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Blinken is heading back to the Middle East, this time without fanfare or a visit to Israel

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WASHINGTON (AP) — Secretary of State Antony Blinken heads to Egypt on Tuesday for his 10th trip to the Middle East since the war in Gaza began nearly a year ago, this one aimed partly at refining a proposal to present to Israel and Hamas for a cease-fire deal and release of hostages.

Unlike in recent mediating missions, America’s top diplomat this time is traveling without optimistic projections from the Biden administration of an expected breakthrough in the troubled negotiations.

Also unlike the earlier missions, Blinken has no public plans to go to Israel to meet with Prime Minister Benjamin Netanyahu on this trip. The Israeli leader’s fiery public statements — like his declaration that Israel would accept only “total victory” when Blinken was in the region in June — and some other unbudgeable demands have complicated earlier diplomacy.

Blinken is going to Egypt for talks Wednesday with Egyptian Foreign Minister Badr Abdelatty and others, in a trip billed as focused both on American-Egyptian relations and Gaza consultations with Egypt.

The tamped-down public approach follows months in which President Joe Biden and his officials publicly talked up an agreement to end the war in Gaza as being just within reach, hoping to build pressure on Netanyahu’s far-right government and Hamas to seal a deal.

The Biden administration now says it is working with fellow mediators Egypt and Qatar to come up with a revised final proposal to try to at least get Israel and Hamas into a six-week cease-fire that would free some of the hostages held by Hamas in exchange for Palestinian prisoners held by Israel. Americans believe public attention on details of the talks now would only hurt that effort.

American, Qatari and Egyptian officials still are consulting “about what that proposal will contain, and …. we’re trying to see that it’s a proposal that can get the parties to an ultimate agreement,” State Department spokesman Matthew Miller said Monday.

The State Department pointed to Egypt’s important role in Gaza peace efforts in announcing last week that the Biden administration planned to give the country its full $1.3 billion in military aid, overriding congressional requirements that the U.S. hold back some of the funding if Egypt fails to show adequate progress on human rights. Blinken told Congress that Egypt has made progress on human rights, including in freeing political prisoners.

Blinken’s trip comes amid the risk of a full-on new front in the Middle East, with Israel threatening increasing military action against the Hezbollah militant organization in Lebanon. Biden envoy Amos Hochstein was in Israel on Monday to try to calm tensions after a stop in Lebanon.

Hezbollah has one of the strongest militaries in the Middle East, and like Hamas and smaller groups in Syria and Iraq it is allied with Iran.

Hezbollah and Israel have exchanged strikes across Israel’s northern border with Lebanon since the Oct. 7 attack by Hamas started the war in Gaza. Hezbollah says it will ease those strikes — which have uprooted tens of thousands of civilians on both sides of the border — only when there’s a cease-fire in Gaza.

Hochstein told Netanyahu and other Israeli officials that intensifying the conflict with Hezbollah would not help get Israelis back in their homes, according to a U.S. official. The official, who spoke on the condition of anonymity to discuss the private talks, said Hochstein stressed to Netanyahu that he risked sparking a broad and protracted regional conflict if he moved forward with a full-scale war in Lebanon.

Hochstein also underscored to Israeli officials that the Biden administration remained committed to finding a diplomatic solution to the tensions on Israel’s northern border in conjunction with a Gaza deal or on its own, the official said.

Netanyahu told Hochstein that it would “not be possible to return our residents without a fundamental change in the security situation in the north.” The prime minister said Israel “appreciates and respects” U.S. support but “will do what is necessary to maintain its security and return the residents of the north to their homes safely.”

Israel Defense Minister Yoav Gallant, meanwhile, warned in his meeting with Hochstein that “the only way left to ensure the return of Israel’s northern communities to their homes will be via military action,” his office said.

In Gaza, the U.S. says Israel and Hamas have agreed to a deal in principle and that the biggest obstacles now include a disagreement on details of the hostage and prisoner swap and control over a buffer zone on the border between Gaza and Egypt. Netanyahu has demanded in recent weeks that the Israeli military be allowed to keep a presence in the Philadelphi corridor. Egypt and Hamas have rejected that demand.

The Hamas-led attacks in southern Israel on Oct. 7 killed about 1,200 people. Militants also abducted 250 people and are still holding around 100 hostages. About a third of the remaining hostages are believed to be dead.

Israel’s offensive in Gaza has killed more than 41,000 Palestinians, said Gaza’s Health Ministry, which does not distinguish between civilians and militants in its count. The war has caused widespread destruction, displaced a majority of Gaza’s people and created a humanitarian crisis.

Netanyahu says he is working to bring home the hostages. His critics accuse him of slow-rolling a deal because it could bring down his hardline coalition government, which includes members opposed to a truce with the Palestinians.

Asked earlier this month if Netanyahu was doing enough for a cease-fire deal, Biden said, simply, “no.” But he added that he still believed a deal was close.

___

Associated Press writer Aamer Madhani contributed to this report.

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People with diabetes in lower-income areas at higher risk for amputations: report

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TORONTO – The Canadian Institute for Health Information says more than 7,000 people with diabetes undergo a leg, foot or toe amputation every year — and the majority of those procedures could have been prevented.

