Peace for the World

Peace for the World
First democratic leader of Justice the Godfather of the Sri Lankan Tamil Struggle: Honourable Samuel James Veluppillai Chelvanayakam

Friday, April 13, 2018

Palestinians lose legs as Israel punishes them by denying medical care

Crowd of protesters carry injured man
Palestinians evacuate Abdullah Muhammad Shahri after he was shot in the chest by Israeli soldiers during a protest at the boundary with Israel in Khan Younis, southern Gaza Strip, on 12 April. Shahri died from his wounds later that day.
Ashraf AmraAPA images

Maureen Clare Murphy- 12 April 2018

The legs of two Palestinians were amputated on Wednesday after Israel refused to allow them to leave the blockaded Gaza Strip for treatment.


Human rights groups had appealed to the Israeli authorities to allow for the transfer of Yusif Karnaz, 20, and Muhammad al-Ajouri, 17, to a hospital in the occupied West Bank for surgery that would save their limbs.

The youths were shot during the launch of the Great March of Return protests along the Gaza-Israel boundary on 30 March.

But COGAT – the bureaucratic arm of Israel’s military occupation that postures as a humanitiarian body – denied their requests for permission to travel for specialized surgery unavailable in Gaza.

Israel admitted that it refused the request as a form of punishment for protesting.

“On the surface, the petitioners’ condition ostensibly fulfills the medical criterion for receiving a permit but the authorized officials decided not to grant their requests,” the state said in response to a court petition submitted on behalf of the injured youths, the Israeli daily Haaretz reported.

“The main consideration for the refusal stems from the fact that their medical condition is a function of their participation in the disturbances,” the state added.

One of the injured youths, Yousif Karnaz, “is in danger of losing his second leg if he does not receive urgent medical attention in the West Bank,” according to the human rights group Adalah.

“The willful act of denying urgent medical care, in these circumstances, may constitute cruel, inhuman and degrading treatment and/or torture under the UN Convention Against Torture, ratified by Israel,” stated Adalah, which petitioned the Israeli government on behalf of the youths along with the Gaza-based Al Mezan Center for Human Rights.

The Palestinian Campaign for the Academic and Cultural Boycott of Israel highlighted the case of the two youths whose legs were amputated in its efforts to relocate part of the prestigious Giro d’Italia cycling race from Jerusalem:



Dear cyclists, 2 young Palestinians from Gaza had legs amputated because Israel denied travel permits to West Bank hospital after Israeli soldiers shot them during peaceful protests just KMs from route. @giroditalia @UCI_cycling, ! https://www.adalah.org/en/content/view/9470 

Read More

Chemical weapons: Reaction, rhetoric and rethink

 
2018-04-13
The war rhetoric the United States and Russia are firing at each other over allegations that the Bashar al-Assad regime regularly uses chemical weapons in the Syrian civil war has brought into question the efficacy of the campaign to eliminate the use of chemical weapons.  

In 2013, Syria declared that it had ratified the 1997 Chemical Weapons Convention (CWC) banning the production, storage and use of chemical weapons.  The declaration came as the Syrian regime faced a military response from the US and its allies for the alleged use of chemical weapons on civilian targets.  The declaration, together with Russia’s diplomatic power and the US government’s vacillation, averted the attack by Western powers.

Yet, time and again, the Syrian regime is accused of using chemical weapons on civilian centres. Often the allegations lack concrete evidence, though the anti-government forces make available to the international media footage showing in gruesome detail how the victims of the chemical weapon attack suffer. 
When, in April last year, the Syrian government came under international censure for allegedly using chemical weapons on a rebel stronghold, the US defence Secretary James Mattis was asked whether he had any evidence to back the allegations. He said the US had “no evidence” that the Syrian government used the banned nerve agent Sarin against its own people, but acknowledged that the US was going by the evidence provided by “aid groups and others”.  By the way, “the others” probably referred to rebels linked to ISIS and al-Qaeda.  Despite the lack of evidence, United States President Donald Trump later ordered a Tomahawk missile attack on Syria.  

However, United Nations investigators have said that in the Syrian conflict both the regime and the rebels have used chemical weapons.  There is another counter narration, according to which civilians become victims when explosions, accidental or otherwise, go off in stores where rebels have haphazardly stockpiled chemical weapons. 

