Sunday 3 February 2013

US military expands its drug war in Latin America

The crew members aboard the USS Underwood could see through their night goggles what was happening on the fleeing go-fast boat: Someone was dumping bales.

When the Navy guided-missile frigate later dropped anchor in Panamanian waters on that sunny August morning, Ensign Clarissa Carpio, a 23-year-old from San Francisco, climbed into the inflatable dinghy with four unarmed sailors and two Coast Guard officers like herself, carrying light submachine guns. It was her first deployment, but Carpio was ready for combat.

Fighting drug traffickers was precisely what she'd trained for.

In the most expensive initiative in Latin America since the Cold War, the U.S. has militarized the battle against the traffickers, spending more than $20 billion in the past decade. U.S. Army troops, Air Force pilots and Navy ships outfitted with Coast Guard counter-narcotics teams are routinely deployed to chase, track and capture drug smugglers.

The sophistication and violence of the traffickers is so great that the U.S. military is training not only law enforcement agents in Latin American nations, but their militaries as well, building a network of expensive hardware, radar, airplanes, ships, runways and refueling stations to stem the tide of illegal drugs from South America to the U.S.

According to State Department and Pentagon officials, stopping drug-trafficking organizations has become a matter of national security because they spread corruption, undermine fledgling democracies and can potentially finance terrorists.

U.S. drug czar Gil Kerlikowske, pointing to dramatic declines in violence and cocaine production in Colombia, says the strategy works.

"The results are historic and have tremendous implications, not just for the United States and the Western Hemisphere, but for the world," he said at a conference on drug policy last year.

The Associated Press examined U.S. arms export authorizations, defense contracts, military aid, and exercises in the region, tracking a drug war strategy that began in Colombia, moved to Mexico and is now finding fresh focus in Central America, where brutal cartels mark an enemy motivated not by ideology but by cash.

The U.S. authorized the sale of a record $2.8 billion worth of guns, satellites, radar equipment and tear gas to Western Hemisphere nations in 2011, four times the authorized sales 10 years ago, according to the latest State Department reports.

Over the same decade, defense contracts jumped from $119 million to $629 million, supporting everything from Kevlar helmets for the Mexican army to building airport runways in Aruba, according to federal contract data.

Last year $830 million, almost $9 out of every $10 of U.S. law enforcement and military aid spent in the region, went toward countering narcotics, up 30 percent in the past decade.

Many in the military and other law enforcement agencies ? the Drug Enforcement Administration, U.S. Immigration and Customs Enforcement, FBI ? applaud the U.S. strategy, but critics say militarizing the drug war in a region fraught with tender democracies and long-corrupt institutions can stir political instability while barely touching what the U.N. estimates is a $320 billion global illicit drug market.

Congressman Eliot Engel (D-N.Y.), who chaired the U.S. House Subcommittee on the Western Hemisphere for the past four years, says the U.S.-supported crackdown on Mexican cartels only left them "stronger and more violent." He intends to reintroduce a proposal for a Western Hemisphere Drug Policy Commission to evaluate antinarcotics efforts.

"Billions upon billions of U.S. taxpayer dollars have been spent over the years to combat the drug trade in Latin America and the Caribbean," he said. "In spite of our efforts, the positive results are few and far between."

___

At any given moment, 4,000 U.S. troops are deployed in Latin America and as many as four U.S. Navy ships are plying the Caribbean and Pacific coastlines of Central America. U.S. pilots clocked more than 46,400 hours in 2011 flying anti-drug missions, and U.S. agents from at least 10 law enforcement agencies spread across the continent.

The U.S. trains thousands of Latin American troops, and employs its multibillion dollar radar equipment to gather intelligence to intercept traffickers and arrest cartel members.

These work in organized-crime networks that boast an estimated 11,000 flights annually and hundreds of boats and submersibles. They smuggle cocaine from the only place it's produced, South America, to the land where it is most coveted, the United States.

