Is it good to drink milk? The text is too long but worthwhile read....? "MILK" Just the word itself sounds comforting! "How about a nice cup of hot milk?" The last time you heard that question it was from someone who cared for you--and you appreciated their effort. The entire matter of food and especially that of milk is surrounded with emotional and cultural importance. Milk was our very first food. If we were fortunate it was our mother's milk. A loving link, given and taken. It was the only path to survival. If not mother's milk it was cow's milk or soy milk "formula"--rarely it was goat, camel or water buffalo milk. Now, we are a nation of milk drinkers. Nearly all of us. Infants, the young, adolescents, adults and even the aged. We drink dozens or even several hundred gallons a year and add to that many pounds of "dairy products" such as cheese, butter, and yogurt. Can there be anything wrong with this? We see reassuring images of healthy, beautiful people on our television screens and hear messages that assure us that, "Milk is good for your body." Our dieticians insist that: "You've got to have milk, or where will you get your calcium?" School lunches always include milk and nearly every hospital meal will have milk added. And if that isn't enough, our nutritionists told us for years that dairy products make up an "essential food group." Industry spokesmen made sure that colourful charts proclaiming the necessity of milk and other essential nutrients were made available at no cost for schools. Cow's milk became "normal." You may be surprised to learn that most of the human beings that live on planet Earth today do not drink or use cow's milk. Further, most of them can't drink milk because it makes them ill. There are students of human nutrition who are not supportive of milk use for adults. Here is a quotation from the March/April 1991 Utne Reader: If you really want to play it safe, you may decide to join the growing number of Americans who are eliminating dairy products from their diets altogether. Although this sounds radical to those of us weaned on milk and the five basic food groups, it is eminently viable. Indeed, of all the mammals, only humans--and then only a minority, principally Caucasians--continue to drink milk beyond babyhood. Who is right? Why the confusion? Where best to get our answers? Can we trust milk industry spokesmen? Can you trust any industry spokesmen? Are nutritionists up to date or are they simply repeating what their professors learned years ago? What about the new voices urging caution? I believe that there are three reliable sources of information. The first, and probably the best, is a study of nature. The second is to study the history of our own species. Finally we need to look at the world's scientific literature on the subject of milk. Let's look at the scientific literature first. From 1988 to 1993 there were over 2,700 articles dealing with milk recorded in the 'Medicine' archives. Fifteen hundred of theses had milk as the main focus of the article. There is no lack of scientific information on this subject. I reviewed over 500 of the 1,500 articles, discarding articles that dealt exclusively with animals, esoteric research and inconclusive studies. How would I summarize the articles? They were only slightly less than horrifying. First of all, none of the authors spoke of cow's milk as an excellent food, free of side effects and the 'perfect food' as we have been led to believe by the industry. The main focus of the published reports seems to be on intestinal colic, intestinal irritation, intestinal bleeding, anemia, allergic reactions in infants and children as well as infections such as salmonella. More ominous is the fear of viral infection with bovine leukemia virus or an AIDS-like virus as well as concern for childhood diabetes. Contamination of milk by blood and white (pus) cells as well as a variety of chemicals and insecticides was also discussed. Among children the problems were allergy, ear and tonsillar infections, bedwetting, asthma, intestinal bleeding, colic and childhood diabetes. In adults the problems seemed centered more around heart disease and arthritis, allergy, sinusitis, and the more serious questions of leukemia, lymphoma and cancer. I think that an answer can also be found in a consideration of what occurs in nature & what happens with free living mammals and what happens with human groups living in close to a natural state as 'hunter-gatherers'. Our paleolithic ancestors are another crucial and interesting group to study. Here we are limited to speculation and indirect evidences, but the bony remains available for our study are remarkable. There is no doubt whatever that these skeletal remains reflect great strength, muscularity (the size of the muscular insertions show this), and total absence of advanced osteoporosis. And if you feel that these people are not important for us to study, consider that today our genes are programming our bodies in almost exactly the same way as our ancestors of 50,000 to 100,000 years ago. WHAT IS MILK? Milk is a maternal lactating secretion, a short term nutrient for new-borns. Nothing more, nothing less. Invariably, the mother of any mammal will provide her milk for a short period of time immediately after birth. When the time comes for 'weaning', the young offspring is introduced to the proper food for that species of mammal. A familiar example is that of a puppy. The mother nurses the pup for just a few weeks and then rejects the young animal and teaches it to eat solid food. Nursing is provided by nature only for the very youngest of mammals. Of course, it is not possible for animals living in a natural state to continue with the drinking of milk after weaning. IS ALL MILK THE SAME? Then there is the matter of where we get our milk. We have settled on the cow because of its docile nature, its size, and its abundant milk supply. Somehow this choice seems 'normal' and blessed by nature, our culture, and our customs. But is it natural? Is it wise to drink the milk of another species of mammal? Consider for a moment, if it was possible, to drink the milk of a mammal other than a cow, let's say a rat. Or perhaps the milk of a dog would be more to your liking. Possibly some horse milk or cat milk. Do you get the idea? Well, I'm not serious about this, except to suggest that human milk is for human infants, dogs' milk is for pups, cows' milk is for calves, cats' milk is for kittens, and so forth. Clearly, this is the way nature intends it. Just use your own good judgement on this one. Milk is not just milk. The milk of every species of mammal is unique and specifically tailored to the requirements of that animal. For example, cows' milk is very much richer in protein than human milk. Three to four times as much. It has five to seven times the mineral content. However, it is markedly deficient in essential fatty acids when compared to human mothers' milk. Mothers' milk has six to ten times as much of the essential fatty acids, especially linoleic acid. (Incidentally, skimmed cow's milk has no linoleic acid). It simply is not designed for humans. Food is not just food, and milk is not just milk. It is not only the proper amount of food but the proper qualitative composition that is critical for the very best in health and growth. Biochemists and physiologists -and rarely medical doctors - are gradually learning that foods contain the crucial elements that allow a particular species to develop its unique specializations. Clearly, our specialization is for advanced neurological development and delicate neuromuscular control. We do not have much need of massive skeletal growth or huge muscle groups as does a calf. Think of the difference between the demands make on the human hand and the demands on a cow's hoof. Human new-borns specifically need critical material for their brains, spinal cord and nerves. Can mother's milk increase intelligence? It seems that it can. In a remarkable study published in Lancet during 1992 (Vol. 339, p. 261-4), a group of British workers randomly placed premature infants into two groups. One group received a proper formula, the other group received human breast milk. Both fluids were given by stomach tube. These children were followed up for over 10 years. In intelligence testing, the human milk children averaged 10 IQ points higher! Well, why not? Why wouldn't the correct building blocks for the rapidly maturing and growing brain have a positive effect? In the American Journal of Clinical Nutrition (1982) Ralph Holman described an infant who developed profound neurological disease while being nourished by intravenous fluids only. The fluids used contained only linoleic acid - just one of the essential fatty acids. When the other, alpha linoleic acid, was added to the intravenous fluids the neurological disorders cleared. In the same journal five years later Bjerve, Mostad and Thoresen, working in Norway found exactly the same problem in adult patients on long term gastric tube feeding. In 1930 Dr. G.O. Burr in Minnesota working with rats found that linoleic acid deficiencies created a deficiency syndrome. Why is this mentioned? In the early 1960s pediatricians found skin lesions in children fed formulas without the same linoleic acid. Remembering the research, the addition of the acid to the formula cured the problem. Essential fatty acids are just that and cows' milk is markedly deficient in these when compared to human milk. WELL, AT LEAST COW'S MILK IS PURE Or is it? Fifty years ago an average cow produced 2,000 pounds of milk per year. Today the top producers give 50,000 pounds! How was this accomplished? Drugs, antibiotics, hormones, forced feeding plans and specialized breeding; that's how. The latest high-tech onslaught on the poor cow is bovine growth hormone or BGH. This genetically engineered drug is supposed to stimulate milk production but, according to Monsanto, the hormone's manufacturer, does not affect the milk or meat. There are three other manufacturers: Upjohn, Eli Lilly, and American Cyanamid Company. Obviously, there have been no long-term studies on the hormone's effect on the humans drinking the milk. Other countries have banned BGH because of safety concerns. One of the problems with adding molecules to a milk cows' body is that the molecules usually come out in the milk. I don't know how you feel, but I don't want to experiment with the ingestion of a growth hormone. A related problem is that it causes a marked increase (50 to 70 per cent) in mastitis. This, then, requires antibiotic therapy, and the residues of the antibiotics appear in the milk. It seems that the public is uneasy about this product and in one survey 43 per cent felt