This week, in the face of allegations that Syria had once again used chemical weapons on Douma, the last rebel stronghold in Eastern Ghouta, President Trump rushed to tweet, blaming Russia, Iran and Syria, once again going by the so-called evidence provided by “the West-backed aid groups and others”.  On Monday, he warned that the alleged incident would “be met forcefully”. Russia responded by threatening not only to shoot down incoming US missiles but to attack the base from where the missiles were fired.

On Wednesday, the US President dared Russia to do what it could.  In a tweet, he said:  “Russia vows to shoot down any and all missiles fired at Syria. Get ready Russia, because they will be coming, nice and new and “smart!” You shouldn’t be partners with a Gas Killing Animal who kills his people and enjoys it!”
Scoffing at the US, Russia said missiles should target terrorists, not a legitimate government. Some analysts say by regularly attacking Syrian military targets, the US and Israel act like the air force of the “terrorists”.  

At the United Nations Security Council on Monday, US envoy Nikki Haley told Russia that whether the UN Security Council acted or not, “either way, the United States will respond”.  Unmoved, Russian representative Vassily Nebenzia said the incident was staged and warned that any military response by the West could have “grave repercussions”. He invited investigators from the Organisation for the Prohibition of Chemical Weapons (OPCW) to visit Syria, promising them that Russia would guarantee their safety.  On Tuesday, Russia vetoed the US-backed resolution that called for an investigation and follow up action. 

But, once again, the controversy rages, while the hawks make little effort to sift the evidence. Why should Syria use chemical weapons when it was in the final stages of scoring an overwhelming victory against the rebels?  Under a deal negotiated by Russia, the rebels have been provided safe passage out of their last stronghold in Douma, a suburb of Damascus.  If so, why should Assad commit hara-kiri and court the wrath of the world community, unless he also had a plan to eliminate the rebels so that they would not reappear from another place? 

Russian experts who visited Douma claim that there was no evidence of any chemical weapon being used.  The OPCW also has no clue as to who did it. It is still investigating the case.

One may say the Russians were biased and they fabricated the story to exonerate Assad.  For argument’s sake, let’s assume that Assad and his Russian backers were rogues. But does this make those who bring the allegations saints? On many occasions, the pictures and footage provided by “aid groups and others” to pin war crimes allegations on the Syrian regime have turned out to be fake.  

There appears to be a parallel between the Syrian story and the ongoing diplomatic spat between Russia and Britain over the alleged poisoning of a Russian spy-turned British double agent and his daughter.  Britain is yet to provide the evidence to back the allegation that Russia carried out the poison attack. Rendering the British position weak, Britain’s defence laboratory Porton Down said it could not verify the precise source of the Novichok nerve agent used in the attack.  

With the British case still wide open, reason dictates that suspicion cannot be on Russia alone. One cannot rule out the possibility of other state actors carrying out the attack and then joining in the chorus to blame Russia.  Even Britain is a possible suspect, given the West’s dire need to check Russia’s ambitious drive to regain its superpower status to be on par with the US.

The alleged chemical attacks in Syria, the mysterious poison attack on the British double agent and last year’s death of a prominent North Korean dissident after a nerve agent attack at the Kuala Lumpur airport point to the failure of international efforts to eliminate chemical weapons, though 20 years have passed since the Chemical Weapons Convention came into force.  

The OPCW, though it has won the Nobel Peace Prize for its work, has a long way to go in bringing about a world without chemical weapons.  The biggest impediment to achieve this goal is power politics characterized by big powers subjugating small powers.  

Sovereignty of small states is a myth. If small states attempt to defy a big state, it is inevitable that they will become a target for hostile activity by the big state scorned.  It is also inevitable that Middle powers, or emerging powers, would resort to chemical, nuclear or biological weapons or weapons of mass destruction to deter attacks from a hostile big power. If anyone needs proof, look at North Korea. It has averted a US invasion or attack because it has chemical, biological and nuclear weapons.  

Russia tested nerve agent on door handles before Skripal attack, UK dossier claims

Previously classified intelligence about poisoning of former Russian spy sent to Nato
Sergei and Yulia Skripal
Sergei and Yulia Skripal are recovering from the attack which left them critically ill in hospital.