The report issued today says people with diabetes living in the lowest-income neighbourhoods are three times more likely to have an amputation than those living in the highest-income communities.

It also says people with diabetes living in remote communities are at higher risk of leg amputations than those living in urban centres.

Erin Pichora, CIHI’s program lead for population health, says lack of access to a primary-care provider to help people manage diabetes is one likely factor behind the inequalities.

She says disparities are also likely in access to specialists who can treat diabetic wounds on people’s feet — including podiatrists and chiropodists — before they worsen.

Diabetes Canada says the report shows the importance of ensuring people with diabetes have equitable access to the care and resources they need.

“People living with diabetes who undergo amputations face significant emotional and financial distress,” Laura O’Driscoll, senior manager of policy at Diabetes Canada, said in an emailed statement to The Canadian Press.

“We need to ensure that everyone with diabetes has affordable, timely access to the medications, devices, education, and care needed to manage their condition and prevent complications like amputation.”

The CIHI researchers reviewed hospital records from across Canada for fiscal years 2020-2021 and 2022-2023 and found about 7,720 “lower limb” amputations associated with diabetes per year among people 18 and older.

Each year there were about 3,080 hospitalizations for “above-ankle” leg amputations and 4,640 hospitalizations for “ankle-and-below” amputations, including feet and toes.

This report by The Canadian Press was first published Sept. 26, 2024.

Canadian Press health coverage receives support through a partnership with the Canadian Medical Association. CP is solely responsible for this content.

The Canadian Press. All rights reserved.



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Evacuation orders near Grand Forks, B.C., downgraded, but U.S. fire is still a threat

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GRAND FORKS, B.C. – Wildfire officials say an evacuation order for the B.C. southern Interior town of Grand Forks, has been downgraded to an alert, even as an out-of-control wildfire in Washington state surges north and threatens to cross the border.

The Regional District of Kootenay Boundary says residents must be ready to leave at a moment’s notice since the Goosmus wildfire remains a risk to life and safety.

Emergency Info BC says the updated alert, posted late Wednesday, is in place for west of Highway 41 and south of Highway 3, as well as properties west of Highway 3 from Sleepy Hollow Rd to Phoenix Rd.

It is advising everyone under alert to review their emergency plans and stock a grab-and-go bag.

The district says that when necessary, residents should leave via Highway 3, go to the Jack Goddard Memorial Arena in Grand Forks, and wait in their vehicles until the reception centre opens.

The district says if you cannot evacuate at that time, you should call 911.

The BC Wildfire Service dashboard says the fire was discovered Wednesday and is about two square kilometres in size.

Mark Stephens, director of the district’s emergency operations centre, called it “a very fast-moving and developing situation.”

“We ask everyone to stay vigilant and to keep checking the (regional district’s) website for information,” he said in an online statement.

This report by The Canadian Press was first published Sept. 25, 2024.

The Canadian Press. All rights reserved.

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Calgary officers punched, Tasered man at hotel before he died: police watchdog

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Calgary police fired stun guns at a man and punched him in the head before he was put in restraints and died, investigators with Alberta’s police watchdog said Wednesday.

The Alberta Serious Incident Response Team, or ASIRT, said in a release that police were called on Sept. 17 about a man loitering near the check-in desk of the Carriage House Hotel and Conference Centre.

The agency said the man appeared dazed when he was told to leave by an officer. The man tried to pick up items from the floor that weren’t there.

When the officer pointed a Taser at the man, ordering him again to leave, ASIRT said the man raised his hands and started to walk out. He told police: “I don’t want to die.”

“The lone officer tells the male to stop talking and continues to point the weapon at him,” the agency said.

It said two other officers began walking through the main doors toward the man, and he stopped and repeated that he didn’t want to die. The first officer put away his Taser and tried to grab the man.

“At no point during the interaction had the male been identified, nor was he ever told he was being detained or under arrest,” ASIRT said.

It said the man physically resisted the officer and was tackled to the ground by another officer, who then punched the man in the head. At this point, ASIRT said the three officers fought the man for 3 1/2 minutes with “various uses of force.”

The man was put in handcuffs and leg restraints, and a spit mask was placed on his mouth, said ASIRT.

“The male is noted to be bleeding from the mouth and vomits,” the agency said.

It said seven minutes later, the man was sedated by emergency crews and left lying face down. After three more minutes, he was found to be unresponsive.

“The male was then provided medical care but declared deceased at the scene.”

Calgary police said in a release that same day that officers were called to the hotel for a man “acting erratically” in the lobby who was refusing to leave. They said the man wasn’t co-operating and was still being combative after a Taser was pulled out.

Police said the man was pepper-sprayed and taken into custody and shortly after went into medical distress.

A police spokeswoman said Wednesday the three officers involved have been placed on a standard 30-day leave.

“We know there’s a family and a community grieving this loss and our thoughts are with them during this difficult time,” said a statement.

ASIRT, which looks into serious allegations of police misconduct, said its investigation will examine the use of force by the officers.

This report by The Canadian Press was first published Sept. 25, 2024.

— By Aaron Sousa in Edmonton

The Canadian Press. All rights reserved.

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