Israel says it plans to direct Palestinians out of Rafah ahead of anticipated offensive

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By TIA GOLDENBERG (Associated Press)

TEL AVIV, Israel (AP) — The Israeli military said Wednesday it plans to direct a significant portion of the 1.4 million displaced Palestinians living in the Gaza Strip’s southernmost town of Rafah toward “humanitarian islands” in the center of the territory ahead of its planned offensive in the area.

The fate of the people in Rafah has been a major area of concern of Israel’s allies — including the United States — and humanitarian groups, worried an offensive in the region densely crowded with so many displaced people would be a catastrophe. Rafah is also Gaza’s main entry point for desperately needed aid.

Israeli Prime Minister Benjamin Netanyahu has said a Rafah offensive is crucial to achieve Israel’s stated aim of destroying Hamas following the Oct. 7 attack in which about 1,200 people, mostly civilians, were killed and around 250 taken hostage and brought into Gaza. Israel’s invasion of Gaza has killed more than 31,000, according to Gaza health officials, left much of the enclave in ruins and displaced some 80% of Gaza’s 2.3 million people.

Israel’s chief military spokesman, Rear Adm. Daniel Hagari, said moving those in Rafah to the designated areas, which he said would be done in coordination with international actors, was a key part of the military’s preparations for its anticipated invasion of Rafah, where Israel says Hamas maintains four battalions it wants to destroy.

Rafah has swelled in size in the last months as Palestinians in Gaza have fled fighting in nearly every other corner of the territory. The town is covered in tents.

“We need to make sure that 1.4 million people or at least a significant amount of the 1.4 million will move. Where? To humanitarian islands that we will create with the international community,” Hagari told reporters at a briefing.

Hagari said those islands would provide temporary housing, food, water and other necessities to evacuated Palestinians. He did not say when Rafah’s evacuation would occur, nor when the Rafah offensive would begin, saying that Israel wanted the timing to be right operationally and to be coordinated with neighboring Egypt, which has said it does not want an influx of displaced Palestinians crossing its border.

At the start of the war, Israel directed evacuees to a slice of undeveloped land along Gaza’s Mediterranean coast that it designated as a safe zone. But aid groups said there were no real plans in place to receive large numbers of displaced there. Israeli strikes also targeted the area.

More than 31,270 Palestinians have been killed in Gaza and most of its 2.3 million people forced from their homes, Gaza’s Health Ministry says. The ministry doesn’t differentiate between civilians and combatants in its count, but says women and children make up two-thirds of the dead.

Israel blames the civilian death toll on Hamas because the terrorist group fights in dense, residential areas. The military has said it has killed 13,000 Hamas fighters, without providing evidence.

Hamas has been designated a terrorist organization by the U.S., Canada, and the E.U.

Meanwhile, fighting continued across Gaza. An Israeli strike Wednesday hit a food distribution site in southern Gaza run by UNRWA, the U.N. agency that works with Palestinian refugees, killing one staff member from the agency and wounding 22 others.

The death brings to 165 the number of workers for the agency killed during the past five months of fighting, according to UNRWA.

Gaza’s health authorities said a total of five people were killed in the strike on the yard of an UNRWA warehouse.

Hagari said the army was looking into the report.

The conflict has sparked a humanitarian disaster that has led to growing hunger. Aid delivery has been hobbled by Israeli restrictions, the ongoing hostilities and the breakdown of order inside Gaza, according to the United Nations. Israel denies it is restricting the entry of aid.

The crisis has been particularly acute in northern Gaza, Israel’s initial target in the early weeks of the war.

Hagari said Wednesday Israel plans to “flood the area” with aid, with plans to scale up the entry of goods from multiple points in northern Gaza, after half a dozen trucks delivered aid entered from the north on Tuesday as part of a pilot program. He did not say how many more trucks were expected to enter and at what frequency.

