Archive for September, 2014

The Kurds and the Israelis are our only allies in the middle east.

Wednesday, September 24th, 2014

The growth of terrorist state ISIS has taken all the attention lately. This is just a resurgence of al Qeada in the vacuum left by Obama’s withdrawal of all US troops. Maybe, if we had kept a significant force in Iraq, something could be saved of all we bought at such terrible cost. Now, it is too late.

We do have allies worth helping but they are not in the Iraqi government. It is Shia dominated and dependent on Iran for support. They have alienated the Sunnis and the growth of ISIS is the result. We still have the Kurds as allies and they know we were their only hope in 1993. Jay Garner did a great job working with them once we decided to protect them after the First Gulf War. I have never understood why he was dismissed by George W Bush.

The Kurds have been an embarrassment for us for decades in the middle east because they occupy parts of three nations two of which were at one time our allies.

contemporarykurdistanmap2005

Kurdistan includes parts of Iraq, Turkey and Iran. They have never had a modern nation and the neighbors are enemies. Only the mountains have protected them. Now, it is time we did something. Iran is certainly no friend. Iraq has dissolved and it is time to allow it to be broken up into the Sunni, Shia and Kurdish provinces it should be. Turkey is increasingly Islamist and has not been an ally at least since 2003 when they blocked our 4th Infantry Division from invading Iraq from the north.

The 4th was initially ordered to deploy in January 2003 before the war began, but did not arrive in Kuwait until late March. The delay was caused by the inability of the United States and Turkey to reach an agreement over using Turkish military bases to gain access to northern Iraq, where the division was originally planned to be located. Units from the division began crossing into Iraq on April 12, 2003.

The Kurds know this is their opportunity and Dexter Filkins piece in the New Yorker makes this clear.

The incursion of ISIS presents the Kurds with both opportunity and risk. In June, the ISIS army swept out of the Syrian desert and into Mosul, Iraq’s second-largest city. As the Islamist forces took control, Iraqi Army soldiers fled, setting off a military collapse through the region. The Kurds, taking advantage of the chaos, seized huge tracts of territory that had been claimed by both Kurdistan and the government in Baghdad. With the newly acquired land, the political climate for independence seemed promising. The region was also finding new economic strength; vast reserves of oil have been discovered there in the past decade. In July, President Barzani asked the Kurdish parliament to begin preparations for a vote on self-rule. “The time has come to decide our fate, and we should not wait for other people to decide it for us,” Barzani said.

The Kurds were surprised and routed by ISIS mostly due to limited weapons and ammunition. We could supply the deficit but Obama seems to be oblivious to the true situation. The Iraqi Army will not fight, a characteristic of all Arab armies. To the degree that the Iraqi army is Shia led, the Sunni Arabs will not cooperate or will join the enemy.

The present situation in Kurdistan is desperate.

Erbil has changed a lot since I was there last. In early 2013, on my way into Syrian Kurdistan, I had stopped off in the city for a few days to make preparations. Then, the city had the feel of a boom town – shopping malls springing up across the skyline, brand new SUVs on the road, Exxon Mobil and Total were coming to town. It was the safest part of Iraq, an official of the Kurdish Regional Government had told me proudly over dinner in a garden restaurant.

A new kind of Middle East city.

What a difference a year makes. Now, Erbil is a city under siege. The closest lines of the Islamic State (IS) forces are 45 kilometers away. At the distant frontlines, IS (formerly ISIS) is dug in, its vehicles visible, waiting and glowering in the desert heat. The Kurdish Peshmerga forces are a few hundred meters away in positions hastily cut out of the sand to face the advancing jihadi fighters.

The problem and a solution are both clear. Obama is not serious about doing anything in Iraq or Syria and the Kurds may have to fend for themselves. Interesting enough, there are Jewish Kurds. Israel may have more at stake here than we do. We are an unreliable ally with an anti-Israel president and party in contra, right now.

The phrase “Kurds have no friends but the mountains” was coined by Mullah Mustafa Barzani, the great and undisputed leader of the Kurdish people who fought all his life for Kurdish independence, and who was the first leader of the Kurdish autonomous region. His son, Massoud Barzani, is the current president of Iraqi Kurdistan. Other family members hold key positions in the government.

Barzani1Barzani

Perhaps the Israelis and Kurds can work out an alliance. The US, under Obama, is untrustworthy. We will see what happens.

