Showing posts with label global problems. Show all posts
Showing posts with label global problems. Show all posts

Apr 14, 2011

Global stillbirths: 2.6 million a year, overlooked and often preventable

Entanglement of cord in twin pregnancy at the ...Image via Wikipedia
By David Brown, Wednesday, April 13, 10:41 PM

About 2.6 million babies are born dead each year, a largely ignored and silently grieved loss of life, about half of which could be prevented.

That’s the conclusion of a huge project unveiled Wednesday to enumerate stillbirths country by country and propose ways to reduce them.

Today, there are more stillbirths each year than deaths from AIDS or malaria combined. The stillbirth rate in sub-Saharan Africa is 10 times that of the industrialized world and equivalent to what existed in the United States in 1900. In many places, stillbirths aren’t reported to health authorities or counted as deaths.

Stillbirth is a big problem, and it hasn’t been on the global agenda before. We hear a lot about ‘overlooked problems,’ but this is genuinely one,” said Joy E. Lawn, a physician who works in Cape Town, South Africa, and helped lead the effort that produced eight papers published online by the Lancet, a European medical journal.

Historically, the medical community has viewed stillbirth deaths as both less tragic and less preventable than deaths of mothers or children.

“I think what we’ve ignored in that argument is what the families think. The families don’t discount those losses,” she said.

About 98 percent of stillbirths — most commonly defined as death in the final trimester of gestation — occur in the developing world. Ten countries account for two-thirds of them, and two-thirds occur in rural families.

The global rate is 19 deaths per 1,000 births. Finland and Singapore have the lowest stillbirth rates, two per 1,000. Pakistan and Nigeria have the highest, at 46 and 42 per 1,000. The United States ranks 17th out of 193 countries, with three per 1,000.

The list of problems that cause babies to die before taking their first breath is long. The most weighty are problems during delivery; infections in the womb; illnesses in the mother, such as hypertension and diabetes; inadequate growth of the fetus (usually because of problems with the placenta, which provides oxygen and nutrients); and genetic abnormalities.

In the last few years, maternal- and child-health issues have returned to global health’s center stage, dominated for the past decade by AIDS. The Obama administration’s six-year, $63 billion Global Health Initiative will spend about 15 percent of its money on efforts to save mothers and newborns, and for reproductive and family planning services — all of which will also help prevent stillbirths.

The stillbirth rate in the last 15 years, however, has fallen only about half as much as maternal and child death rates, suggesting to many experts it needs to be specifically targeted.

Simple efforts would prevent some stillbirths. Screening pregnant women for syphilis and treating them — recommended almost everywhere, but overlooked in many places — would prevent 136,000 stillbirths. Folic acid supplements before conception would prevent 27,000. Providing insecticide-treated mosquito nets to women in malaria-endemic areas would prevent 35,000.

What’s most needed, however, is a way to assure that a pregnant woman can get a Caesarean section if she needs one. Worldwide, about 45 percent of stillbirths occur during delivery.

The World Health Organization estimates that for optimal protection of mother and baby, about 15 percent of all deliveries should be by Caesarean. As the Caesarean rate falls below 10 percent, the stillbirth rate rises steadily. Malawi and Mozambique are addressing the need for more Caesareans by allowing some highly trained non-physicians, called surgical technicians, to do them.

“This has actually been successful, and other countries are looking at it as a possibility,” said Elizabeth Mason, director of maternal, newborn, child and adolescent health at the agency, based in Geneva.

The WHO estimates that 1.1 million stillbirths and 1.6 million deaths of women and newborns could be prevented if 10 steps to prevent stillbirths were added to five previously proposed ones. The latter include giving antibiotics after premature rupture of membranes and steroids to women in early labor to speed development of the fetal lungs. According to WHO calculations, that would add $2.32 to the cost of a pregnant woman’s care in the 68 countries where nearly all those deaths occur.

“If we put better quality in this time period, we get a triple benefit,” Mason said.

In the United States, the stillbirth rate is twice as high for black women as white women and is also higher in households with less income and education. Lowering the rate depends in large part on reducing risk factors in the mother, such as obesity, smoking and high blood pressure, said Wes Duke, an epidemiologist at the Centers for Disease Control and Prevention who helped write one of the Lancet papers.


browndm@washpost.com
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Apr 13, 2011

Chinese editors, and a Web site, detail censors’ hidden hand

Wen Jiabao, Premier of the People's Republic o...Image via Wikipedia
By Keith B. Richburg, Tuesday, April 12, 6:13 PM

BEIJING — When fears of radiation spreading from Japan prompted a rush on iodized salt in China, a weekly business newspaper posted the story on its Web site under the headline: “Panic buying in Guangdong, Shenzhen and Dongguan; iodized salt out of stock, nuclear panic in Japan spreads.”

Within minutes, government censors called the Economic Observer’s vice chief editor, Zhang Hong, “and asked us to delete that post immediately,” he said.

In a small act of defiance, Zhang left the story on the site, but he changed the second part of the headline to read: “Salt bureau said the stock is sufficient.”

That March 17 incident is just one example of the daily, even hourly, tussle between editors of China’s state-controlled media and the Communist government’s army of propaganda officials and censors who want to shape every aspect of what Chinese citizens read, see and think.

Normally, the government’s relentless effort to control information plays out behind the scenes. But an aggressive news Web site called China Digital Times, based out of Berkeley, Calif., and run by Xiao Qiang, a longtime human rights activist, has begun publicly exposing the practice by publishing the official weekly directives and guidelines to the print media from the government’s main censorship organs.

Moreover, several editors and journalists have begun pushing back. Spurred by the growing popular demand for more openness, and with the Internet and microblogs offering more unfettered information, they are testing the boundaries of what is permissible. Some editors and reporters, in interviews, spoke candidly, albeit cautiously, about how censorship works in practice, and the growing competing pressures they face between a public that wants the truth and the censors who want to manipulate it.

The main censorship organs are the Communist Party’s Central Propaganda Department and the State Council Information Office, among others. Together, the various agencies involved in censorship are known derisively among Chinese journalists as the “Ministry of Truth,” a reference to George Orwell’s novel “Nineteen Eighty-Four,” about a fictitious totalitarian state that controls the population by falsifying history.

Several editors and journalists who were contacted said that they had not seen the specific directives but that the guidelines described by the China Digital Times Web site closely followed what they have been told.

The list of do’s and don’ts opens a window on how the party and government pay close attention to even the most seemingly routine news stories and how they might affect Chinese opinion.

