East Timor Remembers a Vote and a Bloody Rampage

East Timor is marking the 20th anniversary of a referendum that ended 24 years of Indonesian occupation and delivered independence, but that also sparked a bloody rampage by pro-Jakarta militias who killed 1,500 people and pushed another half-a-million out of their homes.

The capital has been sprucing up with freshly painted structures, newly paved streets and manicured gardens for the arrival of foreign dignitaries for celebrations that will last until the end of the month.

But beneath the cheery facade is a lingering anger.

Joao Borras, now 37, was forced to flee as militias rampaged through the capital, Dili, shot dead his two best friends, and razed his home.

He said the killings were not just in the open but also behind closed doors by a government apparatus backed by militias that watched every move.

“It’s a horrible life actually,” Borras said. “There’s a lot of people killed, but you didn’t see because they took you in the night time. They said ‘let’s go for interviews’ – and you will not come back the next morning.”

The struggle since independence

United Nations peacekeepers landed three weeks after the August 30, 1999 referendum and restored order. Independence followed on May 20, 2002, with the election of resistance leader Xanana Gusmao as president.

But East Timor has struggled to develop its democracy and rebuild an economy shattered by conflict and ongoing internal fighting, which hampered its ability to attract much needed investment dollars.

In 2006, the United Nations sent in security forces to restore order after 155,000 people fled their homes to escape factional fighting. Then, in early 2008, President Jose Ramos-Horta was critically wounded in an assassination attempt.

The presence of peacekeeping forces helped buoy the economy but since that ended in 2012, East Timor’s Gross Domestic Product has crashed by half to less than $3 billion. Other financial figures are sketchy. An official unemployment rate of 3.5% is scoffed at even by the country’s leaders.

“Unemployment is a constant concern,” President Francisco Guterres said during a speech to commemorate the independence vote. “Our economy has been in recession since 2017, which has had an impact on the job market.”

He said 60% of East Timorese are of working age but only 19% of them are in the job market.

Of that, just 8% work in the private or public sectors while the rest work in the informal market, which Guterres said, “offers workers no security because it’s based on low wages, no contracts, irregular employment and poor working conditions.”

The bright side

Compounding these challenges is East Timor’s fickle foreign relations with much larger regional powers like Australia, China and Indonesia. Anticipated foreign aid, revenues from the sale of oil and gas and the construction of infrastructure projects have fallen far short of expectations.

However, East Timor is pushing for membership to the Association of South East Asian Nations (ASEAN) and its long running feud with Australia over sea boundaries and revenue from offshore oil and gas claims appears to be over.

A settlement over its shared maritime border with Australia will entitle East Timor to a bigger share of the Greater Sunrise oil and gas fields, which has reserves estimated at $50 billion.

Australia will also refurbish a naval base and bolster high-speed Internet traffic, widely seen as an effort by Canberra to further its influence in the region.

“This is a new chapter for Australia and Timor-Leste that is based on our shared respect, interests and values,” Morrison said in Dili.

Filmmaker Lyndal Barry, producer of Viva Timor Lorosae, has covered this country since the early 1990s and said Dili deserves recognition for rebuilding its security sector with an effective police force and military.

“There needs to be more done maybe in tourism, there needs to be more done in the countryside and to help people to rebuild there and be able to stand on their own two feet,” Barry said.

China is also investing heavily, financing a deep water port, an electricity grid, and a four lane highway. The China Railway Construction Corporation has signed a $943 million contract with state-owned Timor Gap to help run a liquid natural gas (LNG) plant.

Michael Maley worked for the Australian Electoral Commission as part of an international team that prepared the logistics for the referendum on self-determination. He said two big changes were taking place in East Timor.

“One is the effect of independence and they’re being a self-governing country, meeting their long term aspirations. But the other thing that has happened at the same time is they’ve been hit by globalization,” he said. “The young people from the time when they were almost totally isolated from the world are now incredibly connected. Everyone has a mobile phone, everybody is using Facebook and social media to communicate.”

His sentiments were backed by Borras who said life in East Timor 20 years after the slaughter had improved dramatically, despite the poverty, particularly in the countryside.

“Right now is clearly safe and secure, economic things are up and down but our life is great, better and I feel free and I’m enjoying my life, and my family and my friends – we are working and it’s nice.”

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Peru to Boost Border Security After Stricter Entry Rule for Venezuelans

Peru plans to beef up security at its border with Ecuador to prevent illegal immigration, after stricter entry requirements for Venezuelans led to a 90% drop in legal crossings, a government official said on Monday.

More than 850,000 Venezuelans have fled their homeland for Peru in recent years, part of a mass exodus from the Caribbean nation as it faces a crippling economic crisis.

But in June, Peru started requiring Venezuelans who arrive to already have visas, part of stricter policies for Venezuelans in some South American nations.

“The entry of Venezuelan migrants to our country has dropped dramatically and today it’s 90% less than what we saw in June,” Foreign Minister Nestor Popolizio told journalists.

Popolizio said his ministry was working with the interior ministry and police to make sure Venezuelan migrants were not evading the new requirements by crossing illegally.

“We’re engaged in a very direct coordination … to ensure more protection all along our border and to avoid illegal entries,” Popolizio said.

Popolizio said Peru was one of 11 countries in the region trying to coordinate their policies on handling immigration from Venezuela.

After Peru started requiring visas of Venezuelans, Chile and Ecuador implemented similar measures. All three countries also now require Venezuelans to have passports, a document that is hard to obtain for the growing ranks of poor Venezuelans.

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Fire Hazard: Children Struggle to Breathe as Smoke Chokes Amazon City

When Maria Augusta Almeida, 45, heard her grandson cough incessantly, she knew what was to blame: the fires raging in the Amazon forest, some of them more than 200 miles (322 km) away from Porto Velho.

The smoke permeating the city, the capital of Brazil’s northwestern state of Rondonia, is leading concerned parents to wait for hours in line at local hospitals to get help for their children who are struggling to breathe.

