Malta Independent

Biden attempt to resurrect Iran nuke deal off to bumpy start

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The Biden administra­tion’s early efforts to resurrect the 2015 Iran nuclear deal are getting a chilly early response from Tehran. Though few expected a breakthrou­gh in the first month of the new administra­tion, Iran’s tough line suggests a difficult road ahead.

Having made several significan­t overtures to Iran in its first weeks in office, the administra­tion’s outreach has been all but shunned by the Iranians. They had already rejected Biden’s opening gambit: a U.S. return to the deal from which President Donald Trump withdrew in 2018 if Iran resumes full compliance with its obligation­s under the accord.

Iran is shaping up to be a major test of the Biden administra­tion’s overall approach to foreign policy, which the president has said will realign itself with the kind of multilater­al diplomacy that Trump shunned. Although there are other hot-button issues — Russia, China and North Korea among them — Iran has a particular significan­ce for Biden’s top national security aides. They include Secretary of State Antony Blinken, national security adviser Jake Sullivan and special envoy for Iran Rob Malley, all of whom were intimately involved in crafting the 2015 deal under President Barack Obama and may have personal stakes in salvaging it.

Biden took office pledging to reverse Trump’s pullout from the deal, which gave it billions of dollars in sanctions relief in exchange for curbs on its nuclear program. Just last week, Biden delivered in at least three ways: agreeing to return to multinatio­nal talks with Iran about reviving the deal, rescinding Trump’s determinat­ion that all U.N. sanctions on Iran must be restored, and easing onerous travel restrictio­ns on Iranian diplomats posted to the United Nations.

Yet, Iran has held firm to demands that it will not respond to anything less than a full lifting of the sanctions Trump reimposed. Over the weekend, Iran made good on a threat to suspend adherence to a U.N. agreement allowing intrusive inspection­s of its declared nuclear sites. Although it stopped short of ordering the removal of internatio­nal inspectors, Iran reduced cooperatio­n with them and vowed to revisit the step in three months if sanctions aren’t removed.

The Iranians’ hard-nosed stance has left the administra­tion at the cusp of a difficult choice: move ahead with sanctions relief before Iran resumes full compliance and risk losing the leverage it has or double down on demands for full compliance first and risk Tehran walking away from the deal completely.

It’s a delicate balance and one the administra­tion is loathe to admit it faces, given the politicall­y sensitive nature of Iran in Washington — Republican­s strongly oppose the nuclear deal — and in Europe and the Middle East itself, particular­ly in Israel and the Gulf Arab states that are most directly threatened.

On Monday, Secretary of State Antony Blinken reaffirmed that the U.S. is prepared to return to the nuclear deal provided Tehran shows “strict compliance” with it. Speaking to the U.N.-backed Conference on Disarmamen­t in Geneva, Blinken said the U.S. is committed to ensuring Iran never acquires a nuclear weapon and pledged to work with allies and partners to “lengthen and strengthen” the deal struck between Iran and Germany, France, Britain, Russia, China and the U.S.

“Diplomacy is the best path to achieve that goal.” he said.

Just 24 hours earlier, though, Iran on Sunday rejected entreaties to suspend cooperatio­n with the U.N. nuclear watchdog. While Iran did not expel the Internatio­nal Atomic Energy Agency, which is charged with monitoring Iranian compliance with the deal, it did end the agency’s access to video from cameras installed at a number of sites.

There was no immediate response to that developmen­t from the U.S., but on Monday the White House and State Department both downplayed the significan­ce of the move. “Our view is that diplomacy is the best path forward to preventing Iran from acquiring a nuclear w e a p o n ,” White House press secretary Jen Psaki told reporters. “That does not mean they have clearly not taken the steps needed to comply and we have not taken any steps or made any indication that we are going to meet the demands that they are putting forward either.” At the State Department, spokesman Ned Price addressed the IAEA mission more directly, praising the agency for its “profession­alism” in keeping inspectors and their apparatus in the country despite Iran’s early threat to expel them on Tuesday. He said the U.S. supports IAEA chief Rafael Grossi’s success in reaching a temporary deal with Iran but lamented that Tehran remains out of compliance.

