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Russia Bombards Ukraine Cities and Accuses U.S. of ‘Economic War’

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Russian forces bombarded Ukrainian cities, prevented a whole lot of hundreds of civilians from escaping and destroyed a maternity hospital on Wednesday, whereas the Kremlin accused america of waging “an financial conflict” in opposition to Russia.

The distress wrought by Russia’s Ukraine invasion on Feb. 24 deepened additional in each international locations — destruction and deprivation in Ukraine, and the toll of the West’s tightening vise grip on Russia’s economic system.

Perilous circumstances had been getting worse in a number of Ukrainian cities the place Russian forces had been closing in, more and more hanging civilian targets and leaving individuals trapped with out fundamental wants like water, meals, warmth and medicines. Within the halting efforts to evacuate, hundreds of individuals had been capable of flee town of Sumy, however in different cities, for the fourth day in a row, Ukrainian officers stated that Russian shelling thwarted most makes an attempt to create secure corridors for escaping civilians.

Issues had been particularly dire within the southern port of Mariupol, the place Russian strikes hit a number of civilian buildings on Wednesday, together with a maternity hospital, sending bloodied pregnant girls fleeing into the chilly. A whole bunch of casualties have been reported, individuals have taken to reducing down timber to burn for warmth and cooking, trenches have been dug for mass graves and native authorities have instructed residents on find out how to eliminate useless relations — wrap the our bodies, tie the limbs and put them on the road.

On the defunct Chernobyl nuclear energy plant, seized by Russian troops within the days after President Vladimir V. Putin ordered the invasion, the skin electrical energy provide was minimize off, threatening the power to safeguard the nuclear waste saved there, the Worldwide Atomic Vitality Company stated. For now, the plant has backup energy and no radiation leaks have been detected, the company stated, however its warnings signaled that Chernobyl, web site of the worst nuclear accident in historical past, might as soon as once more pose a risk to the area.

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The international ministers of Ukraine and Russia had been anticipated to fulfill on Thursday for the primary time because the invasion. President Recep Tayyip Erdogan of Turkey, host of the assembly, stated Wednesday that he hoped it might “crack the door open to a everlasting cease-fire,” however such a prospect remained unsure at greatest.

Mr. Putin, looking for to regain Moscow’s misplaced sway over Ukraine, continued to demand that his neighbor unilaterally disarm and assure that it might by no means be a part of the NATO alliance, circumstances that Ukrainian and NATO officers have described as unacceptable.

The conflict has claimed hundreds of lives and prompted greater than two million individuals to depart Ukraine in lower than two weeks, one of many swiftest and largest refugee flows ever seen. The United Nations stated Wednesday that its screens had confirmed 516 civilian deaths and 908 accidents, acknowledging the figures had been likely too low, partly due to the shortcoming to rely casualties in and round southeastern cities, like Mariupol, the place preventing has been intense.

An estimated 5,000 to six,000 Russian troops have been killed throughout the two-week invasion, U.S. official stated on Wednesday, up sharply from an estimate of three,000 days in the past. The upper quantity displays fierce preventing up to now a number of days and up to date intelligence estimates. Specialists warning that casualty numbers are tough to evaluate, and numbers on either side have diverse extensively.

Russia has acknowledged solely a whole lot of navy deaths, whereas Ukrainian officers have stated the true numbers are within the hundreds on either side.

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U.S. intelligence companies say Mr. Putin has been annoyed by the gradual tempo of the navy advance and is prone to double down on utilizing brute pressure, which might imply way more destruction and far larger civilian casualties. Russian forces have stepped up rocket, artillery and air assaults on cities, hitting a rising variety of civilian targets; Ukrainian officers say the Kremlin, to date unable to win navy victory, is as a substitute making an attempt to destroy Ukrainian morale.

Hospitals just like the one in Mariupol have turn out to be exceedingly harmful locations to work or search care. The World Well being Group has verified not less than 18 assaults on Ukrainian well being amenities and well being employees, the group’s director, Dr. Tedros Adhanom Ghebreyesus, stated Wednesday.

Russia’s Protection Ministry acknowledged that conscripts had been despatched into battle in Ukraine, and that some had been taken prisoner, contradicting Mr. Putin’s pledge that conscripts “are usually not collaborating and won’t take part” in a conflict that he insists just isn’t a conflict. There have been widespread reviews of ill-prepared Russian troopers not realizing till the final minute that they had been to participate in an invasion.