The Thomson Reuters Foundation visited four health centers in the city, one of the hardest hit by smoke from the burning rainforest. In all, there were reports of children, some of them infants, seeking medical care due to smoke inhalation.

FILE – An aerial view shows smoke from a burning tract of Amazon jungle as it is cleared by loggers and farmers near Porto Velho, Brazil, Aug. 29, 2019.

Last month, Brazil’s space research agency, INPE, revealed the number of fires in the Amazon was the highest since 2010. 

That sparked international calls for the country to do more to protect the world’s largest tropical rainforest — key to curbing climate change — from deforestation and other threats.

Brazilian President Jair Bolsonaro authorized the military to fight the fires after several days of public protests and criticism from world leaders.

In Porto Velho, residents said the Cosme e Damiao Children’s Hospital, run by the Rondonia state government, had become the epicenter for children with breathing difficulties.

The symptoms from outdoor smoke inhalation have evolved into a full-blown crisis for some parents, as they do not know how to protect their children from what is in the air.

The daughter of local salesman Mauro Ribeiro do Nascimento, almost two years old, has asthma and could not stop coughing.

“I have taken her to Cosme e Damiao three times already,” her father said. “They were doing nothing but putting her on a nebulizer.”

The device helps patients breathe in medicine as a mist through a mask or a mouthpiece, to treat respiratory problems.

Worried about the strain on her lungs, do Nascimento took his daughter to a different center for an X-ray, which showed her lungs were “congested” due to irritation caused by smoke.

Staff at Cosme e Damiao were not authorized to say how many children they had attended since the fires escalated, and did not respond to requests for comment.

FILE – A man walks amid smoke from a burning tract of Amazon jungle as it is cleared by loggers and farmers near Porto Velho, Brazil, Aug. 28, 2019.

But volunteers and locals said the lines grew much longer about a month ago, when smoke began choking the city streets.

“The city was so filled with smoke you did not know if you should keep the windows open to maybe get some fresh air, or close them to stop more smoke from getting in,” said Sara Albino, a nursing student who volunteers at the hospital.

At her worst, Albino’s 20-month-old daughter had to use a nebulizer five times a day, which she has at home.

Eye drops had to be applied constantly to ease the burning sensation in the child’s eyes, her mother said. 

“Her eyes would not stop tearing up … they were almost glued shut; it was like conjunctivitis,” she said.

Urban fires

According to the World Health Organization, fires in the Amazon pose a risk to health including from respiratory diseases, especially in children.

But not all fires affecting Porto Velho are far away in the jungle, as they have become a cheap way to clear vegetation from urban areas for construction purposes, according to residents.

Last week, the city’s airport had to shut down after smoke from an urban fire got out of control. The vegetation on the roadsides leading to the airport was burned to a crisp.

The fires in Brazil’s sprawling Amazon rainforest have receded slightly since Bolsonaro sent in the military to help battle the blazes last week.

Meanwhile, families do what they can at home.

“I bought a humidifier … we keep it in my granddaughter’s room,” said Raimundo dos Santos, 71, who was selling water to people waiting in line at a Porto Velho health center.

The machine, which increases moisture in the air, has helped his eight-year-old granddaughter breathe. But the rest of the family is still struggling.

“I myself have already been to the hospital since the fires started,” dos Santos said, adding that he was treated for smoke inhalation.

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First Deaths From Hurricane Dorian Confirmed in Bahamas

Few in the Bahamas will be able to sleep tonight with Hurricane Dorian stalled over Grand Bahama Island, pounding it overnight with fierce winds and massive rainfall.

Prime Minister Hubert Minnis has confirmed at least five deaths on the Bahamas’ Abaco Island, calling the destruction in the northern Bahamas “unprecedented and extensive.”

Dorian is the strongest Atlantic hurricane to strike land in 84 years and the worst ever to hit the Bahamas.

“The images and videos we are seeing are heartbreaking,” he said at a news conference in Nassau. “Many homes, businesses, and other buildings have been completely or partially destroyed. There is an extraordinary amount of flooding and damage to infrastructure.”

Minnis says the U.S. National Guard is on Abaco to help with rescues, but the major rescue efforts will have to wait until the storm eases.

“I ask Bahamians and residents on islands not devastated by this monster storm to open their homes to friends, families, and others who may be in need. This is the time for us as Bahamians to show our love, our care, and our compassion for our fellow brothers and sisters.”

Dorian is a Category 4 hurricane with top sustained winds downgraded slightly late Monday to 225 kilometers per hour.

Meteorologists say the wind currents high in the atmosphere that dictate the direction a hurricane will move have been completely calm above Dorian, keeping the storm parked over the Bahamas.

But forecasters predict Dorian will remain a Category 4 as drifts “dangerously close” to the east coast of Florida late Tuesday and Georgia and South Carolina coasts Wednesday and Thursday.

People on a boardwalk look out over the high surf from the Atlantic Ocean, in advance of the potential arrival of Hurricane Dorian, in Vero Beach, Florida, Sept. 2, 2019.

Hurricane warnings are posted from just north of Miami to the Florida-Georgia border. Millions from Florida to South Carolina have been ordered to evacuate.

A National Guard spokesman says there has been almost no resistance from people being told they have to get out.

“People do understand that Dorian is nothing to mess around with,” he said.

Even if Dorian does not make landfall on the Atlantic Coast, the storm’s hurricane-force winds extend 56 kilometers to the west. Towns and cities can still expect up to 25 centimeters of rain, life-threatening flash floods, and some tornadoes.

Director of the Florida Division of Emergency Management, Jared Moskowitz says “Hurricane Dorian is the strongest storm to ever threaten the state of Florida on the East Coast. No matter what path this storm takes, our state will be impacted.

Forecasters predict Dorian will remain a hurricane as it moves up the Atlantic seaboard this week. Forecast maps show the storm reaching an area off Nova Scotia, Canada by Saturday.

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French Petition Adds Fuel to Amazon Spat

An environmental spat between France and Brazil, rolling in questions about integrity, colonialism and Bic pens, shows signs of deepening with calls by dozens of French lawmakers and environmental groups to slap trade sanctions on Brazilian beef and soybeans. 