One persistent problem is that in many of the partner nations, police are so institutionally weak or corrupt that governments have turned to their militaries to fight drug traffickers, often with violent results. Militaries are trained for combat, while police are trained to enforce laws.

"It is unfortunate that militaries have to be involved in what are essentially law enforcement engagements," said Frank Mora, the outgoing deputy assistant secretary of defense for Western Hemisphere affairs. But he argues that many governments have little choice.

"We are not going to turn our backs on these governments or these institutions because they've found themselves in such a situation that they have to use their militaries in this way," Mora said.

Mora said the effort is not tantamount to militarizing the war on drugs. He said the Defense Department's role is limited, by law, to monitoring and detection. Law enforcement agents, from the U.S. Coast Guard, Customs and Border Protection or other agencies are in charge of some of the busts, he said.

But the U.S. is deploying its own military. Not only is the Fourth Fleet in the Caribbean, the Pacific and the Atlantic, but the Marines were sent to Guatemala last year and the National Guard is in Honduras.

The Obama Administration sees these deployments as important missions with a worthy payoff. Hundreds of thousands of kilograms (pounds) of cocaine are seized en route to the U.S. every year, and the Defense Department estimates about 850 metric tons of cocaine departed South America last year toward the U.S., down 20 percent in just a year. The most recent U.S. survey found cocaine use fell significantly, from 2.4 million people in 2006 to 1.4 million in 2011.

Aboard the Underwood, the crew of 260 was clear on the mission. The ship's bridge wings bear 16 cocaine "snowflakes" and two marijuana "leaves," awarded to the Underwood by the Coast Guard command to be "proudly displayed" for its successful interdictions.

Standing on the bridge, Carpio's team spotted its first bale of cocaine. And then, after 2 1/2 weeks plying the Caribbean in search of drug traffickers, they spotted another, and then many more.

"In all we found 49 bales," Carpio said in an interview aboard the ship. "It was very impressive to see the bales popping along the water in a row."

Wrapped in black and white tarp, they were so heavy she could barely pull one out of the water. Later, officials said they'd collected $27 million worth of cocaine.

___

The current U.S. strategy began in Colombia in 2000, with an eight-year effort that cost more than $7 billion to stop the flow from the world's top cocaine producer. During Plan Colombia, the national police force, working closely with dozens of DEA agents, successfully locked up top drug traffickers.

But then came "the balloon effect."

As a result of Plan Colombia's pressure, traffickers were forced to find new coca-growing lands in Peru and Bolivia, and trafficking routes shifted as well from Florida to the U.S.-Mexico border.

Thus a $1.6 billion, 4-year Merida Initiative was launched in 2008. Once more, drug kingpins were caught or killed, and as cartels fought to control trafficking routes, increasingly gruesome killings topped 70,000 in six years.

Mexican cartel bosses, feeling the squeeze, turned to Central America as the first stop for South American cocaine, attracted by weaker governments and corrupt authorities.

"Now, all of a sudden, the tide has turned," said Brick Scoggins, who manages the Defense Department's counter-narcotics programs in most of Latin America and the Caribbean. "I'd say northern tier countries of El Salvador, Honduras, Guatemala and Belize have become a key focus area."

The latest iteration is the $165 million Central America Regional Security Initiative, which includes Operation Martillo (Hammer), a year-old U.S.-led mission. The operation has no end date and is focused on the seas off Central America's beach-lined coasts, key shipping routes for 90 percent of the estimated 850 metric tons of cocaine headed to the U.S.

As part of Operation Martillo, 200 U.S. Marines began patrolling Guatemala's western coast in August, their helicopters soaring above villages at night as they headed out to sea to find "narco-submarines" and shiploads of drugs. The troops also brought millions of dollars' worth of computers and intelligence-gathering technology to analyze communications between suspected drug dealers.

Assistant Secretary of State William Brownfield, head of the Bureau of International Narcotics and Law Enforcement Affairs, predicts the balloon effect will play out in Central America before moving to the Caribbean.

