A World Away from the West Bank, Vermont Shooting Victims Face New Grief and Fear

In this Thursday, Nov. 23, 2023, photo provided by family attorney Abed Ayoub, three college students, from the left, Tahseen Ali Ahmad, Kinnan Abdalhamid, and Hisham Awartani, stand together for a photograph. (Rich Price via AP, File)
In this Thursday, Nov. 23, 2023, photo provided by family attorney Abed Ayoub, three college students, from the left, Tahseen Ali Ahmad, Kinnan Abdalhamid, and Hisham Awartani, stand together for a photograph. (Rich Price via AP, File)
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A World Away from the West Bank, Vermont Shooting Victims Face New Grief and Fear

In this Thursday, Nov. 23, 2023, photo provided by family attorney Abed Ayoub, three college students, from the left, Tahseen Ali Ahmad, Kinnan Abdalhamid, and Hisham Awartani, stand together for a photograph. (Rich Price via AP, File)
In this Thursday, Nov. 23, 2023, photo provided by family attorney Abed Ayoub, three college students, from the left, Tahseen Ali Ahmad, Kinnan Abdalhamid, and Hisham Awartani, stand together for a photograph. (Rich Price via AP, File)

Nearly a week after three college students of Palestinian descent were shot and seriously wounded while taking an evening walk, relatives of two of the victims have arrived in Vermont from the war-torn West Bank, grappling with a new reality that has shattered their lives and a place they thought was a safe haven.

Elizabeth Price and her husband Ali Awartani flew in Wednesday just as their son, Hisham Awartani, underwent surgery. After the Israel-Hamas war erupted in early October, they decided it would be safer for Hisham to stay in the United States instead of coming home for the holidays.

Now they don't know if he will ever walk again.

"When my nephew came to this country to pursue his studies and when he came to stay with me for Thanksgiving in Burlington, Vermont, it never occurred to me that he may be victim to this type of violence," Awartani's uncle Rich Price said in an interview with The Associated Press on Friday. "And so, I feel a sense of shame, I feel a sense of outrage, and it’s been a really difficult awakening to the fact that even here — even in this country, even in this town — that many of the risks that exist for my nephew and his friends in Palestine exist for them here."

Awartani, Kinnan Abdalhamid and Tahseen Ali Ahmad, all aged 20 and attending colleges in the eastern US, were visiting Price and his family for the holiday break. The three have been friends since first grade at Ramallah Friends School, a private school in the West Bank. While they were out for a walk Saturday evening after a family birthday party, a man approached them and shot them without saying a word, they told police.

The young men were speaking in a mix of English and Arabic and two of them were also wearing the black-and-white Palestinian keffiyeh scarves when they were shot, Burlington Police Chief Jon Murad said.

Abdalhamid ran when the man started shooting and jumped over a fence. He hid in a backyard for a minute shaking, fearing the man was after him and that his friends were dead, before going to a house that had lights on and urging them to call 911, he told the AP on Friday. He learned at the University of Vermont Medical Center that his friends were alive but more seriously injured and asked to be placed in the intensive care room with them, he said.

"Palestinians in general and in the US are suffering from hate. I don't think any race or ethnicity should be targeted like that," Abdalhamid said in the hotel where he’s staying with his mother, Tamara Tamimi, after being released from the hospital earlier in the week.

Tamimi arrived in Vermont Wednesday from Jerusalem. After she and her husband got the 3 a.m. phone call that her son and his two friends were shot, she said she was relieved to talk to Kinnan from the emergency room — that he was alive. But she later fell apart, she said.

"I remember the overwhelming feeling was enough. It's just enough. It's enough pain for Palestinians. We're already grieving. We're already carrying so much grief," she said.

She said her son has been upset about what's happening in Gaza. "We've all been in so much pain and to have this happen, I really just fell apart and started throwing things around with so much anger saying, 'There's nowhere safe for us. There's nowhere safe for Palestinians. Where are we supposed to go?'"

Ahmad’s parents are expected to arrive in Vermont on Saturday.

Carmen Abdelhadi, the middle school librarian at the Ramallah Friends School, remembers meeting the three as fourth graders. When she heard about the shooting, she and others in their community were shocked and "outraged" because "we know them."

"Whenever I read something about them, I cry. It could have happened to any of our sons. My son is wearing the same scarf," she said. "It’s devastating. It’s devastating on top of everything that we are going through."

Awartani, she recalled, could always be found with a book while Abdalhamid "didn’t have a bad bone" in his body and was loved by everyone, she said. And Ahmad, she said, was the sensible one who found a love of poetry early on and went on to show an aptitude in science and tech.

"I see my son in every one of them," Abdelhadi said.

Awartani suffered a spinal injury in the shooting. A bullet that is still lodged in his spine is unlikely to be removed and he is currently paralyzed from the chest down, Rich Price said. "We don't know what the long-term prognosis is," he said.

Still, Awartani's uncle said he has the will and resilience for the recovery.

"He was concerned for his friends, who were with him, their well-being and recovery. And he was also deeply concerned that so much attention was being brought to him and he's thinking about the thousands of people that are dead, the now 80 percent of Gazans who have been displaced from their homes," Price said, wearing a keffiyeh in solidarity with the three young men. "There are dozens of Hishams that are in the list of the dead in Gaza, and he's saying, 'I'm the Hisham that you know. What about the Hishams you don't know?'"