In a petition published Sunday in France’s weekly Le Journal du Dimanche, the group also called on the European Union to suspend a recently agreed Mercosur trade deal with South America and take broader steps barring products issued from deforestation and other environmentally harmful activities from entering the European market.

FILE – Climate activists of the Extinction Rebellion group hold signs, including “Mercosur sells Amazon,” outside the embassy of Brazil in Brussels, Belgium, Aug. 26, 2019.

“What is lacking is political will” in France and elsewhere in Europe in ensuring green commerce, wrote the group of signatories, who included members of French President Emmanuel Macron’s La Republique en Marche (LREM) party.

While opposition to trade pacts is nothing new, the backlash to Mercosur comes at a time when other trade spats, including between the U.S. and China and Japan and South Korea, are also making headlines. And, some analysts say, it reflects growing alarm of ordinary Europeans about the social and environmental impacts of trade deals that is resonating among their leaders. 

“Europeans are very concerned about climate and human rights, and the Bolsonaro administration’s policies are going in all the wrong directions,” said Uri Dadush, senior fellow at Brussels-based economic think-tank Bruegel, referring to Brazilian leader Jair Bolsonaro. “That’s a different dimension from the trade agreement, but the two are becoming linked.” 

G-7 and wildfires

The citizen pushback adds kindling to a diplomatic dispute that ignited last month when G-7 host Macron added Amazon wildfires to the summit’s agenda, claiming their environmental impact was of global concern. The move, along with Macron’s threat to block the Mercosur trade deal over Amazon inaction, spiraled into trans-Atlantic barbs, ranging from Bolsonaro’s accusations of colonialism and an apparent slur targeting Macron’s wife, to claims the Brazilian leader lied over climate change promises. 

FILE – France’s President Emmanuel Macron, left, and Brazil’s President Jair Bolsonaro attend a meeting at the G-20 Summit in Osaka, June 28, 2019.

More recently, Bolsonaro — who conditioned accepting some $20 million in G-7 aid to fight Amazon fires to Macron’s apologizing for calling him rude — announced he would stop using French Bics, although the pens sold in Brazil are manufactured locally.

Beyond the mud slinging, however, environmentalists hope the wildfires will nudge European leaders into a bigger rethink of Mercosur. 

“We saw Europe was inclined to sign the treaty,” said Adelie Favrel, forest specialist for NGO France Nature Environnement, one of the signatories of the Amazon petition. “If deforestation had not become center stage, with the media talking about it, these environmental concerns might not have been raised.”

She and others are demanding France enforce a two-year-old law requiring companies to mitigate the environmental and human rights consequences of their actions — such as importing soybeans that may contribute to the Amazon’s deforestation — and that EU countries adopt similar legislation. 

A separate French petition to boycott companies supporting Bolsonaro’s government has recently collected nearly 2,000 signatories. More broadly, a number of U.S. and European countries have paused or reconsidered financial deals with Brazil over the Amazon fires, Britain’s Guardian newspaper reports. 

Mercosur trade agreement 

Still Europe is divided over linking the Mercosur pact to Amazon action. Along with France, Luxembourg and Ireland have similarly threatened to block it. But powerhouse Germany counts among other EU members opposed to such a move. 

FILE – Argentina’s President Mauricio Macri, right, gives a thumbs up to photographers with Brazil’s President Jair Bolsonaro during the Mercosur Summit in Santa Fe, Argentina, July 17, 2019.

“We’re not going to attack the climate challenge by refusing to do trade,” European Trade Commissioner Cecilia Malmstrom told Le Monde newspaper. 

Macron initially gave a thumbs up to the Mercosur trade agreement signed in June between the EU and four South American nations after years of talks. But the good will vanished with the Amazon fires, as the French leader accused Bolsonaro of “lying” over climate change promises made just weeks before.

The French president has earned kudos overseas for spearheading a green agenda, including his iconic “Make the Planet Great Again” twist to the Trump administration’s America-first agenda. But at home, critics claim Macron has failed to match rhetoric with deeds. His popular environment minister Nicolas Hulot quit a year ago, citing lack of progress on climate and other green goals. 

“Macron’s talked a lot about being an environmental champion, but we haven’t seen any action,” said environmentalist Favrel. “If the EU ultimately signs Mercosur without any concrete changes, it will be the same as what’s happened in France.” 

Dadush of Bruegel thinks Mercosur faces challenges for other reasons. Other powerful interest groups, including European farmers, are against the deal. Brazil has threatened to pull out of Mercosur if Argentina’s opposition wins next month’s presidential elections.  

“The agreement overall is under significant risk,” he said, “and the fires in the Amazon do not help at all.” 

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Iran Says Test Malfunction Caused Rocket Explosion

Iran is for the first time acknowledging that a rocket explosion took place at its Imam Khomeini Space Center, with an official saying a technical malfunction caused the blast.
 
Government spokesman Ali Rabiei made the statement on Monday in comments broadcast by Iranian state television.
 
He said the explosion caused no fatalities and also that officials had found no sign that sabotage was involved in the explosion.
 
Satellite photos showed a rocket on a launch pad at the space center had exploded Thursday. The space center is located about 240 kilometers, or 150 miles, southeast of the capital, Tehran.
 
President Donald Trump on Friday tweeted a surveillance photo likely taken of the site by an American spy satellite. He wrote that the U.S. had nothing to do with the blast.

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US Promotes Free and Open Indo-Pacific at Naval Exercise

A senior U.S. naval officer has underlined Washington’s commitment to a free and open Indo-Pacific as the United States launched its first joint naval exercise with the Association of Southeast Asian Nations

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US, Poland Sign Joint Document on 5G Technology Cooperation

The U.S. and Poland signed an agreement on Monday to cooperate on new 5G technology amid growing concerns about Chinese telecommunications giant Huawei.

Vice President Mike Pence and Polish Prime Minister Mateusz Morawiecki signed the deal in Warsaw, where Pence is filling in for President Donald Trump, who scrapped his trip at the last minute because of Hurricane Dorian.
 