Price said the the administra­tion was concerned that Iran appeared to be going in the wrong direction but would not comment on the administra­tion’s view of whether its outreach to date had achieved results. Nor was he prepared to say what the administra­tion might do to push Iran back into compliance with the deal considerin­g its continued threat to abandoned all restrictio­ns it imposed.

“The United States is willing to meet with the Iranians to hash out these difficult complex questions,” Price said, alluding to phrases that administra­tion officials have used to refer to their initial aim of “compliance for compliance” and then “compliance for compliance-plus.”

“Compliance-plus,” according to administra­tion officials, would include limits on Iran’s non-nuclear activities, including missile developmen­t and support for Mideast rebel groups and militias. A main reason Trump gave for withdrawin­g from the nuclear deal was that it did not address those issues and his administra­tion has tried for more than a year to expand the deal to include them.

The doctor slid a miniature camera into the patient’s right nostril, making her whole nose glow red with its bright miniature light.

“Tickles a bit, eh?” he asked as he rummaged around her nasal passages, the discomfort causing tears to well in her eyes and roll down her cheeks.

The patient, Gabriella Forgione, wasn’t complainin­g. The 25year-old pharmacy worker was happy to be prodded and poked at the hospital in Nice, in southern France, to advance her increasing­ly pressing quest to recover her sense of smell. Along with her sense of taste, it suddenly vanished when she fell ill with COVID-19 in November, and neither has returned.

Being deprived of the pleasures of food and the scents of things that she loves are proving tough on her body and mind. Shorn of odors both good and bad, Forgione is losing weight and selfconfid­ence.

“Sometimes I ask myself, ‘Do I stink?’” she confessed. “Normally, I wear perfume and like for things to smell nice. Not being able to smell bothers me greatly.”

A year into the coronaviru­s pandemic, doctors and researcher­s are still striving to better understand and treat the accompanyi­ng epidemic of COVID-19-related anosmia — loss of smell — draining much of the joy of life from an increasing number of sensoriall­y frustrated longer-term sufferers like Forgione.

Even specialist doctors say there is much about the condition they still don’t know and they are learning as they go along in their diagnoses and treatments. Impairment and alteration of smell have become so common with COVID-19 that some researcher­s suggest that simple odor tests could be used to track coronaviru­s infections in countries with few laboratori­es.

For most people, the olfactory problems are temporary, often improving on their own in weeks. But a small minority are complainin­g of persistent dysfunctio­n long after other COVID19 symptoms have disappeare­d. Some have reported continued total or partial loss of smell six months after infection. The longest, some doctors say, are now approachin­g a full year.

Researcher­s working on the vexing disability say they are optimistic that most will eventually recover but fear some will not. Some doctors are concerned that growing numbers of smell-deprived patients, many of them

young, could be more prone to depression and other difficulti­es and weigh on strained health systems.

“They are losing color in their lives,” said Dr. Thomas Hummel, who heads the smell and taste outpatient­s clinic at University Hospital in Dresden, Germany.

“These people will survive and they’ll be successful in their lives, in their profession­s,” Hummel added. “But their lives will be much poorer.”

At the Face and Neck University Institute in Nice, Dr. Clair Vanderstee­n wafted tube after tube of odors under Forgione’s nose after he had rooted around in her

nostrils with his camera.

“Do you perceive any smell? Nothing? Zero? OK,” he asked, as she repeatedly and apologetic­ally responded with negatives.

Only the last tube provoked an unequivoca­l reaction.

“Urgh! Oh, that stinks,” Forgione yelped. “Fish!”

Test complete, Vanderstee­n delivered his diagnosis.

“You need an enormous amount of an odor to be able to smell something,” he told her. “You haven’t completely lost your sense of smell but nor is it good.”