For example, when the Japanese earthquake struck last month, during China’s annual meeting of its two legislative bodies, the news media were instructed to give prominent coverage to the disaster and the role of the Chinese rescuers, but not to neglect the annual legislative forum.

“We must fully propagandize the state of the rescue work that our teams have initiated in Japan. We must closely follow the circumstances of Chinese people and overseas Chinese in Japan,” the March 13 directive read.

“Do not deliberately criticize or champion the actions of the Japanese government, and do not make any comparisons with anti-seismic and rescue efforts in our country,” the directive continued.

On March 4, a directive read: “Do not report on the incident of an exchange student in Norway injuring himself after parachuting from a tower at the Chinese Academy of Science.”

And on March 3 came the intriguing item: “All media are not to hype the salary increase given to the People’s Liberation Army.”

The case of China’s railways minister, Liu Zhijun, who was fired for corruption, has received widespread coverage here. But on March 4, the Propaganda Department sent the instruction: “All media are not to report or hype the news that Liu Zhijun had 18 mistresses.” (Several outlets had reported on the mistresses before the order).

A March 28 directive stated, “Do not report, repost stories, or comment on the execution of a drug trafficker from the Philippines.” And on March 29, when a story circulated online about a plan by Peking University to screen students for “radical thoughts,” the censors wrote, “All Web site authorities are requested to stop these discussions, and quickly water down this topic.”

Several editors and reporters in Beijing and Shanghai said the latest censorship instructions appear more detailed than usual, reflecting, they said, an official nervousness among the ruling elite that uprisings sweeping North Africa and the Middle East might reach China.

Another senior editor for a Beijing-based newspaper, who asked that he and his paper not be identified, agreed. “Overall, compared with last year, it is true the situation this year is very tight,” he said. “Part of the reason is the general international environment. And also next year is an important year for China, too.” Next year, China is due for a leadership change, with President Hu Jintao and Premier Wen Jiabao set to step down from their posts.

Most journalists said they had never actually seen the written directives from the censors. Those are normally passed on only to a newspaper or television station’s top editor, and the rest of the staff receives spoken instructions.

For newspapers, the top editors are routinely asked to attend meetings at the Propaganda Office, where they are given the latest guidelines. If they cannot attend the meeting, a propaganda official will call the editor.

For Web sites, with their faster-moving pace, the censors prefer to use a Chinese instant messaging system called RTX. And some editors said they might receive a simple e-mail with up-to-date instructions.

In both cases, one editor said, the message typically ends with the request: “Please delete.”

Some editors said they see their jobs as a tricky balancing act, between the demands of a public hungry for real news in a competitive market and the aggressive censors who want to control the flow of news.

Hu Xijin is chief editor of the Global Times, a tabloid-size daily in English and Chinese owned by the Communist Party. “I’ve been appointed by them — they can remove me. So they have influence on me,” he said of the paper’s owners. “And the market has some influence on me. I live between them. But the market has a bigger and bigger influence.”

“We’re not as free as the American media,” Hu said. “But we are becoming freer and freer every day.”


richburgk@washpost.com

Researchers Wang Juan in Shanghai and Liu Liu in Beijing contributed to this report.
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Benghazi hospitals struggle to treat war-wounded

An injured man waits to be operated on in a Benghazi hospital. He was shot by pro-Gaddafi forces while fighting on the frontline at the beginning of March
BENGHAZI, 13 April 2011 (IRIN) - Al Hawari hospital may be the most modern medical centre in the eastern Libyan city of Benghazi, but the large number of war wounded it has received in the last two months has stretched its limited resources.

"When the fighting began, most of the injured - both civilians and soldiers - were transferred here," said the hospital's senior medical officer Fabri El Jroshi. "We were missing a lot of important equipment to treat them, and we still are. We need material for fractures and fixtures and we badly need more nursing staff.

"Sometimes patients will find a doctor here, but no equipment for fixing a broken bone."

The 500-bed hospital has received 800-1,000 patients with war-related problems, El Jroshi told IRIN. "Providing physical therapy is also difficult. Again, we just don't have the equipment. Even before the conflict we had problems treating certain groups of patients, especially in the orthopaedic field."

Médecins Sans Frontières (MSF) emergency coordinator for Libya Simon Burroughs said: "All the doctors and medical staff that we've met in Benghazi, Brega and Ajdabya are incredibly skilled and dedicated. Although doctors are coping, many foreign nurses working in eastern Libya have now fled, leaving gaps in many health facilities. Medical students are doing their best to fill some of the gaps."

At one point, MSF left Benghazi after the security situation deteriorated. It is now back and has so far provided more than 30 tons of medical supplies to different hospitals, including surgical kits and equipment required for the treatment of gunshot wounds.

“On a more global level, we are struggling to get a clear picture of the needs as the security situation does not allow us to undertake even some basic assessments," Burroughs added. "When we tried to reach the town of Ras Lanuf - 300km west of Benghazi - we had to turn back twice because of fighting and insecurity.”

Transferred to Qatar

The most severely war-wounded patients have been transferred from Benghazi's hospitals to medical facilities in Qatar. Benghazi doctors are also having to deal with cases which were rare previously, like rape and paralysis.

Twenty-six-year-old Abdusalam* was admitted to the hospital last week, after being hit by a NATO strike that unintentionally targeted a group of rebel fighters heading for the frontline near Ajdabiya. He fractured his thigh and sustained bullet wounds to the lower chest. His mother and sister were not aware he was a rebel fighter, he said.

"My mother is sick and I didn't want to worry her. My father and brothers are proud of me though… We saw NATO planes flying above us and then suddenly, for no reason, they started to strike us… Before the revolution began, I was sitting behind a desk. I was an employee in an office. Once my body heals, I hope to go back to the frontline," he told IRIN.


Photo: Kate Thomas/IRIN
The mood in Benghazi remains defiant, despite little progress by the rebel fighters
"I would like to go to the frontline too, but I have a job. And treating the injured is just as important," El Jroshi said.

Shortage of nurses

Nursing resources are stretched. According to the International Organization for Migration, several hundred Filipino nurses have left eastern Libya since the unrest began.

Jeanette Calo is one of those who decided to stay. A Filipino nurse who left Manila for Benghazi a year ago, she said there was a shortage of nurses. Seventy of her colleagues at the Al Hawiya hospital have returned to the Philippines.

"I decided to stay because it is my job to be here to care for the patients, especially the rebel fighters injured on the frontline. I had no experience treating gunshot wounds previously, so I had to learn quickly."

For two weeks, at the worst point, the nurses slept at the hospital. "We worked 24-hour shifts, waiting for the injured to arrive," she told IRIN. "Things are better now but we are still lacking some equipment, and we have to work extra hard to make up for the loss of so many nurses."