The signing comes amid a global battle between the U.S. and Huawei, the world’s biggest maker of network infrastructure equipment, over network security.
 
The agreement endorses the principles developed by cybersecurity officials from dozens of countries at a summit in Prague earlier this year to counter threats and ensure the safety of next generation mobile networks.
 
 “Protecting these next generation communications networks from disruption or manipulation and ensuring the privacy and individual liberties of the citizens of the United States, Poland, and other countries is of vital importance,” the agreement says.
 
Pence said the agreement would “set a vital example for the rest of Europe.”
 
The U.S. has been lobbying allies to ban Huawei from 5G networks over concerns China’s government could force the company to give it access to data for cyberespionage. Huawei has denied the allegation.
 
The U.S. has called for an outright ban on Huawei, but European allies have balked.
 
A senior Trump administration official told reporters during a briefing ahead of the trip that the agreement would help ensure secure supply chains and networks and protect against unauthorized access or interference by telecommunications suppliers, some of which are controlled by “adversarial governments.”

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Women, Minorities Work Harder to Get Good Health Care

Joyce Sasser was born in 1970 with no bones in her thumbs. Her doctors blamed thalidomide, a drug used to treat pregnant women experiencing morning sickness, until it was found to cause congenital abnormalities. 

Sasser said her mother swore up and down she’d never taken thalidomide; the two risks she felt she’d taken were much, much milder. “She said ‘if two aspirin or half a glass of champagne could have done it, I am responsible, but I didn’t take thalidomide,’” Sasser said.  

Sasser says despite that denial, doctors continued to believe their theory and implemented treatments accordingly – including one that permanently stunted her arms.

It wasn’t until Sasser was 20 and pregnant with her first daughter that doctors found the real reason for her abnormalities: Diamond-Blackfan anemia, a congenital issue in which the bone marrow fails to make enough red blood cells. As her mother had insisted for years, it had nothing to do with thalidomide.

Sasser’s mom’s experience – and the medical decisions she allowed, despite her protestations that the doctors had it wrong – are still all too common, even a half-century later. Sasser has learned over time how to manage the multiple medical difficulties that come with her condition, and, informed by her mother’s experience, she has learned to speak her mind about her medical treatment.

Empathy gap

Doctors hold a revered position in American culture. But studies are showing that excellence of care often can depend on how much a doctor empathizes with his patient, and the medical field in the U.S. is still overwhelmingly dominated by white men.

A 2008 study of nearly 1,000 patients in an urban emergency room found that women waited an average of 16 minutes longer than men to get medication when reporting abdominal pain. They were also less likely to receive it. 

A study published in 2000 by The New England Journal of Medicine found that because women’s cardiac symptoms differ sharply from men’s, women are seven times more likely than men to be misdiagnosed and discharged from the hospital during a heart attack.

“I was in the ER with stereotypical heart attack symptoms,” wrote Nicki Coast Schneider, who participates in a Facebook group for female heart attack survivors. “The ER doctor was in disbelief and brushed me off, but took my troponin (protein used in diagnosis of heart attack) level anyway. It came back elevated, he ordered another test. That one came back higher. He said the machine must be damaged so he tested his own troponin level. His came back normal. I was immediately admitted.”

Schneider said the doctor later admitted he might have sent her home if the emergency room had been busier. As it was, she said, he ended up thanking her for the lesson.  

“He was young and I assume right out of med school,” she said.

According to a 2014 online survey of more than 2,400 U.S. women with a variety of chronic pain conditions, nearly half had been told that the pain was all in their heads. A full 91% felt that the health-care system discriminates against female patients. 

 A diagnosis of depression or anxiety can further damage credibility. 

Martha Blodgett is a heart attack survivor. She is also on medication for bipolar disease. “As soon as doctors find out I’m bi-polar, I’m written off,” she said. “I actually had a neurologist walk out on me without saying a word.”

“They don’t listen,” said Lori McElhaney, whose doctor prescribed her antidepressants for a year, despite a diagnosis of hypothyroidism — a problem that requires an entirely different type of medication. McElhaney recently changed doctors. Her new doctor, a woman, “did more for me in one visit than he [her former doctor] did in over a year,” she said.

Hypochondria stereotype

Medical journalist Maya Dusenberg, whose book “Doing Harm: The Truth About How Bad Medicine and Lazy Science Leave Women Dismissed, Misdiagnosed, and Sick” outlines the ways sexism in medicine is destructive to women’s health, said doctors sometimes take women less seriously than men, adhering to a centuries-old stereotype of women as more apt to complain.

Looking at studies comparing treatment of men to treatment of women, Dusenberg said, “I didn’t understand why so many women were being treated as hypochondriacs when I didn’t know any women who were hypochondriacs.” 

She also describes how diseases that are common to women often get less research funding than diseases that affect men – no surprise, given that most decision-makers in medical schools are men. As a result, she says, maladies seen as “women’s diseases” don’t get as much academic attention.

Another author, Abby Norman, wrote “Ask Me About My Uterus: A Quest to Make Doctors Believe in Women’s Pain” of her struggle to get diagnosed and treated for endometriosis – a disease that almost exclusively affects women. Norman’s struggle was particularly rife with difficulties, as her severe problems set in during college and she did not have a supportive family to help her get treatment.

As her struggle to manage her illness continues, Norman is deeply aware of the complexities of securing and providing unbiased care. 

Noting that not just women, but also people of color, children, and the elderly are often forced to settle for subpar medical care because of a doctor’s unconscious bias, Norman speaks of “layers of privilege” that influence how a patient is treated.

Of her own medical struggle, she told VOA, “there were certainly people in my peer group who would have had better access [to care], whether it be because they had family members that could support them or . . . were just in a better financial situation. 

But then there also were people around me who had far, far less access, either because of their race, or their gender identity, or . . . any number of things.”

