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.”


India says it is working to repatriate UN staffer killed in Gaza

Updated 15 May 2024
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India says it is working to repatriate UN staffer killed in Gaza

  • Waibhav Anil Kale, who was working with the UN Department of Safety and Security, and was killed while heading to the European Hospital in Rafah along with a colleague, who was wounded in the incident

NEW DELHI: India said on Wednesday it was working to repatriate the body of a former Indian Army officer serving as a UN staffer, who was killed in Gaza when his vehicle was hit by what the UN said was tank fire in Rafah where only Israeli tanks are present.

The staffer, Waibhav Anil Kale, was working with the UN Department of Safety and Security and was heading to the European Hospital in Rafah along with a colleague, who was wounded in the incident. The UN said he was the first international UN staffer killed in Gaza since the war began on Oct. 7, taking the total UN death toll to 191.

UN Secretary General’s deputy spokesperson Farhan Haq said on Tuesday the UN had set up a fact-finding panel to determine the responsibility for Kale’s death.

“It’s very early in the investigation, and details of the incident are still being verified with the Israeli Defense Force,” he told a press cconference. Asked  by reporters about the shots fired on the vehicle, he said, “we believe it came from a tank in the area” and later added, it was “safe” to assume that only the IDF tanks in that region. There are 71 international UN staff members in Gaza currently, he said. The IDF said in a statement on Monday that the incident was “under review” and the IDF had not been made aware of the vehicle’s route. But an initial inquiry indicated that “the vehicle was hit in an area declared an active combat zone.”

The Hamas-run government’s media office accused Israel of “deliberately targeting foreign staff in the Gaza Strip.”

India’s Foreign Ministry said its diplomatic missions were “in touch with relevant authorities” on the investigation into Kale’s death, and helping to bring home his body.

In a statement on Monday after Kale’s death, UN Secretary General Antonio Guterres reiterated an “urgent appeal for an immediate humanitarian ceasefire and for the release of all hostages,” saying the conflict in Gaza was continuing to take a heavy toll “not only on civilians, but also on humanitarian workers.” He has demanded explanations for all their deaths.


ICC ‘excited’ as cricket’s newest stadium launched in New York

Updated 15 May 2024
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ICC ‘excited’ as cricket’s newest stadium launched in New York

  • Thirty-four thousand-capacity stadium will host hotly-anticipated India-Pakistan clash on June 9
  • Stadium features infrastructure from Las Vegas Formula 1 circuit, drop-in pitches prepared in Florida

NEW DELHI: The newly-built Nassau County International Cricket Stadium, near New York, was launched on Wednesday with the sport’s world body “excited” to conquer new territories through the T20 World Cup in June.

The 34,000-capacity stadium, with infrastructure from the Las Vegas Formula 1 circuit and drop-in pitches prepared in Florida, will host the hotly-anticipated India-Pakistan clash on June 9, among its eight scheduled World Cup games.

The showpiece 20-over event will be co-hosted by the West Indies and the United States starting June 1 with New York, Florida and Dallas as venues.

The International Cricket Council (ICC) remains happy with the focus on the India-Pakistan clash and the Nassau project as part of bringing the game to the US.

“Yeah, absolutely! We can run that game anywhere and the interest in the fixture would be immense,” Chris Tetley, the ICC’s head of events, told reporters in a media roundtable.

“The news stories that we have seen and the media coverage in the US itself as well as among the cricket media around the world. I have not seen that before around an ICC event.”

Tetley added: “We are really excited to bring the T20 World Cup cricket to the US and the opportunity that it presents to the sport and from what I can see there is an audience really waiting for us to come.”

T20 Cricket will also feature as one of five new sports at the Los Angeles Olympics in 2028.

Making a cricket stadium in Nassau remained a huge challenge for the ICC, who got in Adelaide Oval curator Damian Hough for the job.

Hough created the first drop-in pitch in Adelaide in 2013 and the latest strips at the Nassau County ground promise good cricket and balance between bat and ball.

“People shouldn’t be concerned about drop-in pitches,” said Hough.