The goal, he said, is to make it so hard for traffickers to move drugs to the U.S. that they will eventually opt out of North America, where cocaine use is falling. Traffickers would likely look for easier, more expanding markets, shifting sales to a growing customer base in Europe, Africa and elsewhere in the world.

Brownfield said almost all Peruvian and Bolivian cocaine goes east through Brazil and Argentina and then to Western Europe. Cocaine that reaches North America mostly comes from Colombia, he said, with U.S. figures showing production falling sharply, from 700 metric tons in 2001 to 195 metric tons today ? though estimates vary widely.

When the drug war turns bloody, he said, the strategy is working.

"The bloodshed tends to occur and increase when these trafficking organizations, which are large, powerful, rich, extremely violent and potentially bloody, ... come under some degree of pressure," he said.

Yet the strategy has often backfired when foreign partners proved too inexperienced to fight drug traffickers or so corrupt they switched sides.

In Mexico, for example, the U.S. focused on improving the professionalism of the federal police. But the effort's success was openly questioned after federal police at Mexico City's Benito Juarez International Airport opened fire at each other, killing three.

In August critics were even more concerned when two CIA officers riding in a U.S. Embassy SUV were ambushed by Mexican federal police allegedly working for an organized crime group. The police riddled the armored SUV with 152 bullets, wounding both officers.

The new strategy in Honduras has had its own fits and starts.

Last year, the U.S. Defense Department spent a record $67.4 million on military contracts in Honduras, triple the 2002 defense contracts there well above the $45.6 million spent in neighboring Guatemala in 2012. The U.S. also spent about $2 million training more than 300 Honduran military personnel in 2011, and $89 million in annual spending to maintain Joint Task Force Bravo, a 600-member U.S. unit based at Soto Cano Air Base.

Further, neither the State Department nor the Pentagon could provide details explaining a 2011 $1.3 billion authorization for exports of military electronics to Honduras ? although that would amount to almost half of all U.S. arms exports for the entire Western Hemisphere.

In May, on the other side of the country, Honduran national police rappelled from U.S. helicopters to bust drug traffickers near the remote village of Ahuas, killing four allegedly innocent civilians and scattering locals who were loading some 450 kilograms (close to 1,000 pounds) of cocaine into a boat.

The incident drew international attention and demands for an investigation when the DEA confirmed it had agents aboard the helicopters advising their Honduran counterparts. Villagers spoke of English-speaking commandos kicking in doors and handcuffing locals just after the shooting, searching for drug traffickers.

Six weeks later, townspeople watched in shock as laborers exhumed the first of four muddy graves. At each burial site, workers pulled out the decomposing bodies of two women and two young men, and laid them on tarps.

Forensic scientists conducted their graveside autopsies in the open air, probing for bullet wounds and searching for signs the women had been pregnant, as villagers had claimed.

Government investigators concluded there was no wrongdoing in the raid. In the subsequent months, DEA agents shot and killed suspects they said threatened them in two separate incidents, and the U.S. temporarily suspended the sharing of radar intelligence because the Central American nation's air force shot down two suspected drug planes, a violation of rules of engagement. Support was also withheld for the national police after it was learned that its new director had been tied to death squads.

As the new year begins, Congress is still withholding an estimated $30 million in aid to Honduras, about a third of all the U.S. aid slotted for this year.

But there are no plans to rethink the strategy.

Scoggins, the Defense Department's counter-narcotics manager, said operations in Central America are expected to grow for the next five years.

"It's not for me to say if it's the correct strategy. It's the strategy we are using," said Scoggins. "I don't know what the alternative is."

___

Contributing to this report were Associated Press writers Dario Lopez aboard the USS Underwood in the Caribbean, Garance Burke in San Francisco, Frank Bajak in Lima, Peru, and Alberto Arce in Tegucigalpa, Honduras, along with Romina Ruiz-Goiriena in Guatemala City.

Source: http://news.yahoo.com/us-military-expands-drug-war-latin-america-145202763.html

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Continuing Education Resources: Brain Imaging Predicts ...