A study done at the University of Tennessee-Chattanooga in 2007 found that doctors tend to underestimate pain in patients they do not identify closely with – which, in an industry dominated by white men, translates to women, people of color, and children and the elderly. Strikingly, the study found that physicians were twice as likely to underestimate pain in black patients compared to all other ethnicities combined. 

The U.S. Centers for Disease Control says black women are twice as likely to have strokes as white women, and are much less likely to survive them. Patient advocates say the lack of empathy that causes doctors to underestimate pain levels can also result in lower-quality care, allowing for more strokes and fewer good outcomes.

Liz Zubritsky, a science writer based in Virginia, says her mother once had to return to a Massachusetts emergency room three times in one night while trying to get care for her own mother (Zubritsky’s grandmother), who had flu-like symptoms and was running a fever of 37 degrees Celcius (100 degrees Fahrenheit) – low by standard levels, but high for Zubritsky’s grandmother. Doctors sent the women home twice, saying the fever was not high enough to warrant admission.  Zubritsky says it was not until a male relative, an oral surgeon, called to intervene, that Zubritsky’s grandmother was allowed a bed at the hospital. 

What was frustrating, Zubritsky said, is that “she felt like she was being dismissed as making too much out of something that was pretty minor . . . . The doctor was not willing to take my mother’s word for it that it was very unusual for her to have a fever of 100 degrees.” 

Persistence pays

While writers like Norman and Dusenberg are anxious not to paint medical providers as evil or uncaring, the faults in the medical care system have made it clear that getting good care sometimes takes extra work.  

Sasser says: “Be your own advocate.” Having survived several types of cancer and other medical conditions related to her Diamond-Blackfan anemia, Sasser has a notebook in which she compiles all information related to her treatment, so she can save time during appointments by showing doctors the appropriate records. 

Zubritsky says she once researched and compiled a Venn diagram (a series of interlocking shapes) of her father’s medications to prove to a doctor that his discomfort was likely caused by a drug interaction.  

Norman did her own medical research to convince a doctor her appendix was inflamed, a condition he had missed. The resulting operation relieved her of years of pain.

Dusenberg says when seeking medical help, be persistent – even if a doctor tells you it’s all in your head. “Don’t be afraid to seek out a second opinion, or as many as it takes,” she says. “Trust that you know something’s wrong. You know what’s normal for your body.”

Lastly, it’s helpful to take a friend or relative along to the doctor – for moral support, asking questions, taking notes, or even just verifying the patient’s experience. Dusenberg notes that it can be helpful to tell a doctor what the illness is preventing the patient from doing, not just how it makes them feel. 

Dusenberg also notes that while one can get better medical care by being a more assertive patient, the solution to the problem is not for every patient to become a super-patient or resign themselves to subpar care. 

“So much of what we’re doing is asking individual women to compensate for the failings of the system,” she said. “We shouldn’t rely on that individual self-advocacy. The system should be better for everybody.”

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‘Catastrophic’ Hurricane Dorian Hits Bahamas

The center of Hurricane Dorian is making its way across Grand Bahama Island with a life-threatening storm surge, drenching rains and what forecasters called “catastrophic” winds.

Dorian presents extra danger to the island because of its slow speed, moving westward at only 9 kilometers per hour early Monday.  

The U.S. National Hurricane Center said the storm could drop 30 to 60 centimeters of rain across the northwestern Bahamas, with 75 centimeters in isolated areas.

Bahamas Prime Minister Hubert Minnis said Sunday was “the worst day of my life” as the storm pummeled the islands with top sustained winds of 295 kilometers per hour.

“Many had not heeded the warning. Many have remained behind and still there are individuals within the West End area who still refuse to leave,” he said at a Nassau news conference. “I can only say to them that I hope this is not the last time they will hear my voice.”

Bahamas’s Prime Minister Hubert Minnis gives a speech during Americas Economics Summit in Lima, Peru, Friday, April 13, 2018.

Officials in states along the southeastern U.S. coast have issued their own warnings and ordered people to evacuate the most vulnerable areas.  Evacuation orders go into effect Monday in Florida, Georgia and South Carolina.

“Hurricane Dorian is the strongest storm to ever threaten the state of Florida on the East Coast,” said Florida Division of Emergency Management Director Jared Moskowitz. “No matter what path this storm takes, our state will be impacted. We will continue to work around the clock to prepare.”

The NHC expects the storm to take a turn to the northeast in the coming days, but how much it turns and how quickly will determine the extent of Dorian’s effects.  For now, forecasters have put hurricane warnings in place for about half of Florida’s coast with the storm expected to bring hurricane conditions there by late Monday through Tuesday.

U.S. President Donald Trump canceled a trip to Poland to stay home to monitor the storm. He visited Federal Emergency Management Agency headquarters Sunday, urging everyone in “Hurricane Dorian’s path to heed all warnings and evacuation orders from local authorities.”

Forecasters predict Dorian will affect much of the Atlantic Coast throughout the week, from Georgia, the Carolinas, and Virginia. Areas as far north as the tip of New Jersey could experience heavy rain and tropical force winds by Friday.

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Longtime NY Lawmaker, WWII Veteran Dies at 91

Former state Sen. Bill Larkin, a World War II veteran who served as a state lawmaker in New York for four decades, died Saturday. He was 91. 

His family announced the death Sunday, calling Larkin a “dedicated public servant, soldier and statesman.” 

Larkin represented a stretch of the Hudson Valley as an assemblyman from 1979 to 1990 and then as a state senator until his retirement last year. 

A Republican, he was known for forging bipartisan friendships in Albany and advancing veterans’ causes and health care for infants.   

“He lived a storied and authentically American life,” Dutchess County Executive Marc Molinaro said in a statement. 

 William J. “Bill” Larkin Jr. was born in Troy, New York, and was raised by his aunt and uncle. He thought he was 18 when, while still in high school, he enlisted in the Army in 1944.  

It wasn’t until years later that he discovered he was born in 1928, not 1926, as he had always believed.

“I wasn’t upset,” Larkin recalled last year. “I was in the armed forces. I met with people who cared about our country, and I was very proud.”