He sent her away with homework: six months of olfactory rehab. Twice daily, choose two or

three scented things, like a sprig of lavender or jars of fragrances, and smell them for two to three minutes, he ordered.

“If you smell something, great. If not, no problem. Try again, concentrat­ing hard on picturing the lavender, a beautiful purple bloom,” he said. “You have to persevere.”

Losing the sense of smell can be more than a mere inconvenie­nce. Smoke from a spreading fire, a gas leak, or the stink of rotten food can all pass dangerousl­y unnoticed. Fumes from a used diaper, dog’s dirt on a shoe or sweaty armpits can be embarrassi­ngly ignored.

And as poets have long known, scents and emotions are often like lovers entwined.

Evan Cesa used to relish meal times. Now they’re a chore. A fish dinner in September that suddenly seemed flavorless first flagged to the 18-year-old sports student that COVID-19 had attacked his senses. Foodstuffs became mere textures, with only residual hints of sweet and saltiness.

Five months later, breakfasti­ng on chocolate cookies before classes, Cesa still chewed without joy, as though swallowing cardboard.

“Eating no longer has any purpose for me,” he said. “It is just a waste of time.”

Cesa is among the anosmia sufferers being studied by researcher­s in Nice who, before the pandemic, had been using scents in the diagnosis of Alzheimer’s disease. They also used comforting fragrances to treat post-traumatic stress among children after a truck terror attack in Nice in 2016, when a driver plowed through holiday crowds, killing 86 people.

The researcher­s are now turning their expertise to COVID-19, teaming up with perfumers from the nearby fragrance-producing town of Grasse. Perfumer Aude Galouye worked on the fragrant waxes that were wafted under Cesa’s nose to measure his olfactory impairment, with scents at varying concentrat­ions.

“The sense of smell is a sense that is fundamenta­lly forgotten,” Galouye said. “We don’t realize the effect it has on our lives except, obviously, when we no longer have it.”

The examinatio­ns on Cesa and other patients also include language and attention tests. The Nice researcher­s are exploring whether olfactory complaints are linked to COVID-related cognitive difficulti­es, including problems with concentrat­ing. Cesa stumbled by picking the word “ship” when “kayak” was the obvious choice on one test.

“That is completely unexpected,” said Magali Payne, a speech therapist on the team. “This young man shouldn’t be experienci­ng linguistic problems.”

“We have to keep digging,” she said. “We are finding things out as we see patients.”

Cesa longs to have his senses restored, to celebrate the taste of pasta in carbonara sauce, his favorite dish, and a run through the fragrant wonders of the great outdoors.

“One might think that it is not important to be able to smell nature, trees, forests,” he said. “But when you lose the sense of smell, you realize how truly lucky we are to be able to smell these things.”

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 ??  ?? Secretary of State Antony Blinken
Secretary of State Antony Blinken
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 ??  ?? The hand of Dr. Clair Vanderstee­n wafts a tube of odors under the nose of a blindfolde­d patient, Gabriella Forgione, during tests in a hospital in Nice, southern France, Monday 8 February, to help determine why she has been unable to smell or taste since she contracted COVID-19 in November 2020. Photo: AP
The hand of Dr. Clair Vanderstee­n wafts a tube of odors under the nose of a blindfolde­d patient, Gabriella Forgione, during tests in a hospital in Nice, southern France, Monday 8 February, to help determine why she has been unable to smell or taste since she contracted COVID-19 in November 2020. Photo: AP
 ??  ?? Evan Cesa, 18, eats his breakfast at his home near Nice, southern France, Monday, 8 February, with little appetite because he has lost his sense of smell and taste since he contracted COVID-19 in September 2020. Photo: AP
Evan Cesa, 18, eats his breakfast at his home near Nice, southern France, Monday, 8 February, with little appetite because he has lost his sense of smell and taste since he contracted COVID-19 in September 2020. Photo: AP
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