Armed Forces in United Kingdom Facing ‘Explosion’ of Mental Illness

October 5, 2008 – The Sunday Telegraph has learnt that ex-servicemen’s charities have seen a 53{cd9ac3671b356cd86fdb96f1eda7eb3bb1367f54cff58cc36abbd73c33c82e1d} increase in the number of veterans seeking help since 2005, a rate which threatens to “swamp” them within a few years.

The Ministry of Defence’s own figures show that up to 2000 members of the armed services are being diagnosed every year with a psychiatric condition after serving in Iraq or Afghanistan.

Former service personnel who fought in earlier campaigns stretching back to the Second World War are also coming forward for treatment after psychological problems have emerged years, sometimes decades, later.

Those problems include post traumatic stress disorder (PTSD), manic depression, mood swings, and drug and alcohol dependency. It has also emerged that up to seven service personnel have committed suicide either during or after active duty in Iraq.

Details of the size of the problem were revealed by a senior MoD official speaking on condition of anonymity.

The official said: “We are facing an explosion of psychiatric problems not just from serving military personnel but also from those who served in campaigns dating all the way back to the Second World War. It is a huge problem and something which requires a cross-governmental solution.”

The official’s comments were supported by Combat Stress, the ex-services mental welfare charity, which has seen an increase in the number of referrals of veterans rise by 53 per cent since 2005.

In 2000, the charity saw just 300 new patients who had an average age of 70. So far this year, the charity has seen 1,160 veterans, with an average age of 43. Of those, 217 saw service in Iraq and 38 fought in Afghanistan. The youngest veteran being cared for by the charity is just 20.

Robert Marsh, the director of fund raising for Combat Stress, said his organisation was working at full capacity.

He said: “There is a strong possibility that we face being swamped by new veterans seeking our help. There has been a 53 per cent increase in the number of veterans seeking our help in just three years. Lord knows what we are going to be faced with in five or 10 years time. We need to develop more capacity for the future because we are already creaking.”

The charity, which has three regional treatment centres in the UK – in Surrey, Shropshire and Ayrshire – has 8,490 ex-service personnel on its books of whom around 4000 are currently receiving treatment.

The charity is treating 246 veterans who fought in the Second World War; 57 who fought in Malaya; 128 who were based in Aden; and around 2000 who served in Northern Ireland.

But it is the wars in Iraq and Afghanistan, which are likely to produce the most psychiatric casualties over the next few years.

The Iraq War developed into a bitter insurgency in which dozens of soldiers were killed and hundreds were maimed by improvised explosive devices. The war in Afghanistan is now regarded as the bloodiest campaign since Korea.

The latest government figures available show that for the first nine months of 2007, more than 1500 servicemen and women who served in either Iraq or Afghanistan were diagnosed with a psychiatric disorder – a rate of 2000 a year. Personnel who are posted to Afghanistan are 14 times more likely to develop PTSD than those who do not deploy.

But the MoD’s own analysis warns that its figures might be hiding the true extent of the problem because of the social stigma associated with mental illness.

Liam Fox, the Tory shadow defence secretary, said: “We are seeing an increasing number of veterans coming forward with mental health problems because of the stresses they faced in places like Northern Ireland and the first Gulf War – this was entirely predictable. But what is absolutely tragic is the fact that these same veterans have been abandoned to their fait by this government.”

The military has gone to great lengths to diagnose psychiatric disorders amongst troops. Serving personnel have access to 15 community mental health centres across the country which provide psychiatric out-patient care. Those troops requiring in-patient care are treated at The Priory, which has centres across the UK. Troops also have access to in-service psychiatrists. Junior commanders are trained to recognize the symptoms of psychological trauma at an early stage.

A spokesman for the MoD, said: “Counselling is available to Service Personnel and troops receive pre and post deployment briefings to help recognise the signs of stress disorders. We recognise that operational deployments can be stressful experiences, so we offer individuals briefing prior to returning to their home base. ‘Decompression periods’ at the home base or in places such as Cyprus are in place for personnel to unwind mentally and physically and talk to colleagues about their experiences in theatre. The families of returning personnel are also offered presentations and leaflets about the possible after-affects of an operational deployment.”

Last month it emerged that one in ten of the British prison population was a former member of the armed services. The revelation led to calls for greater welfare improvements for veterans.

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Rate of Sexual Assault in Army Prompts an Effort at Prevention

October 3, 2008 – The Army is launching a new war against an old foe: the lingering problem of sexual violence within the military.

Last month, 80 high-ranking generals gathered at a hotel in Alexandria, Va., for a mandatory, weeklong summit devoted to combating the crime. In a Sept. 22 essay in Army Times, Army Secretary Pete Geren and Gen. George Casey, the service’s chief of staff, said it was “repugnant to everything a soldier stands for” and promised a “zero tolerance” policy for harassment or assault.

The approach comes in direct response to a batch of new Pentagon data indicating that 2.6 soldiers per 1,000 reported a sexual assault last year. In the Marine Corps and Navy, it was 1.1 per 1,000; in the Air Force, 1.6 per 1,000. The Army began tracking the numbers only in 2006, and officials say they don’t have enough comparable data to determine whether the problem is getting worse over time.

Army leaders hope a major change in their strategy for combating these acts of violence can bring the numbers down. The service has long focused on dealing with the aftermath of an assault. Now it will try to prevent the crime from occurring in the first place.

The centerpiece of the new effort — known as “I AM Strong,” with the I AM standing for “intervene, act, motivate” — is a call for soldiers to confront peers who are abusing alcohol or exhibiting other possible harbingers of an assault, such as making suggestive comments. The Army also wants soldiers to alert higher-ranking personnel if their colleagues’ behavior doesn’t improve.

“We’re trying to change the culture,” said Carolyn Collins, the program manager for the Army’s Sexual Assault Prevention and Response Program. “We want soldiers to look for red flags and take steps to address them before they turn into something serious.”

The military has been wrestling with the problem for decades. But some female veterans say the Army’s macho culture has enabled soldiers to behave in ways that would be unacceptable in the civilian world.

“We’ve heard all of this talk before, but nothing ever seems to change,” said Wanda Story, the national commander of the United Female Veterans of America, an advocacy group. Ms. Story said she was raped twice by fellow soldiers, in 1985 and 1986. She said she continues to be contacted by young veterans who say they were assaulted at the hands of other military personnel.

The Army’s first formal attempt to curb sexual violence was put in place in 2004 after a spate of high-profile cases. It focused on deploying “sexual assault response coordinators” to all military installations and expanding the range of counseling services.

It also allowed victims to choose whether they wanted the Army to open formal criminal probes into alleged assaults or to receive medical and psychological assistance confidentially. Army officials concede that the program fell short.

“We’re four years down the road, and we’re not where we want to be,” Ms. Collins said.

An August 2008 Government Accountability Report found that the military’s efforts to combat sexual violence had been hampered by a lack of support from some senior commanders and by a shortage of qualified mental-health professionals.

The survey found that 103 service members at 14 military installations said they had been assaulted within the preceding 12 months. But only 51 of the victims reported the crime to the authorities, with the remainder worrying that coming forward would hurt their careers, according to the report.