The shooting last weekend came as threats against Jewish, Muslim and Arab communities have increased across the US in the weeks since the war began.

The suspected gunman, Jason J. Eaton, 48, was arrested Sunday at his apartment, where he answered the door with his hands raised and told federal agents he had been waiting for them. Eaton has pleaded not guilty to three counts of attempted murder and is currently being held without bail.

Authorities are investigating the shooting as a possible a hate crime.



New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
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New Mpox Strain Is Changing Fast; African Scientists Are ‘Working Blind’ to Respond 

Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)
Dr. Robert Musole, medical director of the Kavumu hospital (R) consults an infant suffering from a severe form of mpox at the Kavumu hospital, 30 km north of Bukavu in eastern Democratic Republic of Congo, August 24, 2024. (AFP)

Scientists studying the new mpox strain that has spread out of Democratic Republic of Congo say the virus is changing faster than expected, and often in areas where experts lack the funding and equipment to properly track it.

That means there are numerous unknowns about the virus itself, its severity and how it is transmitting, complicating the response, half a dozen scientists in Africa, Europe and the United States told Reuters.

Mpox, formerly known as monkeypox, has been a public health problem in parts of Africa since 1970, but received little global attention until it surged internationally in 2022, prompting the World Health Organization to declare a global health emergency. That declaration ended 10 months later.

A new strain of the virus, known as clade Ib, has the world's attention again after the WHO declared a new health emergency.

The strain is a mutated version of clade I, a form of mpox spread by contact with infected animals that has been endemic in Congo for decades. Mpox typically causes flu-like symptoms and pus-filled lesions and can kill.

Congo has had more than 18,000 suspected clade I and clade Ib mpox cases and 615 deaths this year, according to the WHO. There have also been 222 confirmed clade Ib cases in four African countries in the last month, plus a case each in Sweden and Thailand in people with a travel history in Africa.

"I worry that in Africa, we are working blindly," said Dr. Dimie Ogoina, an infectious diseases expert at Niger Delta University Hospital in Nigeria who chairs the WHO's mpox emergency committee. He first raised the alarm about potential sexual transmission of mpox in 2017, now an accepted route of spread for the virus.

"We don’t understand our outbreak very well, and if we don't understand our outbreak very well, we will have difficulty addressing the problem in terms of transmission dynamics, the severity of the disease, risk factors of the disease," Ogoina said. "And I worry about the fact that the virus seems to be mutating and producing new strains."

He said it took clade IIb in Nigeria five years or more to evolve enough for sustained spread among humans, sparking the 2022 global outbreak. Clade Ib has done the same thing in less than a year.

MUTATING 'MORE RAPIDLY'

Mpox is an orthopoxvirus, from the family that causes smallpox. Population-wide protection from a global smallpox vaccine campaign 50 years ago has waned, as the vaccinating stopped when the disease was eradicated.

Genetic sequencing of clade Ib infections, which the WHO estimates emerged mid-September 2023, show they carry a mutation known as APOBEC3, a signature of adaptation in humans.

The virus that causes mpox has typically been fairly stable and slow to mutate, but APOBEC-driven mutations can accelerate viral evolution, said Dr. Miguel Paredes, who is studying the evolution of mpox and other viruses at Fred Hutchison Cancer Center in Seattle.

"All the human-to-human cases of mpox have this APOBEC signature of mutations, which means that it's mutating a little bit more rapidly than we would expect," he said.

Paredes and other scientists said a response was complicated by several mpox outbreaks happening at once.

In the past, mpox was predominantly acquired through human contact with infected animals. That is still driving a rise in Congo in clade I cases – also known as clade Ia - likely due in part to deforestation and increased consumption of bushmeat, scientists said.

The mutated versions, clade Ib and IIb, can now essentially be considered a sexually transmitted disease, said Dr. Salim Abdool Karim, a South African epidemiologist and chair of the Africa CDC’s mpox advisory committee. Most of the mutated clade Ib cases are among adults, driven at first by an epidemic among female sex workers in South Kivu, Congo.

The virus also can spread through close contact with an infected person, which is likely how clusters of children have been infected with clade Ib, particularly in Burundi and in eastern Congo’s displacement camps, where crowded living conditions may be contributing.

Children, pregnant women and people with weakened immune systems or other illnesses may be at greater risk of serious mpox disease and death, say the WHO and mpox scientists.

Clade I has typically caused more severe disease, with fatality rates of 4%-11%, compared to around 1% for clade II. Ogoina said data from Congo suggests few have died of the new Ib version, but he feared some data is being mixed up.

More research is urgently needed, but three teams tracking mpox outbreaks in Africa say they cannot even access chemicals needed for diagnostic tests. Clade Ib can also be missed by some diagnostic tests.

Planning a response, including vaccination strategies, without this is difficult, the scientists said.

Karim said around half of cases in eastern Congo, where Ib is particularly prevalent, are only being diagnosed by doctors, with no laboratory confirmation.

Getting samples to labs is difficult because the healthcare system is already under pressure, he said. And around 750,000 people have been displaced amid fighting between the M23 rebel group and the government.

Many African laboratories cannot get the supplies they need, said Dr. Emmanuel Nakoune, an mpox expert at the Institut Pasteur in Bangui, Central African Republic, which also has clade Ia cases.

"This is not a luxury," he said, but necessary to track deadly outbreaks.