that growth hormone treated milk represented a health risk. A vice president for public policy at Monsanto was opposed to labelling for that reason, and because the labelling would create an 'artificial distinction'. The country is awash with milk as it is, we produce more milk than we can consume. Let's not create storage costs and further taxpayer burdens, because the law requires the USDA to buy any surplus of butter, cheese, or non-fat dry milk at a support price set by Congress! In fiscal 1991, the USDA spent $757 million on surplus butter, and one billion dollars a year on average for price supports during the 1980s (Consumer Reports, May 1992: 330-32). Any lactating mammal excretes toxins through her milk. This includes antibiotics, pesticides, chemicals and hormones. Also, all cows' milk contains blood! The inspectors are simply asked to keep it under certain limits. You may be horrified to learn that the USDA allows milk to contain from one to one and a half million white blood cells per millilitre. (That's only 1/30 of an ounce). If you don't already know this, I'm sorry to tell you that another way to describe white cells where they don't belong would be to call them pus cells. To get to the point, is milk pure or is it a chemical, biological, and bacterial cocktail? Finally, will the Food and Drug Administration (FDA) protect you? The United States General Accounting Office (GAO) tells us that the FDA and the individual States are failing to protect the public from drug residues in milk. Authorities test for only 4 of the 82 drugs in dairy cows. As you can imagine, the Milk Industry Foundation's spokesman claims it's perfectly safe. Jerome Kozak says, "I still think that milk is the safest product we have." Other, perhaps less biased observers, have found the following: 38% of milk samples in 10 cities were contaminated with sulfa drugs or other antibiotics. (This from the Centre for Science in the Public Interest and The Wall Street Journal, Dec. 29, 1989).. A similar study in Washington, DC found a 20 percent contamination rate (Nutrition Action Healthletter, April 1990). What's going on here? When the FDA tested milk, they found few problems. However, they used very lax standards. When they used the same criteria, the FDA data showed 51 percent of the milk samples showed drug traces. Let's focus in on this because it’s critical to our understanding of the apparent discrepancies. The FDA uses a disk-assay method that can detect only 2 of the 30 or so drugs found in milk. Also, the test detects only at the relatively high level. A more powerful test called the 'Charm II test' can detect drugs down to 5 parts per billion. One nasty subject must be discussed. It seems that cows are forever getting infections around the udder that require ointments and antibiotics. An article from France tells us that when a cow receives penicillin, that penicillin appears in the milk for from 4 to 7 milkings. Another study from the University of Nevada, Reno tells of cells in 'mastic milk', milk from cows with infected udders. An elaborate analysis of the cell fragments, employing cell cultures, flow cytometric analysis , and a great deal of high tech stuff. Do you know what the conclusion was? If the cow has mastitis, there is pus in the milk. Sorry, it’s in the study, all concealed with language such as "macrophages containing many vacuoles and phagocytosed particles," etc. IT GETS WORSE Well, at least human mothers' milk is pure! Sorry. A huge study showed that human breast milk in over 14,000 women had contamination by pesticides! Further, it seems that the sources of the pesticides are meat and--you guessed it-- dairy products. Well, why not? These pesticides are concentrated in fat and that's what's in these products. (Of interest, a subgroup of lactating vegetarian mothers had only half the levels of contamination). A recent report showed an increased concentration of pesticides in the breast tissue of women with breast cancer when compared to the tissue of women with fibrocystic disease. Other articles in the standard medical literature describe problems. Just scan these titles: 1.Cow's Milk as a Cause of Infantile Colic Breast-Fed Infants. Lancet 2 (1978): 437 2.Dietary Protein-Induced Colitis in Breast- Fed Infants, J. Pediatr. I01 (1982): 906 3.The Question of the Elimination of Foreign Protein in Women's Milk, J. Immunology 19 (1930): 15 There are many others. There are dozens of studies describing the prompt appearance of cows' milk allergy in children being exclusively breast-fed! The cows' milk allergens simply appear in the mother's milk and are transmitted to the infant. A committee on nutrition of the American Academy of Pediatrics reported on the use of whole cows' milk in infancy (Pediatrics 1983: 72-253). They were unable to provide any cogent reason why bovine milk should be used before the first birthday yet continued to recommend its use! Doctor Frank Oski from the Upstate Medical Centre Department of Pediatrics, commenting on the recommendation, cited the problems of acute gastrointestinal blood loss in infants, the lack of iron, recurrent abdominal pain, milk- borne infections and contaminants, and said: Why give it at all - then or ever? In the face of uncertainty about many of the potential dangers of whole bovine milk, it would seem prudent to recommend that whole milk not be started until the answers are available. Isn't it time for these uncontrolled experiments on human nutrition to come to an end? In the same issue of Pediatrics he further commented: It is my thesis that whole milk should not be fed to the infant in the first year of life because of its association with iron deficiency anemia (milk is so deficient in iron that an infant would have to drink an impossible 31 quarts a day to get the RDA of 15 mg), acute gastrointiestinal bleeding, and various manifestations of food allergy. I suggest that unmodified whole bovine milk should not be consumed after infancy because of the problems of lactose intolerance, its contribution to the genesis of atherosclerosis, and its possible link to other diseases. In late 1992 Dr. Benjamin Spock, possibly the best known pediatrician in history, shocked the country when he articulated the same thoughts and specified avoidance for the first two years of life. Here is his quotation: I want to pass on the word to parents that cows' milk from the carton has definite faults for some babies. Human milk is the right one for babies. A study comparing the incidence of allergy and colic in the breast-fed infants of omnivorous and vegan mothers would be important. I haven't found such a study; it would be both important and inexpensive. And it will probably never be done. There is simply no academic or economic profit involved. OTHER PROBLEMS Let's just mention the problems of bacterial contamination. Salmonella, E. coli, and staphylococcal infections can be traced to milk. In the old days tuberculosis was a major problem and some folks want to go back to those times by insisting on raw milk on the basis that it's "natural." This is insanity! A study from UCLA showed that over a third of all cases of salmonella infection in California, 1980-1983 were traced to raw milk. That'll be a way to revive good old brucellosis again and I would fear leukemia, too. (More about that later). In England, and Wales where raw milk is still consumed there have been outbreaks of milk-borne diseases. The Journal of the American Medical Association (251: 483, 1984) reported a multi-state series of infections caused by Yersinia enterocolitica in pasteurised whole milk. This is despite safety precautions. All parents dread juvenile diabetes for their children. A Canadian study reported in the American Journal of Clinical Nutrition, Mar. 1990, describes a "...significant positive correlation between consumption of unfermented milk protein and incidence of insulin dependent diabetes mellitus in data from various countries. Conversely a possible negative relationship is observed between breast-feeding at age 3 months and diabetes risk.". Another study from Finland found that diabetic children had higher levels of serum antibodies to cows’ milk (Diabetes Research 7(3): 137-140 March 1988). Here is a quotation from this study: We infer that either the pattern of cows' milk consumption is altered in children who will have insulin dependent diabetes mellitus or, their immunological reactivity to proteins in cows' milk is enhanced, or the permeability of their intestines to cows' milk protein is higher than normal. The April 18, 1992 British Medical Journal has a fascinating study contrasting the difference in incidence of juvenile insulin dependent diabetes in Pakistani children who have migrated to England. The incidence is roughly 10 times greater in the English group compared to children remaining in Pakistan! What caused this highly significant increase? The authors said that "the diet was unchanged in Great Britain." Do you believe that? Do you think that the availability of milk, sugar and fat is the same in Pakistan as it is in England? That a grocery store in England has the same products as food sources in Pakistan? I don't believe that for a minute. Remember, we're not talking here about adult onset, type II diabetes which all workers agree is strongly linked to diet as well as to a genetic predisposition. This study is a major blow to the "it's all in your genes" crowd. Type I diabetes was always considered to be genetic or possibly viral, but now this? So resistant are we to consider diet as causation that the authors of the last article concluded that the cooler climate in England altered viruses and caused the very real increase in diabetes! The first two authors had the same reluctance top admit the obvious. The milk just may have had something to do with the disease. The latest in this remarkable list of reports, a New England Journal of Medicine article (July 30, 1992), also reported in the Los Angeles Times. This study comes from the Hospital for Sick Children in Toronto and from Finnish researchers. In Finland there is "...the world's highest rate of dairy product consumption and the world's highest rate of insulin dependent diabetes. The disease strikes about 40 children out of every 1,000 there contrasted with six to eight per 1,000 in the United States.... Antibodies produced against the milk protein during the first year of life, the researchers speculate, also attack and destroy the pancreas in a so-called auto-immune reaction, producing diabetes in people whose genetic makeup leaves them vulnerable." "...142 Finnish children with newly diagnosed diabetes. They found that every one had at least eight times as many antibodies against