“Most people keep quiet because they don’t want to believe it happened to them or because they’re scared of what will happen if they speak up,” said Susan Avila-Smith, an Army veteran who runs Women Organizing Women, an advocacy group.

Ellen Wainwright, a former medic, says a higher-ranking enlisted soldier forced her into his room on a large U.S. base near Baghdad in early 2006 and raped her. Afterward, he warned her not to tell anyone. Ms. Wainwright kept quiet for two months and says he raped and sodomized her repeatedly before she finally chose to speak out.

In April 2006, she gave a sworn affidavit to agents from the Army’s Criminal Investigation Command. She was sent back to the U.S. on emergency leave. A few days later, Army officials told her she was being involuntarily discharged for psychological reasons. Ms. Wainwright says it was retribution for speaking up.

Army investigators said that they had “probable cause to believe” the alleged assailant had made inappropriate comments to Ms. Wainwright and made an unwanted overture to another female soldier. The investigators said they could not “establish sufficient evidence to prove or disprove” the assault allegations.

Efforts to reach the man were unsuccessful. Army spokesman Paul Boyce said the service “carefully investigates” all sexual assault allegations but avoids “discussing matters naming individual victims or alleged victims” because of privacy concerns.

Ms. Wainwright was unemployed for nearly two years after leaving the Army and says that she and her husband continue to litigate the terms of their divorce, including custody of their young son. Ms. Wainwright’s husband couldn’t be reached for comment.

Ms. Wainwright said that she had reluctantly concluded that her alleged assailant was right when he told her to stay silent.

“It would have been better for me to have kept my mouth shut,” she said.

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Editorial Column: Veterans, Alone Together, Share Stories They Can’t Tell You

October 5, 2008 – The war on terror, which has now lasted longer than World War II, is producing a growing family of combat veterans. It’s a disconnected family, large and far-flung, but close in ways that battle-tested soldiers always are.

I saw that for myself the other day in Stony Point, N.Y., at a church conference center as tranquil and green as Iraq and Afghanistan are not. It was a weekend workshop run by Vets 4 Vets, a Tucson nonprofit that is setting up peer support groups around the country for a new generation of veterans.

Most of those attending – two dozen men and two women – had never met, but they immediately opened up to one another, sharing war stories that some said they had never told anyone. These were not disabled vets – not visibly, anyway. But after two days, listening from a chair outside their circle, it was clear this was a wounded group.

Michael Rudulph: “A lot of times my anger, my frustration, feels totally, 100 percent justified. But in the back of my head I know that’s messed up.”

Kevin Cajas: “We were exposed to trauma so much we became addicted to it. We became trauma junkies. It doesn’t go away, so you’ve just got to learn how to manage it. I liked it; I’m not going to lie.”

Everyone had a transition story. Shifting from “hunter-killer mode” to husband-student mode is so sudden, it’s insane. One day you’re in Baghdad, the next you’re in Atlanta, passing rows of cheering civilians at Hartsfield airport. Then you get on with your life. The price is steep, in sleepless nights, troubled consciences and buried anger.

People have no idea, the veterans said. Ryan Knudson, from Phoenix, told me what a lifeguard at a pool had asked him: “Is it, like, all warry over there?”

Yes it is. Do you want to hear about it? No, said Mr. Knudson, you probably don’t.

Mr. Cajas: “We were the go-to platoon. When you’re on the go, you’re in a manic rage of violence, nonstop. My body’s just accustomed to that. I picked up my friends’ body parts. My roommate got his face blown off.”

Mr. Cajas was in a quick-reaction force, the guys who knock down doors. “We did a good job,” he said. “The irony of service is, we did a good job, and came back different. This is what it does to humans. The analogy we used was prison. We were locked in the base, and every time we were released, we had to go kill people. We acted like animals because that’s what we were.”

It was hard to watch them beat up on themselves, although their intense expressions of guilt seemed like signs of intact souls. One veteran told me he was haunted by the realization that any trauma he suffered was multiplied a hundredfold for the Iraqis he shot at.

Some gave me tips to pass on to the civilian world: Don’t ask The Question (Did you kill anybody?). “Support the Troops” magnets mean nothing to them. And military culture is not big on touching: the main things civilians want to do to soldiers – hug them and get them drunk – are generally not welcome.

Vets 4 Vets has only a few hundred members in about a dozen cities. Its founder, Jim Driscoll, has roots in the antiwar movement, but insists that this group is apolitical. Nor does it make therapeutic claims; nobody who runs its workshops is a qualified therapist.

Is there a place in the age of antidepressants for Vietnam-style rap sessions? It seems so. Tens of thousands of soldiers are coming back next year. The Department of Veterans Affairs has ramped up outreach at its hospitals and Vet Centers, but demand is great. Military officials always complain about how hard it is to get soldiers to talk about their problems. A lot of veterans say professional help feels useless. Some of those at Stony Point were adamant that medication checks and group therapy every few months didn’t add up to much.

Kevin Cottrell, a former medic, said that at his group sessions, he sat between an old Vietnam guy and a sailor who had been in Bahrain, and had nothing to say to either of them. But after last weekend, he said, he wanted to start a Vets 4 Vets chapter in his area.

The veterans broke into small groups, for the workshop’s most wrenching part. At a picnic table under a tree, Mr. Cottrell shared worst-moment stories with Michael Gillespie, Stephen Wade and a workshop leader, Abel Moreno. He told about trying frantically to save a soldier whose truck had been blown up, who had lost parts of both legs, and died in the hospital.

Mr. Wade then told of phoning his wife, who put her new boyfriend on the line. She called him a bad husband for going to Iraq. He is praying a judge grants him custody of his little girl.

Mr. Wade fell silent, distraught. Mr. Moreno said the next step was usually a hug. They began an awkward, 45-degree guy hug, patting each other’s backs. Mr. Gillespie joined them, and then Mr. Cottrell, a big guy, enveloped them all. They stood still for an unbearable moment, holding one another up.

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Oct 6 Weekly Update: Reminder to Register to Vote

VCS Speaks at Sarasota and San Francisco Events, and VCS Reminds Everyone to Register and Vote

October 6, 2008 – First, some great news from our recent VCS road trips. On Saturday, October 4, more than 150 people turned out to hear Professor Juan Cole and me. Juan spoke about the history of the Iraq War, and I spoke about our lawsuit against VA plus other issues impacting our veterans.

VCS thanks Gene Jones at Florida Veterans for Common Sense and Bill Newton at Florida Consumer Action Network for organizing a successful event. These groups are fantastic, and they do lots of wonderful work for our veterans in the Sarasota area. The event they organized was a tremendous success.

On Saturday, September 27, more than 200 top attorneys from the National Organization of Veterans Advocates received an update from VCS about our lawsuit against VA. VCS thanks Wade Bosley, Katrina Eagle, and Rich Cohen at NOVA for inviting us to meet many of the most dedicated and knowledgeable legal minds in the country and share some of our ideas for reforming VA.

Second, here is some important news about voting. For some states, today may be your last chance to register to vote. If you moved or changed your name, then please take the time today and be sure to update your voter registration so you can vote.