“They are proven around the world, definitely in Australia. Some of the best cricket is played on drop-in pitches and are really successful.”


Slovak PM’s ‘life in danger’ and in operating theater: interior minister

Updated 15 May 2024
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Slovak PM’s ‘life in danger’ and in operating theater: interior minister

  • Matus Sutaj Estok: ‘We received information from the operating doctors that the prime minister is in a critical condition and his life is in danger and he is still in the operating theater’
  • European Commission President Ursula von der Leyen condemned what she described as a ‘vile attack’

BANSKA BYSTRICA, Slovakia: Slovak Prime Minister Robert Fico’s life “is in danger” and he is still in the operating theater after being shot multiple times, the country’s interior minister said on Wednesday.
“We received information from the operating doctors that the prime minister is in a critical condition and his life is in danger and he is still in the operating theater,” Matus Sutaj Estok told reporters at the hospital where Fico is being treated.

Reports on TA3, a Slovakian TV station, said that Fico, 59, was hit in the stomach after four shots were fired outside the House of Culture in the town of Handlova, some 150 kilometers northeast of the capital, where the leader was meeting with supporters. A suspect has been detained, it said.
Police sealed off the scene, and Fico was taken to a hospital in Banska Bystrica.
The shooting in Slovakia comes three weeks ahead of crucial European Union Parliament elections, in which populist and hard-right parties in the 27-nation bloc appear poised to make gains.
Deputy speaker of parliament Lubos Blaha confirmed the incident during a session of Parliament and adjourned it until further notice, the Slovak TASR news agency said.
Slovakia’s major opposition parties, Progressive Slovakia and Freedom and Solidarity, canceled a planned protest against a controversial government plan to overhaul public broadcasting that they say would give the government full control of public radio and television.
“We absolutely and strongly condemn violence and today’s shooting of Premier Robert Fico” said Progressive Slovakia leader Michal Simecka. “At the same time we call on all politicians to refrain from any expressions and steps which could contribute to further increasing the tension.”
President Zuzana Caputova condemned “a brutal and ruthless” attack on the premier.
“I’m shocked,” Caputova said. “I wish Robert Fico a lot of strength in this critical moment and a quick recovery from this attack.”
Fico, a third-time premier, and his leftist Smer, or Direction, party, won Slovakia’s Sept. 30 parliamentary elections, staging a political comeback after campaigning on a pro-Russian and anti-American message.
Critics worried Slovakia under Fico would abandon the country’s pro-Western course and follow the direction of Hungary under populist Prime Minister Viktor Orbán.
Thousands have repeatedly rallied in the capital and across Slovakia to protest Fico’s policies.
Condemnations of political violence came from leaders across Europe.
European Commission President Ursula von der Leyen condemned what she described as a “vile attack.”
“Such acts of violence have no place in our society and undermine democracy, our most precious common good,” von der Leyen said in a post on X.
Leaders in Latvia and Estonia also quickly condemned political violence.
Polish Prime Minister Donald Tusk wrote on the social media network X: “Shocking news from Slovakia. Robert, my thoughts are with you in this very difficult moment.”


EU agrees on a new migration pact, as mainstream parties hope it will deprive the far right of votes

Updated 15 May 2024
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EU agrees on a new migration pact, as mainstream parties hope it will deprive the far right of votes

  • EU government ministers approved 10 legislative parts of The New Pact on Migration and Asylum
  • Mainstream political parties believe the pact resolves the issues that have divided member nations since migrants swept into Europe in 2015, most fleeing war in Syria and Iraq