The Yazidi minority we hear about in the news is not the only Kurdish minority. The Jews of Kurdistan, for example, maintained the traditions of ancient Judaism from the days of the Babylonian exile and the First Temple: they carried on the tradition of teaching the Oral Torah, and Aramaic remained the principal tongue of some in the Jewish Kurdish community since the Talmudic period. They preserved the legacy of the last prophets — whose grave markers constituted a significant part of community life — including the tomb of the prophet Jonah in Mosul, the prophet Nahum in Elkosh and the prophet Daniel in Kirkuk. When the vast majority of Kurdish Jews immigrated to Israel and adopted Hebrew as their first language, Aramaic ceased to exist as a living, spoken language. Although our grandparents’ generation still speaks it, along with a few Christian communities in Kurdistan, Aramaic has been declared a dead language by the academic world.

Israel might be an answer to the Kurds’ dilemma.

Is Ebola airborne ?

Saturday, September 13th, 2014

Ebola has become an uncontrolled epidemic in Africa. I have previously posted on Ebola elsewhere.

UPDATE: There is now a conclusion that Liberia and Sierra Leone are lost.

But Jonas Schmidt-Chanasit of the Bernhard Nocht Institute for Tropical Medicine in Hamburg told DW that he is losing hope, that Sierra Leone and Liberia will receive the neccessary aid in time. Those are two of the countries worst hit by the recent Ebola epidemic.
“The right time to get this epidemic under control in these countries has been missed,” he said. That time was May and June. “Now it will be much more difficult.”
Schmidt-Chanasit expects the virus will “become endemic” in this part of the world, if no massive assistence arrives.

This is from a German source. Our own CDC will not yet say this.

In the balance therefore, the probability is that the virus is not airborne — yet — but it is more dangerous than its predecessors. This would account for its ability to slip through the protocols designed for less deadly strains of the disease. It’s not World War E time, but it’s time to worry.

And: This may be a new strain with more virulence.

The results of full genetic sequencing suggest that the outbreak in Guinea isn’t related to others that have occurred elsewhere in Africa, according to an international team that published its findings online in the New England Journal of Medicine (NEJM). That report was from April 2014.

Now, we have more news. From 2012, we know transmission in animals may be airborne.

While primates develop systemic infection associated with immune dysregulation resulting in severe hemorrhagic fever, the EBOV infection in swine affects mainly respiratory tract, implicating a potential for airborne transmission of ZEBOV2, 6. Contact exposure is considered to be the most important route of infection with EBOV in primates7, although there are reports suggesting or suspecting aerosol transmission of EBOV from NHP to NHP8, 9, 10, or in humans based on epidemiological observations11. The present study was design to evaluate EBOV transmission from experimentally infected piglets to NHPs without direct contact.

The study of this potential explosive development showed:

The present study provides evidence that infected pigs can efficiently transmit ZEBOV to NHPs in conditions resembling farm setting. Our findings support the hypothesis that airborne transmission may contribute to ZEBOV spread, specifically from pigs to primates, and may need to be considered in assessing transmission from animals to humans in general.

Now we have more articles appearing about this.

The second possibility is one that virologists are loath to discuss openly but are definitely considering in private: that an Ebola virus could mutate to become transmissible through the air. You can now get Ebola only through direct contact with bodily fluids. But viruses like Ebola are notoriously sloppy in replicating, meaning the virus entering one person may be genetically different from the virus entering the next. The current Ebola virus’s hyper-evolution is unprecedented; there has been more human-to-human transmission in the past four months than most likely occurred in the last 500 to 1,000 years. Each new infection represents trillions of throws of the genetic dice.

If the New York Times is publishing this, somebody is worried.

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The future of the middle east

Tuesday, September 9th, 2014

The rise of ISIS seems to have caught the attention of hitherto oblivious segments of the US public. Cutting off the heads of western journalists seems to do that. What we are seeing is the total collapse of civilization in that part of the world.

That is what civilizational decline looks like in real time. The roots of the crisis were visible four years ago before the so-called Arab Spring beguiled the foreign policy wonks. Hundreds of thousands of displaced Syrian farmers already were living in tent camps around Syrian cities before the Syrian civil war began in April 2011. Israeli analysts knew this. In March 2011 Paul Rivlin of Tel Aviv University released a study of the collapse of Syrian agriculture, widely cited in Arab media but unmentioned in the English language press (except my essay on the topic).