This is important: if your state has early voting, consider taking advantage of the short lines by voting today.

VCS is concerned about voting rights because VA, until recently, banned non-partisan voter registration drives at VA nursing homes. In addition, a new and disturbing report released by the Brennan Institute reveals as many as 13 million voters were purged from voting lists. The result, is a “nationwide process [that is] “chaotic,” “shrouded in secrecy”, “riddled with inaccuracies”, “prone to error” and “vulnerable to manipulation.”

There is good news. The Pentagon launched a get out the vote campaign for all troops serving overseas. However, the McCain campaign lost a challenge to absentee ballot procedures in Ohio that could have harmed our service members in the war zones.

In the midst of the election frenzy, VCS needs your help so we can continue meeting with veterans around the country. We receive a large percentage of our funding from members like you. Please click here to give $100 to VCS today.

We want you to know that all your hard work is paying off! Thanks to our landmark lawsuit against VA, plus our Congressional testimony, plus our press coverage, VCS grew by over 2,000 members this year.

VCS asks you to pass this message on to a friend. We want to keep growing, and we want to make sure our message is spread far and wide! Your personal endorsements of VCS to your friends and family keeps VCS fighting for our veterans, our civil liberties, and our national security.

Thank you,

Paul Sullivan, Executive Director

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Military Families See Nov 4 Presidential Election as Crucial

October 6, 2008, Cameron, NC – For Private First Class Michael Anderson, the perils he could face on his first deployment to Iraq or Afghanistan next year are the least of his worries.

Anderson, 22, says he is more concerned about how his wife, Tunisia, 30, and the four children they are bringing up – from six months to 9 years old – will cope with his long absence; whether they will be able to make ends meet; the long-term effects on their relationship; indeed, even whether the family can hold together.

In the new military housing development where they live outside Fort Bragg, just one of the military communities that ring the Army’s largest base on the East Coast, the neatly manicured lawns, American flags, and bright new playgrounds mask a messier reality about military life this election season.

“The family situation for soldiers stinks,” Anderson said in the living room of his simple two-story house in Lyndon Oaks, home to enlisted soldiers and their families, as his wife put away groceries from Wal-Mart.

“This is an area that needs a lot of improvement as far as things that help soldiers,” he added, including more pay and benefits and family-support programs.

“The wives don’t have much to do,” he said. “They get bored. They need to have more types of recreational things.”

In large part because of such anxieties, soldiers and their spouses are more engaged in this presidential election than ever before, according to longtime observers of the Fort Bragg area. They are keenly interested to see what the candidates’ policies will mean for the future of their communities.

But many of them are caught between their frustration with their predicament and a desire to make sure the mission in Iraq is respected and their service is honored.

Anderson, for example, said he believes that “the soldiers aren’t being respected when they come home.” He complained of local stores in the Fort Bragg area “taking advantage of us” by jacking up prices.

Since the US invasion of Iraq in 2003, the Army has taken unprecedented steps to help soldiers and their families cope with the strains of multiple deployments, unleashing a battalion of family assistance specialists, financial advisers, and setting up a variety of new counseling programs.

The Army has repeatedly acknowledged the strain caused by such deployments, including a higher divorce rate than in other military branches.

“There is a maturity in how the Army supports these families,” insists retired Colonel George Quigley, 69, now a community volunteer and organizer for the McCain campaign, which is trying to convince military families that the former prisoner of war will provide more benefits, if not an immediate let-up in the pace of deployments.

Still, the Andersons and their neighbors are among thousands of military families around Fort Bragg who are bearing the brunt of the longest conflict in American history involving an all-volunteer military – a force that also has the highest percentage of married soldiers, 60 percent – than in any previous conflict.

For a growing number of them, their deep sense of duty is threatened by the daily struggle for the semblance of a normal life, forcing them to question how much longer they can hold out, according to nearly two-dozen interviews a Globe reporter conducted last month with soldiers, their spouses, counselors, and community leaders.

Wives with husbands deployed overseas whispered of countless Army marriages falling apart, often as a result of infidelity. Mothers complained about the hardships of living on the salary of an enlisted soldier such as Anderson – who receives less than $1,400 a month in base pay – including wartime bonuses.

Others spoke in serious tones of soldiers struggling to rejoin their families after returning from war with scars, both mental and physical, and young children who barely recognize them.

“They are breaking up families,” said Chandra Vargas, 27, whose husband is deployed a second time to the Middle East and who stopped by the Andersons, her two children in tow, to plan a late summer trip to the beach. “The same guys are going over and over again. You get a little bit of extra money, but it ain’t worth it. They are leaving the moms to be single parents. People are getting ‘Dear John’ letters.”

She implored: “Who is going to hear our pain?”

The soldiers and their spouses have conflicting views on how the candidates might help or aggravate the situation.

Anderson, for example, says he is drawn to the message of Barack Obama, who has pledged to bring US troops home from Iraq, but worries that the Democrat may not uphold the military’s appropriate place of honor in society as much as his opponent, Republican and Vietnam veteran John McCain.

“Obama hasn’t said that more money will be going to military personnel,” Anderson said, a common refrain in the insular world of the military ranks despite the candidate’s proposals for enhancing military and veterans programs.

“McCain has good ideas military-wise,” Anderson continued, “such as more pay.”

“I am a little scared about Obama,” added Staff Sergeant Oswaldo Gabriel Garcia, 26, after he got a trim in the Bragg Barber Shop on Bragg Boulevard, located in a shabby strip mall next to a dry cleaners, a few shuttered storefronts, a tax service and a Cash N’ Advance “coming soon.”

Garcia, who has completed two tours in Iraq and is married to another soldier who is based in Washington state, worries that Obama will “downgrade” the military. “That is not the way to go,” he said. “We have a war on two fronts.”

Obama has said he would start drawing down US forces in Iraq as soon as he took office and expects to have all US combat forces out within 16 months. McCain has said he wants all combat troops out by 2013 but opposes any timetable and wants to be certain that US forces do what is necessary to ensure that Iraq doesn’t become a haven for terrorists. Both candidates say they would improve benefits for veterans.

A growing number of soldiers, many of them in the lower enlisted ranks or junior officers, express support for Obama, whose campaign has launched a voter registration drive on Fort Bragg.

Soldiers such as Latoya Jackson, 26, who has been deployed to Iraq four times and is set to go to Afghanistan next year, want to know when the deployments will ease.

“I have been deployed four times and I have been in the Army nine years,” she said, adding that she is looking for a president “who is going to help us, not hurt us.”

But meeting the challenges facing military families simply outstrips the Army’s ability to deal with it comprehensively.

So the state of North Carolina last year provided funds for the Cumberland County School District – where nearly one out of three students has a military parent – to hire its first full-time liaison to military families.

They turned to Shannon Shurko, 32, a former elementary school teacher and mother of two whose husband is on his second combat tour.

Over a dinner of shrimp and grits at Georgia Brown’s in nearby Fayetteville, Shurko emptied a suitcase filled with pamphlets, binders and other materials she lugs to meetings with parents, teachers, and Fort Bragg officials.