To the shock of Russian leaders, Western governments and even some Ukrainian commanders, Kyiv’s forces have resisted tenaciously. Russia’s formidable navy had apparently not ready for an prolonged battle, anticipating a fast capitulation, and has run into repeated logistical issues.

Russia has despatched blended alerts on whether or not its goals have shifted. Over the weekend, Mr. Putin stated that continued resistance “referred to as into query the very way forward for Ukrainian statehood” — an particularly ominous warning from a pacesetter who has claimed that Ukraine is a phony nation and rightfully ought to be united with Russia.

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However on Wednesday, Maria Zakharova, spokeswoman for the Russian International Ministry, insisted that Russia doesn’t plan to “occupy Ukraine, destroy its statehood or overthrow its authorities.”

A day after President Biden prohibited vitality imports from Russia to america, the Kremlin spokesman, Dmitri Peskov, accused Washington, which has hit Russia with an escalating collection of sanctions, of declaring “an financial conflict” and informed reporters, “you see the bacchanalia, the hostile bacchanalia, which the West has sown.”

U.S. and European monetary penalties and restrictions are throttling banks and different companies in Russia and in Belarus, its ally, limiting the Russian authorities’s potential to make use of its monumental international forex reserves, and impeding hundreds of thousands of Russians from utilizing their bank cards, accessing their financial institution deposits or touring overseas. International property of rich people and companies allied with the Kremlin have been frozen. The European Union on Wednesday expanded the listing of instantly sanctioned individuals and organizations to just about 1,000.

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Score companies have sharply downgraded the Russian authorities’s credit score, signaling that it might be unable to pay collectors. Fitch Rankings warned on Tuesday that in its view, “default is imminent.”

A whole bunch of Western companies — producers, oil corporations, retailers and fast-food chains like McDonald’s — have suspended operations in Russia; Mr. Peskov stated Wednesday that he hoped the variety of Russians left unemployed by the exodus “wouldn’t be within the hundreds of thousands.” Russian lawmakers are contemplating nationalizing the property of international corporations that depart in response to the conflict.

The ruble has dropped to its lowest ranges in historical past — on Wednesday it traded round 130 to the greenback, in comparison with 76 every week earlier than the invasion. The Russian inventory market, which plummeted in response to the invasion and ensuing sanctions, has been closed by regulators because the following day.

Russia’s central financial institution, making an attempt to prop up the ruble’s worth, restricted withdrawals of international forex from Russian banks and prohibited banks from promoting international forex.

In Washington, leaders of Congress on Wednesday finalized a $13.6 billion bundle of navy and humanitarian help for Ukraine, because the Western powers continued to funnel weapons into the nation, and strengthen NATO defenses in international locations bordering Russia. Vice President Kamala Harris left for a three-day journey to Poland and Romania, the place she was to fulfill with a number of the NATO leaders who’ve to date maintained a remarkably united entrance on countering Russia.

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Britain stated it might ship greater than 3,600 antitank weapons to Ukraine, and the Pentagon introduced plans to place Patriot air protection missile batteries in Poland, relocating them from elsewhere in Europe. The allies have mentioned whether or not and find out how to provide warplanes to Ukraine.

However NATO members have persistently stated they’d not ship their very own navy forces into Ukraine, which might place them instantly right into a conflict with Russia, and for a similar cause they’ve refused Ukraine’s request that they implement a no-fly zone to deprive Russia of management of Ukrainian skies.

Reporting was contributed by Ivan Nechepurenko and Anton Troianovski from Istanbul; Valerie Hopkins and Marc Santora from Lviv, Ukraine; Andrew E. Kramer from Kyiv; Julian E. Barnes, David E. Sanger, Catie Edmondson and Eric Schmitt from Washington; Shashank Bengali and Matthew Mpoke Bigg from London; Matina Stevis-Gridneff from Brussels; and Mike Ives from Seoul.

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Use of Wegovy and other weight-loss drugs soars among kids and young adults

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Use of Wegovy and other weight-loss drugs soars among kids and young adults

At 17, Israel McKenzie was so burdened by obesity that he stopped going to high school in person and was embarrassed to speak to people at his restaurant job.