BRUSSELS: European Union nations endorsed sweeping reforms to the bloc’s failed asylum system on Tuesday as campaigning for Europe-wide elections next month gathers pace, with migration expected to be an important issue.
EU government ministers approved 10 legislative parts of The New Pact on Migration and Asylum. It lays out rules for the 27 member countries to handle people trying to enter without authorization, from how to screen them to establish whether they qualify for protection to deporting them if they’re not allowed to stay.
Hungary and Poland, which have long opposed any obligation for countries to host migrants or pay for their upkeep, voted against the package but were unable to block it.
Mainstream political parties believe the pact resolves the issues that have divided member nations since well over 1 million migrants swept into Europe in 2015, most fleeing war in Syria and Iraq. They hope the system will starve the far right of vote-winning oxygen in the June 6-9 elections.
However, the vast reform package will only enter force in 2026, bringing no immediate fix to an issue that has fueled one of the EU’s biggest political crises, dividing nations over who should take responsibility for migrants when they arrive and whether other countries should be obligated to help.
Critics say the pact will let nations detain migrants at borders and fingerprint children. They say it’s aimed at keeping people out and infringes on their right to claim asylum. Many fear it will result in more unscrupulous deals with poorer countries that people leave or cross to get to Europe.
WHY ARE THE NEW RULES NEEDED?
Europe’s asylum laws have not been updated for about two decades. The system frayed and then fell apart in 2015. It was based on the premise that migrants should be processed, given asylum or deported in the country they first enter. Greece, Italy and Malta were left to shoulder most of the financial burden and deal with public discontent. Since then, the ID-check-free zone known as the Schengen Area has expanded to 27 countries, 23 of them EU members. It means that more than 400 million Europeans and visitors, including refugees, are able to move without showing travel documents.
WHO DO THE RULES APPLY TO?
Some 3.5 million migrants arrived legally in Europe in 2023. Around 1 million others were on EU territory without permission. Of the latter, most were people who entered normally via airports and ports with visas but didn’t go home when they expired. The pact applies to the remaining minority, estimated at around 300,000 migrants last year. They are people caught crossing an external EU border without permission, such as those reaching the shores of Greece, Italy or Spain via the Mediterranean Sea or Atlantic Ocean on boats provided by smugglers.
HOW DOES THE SYSTEM WORK?
The country on whose territory people land will screen them at or near the border. This involves identity and other checks -– including on children as young as 6. The information will be stored on a massive new database, Eurodac. This screening should determine whether a person might pose a health or security risk and their chances of being permitted to stay. Generally, people fleeing conflict, persecution or violence qualify for asylum. Those looking for jobs are likely to be refused entry. Screening is mandatory and should take no longer than seven days. It should lead to one of two things: an application for international protection, like asylum, or deportation to their home country.
WHAT DOES THE ASYLUM PROCEDURE INVOLVE?
People seeking asylum must apply in the EU nation they first enter and stay until the authorities there work out what country should handle their application. It could be that they have family, cultural or other links somewhere else, making it more logical for them to be moved. The border procedure should be done in 12 weeks, including time for one legal appeal if their application is rejected. It could be extended by eight weeks in times of mass movements of people. Procedures could be faster for applicants from countries whose citizens are not often granted asylum. Critics say this undermines asylum law because applicants should be assessed individually, not based on nationality. People would stay in “reception centers” while it happens, with access to health care and education. Those rejected would receive a deportation order.
WHAT DOES DEPORTATION INVOLVE?
To speed things up, a deportation order is supposed to be issued automatically when an asylum request is refused. A new 12-week period is foreseen to complete this process. The authorities may detain people throughout. The EU’s border and coast guard agency would help organize joint deportation flights. Currently, less than one in three people issued with an order to leave are deported. This is often due to a lack of cooperation from the countries these people come from.
HOW HAS THE ISSUE OF RESPONSIBILITIES VS OBLIGATIONS BEEN RESOLVED?
The new rules oblige countries to help an EU partner under migratory pressure. Support is mandatory, but flexible. Nations can relocate asylum applicants to their territory or choose some other form of assistance. This could be financial -– a relocation is evaluated at 20,000 euros ($21,462) per person -– technical or logistical. Members can also assume responsibility for deporting people from the partner country in trouble.
WHAT CHALLENGES LIE AHEAD?
Two issues stand out: Will member countries ever fully enact the plan, and will the EU’s executive branch, the European Commission, enforce the new rules when it has chosen not to apply the ones already in place? The commission is due to present a Common Implementation Plan by June. It charts a path and timeline to get the pact working over the next two years, with targets that the EU and member countries should reach. Things could get off to a rocky start. Hungary, which has vehemently opposed the reforms, takes over the EU’s agenda-setting presidency for six months on July 1.