There are practical tools such as “A Teacher’s Guide to Deployment Issues,” which outlines “signs of separation anxiety.” Another guide, designed for military families, advises: “Prepare for deployment now. Resolve family problems before the separation. Time doesn’t heal all wounds nor does absence necessarily make the heart grow fonder if there are unresolved issues left behind.”

She holds up a copy of a magazine called “Military Spouse” she recently discovered, which offers a military psychologists’ perspective on the impact of multiple deployments. “We have taken a big hit,” Shurko said of military families like her own. “It was a rough deployment,” she said of her husband’s first combat tour. “Fifteen months is a long time.”

Shurko, like many others interviewed, spoke not only of the difficulty of the multiple separations but the less-appreciated struggle to make the family whole again after reuniting with spouses and parents that have been at war.

“He missed so much,” she said of her husband.

And just when her husband was getting to know his sons again, he received orders to deploy again. She doesn’t want her husband to go overseas again, Shurko said. “I want my boys to know something other than chaos.”

Vargas, after making an emotional appeal for help, scolded another Army wife whose husband is deployed, Sabrina Rivera, 24 – a mother of three with another on the way – when she said she isn’t planning to vote.

“We have to make a difference!” Vargas told her.

But asked if she had decided whom she will turn to, Vargas paused before adding, “I don’t know who I am voting for. It’s kind of tricky.”

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One Million Weapons to Iraq; Many go Missing

September 22, 2008 – Clandestine gun suppliers, funded by the U.S. and Iraqi governments, have flooded Iraq with a million weapons since 2003, charges a new Amnesty International investigation. Because of faulty or non-existent government tracking systems, many of those guns have gone missing, and some have turned up in the hands of insurgents.

Contracts with one of these companies, Taos Industries, account for almost half of the $217 million Baghdad and Washington have officially spent to arm the Iraqi army, police and security forces employed by various Iraqi ministries.

Taos was founded in 1989 by a former U.S. intelligence official in Madison, Alabama, to traffic Soviet weapons systems after the fall of the Berlin Wall. In October 2006 Taos was sold to a company controlled by the Sultans, a powerful Kuwaiti family that also controls billions of dollars worth of contracts for food supply and heavy equipment deliveries to U.S. bases throughout Iraq.

Global Arms Trafficking

Amnesty’s new report, “Blood at the Crossroads: Making the Case for a Global Arms Trade Treaty,” shines a light on the catastrophic human rights consequences of the kind of unrestrained arms trading that forms much of Taos’s business. The reports draws lessons from nine case studies including the conflict in Darfur, military crackdowns in Burma and Guinea, and sectarian violence in Iraq, to make recommendation on how to prevent human rights abuses when governments sell or transfer conventional arms to other countries. (See box.)

All of the permanent members of the UN Security Council, including the U.S., armed the regime of Saddam Hussein. Even after the UN arms embargo was imposed on Iraq, arms continued to flow from several Eastern European states and Syria, according to the Amnesty International report. After the 2003 occupation, the new supplies compounded the massive proliferation of arms and gross human rights abuses that began under the former Saddam government.

In the last four years, the Pentagon has financed most of Iraq’s supply of more than one million rifles, pistols, and infantry weapons for 531,000 Iraqi security force personnel, according to research conducted by TransArms and Amnesty. TransArms is a U.S.-based nonprofit that tracks global arms transfers.

“Since 2004 there appears to have been no accountable and transparent US audit trail for approximately 360,000 infantry weapons supplied to the Iraqi security forces,” said Brian Wood, Amnesty International’s arms control manager. “Coupled with the poorly managed US supply of small arms, US forces in Iraq have provided operational training to the bulk of the Iraqi army and police in counter-insurgency and other methods, but the human rights content has been seriously open to question and gross violations of human rights have been perpetrated.”

Taos Industries

Taos Industries, the biggest corporate supplier of small arms to Iraq since the invasion in 2003, was founded by David Hogan shortly after he retired from the military in 1989. Hogan had been chief of foreign intelligence for the U.S. Army Missile Command at the Redstone Arsenal in Huntsville, Alabama. The company is run out of the Putnam Industrial Park in Madison, about a mile from the military base.

A few years after Taos was created, Keith R. Hall, deputy assistant secretary of defense for Intelligence under President Clinton, told the U.S. Congress that the fall of the Berlin Wall had created an “opportunity to acquire and exploit major, state-of-the-art weapons systems.”

From his vantage point as a former intelligence official in the missile command with knowledge of the “black budget” or secret military contracts used to buy such systems, Hogan was well aware that such opportunities could be very profitable.

In the early 1990s, he started bidding on classified contracts put out by the Defense Intelligence Agency, the Pentagon’s military intelligence branch.

At first he was beaten out by better-connected dealers, such as Carlyle Group subsidiary BDM International of McLean, Virginia, which won the bid to acquire an S-300, a series of Soviet long range surface-to-air missile systems (the equivalent of the Patriot missile defense system).

BDM’s chairman was Frank C. Carlucci, the secretary of defense and national security adviser under President Ronald Reagan. The company already had a “basic ordering agreement” that gave it an open-ended contract to acquire foreign military technology. (BDM eventually bought the S-300 from Belarus with the help of Emmanuel Weigensberg, a well-known Canadian arms merchant, who was the broker for the Reagan administration’s first, secret shipment of weapons to Nicaraguan rebels in the 1980s, the New York Times reported in December 1994.)

Despite losing this major contract, Taos won lucrative orders over the next decade to sell spare parts to foreign military customers that use older U.S. military equipment. Taos also provides vehicles or spare parts to test ranges that rely on Russian radars and vehicles, and in the last five years, has won a number of orders to provide weapons for the U.S. military-backed governments in Afghanistan and Iraq.

David Hogan turned the management of the company over to his two sons, Craig and Steven, both graduates of the U.S. Military Academy at West Point. Craig Hogan became president of Taos, and ran the company while serving as a battalion commander in the U.S. Army reserves for the 314th Press Camp Headquarters. He was deployed to Iraq in the first two years of invasion and occupation. The younger son, Steven Hogan, who had a bachelor’s degree in business administration, became Taos’s chief financial officer.

After both sons were killed in an Alabama plane crash in January 2005, the company promoted Vietnam veteran John Hamilton, also a West Point graduate, to take over. Hamilton came to the company after a 22-year military career and a short stint at Teledyne Brown Engineering. He had worked for the military as a program manager with the U.S. Army Tank-Automotive Command in Detroit, where he, too, acquired experience working for the Pentagon, one of Taos’s major customers.

Earlier this month, Hamilton was replaced as CEO by retired Army Lt. Gen. Joseph M. Cosumano Jr., the former commander of the U.S. Space and Missile Defense Command and KBR’s senior vice president in charge of Government and Infrastructure Operations, Maintenance, and Logistics.

The Iraq Sales

Over the last five years since the invasion of Iraq, Taos has received seven of the 47 weapons supply contracts listed by Amnesty, worth $95.1 million out of the $217 million total. (The second biggest supplier, with a little over $40 million in contracts, is Keisler of Jeffersonville, Indiana. Its website boasts that the company has “moved millions of rounds of ammunition and over a quarter million weapons to U.S. interests in the Mideast.”)