Larkin served in the Pacific during WWII, where he saw combat in the Philippines, and also later fought in the Korean War, where he had to be evacuated in early 1951 after suffering severe frostbite to his feet. 

 After retiring from the Army as a lieutenant colonel in 1967, Larkin entered politics by getting elected supervisor of the town of New Windsor, near West Point. He was first elected to the state Assembly in 1978. 

Larkin is survived by his wife, eight children, 17 grandchildren and two great-grandchildren.  

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Pence: United States Will Continue to Support Ukraine

U.S. Vice President Mike Pence said the United States will continue to support Ukraine in the country’s conflict with Russia and its right to full territorial integrity.

Washington “stands with the people of Ukraine and most especially since 2014, we have stood strongly for the territorial integrity of Ukraine,” Pence said after meeting Ukrainian President Volodymyr Zelenskiy in Warsaw on Sunday.

“And I can assure you that we will continue to stand with the people of Ukraine on your security, on territorial integrity, including Ukraine’s rightful claim to Crimea,” Pence said.

The United States is an important ally for Kyiv, having imposed sanctions on Russia for annexing the Crimean Peninsula in 2014 and backing pro-Moscow separatists in Ukraine’s east.

Pence and Zelenskiy were in Warsaw for commemorations to mark the 80th anniversary of the start of World War II.

U.S. national-security adviser John Bolton said on a recent visit to Kyiv that President Donald Trump could meet Zelenskiy in Warsaw this weekend.

However, Trump cancelled his plans to attend the event in Poland, citing Hurricane Dorian, which is set to make landfall in Florida this weekend.

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Hurricane Dorian, a Dangerous Category 5 Storm, Lashes Northern Bahamas

Hurricane Dorian, a dangerous Category 5 storm, made landfall in the northwestern Bahamas Sunday, slamming the island with 295 kilometer an hour winds.

The U.S. National Hurricane Center said Dorian is the strongest hurricane in modern history to hit the area and warned “catastrophic conditions” are occurring in the Abaco Islands.

The hurricane agency had said the storm’s advance is expected to slow over the next day or two, followed by a gradual turn to the northwest as it edges closer to southeastern U.S. state of Florida

“It’s going to stall out…and it hasn’t even touched Florida or the southeast (U.S.) coast,” Peter Gaynor, acting chief of the Federal Emergency Management Agency, told Fox News Sunday. “You’ve got to take this storm seriously.”

He said emergency officials have been briefing President Donald Trump or his aides on an hourly basis on the storm’s advance. “He has his finger on the pulse,” Gaynor said.

Trump visited FEMA headquarters Sunday, where he urged everyone in “Hurricane Dorian’s path to heed all warnings and evacuation orders from local authorities.”

Dorian is expected to move near or over Grand Bahama Island on Sunday night and into Monday and “should move closer to the Florida east coast late Monday through Tuesday night.” The hurricane agency said the storm could dump as much as 76 centimeters of rain on the northwestern Bahamas, with life-threatening storm surges pushing tides as much as seven meters above normal.

This satellite image obtained from NOAA/RAMMB shows tropical storm Dorian as it approaches the Bahamas and Florida at 12:00 UTC. Hurricane Dorian strengthened into a catastrophic Category 5 storm, packing 160 mph (267 kph) winds.

The storm’s path toward the northwestern islands of Grand Bahama and Abaco puts 73,000 people and 21,000 homes at risk.

The hurricane agency, which has tracked the intensity of the storm with an Air Force Hurricane Hunter plane penetrating into the eye of the hurricane, said some fluctuations in the strength of the storm are expected, but that it will “remain a powerful hurricane during the next few days.”

Hurricane force winds are expected to extend outward up to 75 kilometers from Dorian’s center, with tropical-storm-force winds extending outward up to 220 kilometers.

But forecasters now say Florida could avoid a direct hit from Dorian, projecting its track could skirt much of the curving, southeastern U.S. coastline, possibly coming ashore further north in the states of Georgia, South Carolina or North Carolina.  

The storm’s high winds were felt in the northern Bahamas Saturday, forcing some evacuations and closing some hotels and airports, authorities said.

“Hurricane Dorian is a devastating, dangerous storm approaching our islands,” Bahamas Prime Minister Hubert Minnis said in a nationally televised news conference.

 

 

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Zimbabwean Woman Honored with Statue in New York

Marvelous Nyahuye contributed to this report from New York.

WASHINGTON –  Tererai Trent appeared on the Oprah Winfrey show in 2009 and inspired the world with her story of overcoming enormous odds to pursue her dreams of education. This week, she finds herself immortalized alongside Winfrey with a bronze statue in New York City. She is the only African woman to have received this honor.

The Zimbabwean educator and humanitarian is one of 10 “Statues For Equality” created by sculptors Gillie and Marc Schattner. Trent’s statue depicts her with her arms aloft, surrounded by the flame lily, the country’s national flower.

“It comes without saying that, by projecting these women into larger-than-life-size sculptures, it will help change our society — a change that will elevate the lives of women all around the world. A change that can trigger gender equality in careers, industries and the home,” Gillie Schattner said at the ceremony.

“I come from a very poor place, and I grew up very poor. I had four babies before I was even 18 years of age, and to think that because of the power of believing in a dream and today I am being celebrated,” Trent said. “And to think I have a statue in New York, the most celebrated city in the world? It’s just unbelievable. Even my own grandmother and my mother never dreamt of that.”

Trent grew up in a village and was denied an education because she was a girl, like her mother and grandmother before her. She secretly learned to read by using her brother’s books but was married to an abusive husband when she was 11.

But Trent did not let her dreams die. She moved to the U.S. and pursued a graduate degree, ultimately earning a Ph.D., after 20 years of effort. She taught global health at Drexel University and currently runs the Tererai Trent International Foundation, which focuses on providing education to children in rural Zimbabwe. She is a sought-after public speaker and author.

“When one woman is silenced, there is a part within all of us women that get silenced,” Trent said. “But when women are awakened and recognized in public places, all of us, we get the true joy of knowing that we are all equal with men.”