Calls mount on Polish government to expel Israeli envoy

Updated 15 May 2024
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Calls mount on Polish government to expel Israeli envoy

  • Israel dismissed calls for accountability after killing Polish aid worker in Gaza
  • Ambassador compares peaceful protests in Poland to Nazi rallies

WARSAW: Polish activists on Wednesday submitted a nationwide petition for the government to immediately expel the Israeli ambassador over war crimes in Gaza.

Protests against Israel’s bombardment of the Palestinian enclave have been a regular occurrence in Poland since the beginning of the onslaught in October.

One of the main groups organizing the rallies and meetings to extend political pressure, and bring Poles closer to Palestinian history and culture, is the initiative Wschod — a movement of young activists dedicated to social justice.

Wschod’s petition to expel the Israeli envoy, Yacov Livne, from Poland, was signed by 7,931 people as of Wednesday.

“I believe that the petition is an important signal to the Polish government from the Polish people,” Zofia Hecht, a member of Wschod, told Arab News as the activists submitted the petition to the Ministry of Foreign Affairs in Warsaw.

“There is a large group of people who really do not agree with what Israel is doing to Palestinians, and that we do not agree to normalize relations with such a terrorist entity that is Israel.”

Poland recognizes Palestinian statehood and has voted in favor of the UN’s recent resolutions to demand an immediate ceasefire in Gaza, and to recognize backing Palestine’s bid for permanent membership status.

A close ally of the US, the Polish government has avoided vocal criticism of Tel Aviv and its war on Gaza, where Israeli forces have over the past seven months killed at least 35,000 people — a large majority women and children — and injured 80,000 more.

UN agencies and experts have repeatedly accused Israel of committing war crimes and crimes against humanity in Gaza. The International Court of Justice in January also found it plausible that Tel Aviv’s actions in the enclave could amount to genocide.

“We think that the previous actions taken by the Polish government to prevent the Israeli genocide in Gaza were not sufficient,” said Emil Al-Khawaldeh, Wschod’s Palestine campaign coordinator.

“We expect the Polish government to at least respond to our petition signed by almost 8,000 people, and to meet our demands to expel the Israeli ambassador.”

The petition was created when Poles began to pay more attention to Gaza after the killing of a Polish national, Damian Sobol, who was one of the seven World Central Kitchen aid workers targeted and killed by Israeli troops in early April.

“In April, when Israel killed a Polish citizen, the Israeli ambassador took to Twitter to publish accusations of antisemitism,” Al-Khawaldeh said, citing Livne’s posts, which included labeling a Polish parliament deputy speaker as an “antisemite” for publicly charging Israel with war crimes.

“Until now, the Israeli ambassador has neither apologized for his own words nor, on behalf of the state of Israel, for murdering a Polish citizen,” he added.

Wschod’s petition to the government says that “there is no place” in Poland for an ambassador of a “state committing genocide” and demands that he be “immediately” expelled.

“It is absurd that in a country historically affected by genocide, hatred and hostility, we allow the holding of office by a person who represents the government of a country committing war crimes against innocent Palestinian civilians,” it reads.

About 6 million Polish citizens, including 3 million Polish Jews, were killed by German forces during the invasion and occupation of Poland in the Second World War. The occupation policies have been recognized in Europe as a genocide.

Eight decades later, as Poles unite and take to the streets to prevent a genocide of another people, Al-Khawaldeh, who is Polish Palestinian, and Hecht, who is Jewish, said that they have faced accusations of antisemitism.

The accusations regularly come from the Israeli ambassador, who, in a radio interview in November, went as far as to compare the Polish peace activists to Nazis.

“We’ve been holding peaceful marches in Warsaw and there’s been no single security incident. But in November, the Israeli ambassador compared the marches to Nazi rallies ... he compared us with the Nazi Germany of the 1930s,” Al-Khawaldeh said.

“Polish Jews are also protesting with us. They are organizing protests in Poland, peaceful protests, they are also having wonderful speeches against Israeli war crimes, against Israeli genocide in Gaza. This accusation is absurd.”