The majority of sales were for Soviet-type infantry weapons. Among the weapons listed in some 35 contract documents reviewed by CorpWatch were requests for assault rifles (AK-47s), M4 Benelli shotguns, portable machine guns (RPK, PKM), sniper rifles, shoulder-fired rocket propelled grenades (RPG-7), UBGL M1 grenade launcher and 9mm pistols (mostly Glocks), and ammunition.

Amnesty investigators have also uncovered documents that suggest that several of Taos’ subcontractors were either operating illegally or had been listed by the United Nations for smuggling weapons.

For example, Amnesty alleges that Taos first subcontracted to a Moldovan/Ukrainian company, Aerocom, to transport from Bosnia to Iraq 99 metric tons of arms for Iraqi security forces. The sales for the year ending June 31, 2005 were mostly for Kalashnikov rifles.

Aerocom has a history of shady dealings. In 2002 an expert report commissioned by the UN Security Council charged the company with smuggling weapons from Serbia to Liberia in violation of a UN arms embargo. In August 2004, Moldovan authorities revoked Aerocom’s air operating license. Scout d.o.o, a Croatian company named as the broker in these shipments, was not registered in Croatia to deal in arms.

Oddly enough, U.S. military air traffic controllers in Iraq said Aerocom never requested the necessary landing certificates, nor is there any official record of these deliveries to Iraq. This lack of paperwork raises Amnesty investigators’ suspicions that some of the arms may have been diverted elsewhere.

In May 2005 the Italian newspaper, Corriere della Sera, revealed that Taos had supplied thousands of Italian-made Beretta 92S pistols that were among the weapons seized in Iraq from Al Qaida operatives responsible for killing civilians. The Beretta pistols had been dispatched in July 2004 from the UK to the U.S. military base in Baghdad. An Italian court investigation the next year questioned the shadowy methods used in shipping the guns from Italy to the UK.

Despite the Italian reporting and the publication of the Aerocom contracts in a 2006 Amnesty report (Dead on Time), the U.S. government continued to award contracts to Taos as recently as October 2007.

Taos Industries refused to answer the specific allegations in Blood at the Crossroads. “Amnesty International’s reporting about Taos Industries is factually inaccurate and misleading. Taos’s operations have been conducted transparently and within U.S. Department of Defense guidelines,” the company said in a statement released to CorpWatch.

“Taos sells and delivers equipment to only one client: the U.S. government. The company has shared information about the transactions in the Amnesty reports with Congress and the Defense Department.”

Amnesty researchers note that blame must also be assigned to the U.S. officials who ran the program, who admit their arms control systems for contracts such as the Taos one using Aerocom have been flawed.

Enter the Sultans

Taos was bought in October 2006 by Agility, a Kuwaiti company that has recently become the second-largest provider to the U.S. Defense Logistics Agency, according to numbers cited by former Taos CEO Hamilton.

Agility, which was originally named Public Warehousing Corporation (PWC), is operated by the family of Jamil Sultan al-Essa, whose heritage has alternately been described as southern Iraqi and Saudi. As is common for many wealthy Middle Eastern families, siblings, cousins and other relatives, often with senior government positions, operate numerous businesses with overlapping ownership. Abdul Aziz Sultan Al-Essa, for example, was chairman of Kuwait’s Gulf Bank; Kamal Sultan ran the local franchise for Apple.

The Sultans became famous when, in 1981, they opened Kuwait’s first self-service store focusing on hardware and DIY products near the Shuwaikh port. They rapidly expanded the venture into a chain known as Sultan Centers.

Another of Sultan’s holdings is the National Real Estate corporation, which bought up 25 percent of the shares of PWC, a moribund Kuwaiti state agency, when it was privatized in 1997. (Created in the 1970s to develop and lease out government property, PWC was already making some money renting a 1.6 million square meter property near Shuwaik port to the U.S. military for Camp Doha for almost $60,000 a month.)
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PWC was given to Abdul Aziz’s son, Tarek Sultan Al-Essa, whose mother and wife are both U.S. citizens. Tarek Sultan, also a U.S. citizen, grew up partly in the United States and attended the University of Pennsylvania’s Wharton School of Business. He quickly expanded the company and in December 2006 renamed it Agility.

In May 2003 PWC won its first major U.S. military contract. The multibillion dollar annual deal, Prime Vendor Subsistence, supplies all the food eaten on U.S. military bases in the region – more than half-a-million meals a day for the 150,000 troops and a similar number of contractors. (Halliburton/KBR cooks and serves the food, but does not provide the ingredients.)

When the contract came up for bid, Tarek Sultan had no experience in food supply, nor did he have a personal track record with the U.S. military. So he asked his cousin Kamal to create a joint venture to provide the “experience” required to bid on the contract. Kamal’s experience consisted of a minor toilet-cleaning contract on Camp Doha. (Once Tarek won the contract, he dropped his cousin. Kamal, who related this story to CorpWatch, has spent years suing Tarek in Kuwaiti courts for a share of the profits.)

The next major contract that PWC won was an August 2004 deal for $130 million to manage two of the biggest supply depots for the U.S. military in Iraq: the Abu Ghraib and Umm Qasr warehouses, near Baghdad and Basra respectively. Then, in the June 2005 PWC won part of the $1.5 billion Heavy Lift 6 contract to move all the military equipment from the Kuwait ports to Baghdad, sharing the award with Florida-based IAP Worldwide Services.

Court documents and CorpWatch sources show that over the course of these many bids, PWC officials wined and dined U.S. Army officials at five-star hotel resorts in Kuwait to win the contracts. PWC also paid for Army Chief Warrant Officer “Pete” Peleti to attend the Superbowl game in Detroit, Michigan, in January 2006. (Peleti was arrested in 2006 when he flew back to the Dover Air Force Base from the Middle East with a duffel bag stuffed with watches and jewelry, as well as about $40,000 concealed in his clothing.)

In October 2006 PWC bought up Taos, which provided a U.S.-based entity that allowed it to bid on classified military contracts. Two months after this, PWC changed its name to Agility. In 2007, Agility announced it had taken in $3.5 billion in revenue, with profits of $585.2 million. In 2008, the company announced revenues of $6 billion, a staff of 32,000 employees and 550 offices in 100 countries around the world.

From managing a few warehouses in 2003, Agility was suddenly in the same league as global logistics giants such as Fedex and DHL. It operated ports in Dubai and ran shipping companies out of New Orleans. The company boasted to the Los Angeles Times that it was capable of “hauling giant mining equipment through the jungles of Papua New Guinea or erecting stage sets in Asia for touring rock groups such as the Doobie Brothers.”

Missing Weapons

Because very few systems were set up to track weapons after they were delivered, the million guns that Taos and other companies sold to Iraq in the last five years have been in danger of falling into the hands of sectarian or insurgent groups.

Three U.S. government investigative reports, issued by different agencies in the last three years, have highlighted this problem.