Calo added that some of her Filipino colleagues were visiting Tripoli when the unrest began. Unable to return home to Benghazi, they were instead recruited by a Tripoli hospital that paid higher wages, she said.

One stethoscope

At the El Jalaa hospital on the other side of Benghazi, the situation is worse. Dr Nishal El Fayah said that although stocks of medicine are sufficient, there was a severe shortage of some medical supplies.

''On one of the wards, which has 38 beds, there is only one stethoscope and one blood pressure monitor…Recently we received a patient who had hepatitis. In order to ensure that the equipment was not contaminated, we decided not to monitor his vital signs.''
"On one of the wards, which has 38 beds, there is only one stethoscope and one blood pressure monitor," he said. "Recently we received a patient who had hepatitis. In order to ensure that the equipment was not contaminated, we decided not to monitor his vital signs."

Medical students, many of whom have been working unpaid at the hospital since the conflict began, have not been able to buy uniforms or appropriate footwear. "The shops are closed, so they have to go around in their old shoes," he said.

Occupying one bed was Younis Abdousalam Edbeshi who was shot by pro-Gaddafi forces while fighting at the beginning of March.

Another patient, Ed Beshi, who fractured his left thigh, was being treated for gunshot wounds, but could not be operated on due to a shortage of medical supplies.

"I was told to go home and return in a few weeks… The hospital didn't have the supplies to help me. I was hoping to be back on the frontline supporting the other rebels, but I'm still here, waiting for an operation… It is frustrating, but the hospitals here were just not ready for war casualties."

Misrata

Although Benghazi's hospitals lack supplies, aid workers say needs are greater in the city of Misrata, where doctors at the polyclinic there have recorded 257 deaths since 19 February, mostly civilians killed by snipers or gunfire. The polyclinic said 949 people had been treated for wounds.

According to Human Rights Watch, Misrata's main hospital had been under construction for the last two years, meaning that the seriously injured have been treated at the polyclinic instead.

"All over Libya, hospitals close for construction, often for several years," Fouad El Mabrouk, a doctor at Benghazi's El Jawaa hospital, said. "Under the Gaddafi regime, construction would begin and then the funds would dry up. Libya has many hospitals that could have been excellent centres for medical treatment, if only construction had been completed.”

Some of those injured at Misrata are being brought by ship to Benghazi.

"We never know who or what to expect," said paramedic Mohammed Nour. "So we have to be prepared for the worst. All we receive is a call saying that a vessel is about to dock at the port, and we get straight down there. Sometimes we have to deal with complicated injuries. Other times, fortunately, cases are much less serious."

*not a real name

kt/eo/cb
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Apr 11, 2011

Deadly Blast Hits Subway Station in Belarus

President of Belarus Alexander LukashenkoImage via Wikipedia
Aleksandr G. Lukashenko

MOSCOW — An explosion believed caused by a bomb ripped through a subway station next to the office of Belarus’s authoritarian president on Monday evening, killing at least 11 people, wounding more than 100 and worsening the already tense political situation there.

No one immediately claimed responsibility for the blast in Minsk, the Belarus capital, but witnesses described being hit by a wave of shrapnel that they said was contained in a bomb. Several victims had limbs torn off by the force of the explosion, paramedics said.

The president, Aleksandr G. Lukashenko, indicated in comments late Monday night that he believed that the explosion was terrorism. Prosecutors said their inquiry was focusing on a bomb.

Investigators and witnesses said the explosion occurred on a platform, just as passengers were leaving a train in the Oktyabrskaya station at the height of rush hour, about 6 p.m. The station is located in the center of Minsk, very close to major government offices, including Mr. Lukashenko’s, as well as his official residence.

While Muslim separatists from southern Russia have carried out deadly suicide bombings in the Moscow subway system, including one last year, they have never done so in Minsk. Belarus, a former Soviet republic with a population of 10 million, does not have a Muslim insurgency, and Mr. Lukashenko, who has tightly controlled the country since 1994, has portrayed himself as a stabilizing force.

But Belarus has faced political turmoil since Mr. Lukashenko’s reelection in December, which was denounced by his rivals as rigged. When opposition parties conducted a large protest on election night, the security services responded with a far-reaching crackdown, sending riot police to break it up violently and arresting hundreds of people.

Several presidential candidates were detained for weeks.

Dozens of opposition activists, including at least one presidential candidate, are still in custody and have been threatened with up to 15 years in prison for organizing the post-election rally. Mr. Lukashenko has accused the opposition of plotting a coup with aid from Western governments — charges European and American officials have called absurd.

The powerful security services, still called the K.G.B. in Belarus, a vestige of the Soviet era, had been on heightened alert before the explosion because of the political strains. Independent journalists and opposition figures had continued to be detained and interrogated, rights groups say.

The opposition to Mr. Lukashenko was largely peaceful before and after the election, but there have been unexplained bombings in recent years. In 2008, a bomb exploded in a park in Minsk, wounding dozens of people during a festival to celebrate independence day. The authorities never determined a motive.

In the city of Vitebsk, near the northeastern Russian border, two blasts in 2005 left about four dozen wounded.

On Monday night, Mr. Lukashenko visited the subway station and then convened a meeting of top advisers. Mr. Lukashenko made clear that he believed that the explosion was caused by a bomb, referring to the attackers as “ugly monsters.”

“I don’t exclude the possibility that this present was brought from the outside,” he said sarcastically, in remarks broadcast on state television. “But we also should look at ourselves.”

He then spoke directly to the leaders of the security services. “I want to tell you guys that this is a very serious challenge, and an adequate response is necessary,” he said. “I warned you that they would not give us a peaceful life. Who are they? I want you to answer this question without delay.”

Opposition politicians said they feared that Mr. Lukashenko would use the explosion to justify a new crackdown.

Anatoly V. Lebedko, who was arrested after the election protest in December and only just released, said in a telephone interview that after previous bombings, the security services rounded up opposition figures, though there was no evidence of their involvement.

“Because of this unfortunate explosion, human rights could possibly be limited,” Mr. Lebedko said. “At the very least, it will lead to further restrictions on the opposition and civil society. This can be expected.”

Witnesses reported that just after the explosion, smoke poured from the station’s exits as bodies were carried out on stretchers.

Aleksandr Vasiliyev, a local journalist on the scene, said by telephone from Minsk that witnesses told him that the explosion was caused by a bomb that had been packed with nuts, bolts and other shrapnel. The authorities would not immediately confirm such information.