the milk protein as did healthy children, clear evidence that the children had a raging auto immune disorder." The team has now expanded the study to 400 children and is starting a trial where 3,000 children will receive no dairy products during the first nine months of life. "The study may take 10 years, but we'll get a definitive answer one way or the other," according to one of the researchers. I would caution them to be certain that the breast feeding mothers use on cows' milk in their diets or the results will be confounded by the transmission of the cows' milk protein in the mother's breast milk.... Now what was the reaction from the diabetes association? This is very interesting! Dr. F. Xavier Pi-Sunyer, the president of the association says: "It does not mean that children should stop drinking milk or that parents of diabetics should withdraw dairy products. These are rich sources of good protein." (Emphasis added) My God, it's the "good protein" that causes the problem! Do you suspect that the dairy industry may have helped the American Diabetes Association in the past? LEUKEMIA? LYMPHOMA? THIS MAY BE THE WORST--BRACE YOURSELF! I hate to tell you this, but the bovine leukemia virus is found in more than three of five dairy cows in the United States! This involves about 80% of dairy herds. Unfortunately, when the milk is pooled, a very large percentage of all milk produced is contaminated (90 to 95 per cent). Of course the virus is killed in pasteurisation-- if the pasteurisation was done correctly. What if the milk is raw? In a study of randomly collected raw milk samples the bovine leukemia virus was recovered from two-thirds. I sincerely hope that the raw milk dairy herds are carefully monitored when compared to the regular herds. (Science 1981; 213:1014). This is a world-wide problem. One lengthy study from Germany deplored the problem and admitted the impossibility of keeping the virus from infected cows' milk from the rest of the milk. Several European countries, including Germany and Switzerland, have attempted to "cull" the infected cows from their herds. Certainly the United States must be the leader in the fight against leukemic dairy cows, right? Wrong! We are the worst in the world with the former exception of Venezuela according to Virgil Hulse MD, a milk specialist who also has a B.S. in Dairy Manufacturing as well as a Master's degree in Public Health. As mentioned, the leukemia virus is rendered inactive by pasteurisation. Of course. However, there can be Chernobyl like accidents. One of these occurred in the Chicago area in April, 1985. At a modern, large, milk processing plant an accidental "cross connection" between raw and pasteurized milk occurred. A violent salmonella outbreak followed, killing 4 and making an estimated 150,000 ill. Now the question I would pose to the dairy industry people is this: "How can you assure the people who drank this milk that they were not exposed to the ingestion of raw, unkilled, bully active bovine leukemia viruses?" Further, it would be fascinating to know if a "cluster" of leukemia cases blossoms in that area in 1 to 3 decades. There are reports of "leukemia clusters" elsewhere, one of them mentioned in the June 10, 1990 San Francisco Chronicle involving Northern California. What happens to other species of mammals when they are exposed to the bovine leukemia virus? It's a fair question and the answer is not reassuring. Virtually all animals exposed to the virus develop leukemia. This includes sheep, goats, and even primates such as rhesus monkeys and chimpanzees. The route of transmission includes ingestion (both intravenous and intramuscular) and cells present in milk. There are obviously no instances of transfer attempts to human beings, but we know that the virus can infect human cells in vitro. There is evidence of human antibody formation to the bovine leukemia virus; this is disturbing. How did the bovine leukemia virus particles gain access to humans and become antigens? Was it as small, denatured particles? If the bovine leukemia viruses causes human leukemia, we could expect the dairy states with known leukemic herds to have a higher incidence of human leukemia. Is this so? Unfortunately, it seems to be the case! Iowa, Nebraska, South Dakota, Minnesota and Wisconsin have statistically higher incidence of leukemia than the national average. In Russia and in Sweden, areas with uncontrolled bovine leukemia virus have been linked with increases in human leukemia. I am also told that veterinarians have higher rates of leukemia than the general public. Dairy farmers have significantly elevated leukemia rates. Recent research shows lymphocytes from milk fed to neonatal mammals gains access to bodily tissues by passing directly through the intestinal wall. An optimistic note from the University of Illinois, Ubana from the Department of Animal Sciences shows the importance of one's perspective. Since they are concerned with the economics of milk and not primarily the health aspects, they noted that the production of milk was greater in the cows with the bovine leukemia virus. However when the leukemia produced a persistent and significant lymphocytosis (increased white blood cell count), the production fell off. They suggested "a need to re-evaluate the economic impact of bovine leukemia virus infection on the dairy industry". Does this mean that leukemia is good for profits only if we can keep it under control? You can get the details on this business concern from Proc. Nat. Acad. Sciences, U.S. Feb. 1989. I added emphasis and am insulted that a university department feels that this is an economic and not a human health issue. Do not expect help from the Department of Agriculture or the universities. The money stakes and the political pressures are too great. You're on you own. What does this all mean? We know that virus is capable of producing leukemia in other animals. Is it proven that it can contribute to human leukemia (or lymphoma, a related cancer)? Several articles tackle this one: 1.Epidemiologic Relationships of the Bovine Population and Human Leukemia in Iowa. Am Journal of Epidemiology 112 (1980):80 2.Milk of Dairy Cows Frequently Contains a Leukemogenic Virus. Science 213 (1981): 1014 3.Beware of the Cow. (Editorial) Lancet 2 (1974):30 4.Is Bovine Milk A Health Hazard?. Pediatrics; Suppl. Feeding the Normal Infant. 75:182-186; 1985 In Norway, 1422 individuals were followed for 11 and a half years. Those drinking 2 or more glasses of milk per day had 3.5 times the incidence of cancer of the lymphatic organs. British Med. Journal 61:456-9, March 1990. One of the more thoughtful articles on this subject is from Allan S. Cunningham of Cooperstown, New York. Writing in the Lancet, November 27, 1976 (page 1184), his article is entitled, "Lymphomas and Animal-Protein Consumption". Many people think of milk as “liquid meat” and Dr. Cunningham agrees with this. He tracked the beef and dairy consumption in terms of grams per day for a one year period, 1955-1956., in 15 countries . New Zealand, United States and Canada were highest in that order. The lowest was Japan followed by Yugoslavia and France. The difference between the highest and lowest was quite pronounced: 43.8 grams/day for New Zealanders versus 1.5 for Japan. Nearly a 30-fold difference! (Parenthetically, the last 36 years have seen a startling increase in the amount of beef and milk used in Japan and their disease patterns are reflecting this, confirming the lack of 'genetic protection' seen in migration studies. Formerly the increase in frequency of lymphomas in Japanese people was only in those who moved to the USA)! An interesting bit of trivia is to note the memorial built at the Gyokusenji Temple in Shimoda, Japan. This marked the spot where the first cow was killed in Japan for human consumption! The chains around this memorial were a gift from the US Navy. Where do you suppose the Japanese got the idea to eat beef? The year? 1930. Cunningham found a highly significant positive correlation between deaths from lymphomas and beef and dairy ingestion in the 15 countries analysed. A few quotations from his article follow: The average intake of protein in many countries is far in excess of the recommended requirements. Excessive consumption of animal protein may be one co-factor in the causation of lymphomas by acting in the following manner. Ingestion of certain proteins results in the adsorption of antigenic fragments through the gastrointestinal mucous membrane. This results in chronic stimulation of lymphoid tissue to which these fragments gain access "Chronic immunological stimulation causes lymphomas in laboratory animals and is believed to cause lymphoid cancers in men." The gastrointestinal mucous membrane is only a partial barrier to the absorption of food antigens, and circulating antibodies to food protein is commonplace especially potent lymphoid stimulants. Ingestion of cows' milk can produce generalized lymphadenopathy, hepatosplenomegaly, and profound adenoid hypertrophy. It has been conservatively estimated that more than 100 distinct antigens are released by the normal digestion of cows' milk which evoke production of all antibody classes [This may explain why pasteurized, killed viruses are still antigenic and can still cause disease. Here's more. A large prospective study from Norway was reported in the British Journal of Cancer 61 (3):456-9, March 1990. (Almost 16,000 individuals were followed for 11 and a half years). For most cancers there was no association between the tumour and milk ingestion. However, in lymphoma, there was a strong positive association. If one drank two glasses or more daily (or the equivalent in dairy products), the odds were 3.4 times greater than in persons drinking less than one glass of developing a lymphoma. There are two other cow-related diseases that you should be aware of. At this time they are not known to be spread by the use of dairy products and are not known to involve man. The first is bovine spongiform encephalopathy (BSE), and the second is the bovine immunodeficiency virus (BIV). The first of these diseases, we hope, is confined to England and causes cavities in the animal's brain. Sheep have long been known to suffer from a disease called scrapie. It seems to have been started by the feeding of contaminated sheep parts, especially brains, to the British cows. Now, use your good sense. Do cows seem like carnivores? Should they eat meat? This profit-motivated practice backfired and bovine spongiform encephalopathy, or Mad Cow Disease, swept Britain. The disease literally causes dementia in the unfortunate animal and is 100 per cent incurable. To date, over 100,000 cows have been incinerated in