An October 2006 report by the U.S. Special Inspector General to Iraq calculates that serial numbers were logged for only 2.7 percent of the 370,000 infantry weapons supplied to the Iraqi security forces under U.S. government contracts. In many cases, contractors delivering arms imports did not turn in the obligatory official inspection reports, known as DD-250s, substituting instead “Adequate for Payment” paperwork.

A July 2007 report by the U.S. Government Accountability Office revealed that at least 190,000 weapons were “unaccounted for” in Iraq because of discrepancies between what was authorized for export and what the Multinational Security Transition Command-Iraq (MNSTC-I) recorded for the period between June 2004 and July 2007.

In May 2008, the Pentagon’s own inspector general issued a report on the lack of proper accounting for billions of dollars spent on commercial contracts and miscellaneous payments for arms and security in Iraq, Afghanistan and Egypt. The report “estimated that the Army made $1.4 billion in commercial payments that lacked the minimum documentation for a valid payment, such as properly prepared receiving reports, invoices, and certified vouchers. We also estimated that the Army made an additional $6.3 billion of commercial payments that met the 27 criteria for payment but did not comply with other statutory and regulatory requirements. These other requirements included taxpayer identification numbers, contact information, and payment terms.”

Unchecked by proper tracking systems, current and former policemen are dealing in a flourishing weapons market that may well have exacerbated the sectarian killings that plagued Iraq in 2005 and 2006. A November 2007 New York Times investigation of Lee Dynamics International (not connected to Taos) found that the U.S. contractor appointed an Iraqi businessman whose “co-workers say, he also turned the armory into his own private arms bazaar with the seeming approval of some American officials and executives, selling AK-47 assault rifles, Glock pistols and heavy machine guns to anyone with cash in hand – Iraqi militias, South African security guards, and even American contractors.”

Arms experts say that this was a serious mistake, at the very least. “It is likely that a large proportion of the hundreds of thousands of small arms and light weapons that have ‘gone missing’ in Iraq are either in the hands of anti-U.S. insurgents or in other countries, fueling conflicts there,” says William Hartung, the director of the Arms and Security Initiative of the New America Foundation. “In order to prevent similar security risks in the future, the corporate and government officials responsible for putting U.S. troops at risk by failing to maintain control of these weapons must be held accountable.”

Amnesty’s warnings have been ignored so far. On September 25, 2007, the U.S. Congress was notified of a possible $2.6 billion purchase of 123,544 M16A4 assault rifles and 12,035 M4 carbines by the government of Iraq. Indeed on  February 28, 2008, the Pentagon announced that some 80,000 M16A4 assault rifles had been purchased and transferred to Iraq. Yet, this year alone, Amnesty says civilians have been killed, tortured and displaced on a significant scale in areas north of Baghdad, especially in the governates of Diyala and Mosul during fighting between US, Iraqi forces and insurgents.

The situation in Iraq is hardly unusual given that Washington provides a substantial amount of its arms and other military and security assistance in a similar manner. Amnesty International and TransArms found that between 2000 and 2007 the Pentagon granted $11.7 billion for about 14,000 contracts (including weapons and ammunition) to “Miscellaneous Foreign Contractors,” grouped under a Crystal City, Virginia-based entity which was listed as “office 911” of the General Service Administration.

Amnesty says that the situation in Iraq should also be seen as part of the bigger global problem of unrestricted arms sales. “The time for an Arms Trade Treaty is now,” says Amnesty’s Brian Wood. “Sixty years after the signing of the Universal Declaration of Human Rights, the same governments can and should deliver an effective agreement on international arms transfers with human rights at its heart.”

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Pentagon Hands Iraq Oil Deal to Shell

October 2, 2008 – In June of this year, Andrew Kramer, writing in the New York Times broke the story that the world’s oil giants, “Exxon Mobil, Shell, Total and BP … along with Chevron and a number of smaller oil companies” were “in talks with Iraq’s Oil Ministry for no-bid contracts to service Iraq’s largest fields.” Subsequently, the Times went on to report that “A group of American advisers led by a small State Department team played an integral part in drawing up contracts between the Iraqi government and five major Western oil companies … ” The Times asserted that the “disclosure” was “the first confirmation of direct involvement by the Bush administration in deals to open Iraq’s oil to commercial development and is likely to stoke criticism.”

In reality, there had long been ample evidence of deep involvement between the Bush administration, foreign firms and Iraq’s Oil Ministry. The Times and other major media outlets also failed to expose the major financial ties between the military occupation in Iraq and the same oil giants. In fact, each of the oil giants named in the original New York Times piece — Exxon Mobil, Shell, Total, BP, and Chevron — regularly shows up on the Pentagon’s payroll. In fact, last year, the five firms took home more than $4.1 billion from the Pentagon — with Shell leading the way with $2.1 billion.

In September, the “criticism” the Times predicted apparently finally scuttled the no-bid deals. In a piece by Kramer and Campbell Robertson, it was reported that the “plan to award six no-bid contracts to Western oil companies, which came under sharp criticism from several United States senators this summer, ha[d] been withdrawn.” The companies would, however, be eligible to bid for contracts and, just days later, it was announced that the Pentagon’s favorite of the oil majors, Shell, would become the first oil giant to sign an energy deal with the Iraqi government in 35 years.

On September 22nd, the government of Iraq and Royal Dutch Shell officially signed a $4 billion deal “to establish a joint venture with [Iraq’s] South Gas Company in the Basra district of southern Iraq to process and market natural gas.” A day later, the Times reported that Shell had “established an office in Baghdad.” From a “news conference in Baghdad’s heavily guarded Green Zone,” the Times quoted Linda Cook, the executive director of the Shell’s gas and power unit, as saying, “We are ready to establish a presence.”

While the Times didn’t report it, Cook went on to say, “I am delighted that the Iraqi Government including the Ministry of Oil have supported Shell as the partner for joint venture with the South Gas Company. We look forward to moving jointly to implement the JV and begin investing in the energy infrastructure in Iraq.” What the Times (and other major media outlets) also failed to mention was that guarantor of that “Green Zone” from which Cook spoke, just days before, had the inked its own huge energy deal with Shell. On September 17th, Shell was awarded a $338 million contract for aviation fuel by the Pentagon. In fact, even before this contract, Shell had already awarded over $1 billion from the Pentagon during this fiscal year. If history is any guide, it will receive billions more before fiscal 2009 starts.

The Pentagon’s Shell deal came during one DoD’s periodic petroleum benders — massive multi-day spending sprees where hundreds of millions or billions of taxpayer dollars are paid out to oil companies. This one, on September 17th and 18th, netted Shell, Chevron, ConocoPhillips and seven other oil companies a grand total of over $1.5 billion.

The fact that the U.S. government secretly facilitated dealings between Shell and the Iraqi Oil Ministry for no-bid contracts; that the U.S. military — the primary occupation force in Iraq — regularly pays Shell billions of dollars each year; that on the heals of a contract worth hundred of millions of dollars with the U.S. military, Shell just inked a deal with the with occupied Iraq and set up an office in the U.S. military’s secure “Green Zone” should raise myriad questions about the tangled relationship between the major players in Iraq. These complex issues go ignored because they are viewed as so routine as not to be worth mentioning, but in any other context the confluence of guns, oil and billions of dollars would certainly raise eyebrows.

