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                                                                                         WORLD NEWS Thursday 12 March 2020
            U.S. heart surgeon treats children lacking care in Libya’s war




            By  MSTYSLAV  CHERNOV                                                                                               dren  with  heart  problems
            and FELIPE DANA                                                                                                     the  care  they  need,  no
            Associated Press                                                                                                    matter where they're born.
            TRIPOLI,  Libya  (AP)  —  Ya-                                                                                       While still a resident, Novick
            zan,  a  1-year-old  Libyan                                                                                         began  recruiting  experts
            boy,  was  born  with  con-                                                                                         to  help  him  trek  to  places
            genital heart disease. With                                                                                         where  treatable  heart  dis-
            just  one  chamber,  the  or-                                                                                       ease means death due to
            gan pumped so little blood                                                                                          a  shortage  of  specialists
            that when Yazan cried, his                                                                                          and other restrictions.
            skin  turned  black.  Without                                                                                       Over nearly three decades,
            surgery,  he  would  not  sur-                                                                                      Novick  and  his  colleagues
            vive.  But  Yazan's  country,                                                                                       have  made  hundreds  of
            Libya,  has  only  one  heart                                                                                       trips to 32 countries includ-
            surgeon who can't possibly                                                                                          ing  Ukraine,  Nigeria,  Iraq,
            perform  surgeries  on  1,200                                                                                       Iran and Columbia.
            or  so  infants  born  every                                                                                        Novick's  Libya  team  in
            year with heart defects. Of                                                                                         February  consisted  of  20
            those,  typically  some  150                                                                                        volunteers:   cardiologists,
            are in dire need of surgery                                                                                         surgeons,  nurses  and  an-
            and  die  in  their  first  year,                                                                                   esthesiologists.  The  Associ-
            said  William  Novick,  an                                                                                          ated  Press  accompanied
            American  pediatric  cardi-                                                                                         them  as  they  performed
            ac surgeon.                                                                                                         10  complex  open-heart
            His  international  team  of   Yazan, 1, sits with his mother before his heart surgery at the Tajoura National Heart Center in Tripoli,   surgeries  in  the  country's
            experts, part of the Novick   Libya, on Feb. 27, 2020.                                                              west. The group flies home
            Cardiac Alliance, regularly                                                                        Associated Press   from Tripoli next week after
            flies  into  Libya  to  perform  from  control  of  the  weak  like  before,"  said  Yazan's  tiny  body  covered  in  ban-  completing  dozens  more
            surgery on patients like Ya-  U.N.-backed  government.  father, Im Saleh Mohamed  dages and tubes, to tell his  operations.
            zan.                         The fierce round of fighting  Abudulfetah.                parents the news. They ex-   Political power in Libya to-
            "To me this is simply an un-  has killed hundreds of civil-  On Feb. 26, Yazan's perilous  pected  Yazan  to  recover  day  is  divided  between
            acceptable  situation  that  ians,  including  at  least  13  trek  culminated  in  a  five-  well,  and  with  a  follow-up  the  two  rival  governments
            needs  our  attention,"  said  children since mid-January.  hour  surgery.  Yazan  is  one  operation, live a normal life.  in the east and west of the
            Novick,  who  lives  in  Mem-  Novick's team was the best,  of  1,000  children  treated  Under  the  fluorescent  light  country  and  a  patchwork
            phis, Tennessee.             and perhaps last, hope for  by  Novick's  group  since  it  of  the  intensive  care  unit,  of  armed  groups  and  for-
            The medical trips help prop  Yazan.  But  that  meant  his  first came to Libya after the  Abudulfetah  touched  his  eign countries that support
            up  Libya's  fragile  health  family had to travel to the  2011 uprising.              baby's  soft  hair,  murmur-  either administration.
            care  system,  which  the  most  dangerous  place  in  In  the  operating  room,  ing  words  of  prayer.  Ya-      "We're on both sides of the
            World  Health  Organization  the  war-ravaged  country  Novick and his team chat-      zan's belly rose and fell with  conflict zone," said Novick.
            has  described  as  overbur-  — the capital Tripoli, where  ted  calmly  as  they  cut  steady  breath.  His  cheeks  "And that is a specific goal
            dened, inefficient and short  the  Tajoura  National  Heart  open  Yazan's  chest.  They  were even flushed a subtle  of ours, to be apolitical and
            of  medicine  and  equip-    Center is located.           sewed  together  two  large  pink.                        help the children."
            ment.                        Yazan's  odyssey  from  his  veins  carrying  blood  from  As  a  young  medical  resi-  Novick's  group  not  only
            Libya  has  been  plunged  small  desert  hometown  Yazan's  head  and  con-           dent  at  the  University  of  drops in a few times a year,
            into  chaos  since  2011,  barely  skirted  the  war's  nected them to his pulmo-      Alabama, Novick, now 66,  but also trains Libyan doc-
            when  a  civil  war  toppled  front  lines.  With  key  high-  nary  artery.  That  sent  oxy-  witnessed  the  suffering  of  tors and nurses to build up
            longtime  dictator  Moam-    ways  blocked  because  of  genated  blood  straight  to  children  with  congenital  the country's critical health
            mar  Gadhafi,  who  was  fighting,  his  family  took  a  his lungs.                   heart disease and the stag-  care system.
            later  killed.  Eastern-based  1,500-kilometer  (932-mile)  Eventually, exhausted nurs-  gering  disparities  in  health  "We're not going to be here
            opposition forces attacked  detour.                       es  wheeled  Yazan  out  of  services.  He  became  de-   forever  and  we  shouldn't
            Tripoli last spring to wrest it  "You  can't  come  to  Tripoli  the  operating  theater,  his  termined to try to give chil-  be here forever," he said.q