The explosion occurred inside the station itself, not in a subway car, the witnesses told Mr. Vasiliyev.

Mr. Vasiliyev said that shortly after the blast, blood had pooled on the sidewalk outside the station where victims had been evacuated.

“Two dead bodies were brought out,” he said.

Anton Motolko, a photojournalist who lives near the station, ran to the scene after reading about the explosion on Twitter.

“I see blood, about 10 people, men and women, because at this time, it’s peak,” Mr. Motolko said in a telephone interview. “It’s the two biggest lines of our subway.”

Police cordoned off subway entrances. Crowds gathered around the main entrance, he said, as passengers emerged bloody and crying.

One of Russia’s main television stations, Channel One, broadcast interviews with witnesses who were in the station.

“We saw a bright light and everything started to shake,” one man said. “People were lying all over.” Another man said, “We were suffocating — there was so much smoke. We could barely see anything.”

A woman recalled that, “The glass crackled and everyone just fell. And then there was a deathly silence.”

Pavel Slobodyan said by telephone from Minsk that he arrived at the station about five minutes after the explosion. He said he saw about 20 people with wounds that seemed to be caused by shrapnel.

“Many people had wounds in their legs — not very large ones, but very many,” he said. One person, he said, was missing a hand. ..
J. David Goodman contributed reporting from New York.
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Ivory Coast strongman arrested after French forces intervene

Ivorian President Laurent Gbagbo, 2007Image via Wikipedia
Laurent Gbagbo
By Colum Lynch and William Branigin, Monday, April 11, 10:53 AM

UNITED NATIONS — Ivory Coast strongman Laurent Gbagbo was arrested Monday by French-backed forces of president-elect Alassane Ouattara, raising hopes for an imminent end to the strife that has wracked the West African country since Gbagbo refused to acknowledge his defeat in a November presidential election.

Following an attack on Gbagbo’s residence in the capital, Abidjan, by French forces earlier Monday, troops loyal to Ouattara went in and seized Gbagbo, according to U.N., French and Ivorian officials.

Gbagbo “has been arrested,” said Youssoufou Bamba, the U.N. envoy of president-elect Ouattara. “He is alive” and will be “brought to justice,” he said in a telephone interview.

Initial reports indicated that French troops had captured Gbagbo and turned him over to Ouattara’s forces. But Bamba subsequently told reporters that the arrest operation had been carried out by forces loyal to Ouattara.

“I am clear about that,” he told reporters outside the U.N. Security Council. “That’s the Republican Forces of Cote d’Ivoire who have conducted the operation. Gbagbo is arrested. He is under our custody. . . . Right now, he is being brought to a safe location for the next course of action.”

Bamba said he was confident that as “the news will spread” of Gbagbo’s arrest, his forces “will stop fighting and they will lay down their weapons.” He added: “Those fighting are fighting for nothing, because this man is over, this era is over. We will address the serious problem of the humanitarian situation and the security situation . . . and restore public order.”

A spokesman for the U.N. mission in Ivory Coast said it has “confirmed that former president Laurent Gbagbo has surrendered to the forces of Alassane Ouattara and is currently in their custody.” The spokesman, Farhan Haq, said the U.N. mission was “providing protection and security in accordance with its mandate,” Reuters news agency reported.

For their part, Gbagbo’s supporters dismissed claims that the operation was carried out by Ouattara’s forces, noting that French and U.N. attack helicopters pounded the presidential palace and Gbagbo’s residence.

“It’s absolutely untrue,” said Zakaria Fellah, a Gbagbo loyalist and adviser, who claimed that French ground troops were deployed around the presidential residence. Fellah, who is in the United States, said he has been in constant telephone contact with Gbagbo loyalists in the vicinity of the fighting.

“The so-called regime of Ouattara’s forces were completely absent,” he said.

Any Ouattara loyalists who may have played any role in the arrest, he said, were merely “auxiliaries” of the U.N. and French troops. “This operation, the final assault, was carried out by the French troops,” he said.

Fellah said the manner in which Gbagbo was deposed will leave a legacy of deep resentment among his supporters, who will view this as another example of the former colonial power, France, using superior firepower to decide who will rule the country.

In London, British Foreign Minister William Hague urged Gbagbo’s captors to give him a fair trial.

“Mr. Gbagbo has acted against any democratic principles in the way he has behaved in recent months, and of course there have been many many breaches of any rule of law as well,” Hague told a news conference. “At the same time, we would say that he must be treated with respect, and any judicial process that follows should be a fair and properly organized judicial process.”

The arrest came after French armored vehicles closed in on the compound where Gbagbo had been holed up in a bunker while trying to remain in power despite Ouattara’s victory in the November election, the results of which were certified by the United Nations.

The column of more than two dozen armored vehicles advanced on the compound from a French base in Ivory Coast, a former French colony, a day after U.N. and French helicopters attacked Gbagbo’s forces, destroying its heavy weapons and damaging the presidential residence.

A U.N. Security Council resolution approved in March authorized the use of force in Ivory Coast. U.N. Secretary General Ban Ki-moon and French President Nicolas Sarkozy accused Gbagbo of using heavy weapons against civilians in his effort to cling to power.

Branigin reported from Washington.

lynchc@washpost.com

braniginw@washpost.com
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Jan 24, 2011

Deadly Blast at Moscow’s Main Airport Seen as Terror Attack



By ELLEN BARRY and ANDREW E. KRAMER

MOSCOW — A bomber strode into the arrivals hall at Moscow’s busiest airport on Monday afternoon and set off an enormous explosion, witnesses and Russian officials said, leaving bodies strewn in a smoke-filled terminal while bystanders scrambled to get the wounded out on baggage carts.

Russian authorities said at least 31 people were killed and 150 injured in the attack. The Russian president, Dmitri A. Medvedev, said in televised remarks that the blast was an act of terrorism and ordered the police to track down the perpetrators.

Vladimir Markin, a spokesman for Russia’s Investigative Committee, said the attack was probably carried out by a male suicide bomber, and that authorities were trying to identify him.

In the moments after the blast, the smoke was so thick that it was difficult to count the dead, eyewitnesses said. Arriving passengers stepped into the hall to the sight of blood on the floor and bodies being loaded onto stretchers. Ambulances sped away crowded with three or four patients apiece, bleeding heavily from shrapnel wounds to their arms and legs.

The blast hit Domodedovo Airport, a facility that is a showcase for modern Russia, just as Mr. Medvedev prepared to woo foreign investors at the World Economic Forum in Davos, Switzerland. Mr. Medvedev promptly postponed his departure to manage the aftermath of the attack.