England in keeping with British law. Four hundred to 500 cows are reported as infected each month. The British public is concerned and has dropped its beef consumption by 25 per cent, while some 2,000 schools have stopped serving beef to children. Several farmers have developed a fatal disease syndrome that resembles both BSE and CJD (Creutzfeldt-Jakob- Disease). But the British Veterinary Association says that transmission of BSE to humans is "remote." The USDA agrees that the British epidemic was due to the feeding of cattle with bonemeal or animal protein produced at rendering plants from the carcasses of scrapie-infected sheep. The have prohibited the importation of live cattle and zoo ruminants from Great Britain and claim that the disease does not exist in the United States. However, there may be a problem. "Downer cows" are animals who arrive at auction yards or slaughter houses dead, trampled, lacerated, dehydrated, or too ill from viral or bacterial diseases to walk. Thus they are "down." If they cannot respond to electrical shocks by walking, they are dragged by chains to dumpsters and transported to rendering plants where, if they are not already dead, they are killed. Even a "humane" death is usually denied them. They are then turned into protein food for animals as well as other preparations. Minks that have been fed this protein have developed a fatal encephalopathy that has some resemblance to BSE. Entire colonies of minks have been lost in this manner, particularly in Wisconsin. It is feared that the infective agent is a prion or slow virus possible obtained from the ill "downer cows." The British Medical Journal in an editorial whimsically entitled "How Now Mad Cow?" (BMJ vol. 304, 11 Apr. 1992:929- 30) describes cases of BSE in species not previously known to be affected, such as cats. They admit that produce contaminated with bovine spongiform encephalopathy entered the human food chain in England between 1986 and 1989. They say. "The result of this experiment is awaited." As the incubation period can be up to three decades, wait we must. The immunodeficency virus is seen in cattle in the United States and is more worrisome. Its structure is closely related to that of the human AIDS virus. At this time we do not know if exposure to the raw BIV proteins can cause the sera of humans to become positive for HIV. The extent of the virus among American herds is said to be "widespread". (The USDA refuses to inspect the meat and milk to see if antibodies to this retrovirus is present). It also has no plans to quarantine the infected animals. As in the case of humans with AIDS, there is no cure for BIV in cows. Each day we consume beef and diary products from cows infected with these viruses and no scientific assurance exists that the products are safe. Eating raw beef (as in steak Tartare) strikes me as being very risky, especially after the Seattle E. coli deaths of 1993. A report in the Canadian Journal of Veterinary Research, October 1992, Vol. 56 pp.353-359 and another from the Russian literature, tell of a horrifying development. They report the first detection in human serum of the antibody to a bovine immunodeficiency virus protein. In addition to this disturbing report, is another from Russia telling us of the presence of virus proteins related to the bovine leukemia virus in 5 of 89 women with breast disease (Acta Virologica Feb. 1990 34(1): 19-26). The implications of these developments are unknown at present. However, it is safe to assume that these animal viruses are unlikely to "stay" in the animal kingdom. OTHER CANCERS--DOES IT GET WORSE? Unfortunately it does. Ovarian cancer--a particularly nasty tumour--was associated with milk consumption by workers at Roswell Park Memorial Institute in Buffalo, New York. Drinking more than one glass of whole milk or equivalent daily gave a woman a 3.1 times risk over non-milk users. They felt that the reduced fat milk products helped reduce the risk. This association has been made repeatedly by numerous investigators. Another important study, this from the Harvard Medical School, analyzed data from 27 countries mainly from the 1970s. Again a significant positive correlation is revealed between ovarian cancer and per capita milk consumption. These investigators feel that the lactose component of milk is the responsible fraction, and the digestion of this is facilitated by the persistence of the ability to digest the lactose (lactose persistence) - a little different emphasis, but the same conclusion. This study was reported in the American Journal of Epidemiology 130 (5): 904-10 Nov. 1989. These articles come from two of the country's leading institutions, not the Rodale Press or Prevention Magazine. Even lung cancer has been associated with milk ingestion? The beverage habits of 569 lung cancer patients and 569 controls again at Roswell Park were studied in the International Journal of Cancer, April 15, 1989. Persons drinking whole milk 3 or more times daily had a 2-fold increase in lung cancer risk when compared to those never drinking whole milk. For many years we have been watching the lung cancer rates for Japanese men who smoke far more than American or European men but who develop fewer lung cancers. Workers in this research area feel that the total fat intake is the difference. There are not many reports studying an association between milk ingestion and prostate cancer. One such report though was of great interest. This is from the Roswell Park Memorial Institute and is found in Cancer 64 (3): 605-12, 1989. They analyzed the diets of 371 prostate cancer patients and comparable control subjects: Men who reported drinking three or more glasses of whole milk daily had a relative risk of 2.49 compared with men who reported never drinking whole milk the weight of the evidence appears to favour the hypothesis that animal fat is related to increased risk of prostate cancer. Prostate cancer is now the most common cancer diagnosed in US men and is the second leading cause of cancer mortality. WELL, WHAT ARE THE BENEFITS? Is there any health reason at all for an adult human to drink cows' milk? It's hard for me to come up with even one good reason other than simple preference. But if you try hard, in my opinion, these would be the best two: milk is a source of calcium and it's a source of amino acids (proteins). Let's look at the calcium first. Why are we concerned at all about calcium? Obviously, we intend it to build strong bones and protect us against osteoporosis. And no doubt about it, milk is loaded with calcium. But is it a good calcium source for humans? I think not. These are the reasons. Excessive amounts of dairy products actually interfere with calcium absorption. Secondly, the excess of protein that the milk provides is a major cause of the osteoporosis problem. Dr. H egsted in England has been writing for years about the geographical distribution of osteoporosis. It seems that the countries with the highest intake of dairy products are invariably the countries with the most osteoporosis. He feels that milk is a cause of osteoporosis. Reasons to be given below. Numerous studies have shown that the level of calcium ingestion and especially calcium supplementation has no effect whatever on the development of osteoporosis. The most important such article appeared recently in the British Journal of Medicine where the long arm of our dairy industry can't reach. Another study in the United States actually showed a worsening in calcium balance in post-menopausal women given three 8-ounce glasses of cows' milk per day. (Am. Journal of Clin. Nutrition, 1985). The effects of hormone, gender, weight bearing on the axial bones, and in particular protein intake, are critically important. Another observation that may be helpful to our analysis is to note the absence of any recorded dietary deficiencies of calcium among people living on a natural diet without milk. For the key to the osteoporosis riddle, don’t look at calcium, look at protein. Consider these two contrasting groups. Eskimos have an exceptionally high protein intake estimated at 25 percent of total calories. They also have a high calcium intake at 2,500 mg/day. Their osteoporosis is among the worst in the world. The other instructive group are the Bantus of South Africa. They have a 12 percent protein diet, mostly p lant protein, and only 200 to 350 mg/day of calcium, about half our women's intake. The women have virtually no osteoporosis despite bearing six or more children and nursing them for prolonged periods! When African women immigrate to the United States, do they develop osteoporosis? The answer is yes, but not quite are much as Caucasian or Asian women. Thus, there is a genetic difference that is modified by diet. To answer the obvious question, "Well, where do you get your calcium?" The answer is: "From exactly the same place the cow gets the calcium, from green things that grow in the ground," mainly from leafy vegetables. After all, elephants and rhinos develop their huge bones (after being weaned) by eating green leafy plants, so do horses. Carnivorous animals also do quite nicely without leafy plants. It seems that all of earth's mammals do well if they live in harmony with their genetic programming and natural food. Only humans living an affluent life style have rampant osteoporosis. If animal references do not convince you, think of the several billion humans on this earth who have never seen cows' milk. Wouldn't you think osteoporosis would be prevalent in this huge group? The dairy people would suggest this but the truth is exactly the opposite. They have far less than that seen in the countries where dairy products are commonly consumed. It is the subject of another paper, but the truly significant determinants of osteoporosis are grossly excessive protein intakes and lack of weight bearing on long bones, both taking place over decades. Hormones play a secondary, but not trivial role in women. Milk is a deterrent to good bone health. THE PROTEIN MYTH Remember when you were a kid and the adults all told you to "make sure you get plenty of good protein". Protein was the nutritional "good guy”" when I was young. And of course milk is fitted right in. As regards protein, milk is indeed a rich source of protein- -"liquid meat," remember? However that isn't necessarily what we need. In actual fact it is a source of difficulty. Nearly all Americans eat too much protein. For this information we rely on the most authoritative source that I am aware of. This is the latest edition (1oth, 1989: 4th printing, Jan. 1992) of the Recommended Dietary Allowances produced by the National Research Council. Of interest, the current editor of this important work is