Hagari also said representatives from the U.S. military were expected in Israel this week to further coordinate a planned U.S. floating pier that will be built off the coast of Gaza, which he said would be “significant” for northern Gaza.

The U.S. and other countries have also been airdropping food into northern Gaza in recent weeks to help alleviate the crisis. Aid groups said air drops and bringing sea shipments are far less efficient and effective than bringing in food by truck.

___

Find more of AP’s coverage at https://apnews.com/hub/israel-hamas-war

Circus, puppets, ‘Frozen’ and a pair of world premieres are taking the Children’s Theatre Company stage for the 2024–2025 season

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Children’s Theatre Company is playing with storytelling mediums in their newly announced 2024–2025 season, with an acrobatic show, an original play that blends stage action with screen animation and a puppet musical.

Plus, of course, classics: “How the Grinch Stole Christmas” returns for another year, and we’ll get a little late-spring taste of winter with “Frozen.”

This upcoming season is the last slate of shows programmed by longtime artistic director Peter Brosius, who is retiring this summer after 27 years. So when the season kicks off in September, it’ll be overseen by new artistic director Rick Dildine.

One more notable point: This season includes the premiere of “Drawing Lessons” by Michi Barall, a show that was commissioned by CTC as part of a national five-theater partnership to produce new, multicultural work for intergenerational audiences.

Here’s what this season’s schedule contains:

Moya (Sept. 12 – Oct. 20): South African troupe Zip Zap Circus brings this acrobatic, upbeat show that’s good for all ages.

Drawing Lessons (Oct. 8 – Nov. 10): Blending the stage and screen, this show — a world premiere, co-commissioned by CTC and Ma-Yi Theater Company in New York — follows a Korean-American manhwa graphic novelist striving to find her true artistic voice. The theater recommends this show for middle-grade students and up.

Dr. Seuss’s How the Grinch Stole Christmas! (Nov. 5 – Jan. 5): This year, the holiday classic is directed by Dean Holt, who was a cast member in the show the first time CTC staged it 30 years ago.

Leonardo! A Wonderful Show About a Terrible Monster (Jan. 8 – March 9): Leonardo is supposed to be a scary monster, but he simply can’t frighten anyone! What ever is our fuzzy hero to do?! This musical puppet show, making its Minnesota debut here, is based on books by author Mo Willems and is ideal for younger audiences.

Milo Imagines the World (Feb. 4 – March 9): Another CTC joint-commissioned work making its “rolling” world premiere, audiences take a subway ride — and learn life lessons — through Milo’s eyes and ears. With songs from a variety of genres, this show is great for all ages.

Disney’s Frozen (April 15 – June 15): To close out the season, CTC is staging an original production of the wintry tale of Elsa, Anna and Olaf. You probably already know all the songs! So come see them live with kids of all ages.

How to buy tickets

Season subscriptions are on sale now and include five shows; “Grinch” is an add-on. Prices run $75–$206 for kids and $125–$244 for adults, which is a 25 percent discount off posted individual ticket prices. Subscribers can add “Grinch” tickets for between $15-$59.

Subscribers also receive a discount on theater classes and camps

You can buy subscriptions or get more info by calling 612-874-0400 or going online to childrenstheatre.org.

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Lisa Jarvis: Sex differences could be key to treating long COVID — and so much else

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Among the many mysteries about long COVID, one of the most vexing has been why women seem to experience the condition more often and more severely than men. Now, scientists are starting to think hormones — and the different ways they affect women and men — could be part of the puzzle.

A new study by a prominent team of researchers from the Yale School of Medicine and the Icahn School of Medicine at Mount Sinai has found that women with long COVID had significantly lower levels of testosterone compared to those who had recovered from their infection. That difference seems to be driving certain symptoms female patients experience more often and more severely than male patients, such as headaches, hair loss, muscle pain and memory issues. Low testosterone in women was also associated with elevated levels of distinct immune cells, as well as signs that dormant viruses had been reactivated. While the researchers found that men with long COVID had lower levels of estradiol (indicative of low testosterone), their symptoms were less burdensome and different immune cells were activated.