It is bound to further shake a country already on edge after a nationalist demonstration turned violent in mid-December, inflaming relations between ethnic Russians and migrants from the north Caucasus, a predominately Muslim region on Russia’s southern border.

Though there was no indication Monday evening of who was behind the blast, Moscow’s recurrent terror attacks have nearly always been traced to militants in the North Caucasus. The most recent came in March, when two women from Dagestan strapped on explosive belts and detonated themselves on the city’s subway, killing more than 40 people.

Doku Umarov, a rebel leader, took responsibility for that attack, posting a video in which he warned Russians that “the war will come to your streets, and you will feel it in your own lives and on your own skin.” Such attacks have typically strengthened the influence of Russian security forces and Prime Minister Vladimir V. Putin by firmly establishing security as the country’s top priority.

Mr. Putin appeared on television on Monday night, ordering the health minister to provide aid to all the bombing victims, visiting clinics one by one, if necessary, he said.

The bomber apparently entered the international arrivals terminal from outside, a witness said, advancing to the blue tape where taxi drivers and relatives wait to greet arriving passengers and setting off the explosion at 4:32 p.m. local time. The area is open to the general public, said Yelena Galanova, an airport spokesman, according to the Interfax news service.

Artyom Zhilenkov, who was in that crowd, said he was standing about 10 yards away from a short, dark-complexioned man with a suitcase — the bomber, he believes. They were awaiting flights from Italy, Tajikistan and Germany. Mr. Zhilenkov, a taxi driver, spoke to reporters several hours after the blast, wearing a track suit dotted with blood and small ragged holes.

“How did I manage to save myself? I don’t know,” he said. “The people behind me on my left and right were blown apart. Maybe because of that.”

Among the wounded were French and Italian citizens, according to the Health and Social Development Ministry.

Yuri, another witness, told Russia’s state-run First Channel TV that the shock wave was strong enough to throw him to the floor and blow his hat away. After that the hall filled with thick smoke and part of the ceiling collapsed, said Aleksei Spiridonov, who works at an auto rental booth. He said most of the victims were waiting to greet passengers.

“They pushed them away on baggage carts,” Mr. Spiridonov said. “They were wheeling them out on whatever they could find.”

Many of the victims suffered terrible wounds to their faces, limbs and bodies, witnesses said.

“One person came out and fell,” Olga Yaholnikova told RenTV television. “And there was a man with half of his body torn away.”

Investigators were working on Monday evening to determine the power and type of explosive used in the attack. Nikolai Sintsov, a spokesman for the National Anti-Terrorist Committee, said there are shrapnel holes in the arrival hall, but no shrapnel has yet been retrieved.

In televised remarks, Mr. Medvedev said that although Russia has imposed waves of new security procedures in the wake of terror attacks, they are not always implemented. He ordered police to boost security at all airports and on public transportation.

The airport, southeast of the capital, is Russia’s largest airline hub, with more than 20 million passengers passing through last year. Domodedovo was the site of a previous terror attack in August of 2004, when two Chechen suicide bombers boarded separate planes there, killing themselves and 88 others in midair. The attack exposed holes in security, since the two bombers, both women, had been detained shortly before boarding, but were released by a police supervisor. The authorities have since worked to tighten security there.

The airport remained open on Monday evening, and passengers continued to flow through the hall where the bomb had exploded. Gerald Zapf, who landed shortly after the blast, said his airplane circled the airport several times before landing, and passengers were forced to wait on board for some time before they were allowed to disembark.

When they finally made it into the airport, he said, he saw nothing of the carnage that had taken place, because it was hidden by large sheets of blue plastic. Monday’s explosion in Moscow pointed to the continuing fascination with air travel for militants, as well as the difficulty of carrying out an attack aboard a jet, said Stephen A. Baker, a former official with the Department of Homeland Security. “They’d like to be bombing planes and they can’t, so they’re bombing airports,” he said, adding that the attack “validates the focus that the U.S. has had on security at airports.”


Michael Schwirtz and Andrew Kramer contributed reporting from Moscow, and J. David Goodman from New York.
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China Grooming Deft Politician as Next Leader



By EDWARD WONG and JONATHAN ANSFIELD

BEIJING — President Hu Jintao of China returned home this weekend after a trip intended to repair relations with the United States. But the next time the White House marches out the honor guard and polishes the crystal for a Chinese leader, it is unlikely to be for Mr. Hu.

Following a secretive succession plan sketched out years ago, Mr. Hu has already begun preparing for his departure from power, passing the baton to his presumed successor, a former provincial leader named Xi Jinping, now China’s vice president. While Mr. Xi is expected to formally take the reins next year in China, the world’s second-largest economy and fastest-modernizing military power, he remains a cipher to most people, even in China.

But an extended look at Mr. Xi’s past, taken from wide-ranging interviews and official Chinese publications, shows that his rise has been built on a combination of political acumen, family connections and ideological dexterity. Like the country he will run, he has nimbly maintained the primacy of the Communist Party, while making economic growth the party’s main business.

There is little in his record to suggest that he intends to steer China in a sharply different direction. But some political observers also say that he may have broader support within the party than Mr. Hu, which could give him more leeway to experiment with new ideas. At the same time, there is uncertainty about how he may wield authority in a system where power has grown increasingly diffuse. Mr. Xi also has deeper military ties than his two predecessors, Mr. Hu and Jiang Zemin, had when they took the helm.

For much of his career, Mr. Xi, 57, presided over booming areas on the east coast that have been at the forefront of China’s experimentation with market authoritarianism, which has included attracting foreign investment, putting party cells in private companies and expanding government support for model entrepreneurs. This has given Mr. Xi the kind of political and economic experience that Mr. Hu lacked when he ascended to the top leadership position.

He is less of a dour mandarin than Mr. Hu is. The tall, stocky Mr. Xi is a so-called princeling — a descendant of a member of the revolutionary party elite — and his second marriage is to a celebrity folk singer and army major general, Peng Liyuan.

Unlike the robotic Mr. Hu, Mr. Xi has dropped memorable barbs against the West into a couple of recent speeches: he once warned critics of China’s rise to “stop pointing fingers at us.” But he has enrolled his daughter in Harvard, under a pseudonym.

The Climb Up the Ladder

Mr. Xi (his full name is pronounced Shee Jin-ping) climbed the ladder by building support among top party officials, particularly those in Mr. Jiang’s clique, all while cultivating an image of humility and self-reliance despite his prominent family ties, say officials and other party members who have known him.

