Saturday, May 05, 2012

Completing a successful transition in Afghanistan

Priorities Chart Way Forward for Eucom
By Donna Miles
American Forces Press Service

STUTTGART, Germany, May 4, 2012 - Using the new defense strategic guidance as its roadmap, officials at U.S. European Command say they've fixed their compasses on four basic priorities: maintaining ready forces, completing a successful transition in Afghanistan, sustaining strategic partnerships and countering transnational threats.
Click photo for screen-resolution image
Ensuring ready forces is U.S. European Command's highest priority. Here, paratroopers from Special Operations Command Europe descend after jumping from an MC-130 Combat Talon aircraft over Malmsheim Drop Zone, Germany, Dec. 9, 2009. U.S. Army photo by Staff Sgt. Isaac A. Graham
 
Keeping a steely-eyed focus on these priorities is particularly important at a time of limited resources, Navy Vice Adm. Charles Martoglio, Eucom's deputy commander, told American Forces Press Service."Our highest priority is readiness to execute the contingency plans that we are responsible for," he said. "That goes directly back to the Constitution that says the military's mission is to fight and win the nation's wars."
That, explained Navy Rear Adm. Mark Montgomery, the command's deputy commander for plans, policy and strategy, means being ready to act if called upon to deal with issues in a 51-country area of responsibility that stretches across the Baltics, the Balkans, the Caucasuses and the Levant.
Eucom's next priority is to complete a successful security transition in Afghanistan from the NATO-led International Security Assistance Force to Afghan national security forces, the admirals said. This, Montgomery explained, requires evolving from an operational role to a training role to ensure Afghan forces are prepared to accept increasing security responsibility.
"Many people don't realize that most of the non-U.S. forces in ISAF are from Europe," Martoglio said, noting that about 32,000 of the 35,000 partner forces in the coalition deploy from European soil. Eucom has been active over the past decade helping to organize, train and equip forces from countries not financially or logistically capable of doing so themselves. 
"Some would say we should expect more from our European partners," Martoglio acknowledged, noting the 90,000 U.S. troop  contribution to ISAF. "But I would say that if it weren't for those 32,000 European partners there, we would require 32,000 more Americans."
As the coalition draws down forces in Afghanistan, Eucom's next priority, he said, will be to preserve the strategic partnerships solidified there.
"We have been alongside NATO, or NATO has been alongside us, for 10 years in Afghanistan and Iraq," Martoglio said. "We have a combat edge that has been honed by 10 years of working together in very challenging circumstances.
"So as we come out of Iraq and Afghanistan, how do we sustain that combat edge over time, particularly when everybody's budgets are being significantly constrained?" he asked. "Our job here is to sustain the strategic partnership, the NATO alliance – that most successful coalition in history – across these difficult financial times."
NATO never has been at a higher level of readiness to conduct contingency operations, Montgomery said. He cited the immediacy of a mission that's brought interoperability within ISAF to its highest level ever, but could begin deteriorating over time without a concerted effort to preserve it.
"The question," he said, echoing Martolgio, "is how do we preserve all the investment that's been made over the last eight to 10 years – an investment of not just money, but blood and sweat, working together in both Iraq and Afghanistan?"
Martoglio emphasized the importance of continued engagement and training, both to take new strategic partnerships forged with Eastern European nations to the next level, and to maintain other ISAF contributors' high-end capabilities.
"We have to look toward ensuring interoperability of those forces and routinely training together so that if we have to conduct high-end operations, we have the ability to work together from a technical perspective, and the skills to work together from a training perspective," he said.
Looking forward, Navy Adm. James G. Stavridis, the Eucom commander, identified four specific countries for increased engagement: Israel, Russia, Turkey and Poland.
Israel is one of the United States' closest allies, Martoglio said, noting the U.S. commitment to help in deterring its adversaries. Russia has a major impact on security in Europe and the world, and forging a more positive bilateral relationship is essential, he said.
Turkey, a rising regional power and NATO partner, is able to influence events in parts of the world the United States simply can't. And Poland, an increasingly influential leader in Northeastern Europe, is on a trajectory toward extending its economic and democratic impact beyond the immediate region.
These partnerships will be vital in confronting new and emerging threats in a rapidly-changing security environment, Martoglio said, particularly transnational threats that no one country can tackle alone. These include violent extremist organizations, cyber attacks, ballistic missiles and the proliferation of weapons of mass destruction.
NATO addressed these concerns at its 2010 summit in Lisbon, Portugal, tasking member countries to contribute to various capabilities as part of its new 10-year strategic concept. The United States took on a significant ballistic missile defense tasking, Montgomery noted, and is working within NATO and U.S. structures to address other challenges.
Stavridis, testifying before Congress in March, said these evolving threats demand the steady commitment that the trans-Atlantic alliance has demonstrated since its inception more than six decades ago.
"Working together with our historic partners on these critical security challenges of the 21st century to wisely leverage the significant investments that America has made for over half a century will be more important than ever in light of the fiscal constraints that we all face," he told the Senate Armed Services Committee.
Stavridis credited the men and women of Eucom who work alongside allies and partners across the dynamic European theater every day pursuing common security interests and as a result, forward defense of the United States.
 "With every action, they are shaping the rapidly changing world we live in today, in order to provide the ensuring capabilities, security structures and trust we need for a stronger world tomorrow," he said.
Biographies:
Navy Adm. James G. Stavridis 
Navy Vice Adm. Charles W. Martoglio 
Navy Rear Adm. Mark C. Montgomery 
Related Sites:
U.S. European Command 