The findings make clear that hormones deserve much more attention as scientists search for answers to why and how this often-debilitating condition manifests.

The work has yet to undergo peer review, the typical process by which scientific studies are vetted, but I’m highlighting it now given the enormity of need in long COVID — recent data from the Centers for Disease Control and Prevention showed some 8.8 million people in the U.S. were living with the condition in 2022 — and this team’s track record in conducting high quality research.

What’s most exciting about this finding is that it could directly translate into treatment options. People already take hormone replacement therapies for other conditions, making it easy to test whether testosterone could help long COVID patients. Even if hormones can’t fix the underlying cause of the disease, significantly alleviating symptoms would be a huge advance. Best of all, this research could have broader implications about how hormones affect other chronic conditions.

This group of researchers has been methodically studying the differences between people with long COVID and those who easily recover from their infection. Last year, they identified a collection of biomarkers, or indicators of disease that can be measured in, say, blood or saliva, that are distinct in people with the condition. All of those signals pointed to an immune system constantly operating in overdrive, a finding supported by other recent developments in long COVID.

Testosterone is believed to act as a brake on an overactive immune system, so it shouldn’t be a complete surprise that levels of the hormone would be depleted in people with long COVID. But because men make so much more testosterone than women, the difference in the hormonal makeup of long COVID sufferers is easily buried in population-level data. Indeed, the team previously identified low levels of a different hormone, cortisol, as one of the most prominent characteristics of the condition. But, after separating out the sexes, testosterone emerged as an even better predictor, says Akiko Iwasaki, the Yale immunobiologist who co-led the work.

One caveat: the researchers don’t have data on people’s hormone levels before they contracted COVID. But while they can’t say for sure that the long COVID patients didn’t start out with low levels of testosterone, their strong suspicion is that those would already have been picked up by a doctor since they would cause other health problems.

The team is now trying to get more granular detail about how testosterone and cortisol levels fluctuate throughout the day. When we’re healthy, these hormones rise and fall on a carefully timed schedule. If they turn out to be permanently lowered in people with long COVID, it could mean something has going wrong with the organs that make them; if they’ve simply lost their rhythm, maybe all that’s needed is to restore the correct cadence. Hopefully, we’ll have an answer soon. The team is now busy analyzing the hormone levels in saliva samples collected multiple times a day from both healthy people and long COVID patients.

Once that’s sorted, the next step — one that, given the urgency of long COVID, must happen as soon as possible — would be to test whether hormone replacement therapy could alleviate symptoms.

Such a trial should be designed with care. If done right, it could not only lead to a treatment for long COVID, but also teach us more about the complex interplay between hormones and our immune system. Teasing apart those interactions could help explain why treatment is (or isn’t) helping these patients, while potentially offering insights on other chronic conditions.

We can’t let the opportunity go to waste. For too long, sex hormone differences have been seen as an inconvenient liability in clinical trials rather than a variable worth considering. Until recently, many drugs were only studied in male mice (lest the results be muddied by fluctuating female hormones), and even human tests skewed toward men.

Meanwhile, chronic conditions like ME/CFS (commonly known as chronic fatigue syndrome), Lyme disease, and now long COVID, tend to be more common or more severe in women. Time and again, those women’s symptoms are dismissed as psychological rather than physical.

This latest study illuminates our limited knowledge about the role of hormones in chronic disease and should be a clarion call for more work in long COVID and beyond. That can help “start to right the wrongs of this sort of sexism and ableism in women’s health,” says David Putrino, director of rehabilitation innovation for the Mount Sinai Health System, who helped lead the study.