His subtle and pragmatic style was seen in the way he handled a landmark power project teetering on the edge of failure in 2002, when he was governor of Fujian, a coastal province. The American company Bechtel and other foreign investors had poured in nearly $700 million. But the investors became mired in a dispute with planning officials.

After ducking foreign executives’ repeated requests for a meeting, Mr. Xi agreed to chat one night in the governor’s compound with an American business consultant on the project whose father had befriended Mr. Xi’s father in the 1940s.

Mr. Xi explained that he could not interfere in a dispute involving other powerful officials. But he showed that he knew the project intimately and supported it, promising to meet the investors “after the two sides have reached an agreement.” That spurred a compromise that allowed the power plant to begin operating.

“I thought, ‘This person is a brilliant politician,’ ” said the consultant, Sidney Rittenberg Jr.

Mr. Xi’s political skills paid their greatest dividend last October, when he was appointed vice chairman of the Central Military Commission, a move that means he will almost certainly succeed Mr. Hu as party secretary in late 2012 and as president in 2013. Mr. Hu, the commission’s chairman, could retain his military post for another few years.

Over the years, Mr. Xi built his appeal on “the way he carried himself in political affairs,” said Zhang Xiaojin, a political scientist at Tsinghua University.

“On economic reforms and development, he proved rather effective,” Mr. Zhang said. “On political reforms, he didn’t take any risks that would catch flak.”

Mr. Xi also emerged as a convenient accommodation to two competing wings of the party: those loyal to Mr. Hu and those allied with Mr. Jiang, who in China’s collective leadership had an important role in naming Mr. Hu’s successor.

Mr. Xi’s elite lineage and career along the prosperous coast have aligned him more closely with Mr. Jiang. But like Mr. Hu, Mr. Xi also spent formative years in the provincial hinterlands. Mr. Hu was once close to Mr. Xi’s father, a top Communist leader during the Chinese civil war.

The father, Xi Zhongxun, was one of the more liberal party leaders and was purged several times under Mao. He was a mastermind in the early 1980s of China’s first special economic zone in Shenzhen. Behind closed party doors, he supported the liberal-leaning leader Hu Yaobang, who was dismissed in 1987, and condemned the military crackdown on the Tiananmen Square protesters in 1989.

The younger Mr. Xi grew up in Beijing and went to the premier military-run high school. But he had to fend for himself during the upheaval of the Cultural Revolution. At age 15, he was sent to labor among peasants in the yellow hills of Shaanxi Province. He stayed seven years in the village of Liangjiahe, which eventually named him party secretary.

Mr. Xi came to hate ideological struggles. In an essay published in 2003, he wrote, “Much of my pragmatic thinking took root back then, and still exerts a constant influence on me.”

Even at that early age, his conciliatory leadership style was evident. “When people had a conflict with each other, they would go to him, and he’d say, ‘Come back in two days,’ ” said Lu Nengzhong, 80, the patriarch of a cave home where Mr. Xi lived for three years. “By then, the problem had solved itself.”

Mr. Xi later relied on family ties to enter Tsinghua University in Beijing. He began his political career as an aide to Geng Biao, a powerful military bureaucrat allied with Mr. Xi’s father.

By the early 1980s, party elders had identified Mr. Xi as one of a brood of prospective future leaders. His first provincial post was in Hebei, where he promoted local tourism and rural enterprise, but ran up against the conservative provincial leader. The party then sent him to Fujian Province, across the Taiwan Strait from Taiwan. Mr. Xi bounced through three cities over 17 years.

There, he courted Taiwanese investors. For 14 years, he also supervised the local military command. His exposure to the Taiwan territorial issue “may shade his views on cross-strait relations in the direction of flexibility,” said Alice L. Miller, a scholar of Chinese politics at the Hoover Institution.

Some ambitious investments drew national scrutiny while Mr. Xi governed Fuzhou, the capital of Fujian. City leaders signed a contract with Li Ka-shing, the Hong Kong real estate tycoon, to redevelop the old city quarter, but that fizzled after a public outcry. A new international airport grossly overshot its budget.

Nor was Mr. Xi untainted by corruption scandals. One party investigation into bribe-taking in Ningde and Fuzhou, publicized years after he left Fujian, toppled two former city leaders whom Mr. Xi had promoted.

Gaining Beijing’s Notice

But back in Beijing, top leaders were watching out for Mr. Xi. He actually finished last when party delegates voted for the 344 members and alternates of the Party Central Committee in 1997 because of general hostility toward princelings. But Mr. Xi slipped in as an alternate anyway. Mr. Jiang, the party leader, and his power broker, Zeng Qinghong, helped back Mr. Xi’s continued rise, said Cheng Li, a scholar of Chinese politics at the Brookings Institution in Washington.

His next assignment, as provincial party boss up the coast in Zhejiang, was cushier. There, too, the economy was humming. Mr. Xi hewed to Beijing’s initiatives to embrace private entrepreneurs. He also hitched his star to homegrown private start-ups that have since gone global.

Soon after his arrival in late 2002, he visited Geely, then the province’s sole carmaker. The firm’s indefatigable founder, Li Shufu, had just begun to receive some financing from state banks. “If we don’t give additional strong support to companies like Geely, then whom are we going to support?” Mr. Xi remarked.

Last year, Geely bought the carmaker Volvo from the Ford Motor Company.

Mr. Xi bestowed early recognition, too, on Ma Yun, founder of Alibaba, now an e-commerce giant and Yahoo’s partner in China. After he left Zhejiang in 2007 to become the top official in Shanghai, Mr. Xi extended an invitation to Mr. Ma: “Can you come to Shanghai and help us develop?”

At the time, party authorities were pushing private companies to form party cells, part of Mr. Jiang’s central vision to bring companies and the party closer. Officials under Mr. Xi parceled out vanity posts to entrepreneurs, granting some the coveted title of local legislative delegate. Mr. Xi also cautiously supported small-scale political reforms in Zhejiang, where democratic experiments were percolating at the grass roots.

When cadres in one village in Wuyi County allowed villagers to elect three-person committees to supervise their leaders, Mr. Xi took notice. He issued pivotal directives that helped extend the obscure pilot program, said Xiang Hanwu, a county official. The system won praise from the Central Party School, where rising cadres are trained. In August, Zhejiang approved a provincewide rollout, though with additional party controls.

Mr. Xi also got an important career boost from Zhejiang’s push to forge business ties with poorer provinces inland. He led groups of wealthy Zhejiang businessmen who met with officials in western provinces, winning points with other provincial leaders.