“I was in a really dark place,” says McKenzie, whose weight had climbed to 335 pounds on his 6-foot-1 frame, despite repeated efforts to diet and exercise. “I had given up hope.”

But last year, the weight-loss drug Wegovy helped him shed 110 pounds in nine months, making the rural Tennessee teen part of a surge of adolescents and young adults using diabetes and obesity medications known as GLP-1 receptor agonists, new research shows.

Even as millions of older adults clamor for drugs such as Ozempic and Wegovy, monthly use of the medications soared in people aged 12 to 25. That’s according to the new analysis of dispensing records from nearly 94% of U.S. retail pharmacies from 2020 to 2023.

The report, published in the journal JAMA on Wednesday, used the IQVIA prescription database to compile the first look at the national uptake of GLP-1 drugs among that age group. Nearly 31,000 children aged 12 to 17 and more than 162,000 people aged 18 to 25 used the medications in 2023 alone, said Dr. Joyce Lee, a University of Michigan pediatrician and diabetes expert who led the research.

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“What it’s suggesting is that it’s one of the tools in the toolbox and there are more providers prescribing this medication for the population,” she said.

The report shows that the number of 12- to 25-year-olds using any GLP-1 drug — including older medications first approved to treat diabetes in 2005 and for weight loss in 2014 — climbed from about 8,700 a month in 2020 to more than 60,000 a month in 2023, a nearly 600% increase. The rise occurred even as prescriptions of other drugs among those patients fell by about 3%.

Those who received the drugs were just a fraction of young people who struggle with obesity, Lee noted. About 20% of U.S. children and adolescents and about 42% of adults have the chronic disease, according to the U.S. Centers for Disease Control and Prevention.

In early 2023, the American Academy of Pediatrics recommended that children and teens with obesity be evaluated early and treated aggressively, including with surgery and medication if warranted.

McKenzie, the Tennessee teen, said he began gaining weight five years ago, during puberty.

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“I started turning to food for all of my problems,” he said.

The extra weight made his asthma worse and put him in danger of developing diabetes, his doctor said. He tried to follow medical advice by cutting out sugary soda and snack foods and exercising more, but the efforts failed to make a difference.

“My old doctor told me there was nothing he could do,” he said. “He told me it was my fault.”

In early 2023, McKenzie connected with Dr. Joani Jack, a pediatric obesity specialist at Children’s Hospital at Erlanger in Chattanooga, Tennessee, who regularly prescribes GLP-1 drugs for kids.

“I told him I’ve seen 10 other people just like you today and we have lots of tools and treatment options,” Jack said. Those typically include intensive behavioral and nutrition interventions combined with medication, if necessary.

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In McKenzie’s case, Jack prescribed the weight-loss drug Wegovy, which in late 2022 was approved for use in U.S. children over age 12. More than 6,000 kids in that age group received Wegovy in 2023, the new data show. More than 7,600 received Ozempic, which is approved to treat diabetes in adults, but can be used off-label in adolescents. Others received older GLP-1 drugs such as Saxenda and Trulicity.

McKenzie said he had no notable side effects from the medication, but Lee noted that some young people report nausea, vomiting or constipation, including symptoms so serious that they stop the drugs.

It’s important to understand the surging use of these medications in young people, Lee said. The drugs are meant for continuing use, so “we really need to think about the long-term safety and effectiveness of these medications for this population,” she said.

In addition, the drugs are expensive and often difficult to obtain, either because of supply problems or because they’re not covered by insurance.

Notably, government-run Medicaid plans paid for nearly half of the GLP-1 drugs prescribed to 12- to 17-year-olds and about a quarter of those used by people aged 18 to 25, the research found. Commercial insurance covered care for nearly 44% of the younger kids and about two-thirds of those who were older.

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Today, McKenzie says his asthma is better and he looks forward to interacting with co-workers and friends.

“I have a lot of self-confidence now, a lot more than I used to,” he said. “It has changed everything.”

___

The Associated Press Health and Science Department receives support from the Howard Hughes Medical Institute’s Science and Educational Media Group. The AP is solely responsible for all content.

