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By Nidal al-Mughrabi GAZA (Reuters) -Israeli air strikes killed the head of Islamic Jihad's rocket force in Gaza early on

Thousands of ethnic Armenians fled Nagorno-Karabakh on Monday in lines of cars which stretched for kilometres, after Azerbaijan took control of the breakaway region sparking fears of persecution. Desperate residents of the main city sent videos showing families stocking up vehicles and sitting in long tailbacks which have brought the mountainous road to Armenia to a complete standstill. They told The Independent people chose to leave fearing abuse at the hands of the Azerbaijani authorities and a burgeoning humanitarian crisis as food, fuel, gas and electricity were increasingly scarce following a 10-month blockade. The Azerbaijani military routed Armenian forces in a 24-hour blitz last week, forcing the authorities of the breakaway region to agree to lay down weapons. They also agreed to start talks on the “reintegration” of Nagorno-Karabakh, also known as Artsakh, into Azerbaijan, after three decades of separatist rule. Azerbaijan has pledged to respect the rights of ethnic Armenians and to restore the supply routes they cut in December. But Artak Beglaryan, a former adviser to the self-declared government of Artsakh, told The Independent that people fear reprisals and ethnic cleansing and so “almost all the villages” and large parts of main city Stepanakert, which Azerbaijan calls Khankendi, “are emptying”. The leadership of Nagorno-Karabakh said in total nearly 7,000 people fled to Armenia on Monday alone. “They are fleeing because of the genocidal policy of Azerbaijan, the blockade, their aggression, and the failure of Russian peacekeepers to guarantee protection,” Mr Beglaryan added with desperation. “It is impossible to live under Azerbaijani subjugation. The Azerbaijani state and society is full of hatred of Armenians. “The international community is just looking at this and saying sorry. Nothing else is being done. We are frustrated with everyone. We are frustrated with humanity.” Siranush Sargsyan, a freelance Armenian journalist who also spoke to The Independent from Stepanakert, sent videos of lines of vehicles trying to escape. “I have never seen so many cars together, people are scared the roads will close and they won’t be able to leave so they are going now. And the other problem is food, it is hard to try to find to find something to eat,” she said. “Nobody wants to leave, we just want to have a life. If we know that we are protected we would stay but who is going to give us that guarantee?” She said the ethnic Armenians had suffered 10 months of “psychological terror” and starvation, because of Azerbaijan’s effective siege. Breaking down into tears, she accused the international community had prioritised their own economic interests over the lives of ethnic Armenians. “The whole world was silent because our lives were not as important as Azerbaijani gas. The world exchanged our lives for gas.” The world exchanged our lives for gas Siranush Sargsyan, a freelance Armenian journalist Both sides have been locked in a bloody battle over the mountainous Nagorno-Karabakh region since the collapse of the Soviet Union in the early 1990s. It is internationally recognised as part of Azerbaijan – which is backed by Turkey – but home to 120,000 ethnic Armenians who have enjoyed de facto independence since then. In 2020, a six-week war erupted during which nearly 7,000 people were killed Azerbaijan reclaimed swathes of region. Russia, historically a close ally of Armenia, brokered a truce and dispatched 2,000 peacekeepers. But in recent months Moscow has taken a step back since building stronger ties with Azerbaijan and Turkey after suffering crippling sanctions over its invasion of Ukraine. And so on Tuesday, the Russian-agreed true was broken by the Azerbaijan army who launched a 24-hour string of lightning strikes against the severely outnumbered and outgunned breakaway forces. The area had been struggling with a humanitarian crisis due to Azerbaijan’s blockade of the “Lachin Corridor” - the road connecting Nagorno-Karabakh to Armenia - piling on further pressure. Now thousands are on the move. Moscow said that Russian peacekeepers in Nagorno-Karabakh were assisting the evacuation. A second round of meetings between Azerbaijani officials and separatist representatives began in Khojaly on Tuesday after the opening meeting last week. The international community has been quick to urge Baku to protect the ethnic Armenians. On Monday, the German government said Azerbaijani had a responsibility to protect rights. The day before, French president Emmanuel Macron pledged support for Armenia and Armenians, saying that France will mobilise food and medical aid for the population of Nagorno-Karabakh, and keep working toward a ‘’sustainable peace” in the region. Meanwhile, the head of the US Agency for International Development, Samantha Power, visited Armenia Monday to “affirm US support for Armenia’s sovereignty, independence, territorial integrity, and democracy and to help address humanitarian needs stemming from the recent violence in Nagorno-Karabakh.” She was joined by US Department of State acting assistant secretary for Europe and Eurasian affairs Yuri Kim. “The United States is deeply concerned about reports on the humanitarian conditions in Nagorno-Karabakh and calls for unimpeded access for international humanitarian organizations and commercial traffic,” USAID said. In an address to the nation Sunday, Armenian prime minister Nikol Pashinyan said his government was working with international partners to protect the rights and security of Armenians in Nagorno-Karabakh. Mr Pashinyhan has faced growing calls for his resignation over what demonstrators have said is his failure to protect Armenians in Nagorno Karabkh. Read More What is Nakhchivan? And after Nagorno-Karabakh, is this the next crisis for Azerbaijan and Armenia Thousands of Armenians flee Nagorno-Karabakh as Turkish president is set to visit Azerbaijan First refugees from Nagorno-Karabakh arrive in Armenia following Azerbaijan's military offensive What is Nakhchivan? And after Nagorno-Karabakh, is this the next crisis for Azerbaijan and Armenia First refugees from Nagorno-Karabakh arrive in Armenia following Azerbaijan's military offensive Aid shipments and evacuations as Azerbaijan reasserts control over breakaway province Azerbaijan send in food supplies to Nagorno-Karabakh after warning of humanitarian catastrophe Azerbaijan send in food supplies to Nagorno-Karabakh after warning of humanitarian catastrophe Stones thrown as Armenian protesters clash with police after ceasefire