PM's address for NCTC Meeting

The Prime Minister, Dr. Manmohan Singh addressed the National Counter Terrorism Centre (NCTC) meeting in Delhi 
Following is the text of Prime Minister’s address:
“I welcome you to this very important meeting on the very important issue of operationalising the National Counter Terrorism Centre (NCTC).


As all of you know, we had initially intended to discuss this issue in the Chief Ministers' Conference on Internal Security held on 16th April, 2012. But in view of the importance of the matter and concerns raised by some Chief Ministers, we have decided to have a meeting exclusively on this important subject. It’s my sincere hope that as a result of your deliberations today, we will make further progress in improving our counter-terrorism architecture and our operational and institutional capabilities to deal with this menace. I also hope that today's discussions will take place in a spirit of harmony and cooperation, which are essential in tackling the challenge of terrorism.


I would like to reiterate what I have said before. It is not our Government's intention in any way to affect the distribution of powers between the States and the Union that our Constitution provides. The establishment of the NCTC is not a State versus Centre issue. The primary purpose behind setting up the NCTC is to coordinate counter-terrorism efforts throughout this vast country, as the Intelligence Bureau has been doing so far. The NCTC should be a vehicle of our combined efforts to reach the shared goal of curbing terrorism and eradicating militancy.


Terrorism is today one of the most potent threats to our national security. There can be no disagreement on putting in place an effective counter terrorism regime with efficient mechanisms and response systems both at the national level and at the State level. Neither the states nor the Centre can fulfill this task alone. The closest cooperation and coordination is therefore necessary to meet the threats that emanate from within and outside our borders.


I believe that it is the responsibility of the Centre to give form and shape to a cohesive national approach and strategy based on information gathered globally and from all the states of our Union. On their part, the states should use their expertise, knowledge and machinery to secure their own territories and work in coordination with the Centre and other States.
Since 26/11, we have diligently strengthened our counter terrorism capabilities both in the States and at the Centre. I believe that today the State and Central Police and intelligence agencies are working in harmony and in close coordination. These efforts have resulted in several noteworthy successes. The State Police forces have achieved some excellent results in the recent past. On the whole there is broad agreement on the strategy and measures that we must adopt to counter terrorism in all its multifarious dimensions in India, including cross-border terrorism, Left Wing Extremism, terrorism in Jammu and Kashmir, insurgency in the North-East and religion based terrorism. However, much remains to be done.


Our government remains committed to working with the State governments and providing them all possible help in combating terrorism. We have been providing financial assistance to the States and helping them train State police and intelligence agencies. We are also implementing schemes on border management and on coastal security, and the scheme for modernization of state police forces. Our government will continue and strengthen these efforts.


The antecedents of the NCTC lie in the recommendations by a Group of Ministers and by the Administrative Reforms Commission, commencing from the lessons learnt in Kargil. It is our belief that the NCTC, in its design and its operational aspects, will supplement the counter-terrorism capabilities of the States and not supplant them. The NCTC mechanism will give each state agency an ability to see the bigger picture of terrorist threats and thus would enhance their counter terrorism capability and access to resources to tackle them.


But for the NCTC to function smoothly and effectively, it is very important that we have a fairly broad consensus on its powers and its functions. We would like the State governments to be with us in this important initiative, which we believe would strengthen our counter-terrorism efforts. We remain open to the suggestions of Chief Ministers. We would like to benefit from their vast knowledge, wisdom and experience.