Dr. Richard Havel of the University of California in San Francisco. First to be noted is that the recommended protein has been steadily revised downward in successive editions. The current recommendation is 0.75 g/kilo/day for adults 19 through 51 years. This, of course, is only 45 grams per day for the mythical 60 kilogram adult. You should also know that the WHO estimated the need for protein in adults to by .6g/kilo per day. (All RDA's are calculated with large safety allowances in case you're the type that wants to add some more to "be sure.") You can "get by" on 28 to 30 grams a day if necessary! Now 45 grams a day is a tiny amount of protein. That's an ounce and a half! Consider too, that the protein does not have to be animal protein. Vegetable protein is identical for all practical purposes and has no cholesterol and vastly less saturated fat. (Do not be misled by the antiquated belief that plant proteins must be carefully balanced to avoid deficiencies. This is not a realistic concern.) Therefore virtually all Americans, Canadians, British and European people are in a protein overloaded state. This has serious consequences when maintained over decades. The problems are the already mentioned osteoporosis, atherosclerosis and kidney damage. There is good evidence that certain malignancies, chiefly colon and rectal, are related to excessive meat intake. Barry Brenner, an eminent renal physiologist was the first to fully point out the dangers of excess protein for the kidney tubule. The dangers of the fat and cholesterol are known to all. Finally, you should know that the protein content of human milk is amount the lowest (0.9%) in mammals. IS THAT ALL OF THE TROUBLE? Sorry, there's more. Remember lactose? This is the principal carbohydrate of milk. It seems that nature provides new- borns with the enzymatic equipment to metabolize lactose, but this ability often extinguishes by age 4 or 5 years. What is the problem with lactose or milk sugar? It seems that it is a disaccharide which is too large to be absorbed into the blood stream without first being broken down into monosaccharides, namely galactose and glucose. This requires the presence of an enzyme, lactase plus additional enzymes to break down the galactose into glucose. Let's think about his for a moment. Nature gives us the ability to metabolize lactose for a few years and then shuts off the mechanism. Is Mother Nature trying to tell us something? Clearly all infants must drink milk. The fact that so many adults cannot seems to be related to the tendency for nature to abandon mechanisms that are not needed. At least half of the adult humans on this earth are lactose intolerant. It was not until the relatively recent introduction of dairy herding and the ability to "borrow" milk from another group of mammals that the survival advantage of preserving lactase (the enzyme that allows us to digest lactose) became evident. But why would it be advantageous to drink cows' milk? After all, most of the human beings in the history of the world did. And further, why was it just the white or light skinned humans who retained this knack while the pigmented people tended to lose it? Some students of evolution feel that white skin is a fairly recent innovation, perhaps not more than 20,000 or 30,000 years old. It clearly has to do with the Northward migration of early man to cold and relatively sunless areas when skins and clothing became available. Fair skin allows the production of Vitamin D from sunlight more readily than does dark skin. However, when only the face was exposed to sunlight that area of fair skin was insufficient to provide the vitamin D from sunlight. If dietary and sunlight sources were poorly available, the ability to use the abundant calcium in cows' milk would give a survival advantage to humans who could digest that milk. This seems to be the only logical explanation for fair skinned humans having a high degree of lactose tolerance when compared to dark skinned people. How does this break down? Certain racial groups, namely blacks are up to 90% lactose intolerant as adults. Caucasians are 20 to 40% lactose intolerant. Orientals are midway between the above two groups. Diarrhea, gas and abdominal cramps are the results of substantial milk intake in such persons. Most American Indians cannot tolerate milk. The milk industry admits that lactose intolerance plays intestinal havoc with as many as 50 million Americans. A lactose-intolerance industry has sprung up and had sales of $117 million in 1992 (Time May 17, 1993.) What if you are lactose-intolerant and lust after dairy products? Is all lost? Not at all. It seems that lactose is largely digested by bacteria and you will be able to enjoy your cheese despite lactose intolerance. Yogurt is similar in this respect. Finally, and I could never have dreamed this up, geneticists want to splice genes to alter the composition of milk (Am J Clin Nutr 1993 Suppl 302s). One could quibble and say that milk is totally devoid of fiber content and that its habitual use will predispose to constipation and bowel disorders. The association with anemia and occult intestinal bleeding in infants is known to all physicians. This is chiefly from its lack of iron and its irritating qualities for the intestinal mucosa. The pediatric literature abounds with articles describing irritated intestinal lining, bleeding, increased permeability as well as colic, diarrhea and vomiting in cows'milk-sensitive babies. The anemia gets a double push by loss of blood and iron as well as deficiency of iron in the cows' milk. Milk is also the leading cause of childhood allergy. LOW FAT One additional topic: the matter of "low fat" milk. A common and sincere question is: "Well, low fat milk is OK, isn't it?" The answer to this question is that low fat milk isn't low fat. The term "low fat" is a marketing term used to gull the public. Low fat milk contains from 24 to 33% fat as calories! The 2% figure is also misleading. This refers to weight. They don't tell you that, by weight, the milk is 87% water! "Well, then, kill-joy surely you must approve of non-fat milk!" I hear this quite a bit. (Another constant concern is: "What do you put on your cereal?") True, there is little or no fat, but now you have a relative overburden of protein and lactose. It there is something that we do not need more of it is another simple sugar-lactose, composed of galactose and glucose. Millions of Americans are lactose intolerant to boot, as noted. As for protein, as stated earlier, we live in a society that routinely ingests far more protein than we need. It is a burden for our bodies, especially the kidneys, and a prominent cause of osteoporosis. Concerning the dry cereal issue, I would suggest soy milk, rice milk or almond milk as a healthy substitute. If you're still concerned about calcium, "Westsoy" is formulated to have the same calcium concentration as milk. SUMMARY To my thinking, there is only one valid reason to drink milk or use milk products. That is just because we simply want to. Because we like it and because it has become a part of our culture. Because we have become accustomed to its taste and texture. Because we like the way it slides down our throat. Because our parents did the very best they could for us and provided milk in our earliest training and conditioning. They taught us to like it. And then probably the very best reason is ice cream! I've heard it described "to die for". I had one patient who did exactly that. He had no obvious vices. He didn't smoke or drink, he didn’t eat meat, his diet and lifestyle was nearly a perfectly health promoting one; but he had a passion. You guessed it, he loved rich ice cream. A pint of the richest would be a lean day's ration for him. On many occasions he would eat an entire quart - and yes there were some cookies and other pastries. Good ice cream deserves this after all. He seemed to be in good health despite some expected "middle age spread" when he had a devastating stroke which left him paralyzed, miserable and helpless, and he had additional strokes and d ied several years later never having left a hospital or rehabilitation unit. Was he old? I don't think so. He was in his 50s. So don't drink milk for health. I am convinced on the weight of the scientific evidence that it does not "do a body good." Inclusion of milk will only reduce your diet's nutritional value and safety. Most of the people on this planet live very healthfully without cows' milk. You can too. It will be difficult to change; we've been conditioned since childhood to think of milk as "nature's most perfect food." I'll guarantee you that it will be safe, improve your health and it won't cost anything. What can you lose? es esta pagina link http://notmilk.com/kradjian.html The most important information dissemination my. Not that, but I can make your text too long jajaja. If I write bad is that I am leading a translator jaja
If the World was so Safe before Bush took Office,How do you Explain this List??????? American Victims of Mideast Terrorist Attacks -------------------------------------------------------------------------------- The following is a listing of incidents in which Americans are known to have been killed by Middle East-based terrorists. The list will be updated as more information becomes available. The exact number of American casualties is difficult to calculate because of incomplete news reports regarding numbers and nationalities of those injured. The toll from the September 11, 2001, attack on the World Trade Center is also uncertain, but current figures place the number of dead above 3,000. The number of dead at the Pentagon and on the hijacked airliners numbered approximately 385. Since Yasser Arafat "renounced" violence in the Oslo Peace Accords on September 13, 1993, at least 53 Americans have been murdered and at least another 83 Americans have been injured by Palestinian terrorism. Excluding the September 11 attacks, approximately 700 Americans have been killed and 1,600 wounded in terrorist attacks since 1970. This list also includes injured Americans since Oslo 1993. -------------------------------------------------------------------------------- February 23, 1970, Halhoul, West Bank. Palestinian Liberation Organization terrorists open fire on a busload of pilgrims killing Barbara Ertle of Michigan and wounding two other Americans. March 28-29, 1970, Beirut, Lebanon. The Popular Front for the Liberation of Palestine (PFLP) fired seven rockets at the U.S. Embassy, the American Insurance Company, Bank of America and the John F. Kennedy library. September 14, 1970, En route to Amman, Jordan. The PFLP hijacked a TWA flight from Zurich, Switzerland and forced it to land in