The Syrian food crisis had a lot to do with the collapse of Syria.

In response to the Tunisian and Egyptian uprisings, President Assad reduced taxes on oil and sugar, and cut import tariffs on basic foodstuffs. This action had unintended consequences. A blogger on the Syrian website sy-weather.com reports, “I spent fifteen days on formalities to reduce customs duties on some basic food items, but I have not seen a glimmer of hope on the horizon. This was supposed to reduce the prices of the targeted goods. On the contrary, a liter of oil that sold for 65 Syrian pounds [US$1.38] now sells for 85 pounds.” That’s an increase of 30% over the month. Other bloggers report that the prices of basic foodstuffs have risen by 25% to 30%.

This has resulted in the presence of 14 million refugees with no hope of relief.

When I wrote in 2011 that Islam was dying, this was precisely what I forecast. You can’t unscramble this egg. The international organizations, Bill Clinton, George Soros and other people of that ilk will draw up plans, propose funding, hold conferences and publish studies, to no avail. The raw despair of millions of people ripped out of the cocoon of traditional society, bereft of ties of kinship and custom, will feed the meatgrinder. Terrorist organizations that were hitherto less flamboyant (“moderate” is a misdesignation), e.g. the Muslim Brotherhood (and its Palestine branch Hamas), will compete with the caliphate for the loyalties of enraged young people. The delusion about Muslim democracy that afflicted utopians of both parties is now inoperative. War will end when the pool of prospective fighters has been exhausted.

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Maynard Brandsma

Tuesday, September 2nd, 2014

I was just thinking tonight about an amazing character I knew years ago. In 1972, I moved to Mission Viejo and began a surgical practice at Mission Hospital, now known as Mission Medical Center. When I arrived in December of 1972, I met an internist who had an amazing career and personal history. He was born in Holland and during World War II was supposedly a fighter pilot in the Dutch Air Force in what is now Indonesia. At the time it was the Dutch East Indies. He was also a physician at the time and was chief of staff at the hospital in Indonesia where another physician friend, Sergei Lockareff was born.

Maynard practiced as a physician in Santa Monica and was the personal physician for a number of movie stars, including Humphrey Bogart, Greer Garson and Carole Landis.

Life seemed very good indeed. But Bogie came home one day and told me that he’d run into an old co-star, Greer Garson.
Over lunch, she’d announced that she didn’t like the sound of his cough, and dragged him to see her doctor, Maynard Brandsma, at the Beverly Hills Clinic.

I was so used to Bogie’s cough that I never paid too much attention. He’d been off his food a little, but that wasn’t unusual. I should have realised at once that the mere fact that he’d consented to go with Greer to a doctor was indicative of something serious. Any time I’d ever mentioned a doctor to him, Bogie bristled.

Maynard discovered Bogart’s esophageal cancer and cared for him during that illness. Another physician friend, Burt Meyer, was the surgeon who operated on Bogart and who later said that the cancer was so small that he would never operate on another. If he couldn’t cure that one, there was none he could cure. Burt operated on John Wayne for his lung cancer with better luck.

Maynard was the physician who examined and treated the wife of David Niven for her fatal head injury, suffered when she fell down a flight of stairs in the dark at a Hollywood party.

When I came to Mission, Maynard had been there for several years. He had moved to Mission Viejo after marrying his second wife Mickie. He was active in practice and was kind of intimidating to a new surgeon. By that time, he was 65 years old but still very active. I remember that he tried to get me to join the Coto de Caza gun club, which was abruptly closed by the developer in 1991. At the time that Maynard was a member there was good quail shooting there but I couldn’t afford it.

He was quite the character. One night his telephone did not answer and the hospital asked the sheriffs to go to his house and let him know it was pout of order and they were trying to reach him. They knocked on his door at 3 AM and he came to the door with a .45 automatic held behind his back. Things were far less tense with the police in those days and they thought nothing of it.

The hospital was quite small at the time and Maynard was seeking a second career and life with his new wife. His career at St John’s Hospital in Santa Monica was spectacular in that he had been chief of staff and had a Hollywood practice, as well. One of his patients was John Ford and he made the diagnosis of Ford’s colon cancer that ultimately killed him.

Maynard was a good physician and continued to practice for a number of years after my arrival. Eventually, he and Mickie moved away and they are buried in Montana. He was a very colorful character and I remember him fondly.