Intelligence correspondent-
Russia had tested whether door handles could be used to deliver nerve agents and had targeted the email accounts of Sergei and Yulia Skripal since at least 2013, according to previously classified intelligence over the Salisbury attack that has been made public.

The UK released the intelligence on Friday linking Russia to the attack on the former double agent and his daughter.

The door handle and email claims were made in a letter from Sir Mark Sedwill, the UK’s national security adviser, to the Nato secretary general, Jens Stoltenberg. It is extremely rare for the UK to make such intelligence public.

In the letter, Sedwill, who has an overview of the work of all British spy services, filled in some of the intelligence that Theresa May referred to when she made a House of Commons statement saying Russia was highly likely to have been behind the attack.
In response, the Russian ambassador in London Alexander Yakovenko announced that the embassy would be publishing its own report on the attack.

“The British Government still hasn’t produced any evidence in support of its position that would confirm their official version,” he told a press conference, at which he showed footage of Tony Blair apologising for intelligence mistakes made in the run-up to the Iraq war. “We get the impression the British Government is deliberately pursuing the policy of destroying all possible evidence.”

In his Nato letter, Sedwill said the nerve agent novichok had been developed at the Russian research facility in Shikhany as part of an offensive chemical weapons programme with the codename Foliant.
Sedwill said Russia regarded at least some of its defectors as “legitimate targets for assassination”, with the suggestion that they could include Skripal, a former member of the GRU, Russian military intelligence, who was convicted by Russia of espionage in 2004 after working for MI6.

“We have information indicating Russian intelligence service interest in the Skripals, dating back at least as far as 2013, when email accounts belonging to Yulia Skripal were targeted by GRU cyber specialists,” Sedwill wrote.

He also said: “During the 2000s, Russia commenced a programme to test means of delivering chemical warfare agents and to train personnel from special units in the use of these weapons. This programme subsequently included investigation of ways of delivering nerve agents, including by application to door handles. Within the last decade, Russia has produced and stockpiled small quantities of novichoks under the same programme.”

He said Russia had continued developing small amounts of novichok over the past decade.
“Russia’s chemical weapons programme continued after the collapse of the Soviet Union. By 1993, when Russia signed the chemical weapons convention (CWC), it is likely that some novichoks had passed acceptance testing, allowing their use by the Russian military,” he said.

“Russia’s CWC declaration failed to report any work on novichoks. Russia further developed some novichoks after ratifying the convention. In the mid-2000s, President [Vladimir] Putin was closely involved in the Russian chemical weapons programme. It is highly unlikely that any former Soviet republic (other than Russia) pursued an offensive chemical weapons programme after independence.
 It is unlikely that novichoks could be made and deployed by non-state actors (eg a criminal or terrorist group).”

The decision to release the intelligence is partly in response to Russia’s repeated denials that it is responsible for the attack and suggestions of alternative scenarios.

The Organisation for the Prohibition of Chemical Weapons, which is linked to the United Nations, confirmed on Thursday that a novichok nerve agent had been used in the Salisbury attack.

Sedwill wrote: “I would like to share with you andallies further information regarding our assessment that it is highly likely that the Russian state was responsible for the Salisbury attack. Only Russia has the technical means, operational experience and the motive.”

The term “highly likely” is one commonly used by the intelligence agencies when they believe something is 100% certain – since they are unwilling to express that opinion without a caveat in case of error.

“Russia has a proven record of conducting state-sponsored assassination,” Sedwill said, concluding: “There is no plausible alternative explanation.”

As well as questioning the UK’s evidence, the Russian ambassador to London complained at the continued refusal of consular access to Yulia Skripal.

“We are not allowed to see our citizens, talk to doctors, have no idea about the treatment the Russian nationals receive,” he said. “We cannot be sure that Yulia’s refusal to see us is genuine. We have every reason to see such actions as the abduction of two Russian nationals.”

Almost no one in James Comey’s new book comes off as virtuous — except maybe Obama


Former FBI director James B. Comey details his conversations with President Trump in his new book, “A Higher Loyalty: Truth, Lies and Leadership.” 
 
Yes, former FBI director James B. Comey’s new book is a takedown of President Trump. But not exclusively. In what we’ve seen so far of Comey’s telling of the 2016 campaign and aftermath, almost no one in the political world comes out clean.