Treatment for social anxiety disorder or social phobia has entered the personalized medicine arena?brain imaging can provide neuromarkers to predict whether traditional options such as cognitive behavioral therapy will work for a particular patient, reported a National Institute of Mental Health (NIMH)-funded study that was published in the January 2013 issue of JAMA Psychiatry.

Background

Social anxiety disorder (SAD)? the fear of being judged by others and humiliated? is the third most prevalent psychiatric disorder in Americans, after depression and alcohol dependence, according to the National Comorbidity Survey, a U.S. poll on mental health. This fear can be so strong that it interferes with daily life activities like going to work or school. If left untreated, some sufferers use alcohol, food, or drugs to reduce the fear at social events, which often leads to other disorders such as alcoholism, eating disorders, and depression. The NIMH claims that 6.8 percent of U.S. adults and 5.5 percent of 13- to 15-year-olds, the age of onset for this chronic disorder, are annually afflicted Social Worker Continuing Education

Although psychotherapy and drugs, such as antidepressants and benzodiazepines, exist as treatments for SAD, current behavioral measures poorly predict which would work better for individual patients. ?Half of social anxiety disorder patients have satisfactory response to treatment. There is little evidence about which patient would benefit from a particular form of treatment,? said John D. Gabrieli, Ph.D., lead author of the study. ?Currently, there is no rational basis for prescribing one treatment over the other. Which treatment a patient gets depends on whom they see.?

Enter personalized medicine, the use of genetic or other biological markers to tailor treatments to those who would actually benefit from them, thus sparing the expense and side effects for those who would not. Brain imaging could identify neuromarkers or targeted areas of the brain that could one day optimize treatment for individual patients. Neuromarkers are being used in other areas of mental illness, for instance, to predict the onset of psychosis in schizophrenia and the likelihood of relapse in drug addiction.

In this study, Gabrieli, at the Massachusetts Institute of Technology in Cambridge, and his colleagues, used functional magnetic resonance imaging (fMRI) in 39 SAD patients before a 12-week course of cognitive behavioral therapy. The patients viewed angry versus neutral faces and scenes while undergoing fMRI examination (see first slide). Compared to neutral faces, angry faces convey disapproval and are likely to prompt excessive fear responses and negative connotations in SAD patients; cognitive behavioral therapy teaches these patients ways to downregulate their responses. The patients? brain images were then compared to their scores on a conventional clinical measure, the Liebowitz Social Anxiety Scale (LSAS), a questionnaire which they took before and after therapy completion.

Results of the Study

SAD patients responded more to the images of faces and not scenes, which is characteristic for the social basis of this disorder. Patients whose brains reacted strongly to the facial images before treatment benefitted more from the therapy than those who reacted to these the least (see second slide). Specifically, changes in two occipitotemporal brain regions?areas involved in early processing of visual cues such as faces?correlated with positive cognitive behavioral therapy outcome. These neuromarkers predicted treatment outcome better than the currently used LSAS.

Significance

This study is the first of its kind to use neuroimaging to predict treatment response in SAD patients. Neuromarkers may become a practical clinical tool to guide the selection of optimal treatments for individual patients. Integration of neuromarkers with genetic, behavioral, and other biomarkers is likely to further refine the prediction.

What?s Next

A larger study comparing people with SAD with normal participants is needed to verify the results. fMRI studies using other facial expressions (disgust or fear) might be better predictors. Studies that look at other treatment options, such as drugs, are also needed to confirm which treatment is optimal.


Researchers asked patients with social phobia to undergo functional magnetic resonance imaging (fMRI) while viewing images of neutral versus angry faces and scenes. The patients? brains showed more activity when they viewed the faces.



Source: Gabrieli Lab, MIT



Patients with social phobia whose brains ?lit? up the most, particularly in two regions towards the back of the brain that process what we see, responded the best to psychotherapy.