Amman. Four American citizens were injured. May 30, 1972, Ben Gurion Airport, Israel. Three members of the Japanese Red Army, acting on the PFLP's bbehalf, carried out a machine-gun and grenade attack at Israel's main airport, killing 26 and wounding 78 people. Many of the casualties were American citizens, mostly from Puerto Rico. September 5, 1972, Munich, Germany. During the Olympic Games in Munich, Black September, a front for Fatah, took hostage 11 members of the Israeli Olympic team. Nine athletes were killed including weightlifter David Berger, an American-Israeli from Cleveland, Ohio. March 2, 1973, Khartoum, Sudan. Cleo A. Noel, Jr., U.S. ambassador to Sudan, and George C. Moore, also a U.S. diplomat, were held hostage and then killed by terrorists at the U.S. Embassy in Khartoum. It seems likely that Fatah was responsible for the attack. September 8, 1974, Athens, Greece. TWA Flight 841, flying from Tel Aviv to New York, made a scheduled stop in Athens. Shortly after takeoff, it crashed into the Ionian Sea and all 88 passengers were killed, including 32-year-old Steven R. Lowe, husband Jeremiah Michel and wife, Kathrine Hadley Michel of Poughkeepsie, NY, Frederick and Margaret Hare of Bernardsville, NJ, Ralph H. Bosh of Madison, CT, Seldon and Etan Bard of Tuckahoe, NY, Dr. and Mrs. Frederick Stohlman of Newton, MA, Don H. Holiday of Mahwah, NJ, and Jon L. Chesire of Old Lyme, Ct; all of which were Almerican citizens. An investigation of the crash conclusively established that it was caused by explosives set in the rear cargo department of the plane. June 29, 1975, Beirut, Lebanon. The PFLP kidnapped the U.S. military attaché to Lebanon, Ernest Morgan, and demanded food, clothing and building materials for indigent residents living near Beirut harbor. The American diplomat was released after an anonymous benefactor provided food to the neighborhood. November 14, 1975, Jerusalem, Israel. Lola Nunberg, 53, of New York, was injured during a bombing attack in downtown Jerusalem. Fatah claimed responsibility for the bombing, which killed six people and wounded 38. November 21, 1975, Ramat Hamagshimim, Israel. Michael Nadler, an American-Israeli from Miami Beach, Florida, was killed when axe-wielding terrorists from the Democrat Front for the Liberation of Palestine, a PLO faction, attacked students in the Golan Heights. August 11, 1976, Istanbul, Turkey. The PFLP launched an attack on the terminal of Israel's major airline, El Al, at the Istanbul airport. Four civilians, including Harold Rosenthal of Philadelphia, Pennsylvania, were killed and 20 injured. January 1, 1977, Beirut, Lebanon. Frances E. Meloy, U.S. ambassador to Lebanon, and Robert O.Waring, the U.S. economic counselor, were kidnapped by PFLP members as they crossed a militia checkpoint separating the Christian from the Muslim parts of Beirut. They were later shot to death. March 11, 1978, Tel Aviv, Israel. Gail Rubin, niece of U.S. Senator Abraham Ribicoff, was among 38 people shot to death by PLO terrorists on an Israeli beach. June 2, 1978, Jerusalem, Israel. Richard Fishman, a medical student from Maryland, was among six killed in a PLO bus bombing in Jerusalem. Chava Sprecher, another American citizen from Seattle, Washington, was injured. May 4, 1979, Tiberias, Israel. Haim Mark and his wife, Haya, of New Haven, Connecticut were injured in a PLO bombing attack in northern Israel. November 4, 1979, Teheran, Iran. After President Carter agreed to admit the Shah of Iran into the U.S., Iranian radicals seized the U.S. Embassy in Tehran and took 66 American diplomats hostage. Thirteen hostages were soon freed, but the remaining 53 were held until their release on January 20, 1981. May 2, 1980, Hebron, West Bank. Eli Haze'ev, an American-Israeli from Alexandria, Virginia, was killed in a PLO attack on Jewish worshippers walking home from a synagogue in Hebron. July 19, 1982, Beirut, Lebanon. Hizballah members kidnapped David Dodge, acting president of the American University in Beirut. After a year in captivity, Dodge was released. Rifat Assad, head of Syrian Intelligence, helped in the negotiation with the terrorists. August 19, 1982, Paris, France. Two American citizens, Anne Van Zanten and Grace Cutler, were killed when the PLO bombed a Jewish restaurant in Paris. March 16, 1983, Beirut, Lebanon. Five American Marines were wounded in a hand grenade attack while on patrol north of Beirut International Airport. The Islamic Jihad and Al-Amal, a Shi'ite militia, claimed responsibility for the attack. April 18, 1983, Beirut, Lebanon. A truck-bomb detonated by a remote control exploded in front of the U.S. Embassy in Beirut, killing 63 employees, including the CIA's Middle East director, and wounding 120. Hizballah, with financial backing from Iran, was responsible for the attack. July 1, 1983, Hebron, Israel. Aharon Gross, 19, an American-Israeli from New York, was stabbed to death by PLO terrorists in the Hebron marketplace. September 29, 1983, Beirut, Lebanon. Two American marines were kidnapped by Amal members. They were released after intervention by a Lebanese army officer. October 23, 1983, Beirut, Lebanon. A truck loaded with a bomb crashed into the lobby of the U.S. Marines headquarters in Beirut, killing 241 soldiers and wounding 81. The attack was carried out by Hizballah with the help of Syrian intelligence and financed by Iran. December 19, 1983, Jerusalem, Israel. Serena Sussman, a 60-year-old tourist from Anderson, South Carolina, died from injuries from the PLO bombing of a bus in Jerusalem 13 days earlier. January 18, 1984, Beirut, Lebanon. Malcolm Kerr, a Lebanese born American who was president of the American University of Beirut, was killed by two gunmen outside his office. Hizballah said the assassination was part of the organization's plan to "drive all Americans out from Lebanon." March 7, 1984, Beirut, Lebanon. Hizballah members kidnapped Jeremy Levin, Beirut bureau chief of Cable News Network (CNN). Levin managed to escape and reach Syrian army barracks. He was later transferred to American hands. March 8, 1984, Beirut, Lebanon. Three Hizballah members kidnapped Reverend Benjamin T. Weir, while he was walking with his wife in Beirut's Manara neighborhood. Weir was released after 16 months of captivity with Syrian and Iranian assistance. March 16, 1984, Beirut, Lebanon. Hizballah kidnapped William Buckley, a political officer at the U.S. Embassy in Beirut. Buckley was supposed to be exchanged for prisoners. However when the transaction failed to take place, he was reportedly transported to Iran. Although his body was never found, the U.S. administration declared the American diplomat dead. April 12, 1984, Torrejon, Spain. Hizballah bombed a restaurant near an U.S. Air Force base in Torrejon, Spain, wounding 83 people. September 20, 1984, Beirut, Lebanon. A suicide bomb attack on the U.S. Embassy in East Beirut killed 23 people and injured 21. The American and British ambassadors were slightly injured in the attack, attributed to the Iranian backed Hizballah group. September 20, 1984, Aukar, Lebanon. Islamic Jihad detonate a van full of explosives 30 feet in front of the U.S. Embassy annex severely damaging the building, killing two U.S. servicemen and seven Lebanese employees, as well as 5 to 15 non-employees. Twenty Americans were injured, including U.S. Ambassador Reginald Bartholomew and visiting British Ambassador David Miers. An estimated 40 to 50 Lebanese were hurt. The attack came in response to the U.S. veto September 6 of a U.N. Security Council resolution. December 4, 1984, Tehran, Iran. Hizballah terrorists hijacked a Kuwait Airlines plane en route from Dubai, United Emirates, to Karachi, Pakistan. They demanded the release from Kuwaiti jails of members of Da'Wa, a group of Shiite extremists serving sentences for attacks on French and American targets on Kuwaiti territory. The terrorists forced the pilot to fly to Tehran where the terrorists murdered two passengers--American Agency for International Development employees, Charles Hegna and William Stanford. Although an Iranian special unit ended the incident by storming the plane and arresting the terrorists, the Iranian government might also have been involved in the hijacking. June 14, 1985, Between Athens and Rome. Two Hizballah members hijacked a TWA flight en route to Rome from Athens and forced the pilot to fly to Beirut. The terrorists, believed to belong to Hizballah, asked for the release of members of the group Kuwait 17 and 700 Shi'ite prisoners held in Israeli and South Lebanese prisons. The eight crewmembers and 145 passengers were held for 17 days during which one of the hostages, Robert Stethem, a U.S. Navy diver, was murdered. After being flown twice to Algiers, the aircraft returned to Beirut and the hostages were released. Later on, four Hizballah members were secretly indicted. One of them, the Hizballah senior officer Imad Mughniyah, was indicted in absentia. October 7, 1985, Between Alexandria, Egypt and Haifa, Israel. A four-member PFLP squad took over the Italian cruise ship Achille Lauro, as it was sailing from Alexandria, Egypt, to Israel. The squad murdered a disabled U.S. citizen, Leon Klinghoffer, by throwing him in the ocean. The rest of the passengers were held hostage for two days and later released after the terrorists turned themselves in to Egyptian authorities in return for safe passage. But U.S. Navy fighters intercepted the Egyptian aircraft flying the terrorists to Tunis and forced it to land at the NATO airbase in Italy, where the terrorists were arrested. Two of the terrorists were tried in Italy and sentenced to prison. The Italian authorities however let the two others escape on diplomatic passports. Abu Abbas, who masterminded the hijacking, was later convicted to life imprisonment in absentia. December 27, 1985, Rome, Italy. Four terrorists from Abu Nidal's organization attacked El Al offices at the Leonardo di Vinci Airport in Rome. Thirteen people, including five Americans, were killed and 74 wounded, among them two Americans. The terrorists had come from Damascus and were supported by the Syrian regime. March 30, 1986, Athens, Greece. A bomb exploded on a TWA flight from Rome as it approached Athens airport. The attack killed four U.S. citizens who were sucked through a hole made by the blast, although the plane safely landed. The bombing was attributed to the Fatah Special Operations Group's intelligence and security apparatus, headed by Abdullah Abd al-Hamid Labib, alias Colonel Hawari. April 5, 1986, West Berlin, Germany. An explosion at the "La Belle" nightclub in Berlin, frequented by American soldiers, killed three--2 U.S. soldiers and a Turkish woman-and wounded 191 including 41 