That fact both lends Comey’s version of events more credibility and opens the door for both sides to focus on what, according to Comey, the other did wrong. And there’s plenty for both sides to point to on that front.

“What a world,” Comey says after a conversation in the fall of 2016 with President Barack Obama’s attorney general, Loretta E. Lynch, calling her “tortured” about how to deal with the Hillary Clinton email investigation. Comey also details how Senate Democrats blasted him for his handling of the Clinton probe. He even has words for Clinton for blaming him in part for her loss. The Washington Post’s Philip Rucker details this and more from the book, which is scheduled to be released Tuesday.

There were lots of reasons for Comey to be on the receiving end of each party’s worst instincts. Republicans were livid when he declined during the campaign to prosecute Clinton for using a private email server while secretary of state.

Democrats were annoyed he made a point to publicly call out Clinton for being “extremely careless” in her use of a private email account. Then they were furious when, 11 days before the election, Comey moved to reopen the entire email investigation. When it became clear on election night that the results were not going to work in their favor, Democratic leaders had a one-word answer: Comey. Nearly six months later, they were still blaming Comey and pressing him on his decision whenever they had a chance — both publicly and, as Comey shares in his new book, privately.

Things between Democrats and Comey got so bad that, when Trump abruptly fired him in May, he had reason to believe Democrats might cheer it.

They definitely didn’t. Democrats didn’t like what they believed Comey did to their presidential candidate, but they didn’t want to see him fired, either.

After that, it was pretty much Trump and his allies’ turn to be upset at Comey. Some congressional Republicans thought Comey was fired unfairly, but many backed Trump’s decision.

Then, a fired Comey shared with the world his contemporaneous notes of private meetings with Trump. In a sensational congressional hearing, Comey testified that he was pretty sure Trump inappropriately interfered in the FBI’s Russia investigation. And he made no secret of the fact that he thought the president was a liar.

Even then, when he was called before Congress to talk about why he thought the president fired him, Comey had tough words for Democrats. He testified that Lynch directed him not to call the Clinton email investigation an investigation but a “matter.”


Key moments from the former FBI director's testimony on his interactions with President Trump.
Perhaps the only politician who comes off well in the excerpts so far is Obama. Comey says Obama’s kindness in the aftermath of the Clinton investigation nearly brought him to tears. The Post's Rucker reports:
Comey writes that Obama sat alone with him in the Oval Office in late November and told him I picked you to be FBI director because of your integrity and your ability. I want you to know that nothing — nothing — has happened in the last year to change my view.”
On the verge of tears, Comey told Obama, “Boy, were those words I needed to hear . . . . I’m just trying to do the right thing.”
“I know,” Obama said. “I know.”
\
Comey also said Senate Minority Leader Charles E. Schumer (D-N.Y.) expressed empathy for the difficult decision he faced in reopening the investigation.

But for nearly everyone else, this book is Comey’s version of the unvarnished truth, which can pretty much be summed up like this: At one time or another, the former FBI director felt pressured by members of each party to shape an investigation in their favor.

In other words, politicians will probably see this book the same way they see everything: through their own, often self-serving, partisan lens.

Activists call protests over raped girl and teenager in India



Krishna N. DasRupam Jain-APRIL 13, 2018 

NEW DELHI (Reuters) - Activists called protests across India over the weekend, demanding justice for an eight-year-old Muslim girl who was gang-raped and murdered in the divided state of Kashmir, and another rape case in Uttar Pradesh involving a ruling party lawmaker.

Police said they were interviewing the BJP lawmaker on Friday in connection with the rape of a teenager, raising the political stakes as opposition groups joined rallies and vigils. The politician’s lawyer said he denied any wrongdoing.

“We are urging every rights group to seek public support and take to the streets across India, the guilty must be punished as soon as possible,” said Ramya Varshney, a member of Awaaz, a voluntary organization providing legal advice to rape victims.

Prime Minister Narendra Modi, under mounting pressure to do more to confront sexual violence, condemned the attacks, saying: “Crime against women shames the nation.

“I want to assure the nation that criminals will not be spared. Justice will be done,” he said.

The Muslim girl, Asifa, was found dead in a Hindu-dominated area of Jammu and Kashmir state in January. Anger erupted this week when details of her ordeal were released in a police charge sheet.