Seizing the Throne

For years before a party congress in October 2007, Mr. Xi was not deemed the front-runner to succeed Hu Jintao as party leader. The favorite was Li Keqiang, a protégé of Mr. Hu. But Mr. Xi’s political capital surged in March 2007 when he was handed the job of party boss in Shanghai after a pension fund scandal had toppled the previous leader.

Shanghai was the power base of Mr. Jiang and Mr. Zeng. During his short seven-month stint there, before he joined the elite Politburo Standing Committee in Beijing, Mr. Xi helped ease the aura of scandal on their turf, while stressing Beijing’s prescriptions for the kind of measured growth favored by Mr. Hu.

It was a balancing act of a kind that had served him well for decades.

Since joining the inner sanctum in Beijing, Mr. Xi has reinforced his longstanding posture as a team player. As president of the Central Party School, Mr. Xi recently made a priority of teaching political morality based on Marxist-Leninist and Maoist ideals, a resurgent trend in the bureaucracy.

His views of the West remain difficult to divine. He once told the American ambassador to China over dinner that he enjoyed Hollywood films about World War II because of the American sense of good and evil, according to diplomatic cables obtained by WikiLeaks. He took a swipe at Zhang Yimou, the renowned Chinese director, saying some Chinese filmmakers neglect values they should promote.

But on a visit to Mexico in 2009, when he was defending China’s record in the global financial crisis before an audience of overseas Chinese, he suggested that he was impatient with foreigners wary of China’s new power in the world.

“Some foreigners with full bellies and nothing better to do engage in finger-pointing at us,” he said. “First, China does not export revolution; second, it does not export famine and poverty; and third, it does not mess around with you. So what else is there to say?”


Li Bibo and Benjamin Haas contributed research.
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Jan 20, 2011

Asian Studies WWW VL - Individual Countries/Areas/Territories

Jan 17, 2011

Glacier melt in Peru becomes more than a climate issue

By Heather Somerville
Sunday, January 16, 2011; 11:39 PM

HUARAZ, Peru - Glacier melt hasn't caused a national crisis in Peru, yet. But high in the Andes, rising temperatures and changes in water supply over the last 40 years have decimated crops, killed fish stocks and forced villages to question how they will survive for another generation.

Without international help to build reservoirs and dams and improve irrigation, the South American nation could become a case study in how climate change can destabilize a strategically important region, according to Peruvian, U.S. and other officials.

"Think what it would be like if the Andes glaciers were gone and we had millions and millions of hungry and thirsty Southern neighbors," said former CIA Director R. James Woolsey.

Peru is home to 70 percent of the world's tropical glaciers, which are also found in Bolivia, Ecuador and Chile. Peru's 18 mountain glaciers, including the world's largest tropical ice mass, are critical to the region's water sources for drinking, irrigation and electricity.

Glaciers in the South American Andes are melting faster than many scientists predicted; some climate change experts estimate entire glaciers across the Andes will disappear in 10 years due to rising global temperatures, creating instability across the globe as they melt.

If Peru and its allies don't fund and create projects to conserve water, improve decrepit water infrastructure and regulate runoff from glaciers within five years, the disappearance of Andean glaciers could lead to social and economic disaster, said Alberto Hart, climate change adviser at Peru's Ministry of Foreign Affairs.

"This will become a problem for the United States," he said. "When you have a dysfunctional country, you have a problem for the entire region."

The United States spent $30 million on climate change assistance in Peru in fiscal year 2010, according to documents provided by the State Department. The funding, allocated as part of the 2009 Copenhagen Accord, went mostly to preserving the Amazon rainforest in Peru.

Peruvian officials would hardly turn away money to preserve the Amazon. But the immediate problem is adaptation to rapid glacier melt, Hart said.

The U.S. Agency for International Development, which administers the majority of climate funds, recently received a $1.25 million grant to work with The Mountain Institute, a Peruvian non-profit organization, through 2012 and assist mountain communities in adapting to glacier melt.

"It will take more resources than are currently available . . . but the trend is going in the right direction," said Steve Olive with USAID in Peru.

The Peruvian government is asking Washington and other allies for at least $350 million every year through 2030 to build reservoirs and dams, and improve irrigation, said Hart.

Japan, Australia and Switzerland also have offered assistance for climate change, Hart said. The World Bank is also working in Peru to monitor water supplies and implement drought-resistant agriculture, part of a larger climate change project that includes several Andean nations, according to Walter Vergara, a World Bank engineer who started the project in 2004.

But Peruvian officials say the United States has a majority share of the responsibility to help Peru, because of the close trade alliance between the two nations, and because the United States is the world's second-largest emitter of greenhouse gases.

"We are knocking on many doors, and obviously the U.S. is one big door we are knocking on," said Hart.

Bolivia and Ecuador are also threatened by glacier melt and Colombia's costal and riverside cities are being wiped out by floods and landslides - disasters that are only expected to get worse, according to a study by the Pew Center on Climate Change.

Climate change is "a significant threat" to the region, and the United States must "really come to terms" with the security challenges it poses, Assistant Secretary of State for the Western Hemisphere Arturo Valenzuela said recently.

Its ice is melting, but the majesty of Huascarán Mountain hasn't diminished. Its white peak still pierces the clouds on an overcast day in the Cordillera Blanca, part of the Andes range that stretches through Peru's northwest region of Ancash.

Communities revere Huascarán, Peru's tallest mountain, for its beauty and its water that allows them to survive the extreme terrain. But over the last 20 years, they've watched Huascarán's glacier diminish.

"It used to take you two or three hours walking to reach the ice. But now you have to walk five, six hours to reach ice," said Maximo Juan Malpaso Carranza, a farmer in Utupampa, a small community high in the Cordillera Blanca.

"We all get water from there," he said, pointing to Huascarán. "But if the ice disappears, there won't be any more water."

More than 2 million people, stretching from the Andes to the coastal cities, get their drinking water and irrigation from rivers fed by glacier runoff from Cordillera Blanca. But research by Cesar Portocarrero, the Peruvian government's lead glacier scientist, shows the Cordillera Blanca has lost 30 percent of its glaciers since 1970.

Most of Peru's agriculture is fed by water from the Andes. Glacier-fed rivers also support the nation's largest hydroelectric plants. Lima, the world's second-largest desert city, is almost totally dependent on Andean rivers from the Cordillera Central, where some mountains have lost more than 60 percent of their glaciers in the last 40 years.

Water conflicts have been frequent in southern Peru over the last few years, and glacier melt will create even more across the country, and, in extreme cases, spreading to neighboring countries, said retired Maj. Gen. Luis Palomino Rodriguez, head of Peru's National Civil Defense Institute, in an interview.