Iwasaki says the team’s decision to study sex hormone differences was inspired by a story she heard from the mother of a trans child whose long COVID profoundly improved after he started taking testosterone as gender-affirming therapy. That single anecdote added to other stories trickling in from people whose symptoms improved when they took hormones for other reasons. “If you hear enough of them,”Iwasaki says, “you start to think, ‘Okay, there’s a clue in here.’”

Thankfully, she’s listening. That could mean help for the millions of long COVID sufferers looking for something — anything — to help them return to their normal life.

Lisa Jarvis is a Bloomberg Opinion columnist covering biotech, health care and the pharmaceutical industry. Previously, she was executive editor of Chemical & Engineering News.

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Amid a cactus landscape, these Arizona wellness resorts melt away life’s prickles

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Marlise Kast-Myers | Tribune News Service

Before marrying my husband Benjamin, I had a habit of setting New Year’s resolutions of lofty goals-turned-faded letdowns. From publishing books to running marathons, those big dreams led to late nights, missed deadlines and self-inflicted exhaustion. A realist at heart, Benjamin taught me to crumple date-induced ambitions and simply find motivation in myself rather than a flip of the calendar.

That is until recently.

Tiptoeing toward us was 2024 holding a mirror of tired reflections. Coffee was my fuel and bedtime was my bestie, as we juggled four jobs between the two of us. Oddly enough, we’re wired that way, taking on more than we should because we’re driven by ourselves.

And so, we ironed out that crumpled sheet of blankness and wrote in bold letters: “Relax. Rest. Recover. Reconnect. Rejuvenate. Restore.”

That was our goal, to get away for four days and come back new and improved.

Enter Arizona. The proximity to San Diego made the spontaneous getaway uncomplicated, not to mention, we heard of two properties that had the power to push the reset button on life.

Tucked into the untamed Sonoran Desert, CIVANA Wellness Resort & Spa would start our path to wholeness, followed by Castle Hot Springs which would continue our journey to healing in the foothills of the Bradshaw Mountains. Two nights at each resort are what we dedicated to unplug from the world and reconnect to ourselves.

The 22,000 sq-ft spa is the heartbeat of CIVANA. (Benjamin Myers/TNS)

Simplicity was our priority, not budget. And so, we flew via JSX hop-on jet service. As first timers, we learned that the public charter traveled to 40-plus destinations including Scottsdale. Gone were the security lines, the crowded terminals and the hidden fees, meaning we could park and arrive just 20 minutes before takeoff. Included in the $279 ticket price were cocktails, Wi-Fi, business-class legroom, and oversized baggage. Trust me, we were carrying some serious baggage (figuratively, of course).

The past year wrung us out, and now Arizona was hanging us out to dry with a bad start.

Somehow the rental car agency had “sold out” of vehicles. For over two hours, we stood in line hoping for a set of wheels that would take us to utopia.

Mentally, I was at a dangerous place and on the verge of getting ugly, the type where my husband walks away and pretends I’m a stranger. Stepping out of line, I went directly to the parking garage and showed an attendant our reservation. To my surprise, he handed us a set of keys and we were off — that is until we were stopped five minutes later for potential car theft.

Back to the airport we went, waiting another 45 minutes for a vehicle we hadn’t reserved, costing double the original price. And of course, things got ugly. That’s when a text message arrived from our house sitter, informing me that my pet turkey had gone missing.

Teetering between anger and sadness, I had nothing to say. Traffic was at a standstill, we hadn’t eaten all day, and my pre-booked meditation class was starting in five minutes.

And so, I bit down on my knuckles and screamed.

“Well, this is certainly off to a good start,” Benjamin said.

Everything I had aimed to quell was boiling at the surface, and now all I wanted to do was wash away the day.

A $40 million renovation turned this 1960s hotel into a wellness retreat. (Benjamin Myers/TNS)

Somehow, CIVANA sensed that, greeting me with a pool where I swam laps alone at sunset.