Source: Gabrieli Lab, MIT

Reference

Doehrmann O, Ghosh SS, Polli FE, Reynolds GO, Horn F, Keshavan A, Triantafyllou C, Saygin ZM, Whitfield-Gabrieli S, Hofmann SG, Pollack M, Gabrieli JD. Predicting Treatment Response in Social Anxiety Disorder from Functional Magnetic Resonance Imaging. JAMA Psychiatry. January 2013. 70(1):87?97.

Source: http://nicolehiltibran.blogspot.com/2013/02/brain-imaging-predicts-psychotherapy.html

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Solid Jan. hiring would boost hopes for US economy

In this Wednesday, Jan. 16, 2013, photo, perspective job seekers talk with employers during a job fair in Cuyahoga Falls, Ohio. The number of Americans seeking unemployment aid jumped last week, though the increase mostly reflected difficulties the government has seasonally adjusting its numbers. Applications are still at levels signaling modest hiring. (AP Photo/Tony Dejak)

In this Wednesday, Jan. 16, 2013, photo, perspective job seekers talk with employers during a job fair in Cuyahoga Falls, Ohio. The number of Americans seeking unemployment aid jumped last week, though the increase mostly reflected difficulties the government has seasonally adjusting its numbers. Applications are still at levels signaling modest hiring. (AP Photo/Tony Dejak)

(AP) ? The January employment report is expected to show Friday that job growth remained steady last month even though Americans began receiving smaller paychecks that could keep the economy sluggish.

Economists forecast that the economy added 155,000 jobs in January and that the unemployment rate stayed at 7.8 percent for a third straight month, according to a survey by FactSet.

The Labor Department will release the report at 8:30 a.m. EST.

The economy has averaged about 150,000 additional jobs a month over the past two years, not enough to rapidly reduce still-high unemployment.

Still, even modest hiring would cushion the impact of the higher Social Security taxes that most consumers are paying this year. And it would help the economy resume growing after it shrank at an annual rate of 0.1 percent in the October-December quarter.

Higher Social Security taxes are reducing take-home pay for most Americans. A person earning $50,000 a year will have about $1,000 less to spend in 2013. A household with two high-paid workers will have up to $4,500 less.

Analysts expect the Social Security tax increase to shave about a half-point off economic growth in 2013 given that consumers drive about 70 percent of economic activity.

The hit to consumers is coming at a precarious moment for the economy. It contracted in the fourth quarter for the first time in 3? years. The decline was driven largely by a steep cut in defense spending and a drop in exports. Analysts generally think those factors will prove temporary and that the economy will resume growing.

Still, the contraction last quarter points to what are likely to be key challenges for the economy this year: the prospect of sharp government spending cuts and uncertainty over whether Congress will agree to raise the federal borrowing cap.

Most analysts predict that the economy will grow again in the January-March quarter, though likely at a lackluster annual rate of around 1 percent. They expect the economy to expand about 2 percent for the full year.

Two key drivers of growth improved last quarter: Consumer spending increased at a faster pace. And businesses invested more in equipment and software.

In addition, homebuilders are stepping up construction to meet rising demand. That could generate more construction jobs.

And home prices are rising steadily. That tends to make Americans feel wealthier and more likely to spend. Housing could add as much as 1 percentage point to economic growth this year, some economists estimate.

Auto sales reached their highest level in five years in 2012 and are expected to keep growing this year. That's boosting production and hiring at U.S. automakers and their suppliers.

Some recent signs suggest that the job market is holding steady and may even improve a bit. The average number of people seeking unemployment aid each week in the past month is near a four-year low.

Weekly applications for unemployment benefits were distorted in January by the government's difficulties in seasonally adjusting its figures in January. Even so, applications are gradually ticking down, economists say.

Payroll provider ADP said Wednesday that private U.S. businesses added 192,000 jobs in January, up from 185,000 in December. Most of the gains came from small businesses, the ADP data showed.

The department will revise its estimates of job gains for the past five years on Friday. The changes are expected to show that the economy added more jobs in 2012 than previously thought.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/f70471f764144b2fab526d39972d37b3/Article_2013-02-01-Economy/id-87c1d694b2504bc6a9cf96d0ad9734e3

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