U.S. soldiers. Given evidence of Libyan involvement, the U.S. Air Force made a retaliatory attack against Libyan targets on April 17. Libya refused to hand over to Germany five suspects believed to be there. Others, however, were tried including Yassir Shraidi and Musbah Eter, arrested in Rome in August 1997 and extradited; and also Ali Chanaa, his wife, Verena Chanaa, and her sister, Andrea Haeusler. Shraidi, accused of masterminding the attack, was sentenced to 14 years in jail. The Libyan diplomat Musbah Eter and Ali Chanaa were both sentenced to 12 years in jail. Verena Chanaa was sentenced to 14 years in prison. Andrea Haeusler was acquitted. September 5, 1986, Karachi, Pakistan. Abu Nidal members hijacked a Pan Am flight leaving Karachi, Pakistan bound for Frankfurt, Germany and New York with 379 passengers, including 89 Americans. The terrorists forced the plane to land in Larnaca, Cyprus, where they demanded the release of two Palestinians and a Briton jailed for the murder of three Israelis there in 1985. The terrorists killed 22 of the passengers, including two American citizens and wounded many others. They were caught and indicted by a Washington grand jury in 1991. September 9, 1986, Beirut, Lebanon. Continuing its anti-American attacks, Hizballah kidnapped Frank Reed, director of the American University in Beirut, whom they accused of being "a CIA agent." He was released 44 months later. September 12, 1986, Beirut, Lebanon. Hizballah kidnapped Joseph Cicippio, the acting comptroller at the American University in Beirut. Cicippio was released five years later on December 1991. October 15, 1986, Jerusalem, Israel. Gali Klein, an American citizen, was killed in a grenade attack by Fatah at the Western Wall in Jerusalem. October 21, 1986, Beirut, Lebanon. Hizballah kidnapped Edward A. Tracy, an American citizen in Beirut. He was released five years later, on August 1991. February 17, 1988, Ras-Al-Ein Tyre, Lebanon. Col. William Higgins, the American chief of the United Nations Truce Supervisory Organization, was abducted by Hizballah while driving from Tyre to Nakura. The hostages demanded the withdrawal of Israeli forces from Lebanon and the release of all Palestinian and Lebanese held prisoners in Israel. The U.S. government refused to answer the request. Hizballah later claimed they killed Higgins. December 21, 1988, Lockerbie, Scotland. Pan Am Flight 103 departing from Frankfurt to New York was blown up in midair, killing all 259 passengers and another 11 people on the ground in Scotland. Two Libyan agents were found responsible for planting a sophisticated suitcase bomb onboard the plane. On 14 November 1991, arrest warrants were issued for Al-Amin Khalifa Fahima and Abdel Baset Ali Mohamed al-Megrahi. After Libya refused to extradite the suspects to stand trial, the United Nations leveled sanctions against the country in April 1992, including the freezing of Libyan assets abroad. In 1999, Libyan leader Muammar Gadhafi agreed to hand over the two suspects, but only if their trial was held in a neutral country and presided over by a Scottish judge. With the help of Saudi Arabia's King Fahd and Crown Prince Abdullah, Al-Megrahi and Fahima were finally extradited and tried in Camp Zeist in the Netherlands. Megrahi was found guilty and jailed for life, while Fahima was acquitted due to a "lack of evidence" of his involvement. After the extradition, UN sanctions against Libya were automatically lifted. January 27, 1989, Istanbul and Ankara, Turkey. Three simultaneous bombings were carried out against U.S. business targets--the Turkish American Businessmen Association and the Economic Development Foundation in Istanbul, and the Metal Employees Union in Ankara. The Dev Sol (Revolutionary Left) was held responsible for the attacks. March 6, 1989, Cairo, Egypt. Two explosive devices were safely removed from the grounds of the American and British Cultural centers in Cairo. Three organizations were believed to be responsible for the attack: The January 15 organization, which had sent a letter bomb to the Israeli ambassador to London in January; the Egyptian Revolutionary Organization that from out 1984-1986 carried out attacks against U.S. and Israeli targets; and the Nasserite Organization, which had attacked British and American targets in 1988. June 12, 1989, Bosphorus Straits, Turkey. A bomb exploded aboard an unoccupied boat used by U.S. consular staff. The explosion caused extensive damage but no casualties. An organization previously unknown, the Warriors of the June 16th Movement, claimed responsibility for the attack. October 11, 1989, Izmir, Turkey. An explosive charge went off outside a U.S. military PX. Dev Sol was held responsible for the attack. February 7, 1991, Incirlik Air Base, Turkey. Dev Sol members shot and killed a U.S. civilian contractor as he was getting into his car at the Incirlik Air Base in Adana, Turkey. February 28, 1991, Izmir, Turkey. Two Dev Sol gunmen shot and wounded a U.S. Air Force officer as he entered his residence in Izmir. March 28, 1991, Jubial, Saudi Arabia. Three U.S. marines were shot at and injured by an unknown terrorist while driving near Camp Three, Jubial. No organization claimed responsibility for the attack. October 28, 1991, Ankara, Turkey. Victor Marwick, an American soldier serving at the Turkish-American base, Tuslog, was killed and his wife wounded in a car bomb attack. The Turkish Islamic Jihad claimed responsibility for the attack. October 28, 1991, Istanbul, Turkey. Two car bombings killed a U.S. Air Force sergeant and severely wounded an Egyptian diplomat in Istanbul. Turkish Islamic Jihad claimed responsibility. November 8, 1991, Beirut, Lebanon. A 100-kg car bomb destroyed the administration building of the American University in Beirut, killing one person and wounding at least a dozen. October 12, 1992, Umm Qasr, Iraq. A U.S. soldier serving with the United Nations was stabbed and wounded near the port of Umm Qasr. No organization claimed responsibility for the attack. January 25, 1993, Virginia, United States. A Pakistani gunman opened fire on Central Intelligence Agency (CIA) employees standing outside of the building. Two agents, Frank Darling and Bennett Lansing, were killed and three others wounded. The assailant was never caught and reportedly fled to Pakistan. February 26, 1993, Cairo, Egypt. A bomb exploded inside a café in downtown Cairo killing three. Among the 18 wounded were two U.S. citizens. No one claimed responsibility for the attack. February 26, 1993, New York, United States. A massive van bomb exploded in an underground parking garage below the World Trade Center in New York City, killing six and wounding 1,042. Four Islamist activists were responsible for the attack. Ramzi Ahmed Yousef, the operation's alleged mastermind, escaped but was later arrested in Pakistan and extradited to the United States. Abd al-Hakim Murad, another suspected conspirator, was arrested by local authorities in the Philippines and handed over to the United States. The two, along with two other terrorists, were tried in the U.S. and sentenced to 240 years. April 14, 1993, Kuwait. The Iraqi intelligence service attempted to assassinate former U.S. President George Bush during a visit to Kuwait. In retaliation, the U.S. launched a cruise missile attack two months later on the Iraqi capital, Baghdad. July 5, 1993, Southeast Turkey. In eight separate incidents, the Kurdistan Workers' Party (PKK) kidnapped a total of 19 Western tourists traveling in southeastern Turkey. The hostages, including U.S. citizen Colin Patrick Starger, were released unharmed after spending several weeks in captivity. December 1, 1993, north of Jerusalem, West Bank. Yitzhak Weinstock, 19, whose family came from Los Angeles, CA, was killed in a drive-by shooting. Hamas took responsibility for the attack Sometime in 1994: near Atzmona, Gaza. U.S. citizen Mrs. Sheila Deutsch of Brooklyn, NY injured in a shooting attack. October 9, 1994. Nachshon Wachsman, 19, whose family came from New York, was kidnapped and then murdered by Hamas. October 9, 1994: Jerusalem, Israel. Shooting attack on cafe-goers in Jerusalem. U.S. citizens Scot Doberstein and Eric Goldberg were injured. March 8, 1995, Karachi, Pakistan. Two unidentified gunmen armed with AK-47 assault rifles opened fire on a U.S. Consulate van in Karachi, killing two U.S. diplomats, Jacqueline Keys Van Landingham and Gary C. Durell, and wounding a third, Mark McCloy. April 9, 1995, Kfar Darom and Netzarim, Gaza Strip. Two suicide attacks were carried out within a few hours of each other in Jewish settlements in the Gaza Strip. In the first attack a suicide bomber crashed an explosive-rigged van into an Israeli bus in Netzarim, killing eight including U.S. citizen Alisa Flatow, 20, of West Orange, NJ. More than 30 others were injured. In the second attack, a suicide bomber detonated a car bomb in the midst of a convoy of cars in Kfar Darom, injuring 12. The Palestine Islamic Jihad (PIJ) Shaqaqi Faction claimed responsibility for the attacks. U.S. citizens Chava Levine and Seth Klein were injured. June 15, 1995: Jerusalem, Israel. U.S. citizen Howard Tavens of Cleveland, OH was injured in a stabbing attack. July 4, 1995, Kashmir, India. In Kashmir, a previously unknown militant group, Al-Faran, with suspected links to a Kashmiri separatist group in Pakistan, took hostage six tourists, including two U.S. citizens. They demanded the release of Muslim militants held in Indian prisons. One of the U.S. citizens escaped on July 8, while on August 13 the decapitated body of the Norwegian hostage was found along with a note stating that the other hostages also would be killed if the group's demands were not met. The Indian Government refused. Both Indian and American authorities believe the rest of the hostages were most likely killed in 1996 by their jailers. August 1995, Istanbul, Turkey. A bombing of Istanbul's popular Taksim Square injured two U.S. citizens. This attack was part of a three-year-old attempt by the PKK to drive foreign tourists away from Turkey by striking at tourist sites. August 21, 1995, Jerusalem, Israel. A bus bombing in Jerusalem by the Islamic Resistance Movement (Hamas) killed four, including American Joan Davenny of New Haven, CT, and wounded more than 100. U.S. citizens injured: Chanoch Bleier, Judith Shulewitz, Bernard Batta. September 9, 1995. Ma'ale Michmash. American killed: Unborn child of Mrs. Mara Frey of Chicago. Mara Frey was injured. November 9, 1995, Algiers, Algeria. Islamic extremists set fire to a warehouse belonging to the U.S. Embassy, threatened the Algerian security guard because he was working for the United States, and demanded to know whether any U.S. citizens were