Within minutes, I could feel the stress dripping off my body. The setting certainly helped, a 1960’s mid-century modern hotel in a town appropriately named Carefree.

Originally designed by Frank Lloyd Wright’s understudy, Joe Wong, the property resurrected in 2018 as CIVANA Wellness Resort. The $40 million dollar facelift was tight, with 144 neutral-toned rooms in stone, wood, and glass reflective of the desert.

Never did I expect cactuses to be so esthetically soothing, saluting the marbled sky and fading into the starry night. Webbing out from the 20-acre resort were pebble-framed trails that led to the café, restaurant, fitness studios and 22,000-sqare-foot spa.

Boldly launching during the pandemic, CIVANA is clearly the cool kid on the block, luring wellness-focused millennials with its price point and mindset that self-love is okay.

Apparently, women got the memo. Bachelorette parties, girls getaways and sister retreats left my husband saying, “I feel very alone.”

In my opinion, that was actually the point, for us to be (or at least feel) alone in our united solidarity. CIVANA went out of its way to do that through their pillars of discovery and nourishment. Starting with the latter, we dined at Terras with mouths-wide-open during dinner of eggplant hummus, seared scallops and Faroe Island salmon.

A seasonal menu delivers farm-to-fork cuisine at Castle Hot Springs. (Benjamin Myers/TNS)

“I think I need some carbs,” I whispered.

The veggie-forward menu had gluten free, grain free, dairy free and other “free” (not to be confused with “complementary”) options; an entrée alone runs about $50, but throw in the resort perks, and the price tag doesn’t seem so heavy.

Included in the $500+/- nightly rate are bikes, hiking trails wellness guides, aqua therapy and over 100 movement, personal growth and spiritual classes. I opted for yoga, cardio strength and “Band and Buns” while Benjamin zenned out with breathwork, meditation and sound-healing.

In true “us” form, we packed our schedules with classes and spa treatments. Of course, there were gardens and labyrinths to quiet the mind, open the heart and ground the body. Benjamin explored them. I did not, because I was too busy running to my next class. Like students on campus, we would wave in passing or meet up for lunch over smoothies and antioxidant bowls.

Shaking my empty water bottle, I tapped my forehead.

“I already feel so hydrated. … Oh, look, they have hard Kombucha!”

Despite our resolutions, we were on vacation after all — a time to let go, raise a glass, and toast to the fact we were reaping the benefits of our environment. Others got it, eating breakfast in bathrobes, sipping post-spa margaritas and ditching workouts when suffering and leisure no longer aligned.

I was sad to leave CIVANA, having just awakened the 2.0 version of myself. As we packed the car for Castle Hot Springs, I felt healthy, alive and poised for what was next. During the hourlong drive, we passed spiny saguaro cactuses, wild donkeys and a world of Winnebagos. Tumbleweeds rolled across desert plains, as if each one had a destination and a deadline.

“Is this where they filmed ‘Breaking Bad’?” I asked.

My husband didn’t respond, but rather mumbled something about our rental car being put to the test. In our wake was a plume of dust, leaving behind any sign of civilization. Thoughts of his tire-changing skills crossed my mind, along with my sudden desire to adopt a burro.

And then, there it was, an oasis thriving in the barrenness. Greeting us at parking was a valet who whisked us via golf cart through a private gate, down a palm tree-lined pathway, to Arizona’s first luxury resort. At the center of the 1,200-acre property were pools and ponds dotting manicured gardens and vibrant lawns so perfect, you’d swear you were living in an AI post.

A seven-mile dusty road leads to the lush oasis of Castle Hot Springs. (Benjamin Myers/TNS)

Castle Hot Springs existed to help people come up, and then slow down with mindful activities, rugged nature, and soft adventure. While rates were three times that of CIVANA, it was one-size-fits-all with an inclusive experience covering tours, meals, gratuities, resort fees, in-room amenities, valet, cart service and endless activities. Hiking, archery, paddleboarding, biking, horseback riding, pickleball, gardening, stargazing, wine-tasting, yoga — you name it, and they had a personal guide to take you from adventure to relaxation.