Anesu Munengwa, the program manager of the Tererai Trent Foundation in Zimbabwe, said Trent isn’t distracted by fame. “She does whatever she does quietly … we have to remind people of the work she is doing and how it is impacting the community she comes from.”

Trent’s story has inspired people around the world. Winfrey announced she would donate $1.5 million to assist Trent in building schools. To date, they have built 12 schools in rural Zimbabwe and helped 38,000 children get an education. Some of them are now going to universities.

Beatrice Nyamweda, Trent’s friend of more than 35 years, traveled from Zimbabwe to attend the unveiling of the statue. She said Trent’s impact is felt back home in communities where there is an opportunity gap.

“There are 10 children who went to her school and started studying at the university currently. She has changed the lives of these children who are bright but lack resources. I am proud of her for that,” Nyamweda said, speaking in her native Shona.  

During the unveiling of the statue, Trent said her greatest joy is passing along opportunities she received to others. She said she made a conscious decision to end a cycle of poverty and oppression that had stifled the women in her family for generations.

“My grandmother used to say that when you think about your great grandmother when she was born she was born holding this baton. I’m calling it the baton of poverty, the baton of early marriage,” Trent said. “So as women and as individuals, we have the choice to say do I want to carry on and pass on this ugly baton or do I want to pose in my own life to reflect and say what baton do I want to pass on? I’m deciding to pass on the baton of education.”

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Justice Ginsburg Reports She’s on Way to ‘Well’ after Cancer

Supreme Court Justice Ruth Bader Ginsburg said Saturday she’s “alive” and on her way to being “very well” following radiation treatment for cancer.

Ginsburg, 86, made the comments at the Library of Congress National Book Festival in Washington. The event came a little over a week after Ginsburg disclosed that she had completed three weeks of outpatient radiation therapy for a cancerous tumor on her pancreas and is now disease-free.

It is the fourth time over the past two decades that Ginsburg, the leader of the court’s liberal wing, has been treated for cancer. She had colorectal cancer in 1999, pancreatic cancer in 2009 and lung cancer surgery in December. Both liberals and conservatives watch the health of the court’s oldest justice closely because it’s understood the Supreme Court would shift right for decades if Republican President Donald Trump were to get the ability to nominate someone to replace her.

On Saturday, Ginsburg, who came out with the book “My Own Words’‘ in 2016, spoke to an audience of more than 4,000 at Washington’s convention center. Near the beginning of an hour-long talk, her interviewer, NPR reporter Nina Totenberg, said, “Let me ask you a question that everyone here wants to ask, which is: How are you feeling? Why are you here instead of resting up for the term? And are you planning on staying in your current job?”

“How am I feeling? Well, first, this audience can see that I am alive,” Ginsburg said to applause and cheers. The comment was a seeming reference to the fact that when she was recuperating from lung cancer surgery earlier this year, some doubters demanded photographic proof that she was still living.

Ginsburg went on to say that she was “on my way” to being “very well.” As for her work on the Supreme Court, which is on its summer break and begins hearing arguments again Oct. 7, Ginsburg said she will “be prepared when the time comes.”

Ginsburg, who was appointed by Democratic President Bill Clinton in 1993, did not directly answer how long she plans to stay on the court. Earlier this summer, however, she reported a conversation she had with former Justice John Paul Stevens, who retired from the court in 2010 at age 90. Ginsburg said she told Stevens, “My dream is to remain on the court as long as you did.” Stevens responded, “Stay longer.” He died in July at age 99.

Ginsburg said Saturday that she loves her job.

“It’s the best and the hardest job I’ve ever had,” she said. “It has kept me going through four cancer bouts. Instead of concentrating on my aches and pains, I just know that I have to read this set of briefs, go over the draft opinion. So I have to somehow surmount whatever is going on in my body and concentrate on the court’s work.”

Ginsburg’s appearance Saturday was not her first following her most recent cancer announcement. Earlier this week she spoke at an event at the University at Buffalo, where she also accepted an honorary degree. At the time she talked only briefly about her most recent cancer scare, saying she wanted to keep her promise to attend the event despite “three weeks of daily radiation.”

 

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Poland Marks 80th Anniversary of Start of World War II

German Chancellor Angela Merkel and U.S. Vice President Mike Pence joined local leaders on Sunday to commemorate 80 years since the start of World War II in Poland, where the conflict is still a live political issue.

Few places saw death and destruction on the scale of Poland. It lost about a fifth of its population, including the vast majority of its 3 million Jewish citizens.

After the war, its shattered capital of Warsaw had to rise again from ruins and Poland remained under Soviet domination until 1989.

Ceremonies began at 4:30 a.m. (0230 GMT) in the small town of Wielun, site of one of the first bombings of the war on Sept.

1, 1939, with speeches by Polish President Andrzej Duda and his German counterpart, Frank-Walter Steinmeier.

Parallel events, attended by Prime Minister Mateusz Morawiecki and European Commission deputy chief Frans Timmermans, were held in the coastal city of Gdansk, site of one

of the first battles of the war.

Morawiecki spoke of the huge material, spiritual, economic and financial losses Poland suffered in the war.

“We need to talk about those losses, we need to remember, we need to demand truth and demand compensation,” Morawiecki said.

For Poland’s ruling Law and Justice (PiS) party, the memory of the war is a major plank of its “historical politics”, aiming to counteract what it calls the West’s lack of appreciation for Polish suffering and bravery under Nazi occupation.

PiS politicians have also repeatedly called for war reparations from Germany, one of Poland’s biggest trade partners and a fellow member of the European Union and NATO. Berlin says all financial claims linked to World War II have been settled.

Critics say the party’s ambition is to fan nationalism among voters at a time when populists around the world are tapping into historical revisionism. PiS says the country’s standing on the global stage and national security are at stake.

Articles paid for by a foundation funded by state companies, showing Poland’s experience in the war, appeared in major newspapers across Europe and the United States over the weekend.

The Polish National Foundation also paid for supplements in some papers consisting of a copy of their front pages from Sept. 2, 1939, that highlighted the German army’s attack on Poland.