Underlining the political tensions over the case, some members of the ruling BJP party joined a rally organised by a hardline Hindu group earlier this week to show support for eight Hindu men accused of the crime, including a former bureaucrat and four police officers.


People shout slogans and hold placards during a protest against the rape of an eight-year-old girl, in Kathua, near Jammu and a teenager in Unnao, Uttar Pradesh state, in Mumbai, India April 13, 2018. REUTERS/Francis Mascarenhas

On Friday, two of those BJP members resigned amid mounting anger over the rally.

“Yet again we’ve failed as a society,” Bollywood actor Akshay Kumar said in a Twitter message.

“Can’t think straight as more chilling details on little Asifa’s case emerge...her innocent face refuses to leave me. Justice must be served, hard and fast!”

Amid fears the case could escalate unrest in Kashmir where security forces are battling a long-running insurgency, separatist leader Mirwaiz Umar Farooq vowed to launch a mass agitation if any attempt was made to shield culprits or sabotage investigations.

Thousands of Kashmiris joined street protests in Srinagar this week, following the death of four protesters in a clash with security forces.

People shout slogans and hold placards during a protest against the rape of an eight-year-old girl, in Kathua, near Jammu and a teenager in Unnao, Uttar Pradesh state, in Mumbai, India April 13, 2018. REUTERS/Francis Mascarenhas

“MY HEART HURTS”

In the second case, the Central Bureau of Investigation said began questioning a BJP member of the legislature of Uttar Pradesh on Friday over the rape of a teenager in June last year.

A spokesman for the CBI - which took over the case this week after the state’s police were criticised for not acting quicker - said the lawmaker, Kuldeep Singh Sengar, had not been arrested.

Sengar’s lawyer has said his client was innocent and the case was a conspiracy to harm his political career.

Opposition leader Rahul Gandhi held a candlelit vigil at midnight on Thursday at India Gate in New Delhi, the same site where thousands of people demonstrated in 2012 against a brutal gang-rape in the capital.

“Like millions of Indians, my heart hurts tonight,” Gandhi wrote on Twitter after addressing an estimated crowd of 5,000 people at the event. “India simply cannot continue to treat its women the way it does.”
Slideshow (8 Images)

Meenakshi Lekhi, a senior BJP leader, accused Gandhi’s Congress party and other opposition groups of “playing politics”.

Ministers have said justice will be done no matter who committed the crime, while defending the government’s record on fighting violence against women.

Maneka Gandhi, the minister for women and child development, said her ministry planned to propose the death penalty for the rape of children younger than 12. The maximum punishment now is life imprisonment.

India registered about 40,000 rape cases in 2016, up from 25,000 in 2012, government data show. Rights activists say thousands more go unreported.
Amnesty report shows less executions in 2017 but death penalty far from abolished




First They Came for the Rohingya

Other ethnic minorities will be Myanmar’s next victims.

Internally displaced people take shelter at the Tanai Kachin Baptist Church in Myanmar’s northern Kachin state in June 2017. (Hkun Lat)Internally displaced people take shelter at the Tanai Kachin Baptist Church in Myanmar’s northern Kachin state in June 2017. (Hkun Lat)

No automatic alt text available.
BY -
APRIL 9, 2018, 8:00 AM
In recent months, international media coverage of Myanmar has focused on the plight of the Rohingya people in the west of the country. And for good reason: Since August 2017, brutal army attacks on this Muslim ethnic minority have sent more than 750,000 people — 90 percent of the Rohingya population living in Rakhine state — fleeing over the border to Bangladesh, in what can only be described as a coordinated campaign of genocide.

The numbers are staggering, but the hate isn’t new: The Rohingya, one of the world’s largest stateless groups, have long been a favorite target for persecution by the country’s Buddhist central authorities. The Rohingya have a different religion, a different skin color, and speak a different language than most of their neighbors.

Yet their well-publicized tragedy has obscured a darker truth about Myanmar: The country is in the midst of one of the longest multifront civil wars in the world. Each facet of this conflict cleaves along ethnic or religious lines — often both. The assault on the Rohingya is thus far from Myanmar’s only active military campaign against a minority group. And as soon as the Rohingya are completely removed from the country, the military will be free to redeploy its resources elsewhere.