The diamonds of this jewelry box, however, are the hot springs that have been replenishing souls since 1896. From the Yavapai Tribe who soaked for medicinal purposes, to the prospectors who sold the land to the Murphy brothers for development, word spread of the healing waters and fertile soil in the Bradshaw Mountains.

The Rockefellers, Wrigleys, Vanderbilts and Roosevelts all escaped to this sanctuary of well-being, which pioneered Arizona’s first tennis courts, golf course and telephone. In 1943, it served as a military rehabilitation center for injured veterans, including future president, John F. Kennedy.

Despite its curative properties, Castle Hot Springs went up in flames in 1975. For over 40 years, the charred resort sat desolate, ready for someone to resuscitate its heart so that it might once again breathe life into others. Along came Cindy and Mike Watts, who first spotted the land while flying over during quail-hunting season. For around $2 million, they purchased the skeleton resort with only three buildings remaining. After a five-year historic restoration, Castle Hot Springs finally had the resurrection it deserved, today earning accolades matching some of the best hotels in the world.

Understandably so. Designed with luxury and relaxation in mind, 30 bungalows and cottages boast stone tubs, covered decks, telescopes and indoor-outdoor fireplaces. Each room is strategically located at the water’s edge so you can fall asleep to the sound of the babbling creek.

Clearly, we had found our healing place. Pulling back the curtains, my husband inhaled deeply and closed his eyes.

“Oh look, a hiking trail,” I clapped behind him.

Reaching new heights at Arizona’s only Via Ferrata Adventure Course, at Castle Hot Springs. (Benjamin Myers/TNS)

Alas, it was, and 17 of them to be exact. From aerial walkways and agave farms to canyon caves and mountain summits, we explored as many as we could in between yoga, massages, biking, rock climbing and farm tours. The latter ignited an unparalleled appreciation for the kitchen, where the chef and farmer work in unison; so much so, that they create the daily 4-course tasting menu together.

During our tour through the “living pantry,” we tasted leafy greens and fragrant herbs that made their way from farm-to-fork later that night. With over 3-acres under cultivation, the team of agronomists harvest more than 150 varieties of crops each season. Nova Scotia halibut with beluga lentils or Colorado lamb with pistachio butter and sweet potato fondant? Choices, choices.

If only we had more time and doggie bags to take home the feeling of Castle Hot Springs every time life turned south. It was the type of place that coated you in experiences over accommodations, memories over moments. We felt it during our bike tour, cruising down a network of single-track trails, mining roads and narrow canyons. It hit us again during our multiple soaks in the thermal pools.

Hot springs can vary in temperature up to 106 degrees Fahrenheit. (Benjamin Myers/TNS)

We slept deep that night, so deep in fact, that we awakened, and it was time to go … at noon.

Driving back to the airport, we once again sat in silence. Only this time, I wasn’t thinking about rental cars and traffic and the meditation class I was about to miss.

Instead, I was thinking about the miracle of an oasis that withstood the flames of the past to now extinguish the pain of the present. I thought about how those restorative waters had the power to plunge me out of exhaustion and emerge me anew with a deeper understanding and appreciation of loving myself. I thought about how cultivating wellness — from the food that I eat to the hours that I sleep — is a purposeful journey, not a prescribed destination. I thought about how two resorts in the Arizona desert revealed the importance of staying aligned in 2024, versus reaching a point of pushing reset.

Grabbing my husband’s hand, I gave it little squeeze. “Well,” I said, “this is certainly off to a good start.”

____

Marlise Kast-Myers (marlisekast.com) is an author and journalist based in San Diego. She and her husband live at the historic Betty Crocker Estate where they run Brick n Barn (bricknbarn.com)

©2024 Tribune Content Agency, LLC.