprecedented levels
BANGKOK: Peace prospects look bleak in Myanmar as a civil war rages despite international pressure on the military four years after it seized power from an elected civilian government.
The political situation remains tense with no negotiation space in sight between the military government and the major opposition groups fighting against it.
The four years after the army’s takeover on Feb. 1, 2021, have created a profound situation of multiple, overlapping crises with nearly half the population in poverty and the economy in disarray, the UN Development Program said.
The UN Human Rights Office said the military ramped up violence against civilians last year to unprecedented levels, inflicting the heaviest civilian death toll since the army takeover as its grip on power eroded.
The army launched wave after wave of retaliatory airstrikes and artillery shelling on civilians and civilian populated areas, forced thousands of young people into military service, conducted arbitrary arrests and prosecutions, caused mass displacement, and denied access to humanitarians, even in the face of natural disasters, the rights office said in a statement Friday.
“After four years, it is deeply distressing to find that the situation on the ground for civilians is only getting worse by the day,” UN human rights chief Volker Turk said. “Even as the military’s power wanes, their atrocities and violence have expanded in scope and intensity,” he said, adding that the retaliatory nature of the attacks were designed to control, intimidate, and punish the population.
The United States, United Kingdom, European Union and others criticized the military takeover in a statement that also called for the release of ousted leader Aung San Suu Kyi and other political prisoners.
They said nearly 20 million people need humanitarian assistance and up to 3.5 million people are displaced internally, an increase of nearly 1 million in the last year. They also expressed concern about increased cross-border crime in Myanmar such as drug and human trafficking and online scam operations, which affect neighboring countries and risk broader instability.
“The current trajectory is not sustainable for Myanmar or the region,” the countries said in the joint statement that also included Australia, Canada, South Korea, New Zealand, Norway and Switzerland.
The status of the fighting
The military’s 2021 takeover prompted widespread public protests, whose violent suppression by security forces triggered an armed resistance that has now led to a state of civil war. Ethnic minority militias and people’s defense forces that support Myanmar’s main opposition control large parts of the country, while the military holds much of central Myanmar and big cities including the capital, Naypyidaw.
The Assistance Association for Political Prisoners, which keeps detailed tallies of arrests and casualties linked to the repression of the military government, said that at least 6,239 were killed and 28,444 were arrested since the takeover. The actual death toll is likely to be much higher since the group does not generally include deaths on the side of the military government and cannot easily verify cases in remote areas.
Aung Thu Nyein, director of communications for the Institute for Strategy and Policy-Myanmar think tank, told The Associated Press that Myanmar’s current situation is at its worst with peace and development being pushed back.
“What’s worse is that the sovereignty which ever-proclaimed by the military is losing, and the country’s borders could even shift,” Aung Thu Nyein said in a text message.
Myanmar’s army suffered unprecedented battlefield defeats over the past year, when a coalition of ethnic armed groups won victories in the northeast near the Chinese border and in the western state of Rakhine.
The ethnic rebels were able to quickly capture several towns, military bases and two important regional commands, and their offensive weakened the army’s grip in other parts of the country.
The ethnic minorities have been fighting for decades for greater autonomy from Myanmar’s central government and are loosely allied with the People’s Defense Force, the pro-democracy armed resistance formed after the army’s 2021 takeover.
The UN Human Rights Office and rights groups including Amnesty International also made rare allegations in recent statements that armed groups opposing the military have also committed human rights violations in areas under their control.
The status of election plans
In pursuit of a political solution, the military government is pushing for an election, which it has promised to hold this year. Critics say the election would not be free or fair as civil rights have been curtailed and many political opponents imprisoned and the election would be an attempt to normalize military control.
On Friday, the military government extended a state of emergency another six months because it said more time was needed to restore stability before the election, state-run MRTV television reported. No exact date for the polls was given.
Tom Andrews, a special rapporteur working with the UN human rights office, said it wasn’t possible to hold a legitimate election while arresting, detaining, torturing and executing leaders of the opposition and when it is illegal for journalists or citizens to criticize the military government.
“Governments should dismiss these plans for what they are – a fraud,” Tom Andrews said.