The Pentagon is starting to address the impacts of climate change. It gave the Southern Command, in charge of Latin America, $600,000 to develop a mapping tool that will allow Latin America and the United States to share information about climate change risks. It is also spending $1.4 million to study the climate change effects on foreign military bases.

SouthCom will release a new environmental security strategy in the next couple months, but the military is far from integrating its climate change studies into operations.

"We have a lot to do," said Myrna Lopez, environmental security expert with SouthCom. "We're not there yet where we have a complete buy-in from the DoD that this is a core military role."

Peru has taken steps, but lacks resources. It created a national strategy on climate change in 2003 and has set up a Ministry of Environment with oversight of climate change programs. Officials are working with USAID and non-profit organizations to build reservoirs in Andean communities and monitor water flow from the glaciers.

"We may think that current wait-and-see policies are adequate to the task," said Chad Briggs, Minerva Chair for Energy and Environmental Security with the U.S. Air Force. "Peru may be a looming example of how that is not the case."

This article is part of the "Global Warning" series on the national security implications of climate change produced by the National Security Reporting Project at Northwestern University's Medill School of Journalism.
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Jan 16, 2011

A Sudanese 'lost boy' brings his dreams home

By Sudarsan Raghavan
Washington Post Foreign Service
Sunday, January 16, 2011; A10

IN JUBA, SUDAN Abraham Akoi strolled confidently through a door marked with a sticker that read: "Secession."

The tall, rail-thin D.C. resident walked up the stairs of the Ministry of Finance here in southern Sudan, entering a world he had never expected to enter.

As he walked into his office, another man smiled and declared: "Separation!" Hazy sunlight glinted on the man's purple-shaded thumb, a sign that he had just voted.

That morning, Akoi, too, had taken part in Sudan's historic week-long referendum, which ended Saturday. He had voted for the south to secede from the north, as most people in this region were expected to do.

For Akoi, it was the latest stop in an extraordinary journey. It began with a dangerous walk across mountains and deserts when as a child he fled a civil war. It stretched to refugee camps and prestigious American universities and now unfolds back here amid great hope and trepidation over what could soon become the world's newest country.

"I still can't believe that I am here," said Akoi, 31.

Ten years ago, Akoi stepped off a plane in Atlanta, one of several thousand "lost boys" whose hardship and escape from Sudan's brutal 22-year conflict captured the imagination of Americans. Thousands of southern Sudanese were resettled in the United States, and most struggled to blend into their adopted communities. But many, like Akoi, excelled.

Akoi earned a degree in history and economics from the University of the South in Tennessee, then a master's degree in government and an MBA from Johns Hopkins University. He had internships at the Carter Center in Atlanta and with Rep. Donald M. Payne (D-N.J.), who has championed causes in Africa.

Today, Akoi's life has come full circle. Southern Sudanese living in the United States could have voted in several U.S. cities. But Akoi and many other "lost boys" chose to return to their homeland to vote and help propel it into its next era.

"It is a fulfillment of a mission we for so long have yearned to accomplish," said Valentino Achak Deng, whose own journey was portrayed in the novel "What Is the What." "It is a day when I feel like someone has finally given me my voice. It was important for us to be here, to be on this soil." 'Thinking about the past'


The day Akoi voted, the memories flooded back: fleeing his village at the age of 11. Walking, hungry and tired, to neighboring Ethiopia. Fleeing militias and bombers. Then returning to southern Sudan, only to flee again to a refugee camp in Kenya. Learning that his father and three brothers had died in the war.

As he stepped up to the cardboard booth to cast his vote, his hands shook.

"I was thinking about the past, all that we've been through," Akoi said. "I voted on behalf of all who lost their lives. I voted for my brothers."

He paused and added: "I looked at the ballot for a few seconds, as if it would fly away, and then I dropped it into the box."

In a couple of weeks, he'll know whether his dreams of secession will come true. If the referendum passes, as expected, southern Sudan will declare its independence in July.

On a recent day, Akoi drove through Juba. He noted how much the capital has improved since his first visit back, in 2009.

A few years ago, "this road was not paved," he said with pride.

He pointed at a sign for a local relief agency: "That was started by Sudanese in the U.S.," he said.

Akoi knows that significant challenges lie ahead. So many key issues dictating the relationship between north and south remain unresolved. Will the oil-producing border region of Abyei, contested by both sides, erupt into war? Will revenue from Sudan's massive oil reserves, the majority in the south, be shared equitably?

"Our political and financial institutions are weak," he said. "Civil liberties are not strong. There are no good hospitals and no good supply of medicines.

"And only 15 percent of south Sudanese know how to read and write. That's not very good for democracy."

Like most southern Sudanese, Akoi blamed Sudan's government, which is dominated by an Arab elite, for the region's woes. For decades, the Khartoum government sought to repress the south. Akoi noted how the vast majority of universities were located in the north. "We can't have good governance if the institutions of higher learning are not there," he said.

Akoi has already begun playing a role in shaping his homeland. He has declined to seek the six-figure salaries in the United States that come with earning an MBA. Instead he has chosen to live here and work with the government. His current job in the Ministry of Finance is to make sure government ministries and departments spend money efficiently and according to the annual budget. Water and mangoes


It's a delicate balancing act. The government is led by and filled with former rebels who have little experience. Corruption is rife; jobs are often handed out based on tribal allegiances. And despite his history, many perceive Akoi as an outsider.

"How do I tell them what to do without them thinking that I am some guy from the U.S. talking big? It's a very tough job," he said.

A few months ago, as global oil prices fell, he told officials they had to cut spending.

"They were not happy, but I had to do it," Akoi said. "They didn't understand that the oil revenues were based on market prices. They thought they would always get the same price."

Salva Kiir Mayardit, south Sudan's president, has tapped Akoi to become the deputy director of administration and finance - a sign that the government is reaching out to qualified technocrats in the diaspora. Many of southern Sudan's educated professionals, including lawyers, doctors and economists, died in the war or fled the region.

Akoi vowed not to be influenced by corrupt bureaucrats.

"I have a commitment and integrity to do the right thing for south Sudan," he said. "Our biggest challenge is creating a system that is bigger than one person, to create a system that will stand the test of time."

On most weekends, Akoi walks along the banks of the Nile, which snakes through Juba. When he looks at the lush mango trees, he sees the potential for southern Sudan to export their fruit. When he looks at the brown waters, he sees the potential to harness hydropower to light up the electricity-starved region.

"When I look at the water and the mangoes, they are indicators of how beautiful south Sudan is," Akoi said. "This is a place where people should not go hungry. If you plant anything here, it will grow."
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