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Raised as Outcasts, Living as Refugees, Fighting to Belong

October 4, 2008 – Randy Tran walked quickly past the majestic domes and marble statues of Capitol Hill, looking for the Cannon House Office building and the people he believed could help him.

Tran, a Vietnamese pop singer who lives in a Bay Area suburb and sleeps on a friend’s couch, flew 2,900 miles to be here. He rehearsed what he wanted to say. His English was not perfect. He was afraid he would have just a few minutes to make his case.

He had a 3 p.m. appointment in the office of a Wisconsin congressman. He was not exactly sure what the congressman did, but he was certain that this was a powerful man who could help untangle a political process that had ensnared him and thousands like him.

Tran came to Washington on behalf of abandoned children of American soldiers and Vietnamese women, born during the Vietnam War and, like him, seeking citizenship in the country their fathers fought for.

Called Amerasians, many were left to grow up in the rough streets and rural rice fields of Vietnam where they stood out, looked different, were taunted as “dust of life.” Most were brought to the United States 20 years ago after Congress passed the Amerasian Homecoming Act, which allowed the children of American soldiers living in Vietnam to immigrate. But citizenship was not guaranteed, and today about half of the estimated 25,000 Amerasians living in the U.S. are resident aliens.

Tran lives in Hayward and travels the country crooning pop songs to Vietnamese fans at restaurants and concert halls. But he feels unsettled.

“I feel like I belong nowhere,” said Tran, whose father was an African American whose name he likely will never know, but who gave him the mocha-colored skin so different from other Vietnamese.

“If I go to Little Saigon, they say, ‘Are you Vietnamese? You look black.’ If I go to the American community, they say, ‘You’re not one of us. You’re Vietnamese.’ “

But most wrenching for Tran is his lack of citizenship, a constant reminder of being an outsider in what he considers his fatherland.

“Our fathers served for the country, fought for freedom,” Tran said. “I am not a refugee, but I am being treated as one. We are Americans.”

Tran and 21 other Amerasians flew to Washington, D.C., for three days in July to lobby for the Amerasian Paternity Act. It would give Amerasians born during the Vietnam and Korean wars automatic citizenship, rather than requiring them to pass tests in English.

Most of them had never been to Washington. Some purchased their first suits for the trip. Some spoke no English at all.

Tran does not know his age. On paper he is 34, but he guesses he is closer to 37.

His mother left him in an orphanage in Da Nang when he was days old. A few years later, a woman in a nearby village adopted him to help care for her cows. She refused to let him call her “mother.”

The neighbors gawked at his dark skin; the village children yanked his curly hair. At night he would dream that his hair had turned straight and that he could pour a liquid over his body to turn his face pale. He would hide behind the bamboo mat he slept on.

“They looked at us like we were wild animals, not people,” Tran said.

When the Homecoming Act passed in 1988, thousands of Vietnamese who wanted to escape the Communist government used the Amerasians as a device to flee. At 17, Tran was sold to a family for three gold bars. When the family got to America, they asked Tran to leave their home. He moved in with a friend’s family.

Like Tran, many Amerasians lacked the English skills, education and family connections that had helped other Vietnamese refugees assimilate. Many did not attend school in Vietnam and arrived in America illiterate. Many migrated to Vietnamese communities where they were once again shunned. Some turned to drugs or gangs.

They received eight months of government assistance, including healthcare, English lessons and some job training. But the government did not help Amerasians locate their fathers, and funding for the program ended in 1995.

In Washington, Tran and the other Amerasians crowded into a friend’s house. There was Vivian Preziose from Queens, whose father brought her to the U.S. when she was 10. There was Nhat Tung Miller from Seattle, who found his father a few months before he died. There was Huy Duc Nguyen from Dallas, whose only clue about his father is that his last name sounds something like “Sheffer.”

They mapped out their plans. Preziose passed out 435 folders containing a letter she wrote. The next day they would deliver a folder to every Congressional office. They also had appointments on Capitol Hill, so they rehearsed what they would say.

Some stumbled over their words. Preziose encouraged them to speak from their hearts. Nguyen reminded them not to wear jeans. Tran advised them to speak slowly.

A year ago, few of the Amerasians knew one another. That changed when Nguyen went to a screening of a documentary about Amerasians stuck in Vietnam and met others like him. They talked about helping those still in Vietnam and started reaching out to Amerasians across the country. They knew of Tran from his singing.

Tran urged them to lobby for the citizenship bill, sponsored by Rep. Zoe Lofgren (D-San Jose). In September 2007, they formed the Amerasian Fellowship Assn., which now has 5,000 members.

They had grown up haunted by a raw sense of being thrown away by their parents. Now mostly in their 30s and 40s, they came together for political reform, and along the way formed a community for those who felt invisible.

The day after they handed out the folders, Tran anxiously waited on the marble steps of the Cannon building for his team to arrive.

By the time they got to Rep. F. James Sensenbrenner’s office (R-Wisconsin), they were five minutes late.

They met a man in a tan suit with a faint smile.

Tran introduced himself and began describing the difficulties faced by Amerasians. Many cannot speak English, he said, making it difficult to pass the citizenship test.

The meeting lasted less than 25 minutes – not enough time for Tran to say that he was not allowed to go to school in Vietnam, that while he tended to the cows he would peer through the schoolhouse windows at the students learning to read.

Tran thought the man seemed confused why they were there. But the man promised to do what he could to help.

It wasn’t until the man handed out his business card that Tran realized he wasn’t talking to the congressman from Wisconsin. He was talking to a staffer.

“I didn’t know who he was,” Tran said. “I just knew we wanted to meet him. I wanted to tell our story.”

There is a lot Tran does not understand. He’s not sure which of the two houses of Congress the bill is stuck in or why it is taking so long to become law. When he and other Amerasians met with Lofgren in the Capitol building, he thought they were in the White House.

Lofgren warned the group that it was unlikely the bill would pass this year. But she promised to reintroduce it next year.

Some of the Amerasians decided to visit the Vietnam Veterans Memorial, believing the names of their fathers might be inscribed on the wall.

Tran decided not to go. He has no clues as to who his father his. When Tran walked past an older black man on the street, he turned and looked.

He still wonders why his mother left him to suffer in Vietnam. Once, it was a source of deep anger. But his fury turned to sympathy when he learned about the harsh conditions during the war, the stigma of having a child out of wedlock with an American.

Perhaps she gave him away hoping he would have a better life. He once wrote a song called “After the War.” When he performs it before Vietnamese audiences, they are often brought to tears.

Tran later wrote an e-mail to the staffer. He mistakenly identified the man as “Mrs.” He also sent along an English translation of the lyrics of “After the War.”

He has yet to hear back. But he has faith that America will come through, eventually.

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Pakistan: 12 Dead in Suspected U.S. Strike

October 3, 2008 – Two suspected U.S. missile strikes Friday on villages close to the border with Afghanistan killed at least 12 people, most of them militants, Pakistani intelligence officials said.