When that time comes, Myanmar’s remaining minorities are likely to experience similartreatment. Many of these groups have been in the military’s crosshairs for more than half a century. Yet the persecution to come will far exceed anything they’ve suffered before. The campaign against the Rohingya has radically expanded the military’s capacity for ethnic cleansing and, perhaps more importantly, seems to have emboldened it, as the bulkof the population appears to support the army’s aggression toward the group.

To understand why all these conflicts have endured for as long as they have and why they are accelerating now, consider Myanmar’s demographic and political dynamics. Sixty-eight percent of the country’s population is Bamar (ethnic Burmese). The Bamar are primarily concentrated around the Irrawaddy Valley, the country’s heartland. Myanmar is also 88 percent Buddhist, and the majority of that group adheres to the conservative Theravada doctrine.

Surrounding the Irrawaddy Valley are a range of border areas home to a plethora of ethnic and religious minorities — almost all of which have sought independence from the central government at one time or another since 1948, when Myanmar, then known as Burma, gained independence from the British.

These secessionist movements stem from the fact that, soon after independence, Bamar Theravada Buddhists won overwhelming control of the government and the military and soon stamped theirs as the official identity of the state. In the years that followed, as a succession of military dictatorships attempted to build a unified nation, they systematically marginalized and repressed religious and ethnic minorities using a variety of extremely heavy-handed measures.

Numerous groups were denied citizenship, saw their villages demolished, and had their marriage rights curtailed. Authorities in Rakhine state have limited the number of children Rohingya Muslims are allowed to have — typically a maximum of two, just below the population replacement rate.

In the past few years, skirmishes between the army and the secessionist movements have intensified once again as the federal army has found new resolve. In 2011, battles between Myanmar’s military and the separatist Kachin Independence Army in the country’s north displaced nearly 100,000 Kachin people. Seven years later, the displaced are still living ininternal refugee camps, with few prospects for rebuilding their lives. And in the last two years, the army has increasingly taken to shelling targets in or near the civilian camps and villages.

In nearby northern Shan state, the military and the Taang National Liberation Army recently reopened hostilities — a continuation of a conflict that dates back to 1963. Over the last nine years, fighting between the army and the nearby ethnic Kokang Myanmar National Democratic Alliance Army has sent tens of thousands of refugees over the border to China. To the south, the army has targeted Christians among the Karen people, driving more than 100,000 refugeeinto Thailand over the last couple of decades.

It’s not just such displacements that darkly echo the Rohingya situation. Kachin and Karen women have reported that the military has used rape against them as a form of repression, much like the mass rapes reported by Rohingya refugees.

Perhaps the most lamentable aspect of the current violence in Myanmar is that it is occurring during the country’s process of democratic transition. When the country elected a civilian government led by Aung San Suu Kyi in 2015, Western diplomats hoped she would curb the army’s excesses. Yet the opposite has happened: The violence has only accelerated.

The problem, it turns out, is that decades of government propaganda have inculcated deep prejudices among Myanmar’s voting public against non-Buddhists and non-Bamar people.

Radical Buddhist monks, and others who champion the so-called purity of the Buddhist state, dominate social media. Buddhist civil society groups advocating for Rohingya rights or the rights of Christian minorities are virtually nonexistent.

It should thus come as little surprise that the military has not been the only persecutor of the Rohingya. Their Buddhist neighbors have often taken the initiative themselves. Since 2012, civilians have committed a large share of the village burnings and violent acts.

The ongoing Rohingya genocide is the result of a confluence of factors: a hostile civilian public, the tragic complicity of Aung San Suu Kyi’s civilian government, and a lack of meaningful censure from outside parties and the international community. With all of these elements already in place, there is nothing to spare Myanmar’s other ethnic minorities from meeting a similar fate.

This article originally appeared in the April 2018 issue of Foreign Policy magazine.

Why some cancers are 'born to be bad'


CancerImage copyrightCRICK INSTITUTE

BBC
A groundbreaking study has uncovered why some patients' cancers are more deadly than others, despite appearing identical.

Francis Crick Institute scientists developed a way of analysing a cancer's history to predict its future.
The study on kidney cancer patients showed some tumours were "born to be bad" while others never became aggressive and may not need treating.