Apportioning blame, cost

Wartime remembrance has become a campaign theme ahead of a national election due on Oct. 13, with PiS accusing the opposition of failing to protect Poland’s image.

“Often, we are faced with substantial ignorance when it comes to historical policy … or simply ill will,” Jaroslaw Sellin, deputy culture minister, told Reuters.

Merkel and Pence, who arrived on Sunday after President Donald Trump abruptly cancelled a planned trip due to a hurricane, called it an honor to participate in events later in the day in Warsaw.

“We look forward to celebrating the extraordinary character and courage and resilience and dedication to freedom of the Polish people and it will be my great honor to be able to speak to them,” Pence said.

The cancellation of Trump’s visit is a disappointment to the PiS government, which is seen as one of Washington’s closest allies in Europe. Polish and U.S. officials have said another visit could be scheduled in the near future.

For PiS, a high-profile visit by Trump would serve as a counterargument to critics who say the country is increasingly isolated under its rule because of accusations by Western EU members that it is breaching democratic norms.

Opinion polls show PiS is likely to win the October ballot.

The party’s ambition is to galvanize voters and disprove critics by winning a majority that would allow it to change the constitution.

PiS agrees with the Trump administration on a range of issues including migration, energy and abortion.

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Saudi Coalition Launches Airstrike In Yemen

The Saudi-led coalition said it launched an airstrike Sunday on a Houthi target in southwestern Yemen.

Yemen rebels, known as Houthis, said the coalition hit a detention center, killing 60 people.

The coalition said it hit a facility in Dhamar where drones and missiles were stored and “all precautionary measures were taken to protect civilians.”

A rebel spokesman told the Associated Press that 170 captured government fighters were housed in the center.

Local residents, however, told AP that family members who were critical of the Houthis were housed in the center.

More than five years of fighting between the Houthi rebels and the Saudi-led coalition helping the Yemeni government have led to the deaths of thousands of civilians who are already facing severe food shortages and a lack of quality medical care.

 

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Some Recent US Mass Shootings

A list of some of the deadliest mass shootings in the United States in the last two years: 
 
— Aug. 31, 2019: Five people were killed in West Texas in shootings in the area of Midland and Odessa. 
 
— Aug. 4, 2019: A gunman wearing body armor shot and killed nine people at a popular nightlife area in Dayton, Ohio. Police were patrolling the area and killed the suspect.  
 
— Aug. 3, 2019: A gunman opened fire at a shopping center in El Paso, Texas, killing 22 people and injuring more than two dozen. A suspect was taken into custody. 
 
— May 31, 2019: Longtime city worker DeWayne Craddock opened fire in a building that houses Virginia Beach government offices. He killed 12 people and wounded several others before police shot him. 
 
— Feb. 15, 2019: Gary Martin killed five co-workers at a manufacturing plant in Aurora, Illinois, during a disciplinary meeting where he was fired. He wounded one other employee and five of the first police officers to arrive at the suburban Chicago plant before he was killed during a shootout with police. 
 
— Nov. 7, 2018: Ian David Long killed 12 people at a country music bar in Thousand Oaks, California, before taking his own life. Long was a Marine combat veteran of the war in Afghanistan.  

FILE – Flowers and other items are left as memorials outside the Tree of Life synagogue, Nov. 3, 2018, following a mass shooting there in Pittsburgh, Pa.

— Oct. 27, 2018: Robert Bowers is accused of opening fire at Tree of Life synagogue in Pittsburgh, Pennsylvania, during Shabbat morning services, killing 11 and injuring others. It’s the deadliest attack on Jews in U.S. history. 
 
— June 28, 2018: Jarrod Ramos shot through the windows of the Capital Gazette offices in Annapolis, Maryland, before turning the weapon on employees there, killing five at The Capital newspaper. Authorities say Ramos had sent threatening letters to the newspaper prior to the attack. 
 
— May 18, 2018: Dimitrios Pagourtzis began shooting during an art class at Santa Fe High School in Santa Fe, Texas. The 17-year-old killed eight students and two teachers and 13 others were wounded. Explosives were found at the school and off campus. 
 
— Feb. 14, 2018: Nikolas Cruz shot and killed 17 students and staff members at Marjory Stoneman Douglas High School in Parkland, Florida. The incident surpassed Columbine High School as the deadliest shooting at a high school in U.S. history. 
 
— Nov. 5, 2017: Devin Patrick Kelley, who had been discharged from the Air Force after a conviction for domestic violence, used an AR-style firearm to shoot up a congregation at a small church in Sutherland Springs, Texas, killing more than two dozen. 
 
— Oct. 1, 2017: Stephen Paddock opened fire on an outdoor music festival on the Las Vegas Strip from the 32nd floor of a hotel-casino, killing 58 people and wounding more than 500. SWAT teams with explosives then stormed his room and found he had killed himself. 

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How (Historically) Presidential Are the Democratic Candidates?

Read more at https://projects.voanews.com/election-2020/english/candidates/background.html

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Зеленський хоче змінити Конституцію України і надати собі диктаторські повноваження

Зе-КонституціяПредставник президента Володимира Зеленського у Верховній Раді Руслан Стефанчук вважає, що Конституцію України потрібно змінити, а конституційну комісію відновити.

Стефанчук підкреслив, що Конституція точно буде змінена. Однак, поки що в ЗЕ-команді не в курсі, зміниться якась частина або повністю Конституція!?!?

Він також вказав, що робота конституційної комісії буде відновлена, тому що президент і влада повинні “задавати напрямок, а саме професіонали повинні формувати структуру і логіку”.

При зміні Конституції будуть звертати увагу на права і свободи людей, а не на повноваження Верховної Ради або президента, як це робилося раніше. Там маса декларативних прав, які абсолютно не мають ні механізму реалізації, ні механізму захисту цих прав. Це треба міняти, – сказав Стефанчук.

Раніше повідомлялося, що у Зеленського заявили про ймовірність правок до мовного закону.

Мережа Правди

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