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Indian government employee accused of directing foiled assassination plot can be extradited to US, court says

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Indian government employee accused of directing foiled assassination plot can be extradited to US, court says
  • A petition by an Indian man who attempted to avoid extradition to the U.S. has been rejected by the Czech Constitutional Court.
  • Nikhil Gupta is accused of directing a foiled plot to kill a Sikh separatist on American soil.
  • Gupta was arrested by Czech authorities in June last year when he traveled from India to Prague.

The Czech Constitutional Court rejected on Wednesday a petition by an Indian man trying to avoid extradition to the United States, which suspects him of involvement in an unsuccessful plot to kill a Sikh separatist on American soil.

A final decision on whether to extradite Nikhil Gupta will be made by Justice Minister Pavel Blazek.

The court said it ruled that lower courts had given due consideration to aspects that may prevent extradition, rejecting the complaint brought by Gupta. It also rejected arguments that the case was political.

“The Constitutional Court did not find any circumstance for which declaring extradition admissible would lead to a violation of any of the constitutionally guaranteed fundamental rights and freedoms,” the court said in a statement.

INDIAN GOVERNMENT EMPLOYEE ACCUSED OF DIRECTING FOILED ASSASSINATION PLOT OF SIKH ACTIVIST ON US SOIL

“For the complainant, this brings the proceedings before the Czech courts to an end.”

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Activists of the Dal Khalsa Sikh organization, a pro-Khalistan group, stage a demonstration demanding justice for Sikh separatist Hardeep Singh Nijjar, who was killed in June 2023 near Vancouver. The Czech Constitutional Court rejected on Wednesday a petition by an Indian man trying to avoid extradition to the United States, which suspects him of involvement in an unsuccessful plot to kill a Sikh separatist on American soil. (NARINDER NANU/AFP via Getty Images)

A spokesman for the Justice Ministry said Blazek would evaluate the decision before making a ruling on the extradition itself.

Gupta has been accused by U.S. federal prosecutors of working with an Indian government official on a plot to kill a New York City resident who advocated for a sovereign Sikh state in northern India.

Gupta was arrested by Czech authorities in June last year when he traveled from India to Prague.

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The Czech Republic has in the past agreed to U.S. extradition requests.

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Ombudsman probes Commission's senior staff 'revolving door'

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Ombudsman probes Commission's senior staff 'revolving door'

The move of an experienced senior official to a private law firm has prompted a probe by Emily O’Reilly, responsible for investigating suspected maladministration.

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The latest move of a senior European Commission antitrust official to a private law firm has prompted a probe by the EU’s Ombudsman, who is worried about conflicts of interest.

Revolving doors between the private and public sector can have a “corrosive effect” on public trust, fueling euroscepticism and undermining EU interests, said Emily O’Reilly, in a letter published today (22 May).

In an 8 May press release, law firm Paul, Weiss announced the hire of Henrik Morch, a director in the Commission’s antitrust arm with a 30-year career.

The New York-based law firm cited Morch’s “extensive experience” in handling merger cases as a benefit to the law firm’s clients – a perhaps unfortunate turn of phrase that raised particular hackles for O’Reilly.

“The clear impression is that the Commission has allowed one of its senior officials to work for a non-EU company that anticipates major benefits from that inside knowledge,” said O’Reilly, who investigates suspected maladministration in EU institutions.

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“As this move was not forbidden, the Commission should, without delay, publish the restrictions it has placed on the move,” added her letter, dated 17 May.

To make matters worse, she said, Paul, Weiss hasn’t been clear about its Brussels activities, and the Commission hasn’t said if it will impose any restrictions on Morch’s work with it.

O’Reilly called for the Commission to reform its practices in a probe which closed in 2022 – and which specifically concluded that officials from the competition directorate-general, DG COMP, should be banned from moving to work at private firms that work in related issues.

That followed a number of controversial hires, including the move of Carles Esteva Mosso, a deputy director-general at DG COMP, to become an antitrust partner at Latham & Watkins, and that of Adam Farkas, executive director of the EU’s banking agency, to lobby group the Association for Financial Markets in Europe.

Recent research by Transparency International, published just weeks before the bloc goes to the polls, shows that MEPs collectively earn millions of euros from jobs additional to their lawmaker salary.

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Those extra paid positions are permitted under current rules – but the lobby group cites concerns over conflicts of interest, particularly when MEPS work for company that lobby the EU.

Morch, the Commission and Paul, Weiss did not immediately respond to a request for comment.

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