Cancer Research UK says the study could help patients get the best care.

"We don't really have tools to differentiate between those that need treatment and those that can be observed," said researcher and cancer doctor Samra Turajlic.

One cancer could kill quickly while a patient with a seemingly identical cancer could live for decades after treatment.

It means uncertainty for both the patient and the doctor.
Presentational grey line

Kidney cancer

Kidney
Image copyrightCRICK INSTITUTE
It is most common in people in their 60s and 70s. Symptoms include:
  • Blood in your pee
  • Persistent pain in the lower back or side
  • Sometimes a lump or swelling in your side
Presentational grey line
The work, published in three papers in the journal Cell, analysed kidney cancers in 100 patients.

The team at the Crick performed a sophisticated feat of genetics to work out the cancer's history.

It works like a paternity or ancestry test on steroids.

As cancers grow and evolve, they become more mutated and, eventually, different parts of the tumour start to mutate in different ways.

Researchers take dozens of samples from different parts of the same tumour and then work out how closely related they are.

It allows scientists to piece together the evolutionary history of the whole tumour.
"That also tells us where the tumour might be heading as well," said Dr Turajlic.

Chance to change care

The researchers were able to classify kidney cancer into one of three broad categories:
  • Born to be bad
  • Benign
  • Intermediate
The "born to be bad" tumours had rapid and extensive mutations and would grow so quickly they are likely to have spread round the body before they are even detected.

Surgery to remove the original tumour may delay the use of drugs that can slow the disease.
The benign tumours are at the complete opposite and are likely to grow so slowly they may never be a problem to patients and could just be monitored.

The intermediate tumours were likely to initially spread to just one other location in the body and could be treated with surgery.

Michael Malley
Image copyrightMICHAEL MALLEY
Michael Malley, 72, from London, took part in the trial at the Royal Marsden Hospital after being diagnosed with kidney cancer.

He said: "Clearly studies like these are really important for understanding how kidney cancer evolves over time, and I hope this one day leads to better treatments for patients like me."

There is still the challenge of figuring out how best to tailor treatments to each tumour type, and even how to perform such tests in a hospital rather than a research lab.

The tools used in this study are being investigated in other cancers, including lung cancer.

Dr Turajlic says: "We've no doubt they will be applicable to other types of cancer."

The studies also revealed that the earliest mutations that lead to kidney cancer were happening up to half a century before the cancer was detected.

Sir Harpal Kumar, the chief executive of Cancer Research UK, said the study was "groundbreaking".

He added: "For years we've grappled with the fact that patients with seemingly very similar diagnoses nevertheless have very different outcomes.

"We're learning from the history of these tumours to better predict the future.
"This is profoundly important because hopefully we can predict the path a cancer will take for each individual patient and that will drive us towards more personalised treatment."

Follow James on Twitter.

Thursday, April 12, 2018

TRACING THE ORIGINS OF ANTI-MUSLIM RIOTS IN SRI LANKA


Sri Lanka Brief12/04/2018

The Muslim community in Sri Lanka has been there for more than a thousand years.

But recently it’s been targeted by hardline Sinhalese Buddhists resulting in outbreaks of deadly violence.

Muslims comprise about nine percent of Sri Lanka’s population of 21 million. Buddhists make up about 70 percent and Hindus about 13 percent.

In the first of our special reports, Shamim Chowdhury traces the history of Sri Lanka’s Muslims and examines the reasons behind the current conflict.


Last month, the Sri Lankan city of Kandy witnessed a mob attack against Muslims that left one man dead and scores of houses and businesses destroyed.

TRT World obtained CCTV footage showing how the mob moved into the area and started looting businesses before smashing them up and setting them alight.

Residents in a nearby neighbourhood blame the police for inaction.

The violence in Kandy was triggered by an attack on a Buddhist truck driver, H.G Kumarasinghe, by four Muslim men after a traffic dispute on Feb. 22.

As Kumarasinghe lay in a coma, calls for retribution and anti-Islam polemics flooded social media and the government ordered the deployment of 1,000 members of the Special Task Force.
Rioting erupted after his funeral 11 days later.

In the second report of our series on Sri Lanka, TRT World’s Shamim Chowdhury met the families of the victims to hear their side of the story.



tatworld