Former Newport defender Fraser Franks faced a difficult “grieving process” when a heart problem cut short his football career at the age of 28. But four years on, as he prepares for surgery that will ultimately save his life, he is “grateful” the condition was picked up early – as many people are not even aware they are at risk. “I’ll be having a mechanical valve fitted and work done on my aorta,” Franks, now 32, told the PA news agency. His surgery is set for September 4. “It is a big operation and I’ll be in hospital for about 10 days. And the recovery after, I won’t be able to lift anything, even a bag of shopping, for two to three months. “With a four-year-old daughter, that’s going to be difficult for me and her,” added Franks, who shares daughter Nellie with his wife, former S Club 8 singer Stacey McClean. “It’s been a lot to get my head around. There will be certain things I can’t do afterwards and a lot of lifestyle adjustments, but I’m really happy and content with it. “I’m grateful that this has been found and that there’s a solution for me, where unfortunately a lot of people haven’t got that. “I’ve had conversations with cardiologists and surgeons (who’ve said) this is going to save my life, I probably wouldn’t live much longer with the heart I’ve currently got. So I’m really grateful for that and it’s only through playing for a professional football club that this was picked up.” Franks was born with a bicuspid valve – meaning his aortic valve – which helps control blood flow in the heart – had two cusps (flaps) instead of the usual three. The condition is believed to affect around one in every 100 people, but it often does not cause symptoms and only becomes serious if the valve begins to leak or develops severe narrowing (aortic stenosis), which is what has happened in Franks’ case. A routine medical at the age of 16 first picked up the defect. Franks, who signed with Chelsea at age eight, had always been fit and healthy, but when he signed with Brentford at 16, like all players joining pro clubs, he was given a heart scan. Further investigations revealed the bicuspid valve, but because it was not causing problems, he was given the green light to continue as normal. Franks carried on, trying not to give it too much thought – until at 28, he suddenly started feeling unwell after a game and was rushed to hospital the next day, worried he was having a heart attack. “I wasn’t having a heart attack or anything like that, but I contracted an infection. While I was in there though, I told them I’d had this heart issue when I was 16, so they scanned me and saw the condition had worsened,” he recalled. “I’d developed aortic stenosis and the valve was leaking a lot more. Then it was deemed unsafe for me to carry on playing football, so I had to stop playing there and then.” London-born Franks has teamed up with the British Heart Foundation for their September Spotlight campaign, which aims to shine a spotlight on hidden heart conditions. His story highlights how heart problems can potentially affect anyone – including those who are young and seemingly very fit and healthy. Even when symptoms are mild or barely noticeable, undetected issues could become serious and even life-threatening, which is why research and awareness is so vital. Plus, as Franks has experienced, there are complex layers and emotional challenges to living with a hidden heart condition too. Being forced to suddenly retire early when he’d previously felt fine – and still looked well on the outside – was tough. “Ever since age eight, I’d been known as ‘the footballer’. It had been my whole identity, so to retire at 28 out of the blue was difficult,” Franks explained. “I think I kidded myself in the first six months, where I was saying, ‘Yeah I’m fine, I’m enjoying retirement and all that good stuff’. But I was really struggling and drinking heavily. “I reached out and got some help and had to do a lot of therapy. It really is a grieving process and I had to figure out who I was and what I enjoyed away from being ‘the athlete’. I do a lot of work around addiction and alcohol now, because I really struggled with those things Fraser Franks “And I didn’t play at the top level, so I didn’t have savings in the bank – I had to pretty much get to work straight away and earn a living. My wife was heavily pregnant then too, so there was a lot of stress and overwhelm at that period.” Yoga and meditation also proved a huge help in coming to terms with everything and Franks has since found a new sense of purpose, channelling his experiences into helping others. He added: “I do a lot of work around addiction and alcohol now, because I really struggled with those things. “That’s become a big part of what I do now, helping people who want to transition away from sport and working with young athletes on addiction and mental health.” He took up yoga as a gentle form of exercise when doctors told him strenuous sport was too risky. “I just completely fell in love with it,” Franks added. “I’ve found a real passion for it. It’s actually a goal of mine now – it’s going to be something I’ll be thinking about when I’m in hospital – when I’m healed, I want to go to India or Bali and actually earn a qualification and get trained as a yoga teacher. “Instead of focusing on all the things I’m unable to do, that’s something I will be able to do. That brings me a lot of comfort.” :: This September, the BHF is shining a spotlight on hidden heart conditions and urging everyone to get involved by supporting the charity however they can, with stories, stuff, time or money. Visit spotlighton.bhf.org.uk Read More Charity boss speaks out over ‘traumatic’ encounter with royal aide Ukraine war’s heaviest fight rages in east - follow live Brighton to face European giants Ajax and Marseille in Europa League Liverpool turn down £150m offer for Mohamed Salah from Al-Ittihad Man City seal Matheus Nunes deal as Cole Palmer leaves and Man Utd sign keeper

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