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Death Toll passes 90 due to Massive US Bombing in Afghanistan

President Ashraf Ghani said Afghan and U.S. forces closely coordinated on the bombing, however his predecessor has strongly denounced the strike

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An Afghan security police walks at the destroyed house after an operation in Asad Khil near the site of a U.S. bombing in the Achin district of Jalalabad, east of Kabul, Afghanistan. VOA

Islamabad, April 15, 2017: Afghan officials say the number of militants known to have been killed by a huge U.S. bomb Thursday has nearly tripled.

Officials say at least 92 militants died in the blast – up from 36 reported Friday. The area is still being cleared, so the death toll may increase.

There is no indication any civilians or military personnel were among the dead.

President Ashraf Ghani said Afghan and U.S. forces closely coordinated on the bombing, however his predecessor has strongly denounced the strike and the United States.

Former Afghan President Hamid Karzai said Saturday he is unleashing a campaign to force U.S. forces out of his country for dropping the so-called “mother of all bombs” on Afghan soil, calling it a “barbaric” act that was more aimed at testing “a new weapon of mass destruction” than targeting Islamic State fighters.

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“I have decided as an individual to force America out of Afghanistan. Whether someone joins me or not, I have decided to prevent the American cruelty (against Afghans). They are not only killing our people but destroying the environment and disrespecting our honor,” Karzai told a gathering in Kabul.

Karzai’s criticism has been echoed by Hazrat Omar Zakhilwal, Afghanistan’s ambassador to Pakistan, who Tweeted, “I find the use of the largest non-nuclear bomb, the so-called “mother of all bombs,” on our soil reprehensible & counterproductive. If big bombs were the solution we would be the most secure place on earth today.”

The Afghan presidential palace responded to the criticism Saturday on it’s official Twitter account. “Every Afghan has the right to speak their mind. This is a country of free speech.”

And the country’s Minister for Security Reforms Amrullah Saleh defended Thursday’s strike.

“Destroying few notorious cave networks along with dozens of terrorists to save ANDSF (Afghan National Defense and Security Forces) personnel by dropping a MOAB (mother of all bombs) was a wise tactical decision,” Saleh, a former Afghan spy chief, said in a Twitter post.

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U.S. forces dropped the GBU-43 Massive Ordinance Air Blast, a nine-meter giant weighing about 10 tons, on the Achin district of Nangarhar province Thursday night. The strike was described as part of a campaign to destroy the Islamic State Khorasan Province group, the local chapter of IS.

General John Nicholson, the top U.S. military commander in Afghanistan, said Friday his forces had coordinated the attack with the Afghan government, “just as we have since we started these operations in early March.”

Nicholson said circumstances on the ground justified the use of the most powerful non-nuclear weapon ever used by the U.S. military.

“This munition, this weapon, was the right weapon against this target,” he said. “The enemy had created bunkers, tunnels, and extensive minefields and this weapon was used to reduce those obstacles so that we could continue our offensive into southern Nangarhar.”

U.S. President Donald Trump was asked Thursday whether the attack was intended to send a message to North Korean leader Kim Jong Un, who is reportedly poised to conduct a new nuclear weapons test as early as this weekend. But Nicholson insisted the decision was based solely on the analysis of conditions in Nangarhar.

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“It was the right time to use it tactically, against the right target on the battlefield,” he said.

Nicholson said the operation against IS in Nangahar has liberated more than 400 square kilometers since its inception.
-VOA

Next Story

United States Faces a Massive Shortage of Health Care Professionals

One-third of currently active doctors in the country will reach retirement age

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United States, Health Care Professionals
For those looking to find opportunity in the United States, while helping fill a critical shortage, obstacles remain. Pixabay

Roberta Boltz keeps her doors unlocked at night. The former coal mine worker says it is just one perk of living in the small Pennsylvania town of Hegins.

But last Christmas morning, she had her first epileptic seizure, and her only worry about rural life took center stage: access to health care. There is no hospital in her community of 812 residents, and she says she does not trust the one closest to her.

“I’ve heard people say they wouldn’t send their dog to that hospital,” Boltz said. “They’re so understaffed.”

Seated upright in a platinum nightgown, with gauze covering her thin forehead, Boltz recently made the one-hour commute to Danville, Pennsylvania’s, eight-story, 559-bed Geisinger Medical Center to receive care, as she has done during several critical life moments. Geisinger treated her son’s Crohn’s disease when he was a child, and more recently, after her husband suffered a heart attack.

United States, Health Care Professionals
A resident of Danville, Pennsylvania crosses Mill Street, one of the town’s main roads. VOA

Located beside a 300-acre forest, Danville is not much more urban than Hegins. With a population of 4,631, it could not by itself support a hospital this size that serves all of central Pennsylvania and has grappled with its own issue of filling medical staff positions.

Geisinger has tried to solve its own staffing problem by hiring immigrants from Jamaica, India, the Philippines, South Korea, Kenya, Cameroon, Nigeria, Ghana and others — many of whom have come to live in a borough (town) that is 94% white.