In preparation for our discussions, the Ministry of Home Affairs has circulated drafts for the Standard Operating Procedures for the Standing Council and for the exercise of operational powers under section 43 A of the Unlawful Activities (Prevention) Act. Both drafts reflect the detailed provisions for Centre-State coordination in both the organizational set-up of NCTC and in its proposed powers and functions.
With these words, I wish you success in your deliberations and I look forward to an open discussion today. May today's deliberations enable us to continue working together to put in place even more effective counter-terrorism architecture in our country. (PIB) 05-May-2012 11:52 IST


*****

Thursday, May 03, 2012

Early intervention for optimal treatment of squint

Every case of squint can lead to loss of stereo vision
Ludhiana, 2nd May, 2011(Shalu Arora and Rector Kathuria) Generally squint is considered important only from the cosmetic point of view. It is true that deviated eyes do not look good on a person’s face. Added to this is the psychological and emotional distress. However this is not the only deficit caused by squint, says Dr Satish Thomas, pediatric ophthalmologist and squint specialist at Christian Medical College & Hospital, Ludhiana. It can cause decreased vision because of amblyopia if the squint is in one eye. In addition, every case of squint can lead to loss of stereo vision or 3 dimensional vision.  We can have 3D vision only when both the eyes function simultaneously. Children with squint suppress image from one eye in order to avoid double vision, but in the process lose 3D vision.

Squint is best corrected as early as possible after its onset. This is because 3D vision can only be restored if eyes are realigned within about a year of onset, which is before 2 years of age. Amblyopia or lazy eye can only be treated before 7 or 8 years of age. If squint is to be operated only for cosmetic purposes, then timing of surgery does not matter as much. A surgeon can operate and correct squint at any age, but unless it is done very early in life, the patient cannot obtain any binocular vision and 3D perception ability. This is a very important criterion for many professions and careers like sports, surgery, becoming a pilot etc. It is extremely important even for most simple activities like threading a needle. Unfortunately many patients who come to us late have been advised by many doctors that they have to wait until they get older to have squint operated. Most squints do not improve with time and if we wait in the hope of spontaneous improvement, everything will be lost except a chance of straight eyes.
Dr Satish Thomas says that for the last 7 years, ever since he returned from doing fellowship in pediatric ophthalmology and squint from Sankara Nethralaya in Chennai, he has been earnestly campaigning for early treatment of squint. It is encouraging that over the last few years more and more patients are coming in earlier for treatment. In the last year Dr. Thomas said that he has seen close to 100 new children with squint in the hospital who have been appropriately treated. Twenty of them have been operated upon and many of them have been corrected with appropriate spectacles and occlusion therapy. However, the number of adults coming in with congenital squints is also on the rise. During the last year about 50 adult patients underwent surgery for squint which they had from childhood. This is a reflection of the society’s understanding of the disease which needs to change. Almost all the varieties of primary squint originate in childhood and need to be operated early in life for maximum benefits. 

Monday, April 30, 2012

An appeal from CMC Ludhiana

A 15 year old girl waiting your helping hand 
Ms. Diksha d/o Late Sh. Des Raj (Hosp No: C-7366016) is a 15 year old girl from Himachal Pradesh studying in class IX. She came to CMCH in March 2012 with painful swelling of her right leg. Her investigations confirmed the diagnosis of Osteogenic Sarcoma – a type of bone cancer. This is an aggressive type of cancer but has not spread to the rest of her body. She has a high chance of cure if she completes chemotherapy and surgery. Some patients with this disease may also require Radiotherapy after surgery. The approximate expenditure for the same is Rs 2 lakh over the next 3 months. Her father passed away and she is being cared for by her mother on a pension of Rs 3000/month. 

The patient and her family are very keen for treatment and her relatives are also supporting the family in seeking treatment. She has already received 2 cycles of chemotherapy with good response in the tumour. She is currently admitted in CMC Hospital for managing low blood counts and infection which can happen due to chemotherapy. It would be a great help to the family if any financial assistance can be provided both to deal with the current crisis and to help pay for her definitive treatment. The Medical Oncology Unit at CMCH is providing some of her medicines and chemotherapy drugs at subsidized rates. However, the added expenses need to be met to enable this young girl and the family to get her back to normal life without cancer. 

We appeal to the people of Ludhiana to please come forward and help the family. If anyone is willing to contribute for the same, please contact CMC Medical Oncology helpline numbers – 09780005333/09915851194 or (cmc.oncology@yahoo.com) or Miss. Amarjit, Publicity Manager Ph: 9888588840. Donations can be deposited in the patient’s name in the form of cheque/DD in favour of “CMC Ludhiana Society”. Cash payments will also be accepted at our accounts/billing section. Donors will be eligible for tax exemption.    Shalu Arora and Rector Kathuria