American forces recently ramped up cross-border operations against Taliban and al Qaeda militants in Pakistan’s border zone with Afghanistan – a region considered a likely hiding place for Osama bin Laden.

Two missiles believed to have been fired from U.S. unmanned drones launched from neighboring Afghanistan hit the villages in North Waziristan just before dusk, according to the officials who spoke on condition of anonymity because they were not authorized to speak to the media.

A missile strike in one village killed at least 12 people, while there were no reported casualties in the other, they said. The officials did not identify the victims.

Chief Pakistani army spokesman Maj. Gen. Athar Abbas said officers were investigating the reported strikes, but could not confirm them. U.S. officials in Afghanistan or Washington rarely acknowledge the attacks.

Earlier this week, officials said that a suspected U.S. missile strike on a Taliban commander’s home in Pakistan killed six people late Tuesday.

Pakistan says the attacks often result in civilian casualties and serve to fan extremism. American officials complain that Pakistan was unwilling or unable to act against the militants, straining ties between the two anti-terror allies.

Militants in the border region are blamed for rising attacks on U.S. troops in Afghanistan and attacks within Pakistan, including the Sept. 20 truck bombing of the Marriott Hotel in Islamabad that killed more than 50 people.

On Friday, Pakistan’s Interior Minister chief Rehman Malik said the country’s war against Islamic extremists will go on until it is “terrorism-free.”

Previous Pakistani military campaigns against Islamic militants in the wild tribal belt along the Afghan frontier were halted too soon, he said – an apparent reference to the policies of former President Pervez Musharraf.

Malik said the current government, which came to power after February elections and forced Musharraf to resign in July, will fight until militants are either killed or forced to flee Pakistan.

“There is no other option,” Malik told Express News television. “We will not stop any operation unless we reach its logical conclusion. That means that this war will continue until we make Pakistan terrorism-free.”

Pakistan’s army is battling militants in at least three areas of the northwest. The most intense fighting has been in the Bajur tribal region, where the military claims to have killed 1,000 rebels for the loss of about 60 troops.

Reports surfaced this week indicating that prominent Taliban leader Baitullah Mehsud was seriously ill or even dead, though officials said reports of his death were likely premature. If Mehsud has died, or does soon, CBS News’ Farhan Bokhari reports his absence would mark a significant symbolic setback to the Taliban.

Meanwhile, the country’s faltering efforts so far to extinguish the militant threat have been met with a blur of suicide bombings that have killed nearly 1,200 people since July 2007, according to army statistics released this week.

The U.N. reacted to the hotel blast on Thursday by ordering the children of its international staff out of the city – putting it on a par with trouble spots such as Kabul, Afghanistan and Mogadishu, Somalia.

It insisted the move was temporary and would not affect its operations.

Britain announced Wednesday it was repatriating its diplomats’ children and other countries may follow suit. Pakistan has long been a non-family posting for U.S. diplomatic staff.

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Downrange Health Hazard? Military Faces Rare Pneumonia in Combat Zones

October 2, 2008, Landstuhl, Germany – Military doctors are seeing a resurgence of a rare and sometimes fatal type of pneumonia that is striking young troops who started smoking while deployed downrange.

In the past five months, six U.S. servicemembers serving in Central Command’s area of responsibility have been diagnosed with acute eosinophilic pneumonia, or AEP. While the exact cause of the illness is unknown, 27 of the 36 troops who have contracted AEP since March 2003 had recently picked up the habit, according to a July 2008 information paper from the Army’s Center for Health Promotion and Preventive Medicine.

Also, three-fourths of those troops came down with the illness while serving in Iraq. Other cases have originated with U.S. troops in Afghanistan, Djibouti, Kuwait, Qatar and Uzbekistan.

Two troops have died as a result of the disease.

On average, the AEP patients are around 22 years old, said Air Force Maj. (Dr.) Patrick Allan, a critical care pulmonary physician at Landstuhl Regional Medical Center.

“We do not know what the true underlying cause is,” he said. “We only, epidemiologically, can say that it seems to be associated with new or increasing quantities of smoking and exposure to fine sand or dust from the local environment.”

An additional three cases of AEP were reported by troops who increased the quantity of smoking while deployed, and two more reported infrequent use of cigarettes or cigarillos, according to the information paper.

Acute eosinophilic pneumonia is noninfectious, creates an inflammatory condition of the lungs and is associated with smoking, said Army Lt. Col. (Dr.) Eric Shuping, deputy commander of the Center for Health Promotion and Preventive Medicine-Europe.

AEP strikes hard and fast, doctors said. Within two weeks to two months of picking up smoking, people can begin showing symptoms.

In one to four days, patients may notice shortness of breath, a dry cough, chest pain and non-specific abdominal pain. Within 24 hours after going to a clinic, patients typically require supplemental oxygen or have to be put on a breathing machine, Allan said.

“We think that nicotine or products within the cigarette smoke alter the immune response that someone may have to other particles within the environment,” he said. “The altered immune response may heighten their lungs’ inflammatory pattern such that they come out with this acute eosinophilic pneumonia, but that’s all hypothesis.” Also the uses of vaporize puts nicotine into the body. Nicotine is highly addictive and can affect brain development. Whether you’re looking for a standard single-flavor vape juice or a complex custom blended e-juice that’s interesting enough to become your next all-day vape, find it by Liquido24.

Because vaping is new, we don’t yet know how it affects the body over time. We do know that the nicotine in e-cigarettes:

  • is very addictive
  • can slow brain development in teens and affect memory, concentration, learning, self-control, attention, and mood
  • can increase the risk of other types of addiction later in life

All the conclusive diagnoses for AEP have been made at Landstuhl, but in one case, doctors downrange had a suspicion the patient had AEP because he had just started smoking, Allan said.

In addition to the two servicemembers who died from complications of AEP, there have been others who were near death before recovering, doctors said. Landstuhl sent its specialty lung team downrange to treat three troops with AEP. The patients were so bad doctors had them on highly technical breathing machines to keep them alive.

In February 2007, a medical alert on AEP was issued in Iraq and signed by then-Lt. Gen. Ray Odierno, warning troops about the illness’ association with smoking. But because AEP is so rare, there are no good studies suggesting the military has a disproportionate number of cases compared to the U.S. civilian population, Allan said.

Now, young patients arriving at Landstuhl’s intensive care unit with pneumonia-like symptoms will immediately have their lungs examined for AEP, Allan said. Whereas “standard” pneumonia is usually treated with powerful antibiotics, AEP is treated with steroids that suppress the body’s immune system.

“By suppressing the eosinophils – a particular cell we believe is responsible for this condition – it causes the disease to melt away within a few days, and most do very well with it,” Allan said.

Allan said there’s no good explanation as to what is causing the current resurgence of AEP.

“With each deployment cycle, there’s going to be a certain percentage of people who start smoking again to deal with the stress and the strain of just what they’re doing,” he said. “I don’t have any data to suggest whether or not the incidence of new smoking is increasing or not, but it was just interesting that we saw so many cases.”

Want to lessen your chances of contracting AEP? Stop smoking.

“This is yet another reason to not smoke,” Shuping said. “Don’t start. Don’t get addicted and cause yourself a problem down the road.”

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