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In interviews with VOA, Geisinger staff referred to the nursing shortage crisis as one of its biggest supply-and-demand challenges. Despite being the region’s “employer of choice,” they say local talent recruitment alone has fallen short of their needs.

Big shortage

The entire United States faces a massive shortage of health care professionals over the next decade, including up to 120,000 physicians by 2030. One-third of currently active doctors in the country will reach retirement age during that span.

Unless the health care workforce gap is addressed, rural areas are likely to bear the brunt of its effects, says Andrew Lim, director of quantitative research at New American Economy, a bipartisan research organization.

“If you look at urban areas, there are over 200 doctors per 100,000 people. But if you look at rural counties, the number of doctors to go around is much less — something like 82 for every 100,000,” Lim told VOA.

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Geisinger Medical Center employs 6,200 employees, more than doubling the size of Danville, Pennsylvania when fully staffed. VOA

The population of Danville more than doubles when Geisinger — with its 6,200 employees — is fully staffed. Among the workers: 415 internationally trained physicians and 57 foreign-born registered nurses.

“Not only is Geisinger trying to recruit (international nurses), many other health systems are,” Julene Campion, vice president of human resources at Geisinger, told VOA. “We could probably use another 100 easily (across the Geisinger network), but there aren’t enough available.”

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“We’ve outgrown our ability to supply,” added Crystal Muthler, Geisinger’s vice president of nursing — a 30-year veteran.

The community’s needs, combined with an aging workforce, she says, are ultimately what led Geisinger to reevaluate its staffing model and implement an international nurse initiative in 2018.

“We have to look at how we attract people to the area,” Muthler said.

According to U.S. Bureau of Labor statistics, health care is projected to be the largest-growing sector of new job creation over the next decade, accounting for more than 1.3 million new jobs, roughly one-third of them for registered nurses.

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Jamaica-native Hemoy Drummond brings 13 years of nursing experience to Danville, Pennsylvania. VOA

But for those looking to find opportunity in the United States, while helping fill a critical shortage, obstacles remain.

Doctors have been impacted by the Trump administration’s travel ban, while some health aides and nursing assistants could be barred from getting a green card.

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It is unclear whether Trump’s new immigration plan, announced on May 16, will help health care staffing. The merit-based system would favor immigrants who fall into broad “high-skill” categories, including “professional and specialized vocations,” at the cost of family-based and humanitarian immigrant visas.

‘Kindness is my language’

Even now, foreign-born health care professionals represent more than their share of the overall U.S. population; 14.7% of nurses and 22.7% of health aides are immigrants, according to NAE, compared to 13.7% of the population as a whole.

Thirty-five-year-old Hemoy Drummond, a recent Geisinger hire from Jamaica, has an EB-3 employment-based immigrant visa. She has 13 years of experience as a registered nurse.

 

“I was very nervous. It was a new setting, new expectations,” Drummond said. “But when I got here, I realized that people are kind. … I said, ‘That’s my language.'”

United States, Health Care Professionals
Hemoy Drummond says her two daughters, ages 9 and 4, have quickly adapted to a new lifestyle in rural Pennsylvania. VOA

Danville, with its lush hillsides and nearby cornfields, reminds her of the sugar cane fields her father harvested in her native Clarkstown, Jamaica. Her community is safe. The mother of two can walk home alone after a late shift.

The nursing work is easier in Danville than in a short-staffed Montego Bay hospital.

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“It’s easier to care for four to six (patients at Geisinger) than 18 (in Jamaica),” Drummond said. “I love to talk with (patients) that extra minute.”

Willing to stay

In town, locals generally welcome — or at least tolerate — their new international neighbors.

“They’re magnificent!” remarked one woman on Danville’s Mill Street. “We’d be stupid not to let them into our country.”

Two hours southeast of Danville, along the Susquehanna River in Chambersburg, Pennsylvania, views are more mixed. A foreign-born doctor described Chambersburg as “where blue meets red.”

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Dr. Raghav Tirupathi, an India-native physician, speaks with patient Elizabeth Jobes in Chambersburg, Pennsylvania. VOA

Yet Chambersburg Hospital, too, has been trying to solve its health care staffing problems with immigrants.

In Chambersburg, population 20,878, VOA spoke with 10 foreign-born doctors from India, Pakistan, Bangladesh, Nigeria, Poland and Hungary. Nine of them expressed a willingness to remain in rural Pennsylvania long term, including Indian physicians affected by a per-country green card backlog that has placed their families’ future in limbo.

​U.S.-born physicians do not want to go to Chambersburg, much less stay, explained Dr. Golam Mostofa, chairman of the department of hospital medicine at Chambersburg Hospital.

“Fifty percent of our hospital medicine physicians are foreign graduates,” Mostofa said. “If we interview 10 American graduates, maybe one shows up.”

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Dr. Muhammad Khokhar, a gastroenterologist from Lahore, Pakistan, has been in Chambersburg for 16 years. He remains committed to the town, even after his sixth grade daughter’s classmates at a Montessori school accused her of making bombs.

“(When) you have invested so much in the community, and you have built up relationships with your partners and the practice, it’s difficult,” Khokhar said.

“I’m here,” he added. “This is my retirement place.” (VOA)