            Palestinians: 15-year-old killed in clash with Israeli army



            Associated Press                                estinian witnesses said the Israeli military arrived  Now  said  late  last  month  that  Israel  is  mov-
            JERUSALEM (AP) — The Palestinian health min-    to disperse the protest, and the protesters be-  ing forward on plans to build more than 1,700
            istry on Wednesday said Israeli troops shot and  gan hurling stones at the soldiers. The witnesses  homes for settlers in the West Bank.
            killed a 15-year-old boy during clashes near the  said the Israeli forces responded with tear gas  The  approvals  came  weeks  after  the  Trump
            West Bank city of Nablus.                       and rubber-coated bullets.                      administration  unveiled  its  long-anticipated
            The  ministry  says  Mohammed  Hamayel  was  The health ministry, however, said the deceased  Mideast plan, which sides with Israel on many
            shot in the head by a live bullet during confron-  was struck by a live bullet.                 of the Israeli-Palestinian conflict's main points of
            tations with Israeli soldiers in the village of Beita  Clashes often erupt in the Israeli-occupied West  contention. It envisions Israel annexing parts of
            and died in a hospital shortly after.           Bank  between  Palestinian  protesters  and  the  the West Bank, including its 120 settlements and
            The  Israeli  military  said  it  was  responding  to  a  Israeli  military,  which  typically  uses  non-lethal  the 500,000 settlers who live there. It falls short
            "violent riot" of some 500 Palestinians, many of  means to disperse the crowds.                 of  granting  the  Palestinians  a  state,  offering
            whom hurled rocks at Israeli troops and set tires  Israel  captured  in  the  West  Bank  in  the  1967  them limited autonomy over disjointed chunks
            on fire. It said it was reviewing the incident.  Mideast war along with east Jerusalem and the  of land but only if they meet a set of stringent
            Palestinians said they were protesting at the site  Gaza  Strip,  territories  the  Palestinians  want  for  demands that would require them to drastically
            in response to what they called an Israeli plan  their future state.                            alter what has been their baseline for negotia-
            to confiscate land for nearby settlements. Pal-  The Israeli settlement watchdog group Peace  tions for decades.q
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