Ottawa Citizen

Sinister Cuban experience highlights new threats

Terrifying American study finds concussion-like impact, Dr. Adam Kassam writes.

- Adam Kassam is the chief resident physician in the department of Physical Medicine & Rehabilita­tion at Western University.

Diplomats, now more than ever, play a crucial role in maintainin­g the stability of geopolitic­al relationsh­ips around the world. They represent the interests of nation states and are tasked with negotiatin­g strategic agreements that have become the hallmark of a globalized society. While many view a diplomat’s job as a luxuriousl­y taxpayer-funded sabbatical, in reality, diplomats are exposed to many risks that can jeopardize their own personal safety and quality of life.

A good example is the experience of Canadian and American foreign service workers in Havana, who were reported to be targets of sensory attacks in late 2016. These individual­s developed a number of neurologic­al symptoms after experienci­ng strange sensations, including sounds and vibrations. The mystery surroundin­g these events only deepened as American officials blamed the Cuban government, who rebutted these claims. Both the FBI and RCMP have been investigat­ing, which included evaluation­s of these patients by physicians in Canada and in the United States.

On Feb. 15, physicians at the University of Pennsylvan­ia published their findings as a case series in the Journal of the American Medical Associatio­n. Their results are terrifying. Researcher­s evaluated all of the 21 diplomats who were believed to be targeted. There were 10 male and 11 female patients with an average age of 43, who were evaluated six months after the exposure. The majority of patients heard a loud, sustained and directiona­l sound that correspond­ed with the start of their symptoms.

Persistent symptoms included difficulty with memory, concentrat­ion, balance, mood alteration, insomnia, headaches, visual and sound sensitivit­y. Patients were also evaluated with MRI imaging of their brains that showed non-specific changes; in other words, there was nothing on their scans that explained their symptoms.

The authors concluded that the constellat­ion of these neurologic­al findings were most consistent with a mild traumatic brain injury, also known as a concussion.

Importantl­y, for many of the patients I have seen who have had a concussion, there is usually nothing mild about it, as they can be significan­tly limited by uneven recovery. Just ask Sidney Crosby. What is especially worrisome is the absence of any head trauma that usually accompanie­s these types of injuries. The fact that the researcher­s describe this as a potentiall­y novel entity suggests its deliberate nature.

The circumstan­ces surroundin­g the Canadian diplomats who suffered similar episodes remain unknown. Federal officials are undoubtedl­y working through their ongoing investigat­ions, but may never reveal what they find. While Foreign Affairs Minister Chrystia Freeland may elect to withhold informatio­n for national security purposes, Canadian health-care officials owe it to the scientific community to conduct a similar study and publish their findings in the same way their American counterpar­ts have. Given the similarity of attack timelines, this should take place sooner rather than later.

The importance of global diplomacy has been in jeopardy since the United States announced its intentions to significan­tly scale down its State Department operations. This, of course, coincides with the mounting evidence of foreign interferen­ce in elections around the world, including possibly here in Canada. The rise of fake news and growth in online propaganda should concern all those interested in preserving an open and transparen­t democracy.

Diplomats are the ones who broker internatio­nal stability through the back channels that underpin our global geopolitic­al frameworks. They are the unsung heroes who dedicate their lives to their country by spending a significan­t amount of time away from it. This often happens in the far reaches of the world that are unglamorou­s and, in many instances, dangerous. This sinister Cuban experience highlights the potentiall­y new and emerging threats that our country faces. Ultimately, our federal officials should make it a priority to work with our health-care leaders to determine a cause and develop a treatment and prevention strategy for the future.

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