present. The Armed Islamic Group (GIA) probably carried out the attacks. The group had threatened to strike other foreign targets and especially U.S. objectives in Algeria, and the attack's style was similar to past GIA operations against foreign facilities. November 13, 1995, Riyadh, Saudi Arabia. A car bomb exploded in the parking lot outside of the Riyadh headquarters of the Office of the Program Manager/Saudi Arabian National Guard, killing seven persons, five of them U.S. citizens, and wounding 42. The blast severely damaged the three-story building, which houses a U.S. military advisory group, and several neighboring office buildings. Three groups -- the Islamic Movement for Change, the Tigers of the Gulf, and the Combatant Partisans of God -- claimed responsibility for the attack. February 25, 1996, Jerusalem, Israel. A suicide bomber blew up a commuter bus in Jerusalem, killing 26, including three U.S. citizens, and injuring 80 others, among them three other U.S. citizens. Hamas claimed responsibility for the bombing. U. S. citizens killed: Sara Duker, of Teaneck, NJ, Matthew Eisenfeld of West Hartford, CT, Ira Weinstein of Bronx, NY. U.S. citizens injured: Beatrice Kramer, Steven Lapides, and Leah Stein Mousa. March 4, 1996, Tel Aviv, Israel. A suicide bomber detonated an explosive device outside the Dizengoff Center, Tel Aviv's largest shopping mall, killing 20 persons and injuring 75 others, including two U.S. citizens. Both Hamas and the Islamic Jihad claimed responsibility for the bombing. U.S. citizens injured included Julie K. Negrin of Seattle, WA. May 13, 1996, Beit-El, West Bank. Arab gunmen opened fire on a hitchhiking stand near Beit El, wounding three Israelis and killing David Boim, 17, an American-Israeli from New York. No one claimed responsibility for the attack, although either the Islamic Jihad or Hamas are suspected. U.S. citizens injured: Moshe Greenbaum, 17. June 9, 1996, outside Zekharya. Yaron Ungar, an American-Israeli, and his Israeli wife were killed in a drive-by shooting near their West Bank home. The PFLP is suspected. June 25, 1996, Dhahran, Saudi Arabia. A fuel truck carrying a bomb exploded outside the U.S. military's Khobar Towers housing facility in Dhahran, killing 19 U.S. military personnel and wounding 515 persons, including 240 U.S. personnel. Several groups claimed responsibility for the attack. In June 2001, a U.S. District Court in Alexandria, Virginia, identified Saudi Hizballah as the party responsible for the attack. The court indicated that the members of the organization, banned from Saudi Arabia, "frequently met and were trained in Lebanon, Syria, or Iran" with Libyan help. August 17, 1996, Mapourdit, Sudan. Sudan People's Liberation Army (SPLA) rebels kidnapped six missionaries in Mapourdit, including a U.S citizen. The SPLA released the hostages on August 28. November 1, 1996, Sudan. A breakaway group of the Sudanese People's Liberation Army (SPLA) kidnapped three workers of the International Committee of the Red Cross (ICRC), including one U.S citizen. The rebels released the hostages on December 9 in exchange for ICRC supplies and a health survey of their camp. December 3, 1996, Paris, France. A bomb exploded aboard a Paris subway train, killing four and injuring 86 persons, including a U.S. citizen. No one claimed responsibility for the attack, but Algerian extremists are suspected. January 2, 1997, Major cities worldwide, United States. A series of letter bombs with Alexandria, Egypt postmarks were discovered at Al-Hayat newspaper bureaus in Washington, DC, New York, London, and Riyadh. Three similar devices, also postmarked in Egypt, were found at a prison facility in Leavenworth, Kansas. Bomb disposal experts defused all the devices, but one detonated at the Al-Hayat newspaper office in London, injuring two security guards and causing minor damage. February 23, 1997, New York, United States. A Palestinian gunman opened fire on tourists at an observation deck atop the Empire State building in New York, killing a Danish national and wounding visitors from the United States, Argentina, Switzerland and France before turning the gun on himself. A handwritten note carried by the gunman claimed this was a punishment attack against the "enemies of Palestine." July 30, 1997, Jerusalem, Israel. Two bombs detonated in Jerusalem's Mahane Yehuda market, killing 15 persons, including a U.S. citizen and wounding 168 others, among them two U.S. citizens. The Izz-el-Din al-Qassam Brigades, Hamas' military wing, claimed responsibility for the attack. U.S. citizens killed: Mrs. Leah Stern of Passaic, NJ. U.S. citizens injured: Dov Dalin. September 4, 1997: Jerusalem, Israel. Bombing on Ben-Yehuda Street, Jerusalem. U.S. citizens killed: Yael Botwin, 14, of Los Angeles and Jerusalem. U.S. citizens injured: Diana Campuzano of New York, Abraham Mendelson of Los Angeles, CA, Greg Salzman of New Jersey, Stuart E. Hersh of Kiryat Arba, Israel, Michael Alzer, Abraham Elias, David Keinan, Daniel Miller of Boca Raton, FL, Noam Rozenman of Jerusalem, Jenny (Yocheved) Rubin of Los Angeles, CA. Hamas claimed responsibility for the attack. October 30, 1997, Sanaa, Yemen. Al-Sha'if tribesmen kidnapped a U.S. businessman near Sanaa. The tribesmen sought the release of two fellow tribesmen who were arrested on smuggling charges and several public works projects they claim the government promised them. The hostage was released on November 27. November 12, 1997, Karachi, Pakistan. Two unidentified gunmen shot to death four U.S. auditors from Union Texas Petroleum and their Pakistani driver as they drove away from the Sheraton Hotel in Karachi. Two groups claimed responsibility -- the Islamic Inqilabi Council, or Islamic Revolutionary Council and the Aimal Secret Committee, also known as the Aimal Khufia Action Committee. November 25, 1997, Aden, Yemen. Yemenite tribesmen kidnapped a U.S citizen, two Italians, and two unspecified Westerners near Aden to protest the eviction of a tribe member from his home. The kidnappers released the five hostages on November 27. February 6, 1998, Jerusalem, Israel. Stabbing in Jerusalem. U.S. Citizen Yosef Lepon, 17 injured. April 19, 1998, Maon, Israel. Dov Driben, a 28-year-old American-Israeli farmer was killed by terrorists near the West Bank town of Maon. One of his assailants, Issa Debavseh, a member of Fatah Tanzim, was killed on November 7, 2001, by the IDF after being on their wanted list for the murder. June 21, 1998, Beirut, Lebanon. Two hand-grenades were thrown at the U.S. Embassy in Beirut. No casualties were reported. June 21, 1998, Beirut, Lebanon. Three rocket-propelled grenades attached to a crude detonator exploded near the U.S. Embassy compound in Beirut, causing no casualties and little damage. August 7, 1998, Nairobi, Kenya. A car bomb exploded at the rear entrance of the U.S. Embassy in Nairobi. The attack killed a total of 292, including 12 U.S. citizens, and injured over 5,000, among them six Americans. The perpetrators belonged to al-Qaida, Usama bin Ladin's network. August 7, 1998, Dar es Sala'am, Tanzania. A car bomb exploded outside the U.S. Embassy in Dar es Sala'am, killing 11 and injuring 86. Osama bin Laden's organization al-Qaida claimed responsibility for the attack. Two suspects were arrested. November 21, 1998, Teheran, Iran. Members of Fedayeen Islam, shouting anti-American slogans and wielding stones and iron rods, attacked a group of American tourists in Tehran. Some of the tourists suffered minor injuries from flying glass. December 28, 1998, Mawdiyah, Yemen. Sixteen tourists--12 Britons, two Americans and two Australians--were taken hostage in the largest kidnapping in Yemen's recent history. The tourists were seized in the Abyan province (some 175 miles south of Sanaa the capital). One Briton and a Yemeni guide escaped, while the rest were taken to city of Mawdiyah. Four hostages were killed when troops closed in and two were wounded, including an American woman. The kidnappers, members of the Islamic Army of Aden-Abyan, an offshoot of Al-Jihad, had demanded the release from jail of their leader, Saleh Haidara al-Atwi. October 31, 1999, Nantucket, Massachusetts, United States. EgyptAir Flight 990 crashed off the U.S. coast killing all 217 people on board, including 100 Americans. Although it is not precisely clear what happened, evidence indicated that an Egyptian pilot crashed the plane for personal or political reasons. November 4, 1999, Athens, Greece. A group protesting President Clinton's visit to Greece hid a gas bomb at an American car dealership in Athens. Two cars were destroyed and several others damaged. Anti-State Action claimed responsibility for the attack, but the November 17 group was also suspected. November 12, 1999, Islamabad, Pakistan. Six rockets were fired at the U.S. Information Services cultural center and United Nations offices in Islamabad, injuring a Pakistani guard. September 29, 2000. near Jerusalem Israel. Attack on motorists. U.S. citizens injured: Avi Herman of Teaneck, NJ, Naomi Herman of Teaneck, NJ. September 29, 2000, Jerusalem, Israel. Attack on taxi passengers. U.S. citizens injured: Tuvia Grossman of Chicago, Todd Pollack of Norfolk, VA, Andrew Feibusch of New York. October 4, 2000, near Bethlehem, West Bank. U.S. citizens injured: An unidentified American tourist. October 5, 2000: near Jerusalem, Israel. Attack on a motorist. U.S. citizens injured: Rabbi Chaim Brovender of Brooklyn. October 8, 2000, Nablus, West Bank. The bullet-ridden body of Rabbi Hillel Lieberman, a U.S. citizen from Brooklyn living in the Jewish settlement of Elon Moreh, was found at the entrance to the West Bank town of Nablus. Lieberman had headed there after hearing that Palestinians had desecrated the religious site, Joseph's Tomb. No organization claimed responsibility for the murder. October 12, 2000, Aden Harbor, Yemen. A suicide squad rammed the warship the U.S.S. Cole with an explosives-laden boat killing 13 American sailors and injuring 33. The attack was likely by Osama bin Ladin's al-Qaida organization. October 30, 2000, Jerusalem, Israel. Gunmen killed Eish Kodesh Gilmor, a 25-year-old American-Israeli on duty as a security guard at the National Insurance Institute in Jerusalem. The "Martyrs of the Al-Aqsa Intifada," a group linked to Fatah, claimed responsibility for the attack. Gilmor's family filed a suit in the U.S. District Court in Washington against the Palestinian Authority, the PLO, Chairman Yasser Arafat and members of Force 17, as being responsible for the attack. December 31, 2000, Ofra, Israel. Rabbi Binyamin Kahane, 34, and his wife, Talia Hertzlich Kahane, both formerly of Brooklyn, NY were killed in a drive-by shooting. Their children, Yehudit Leah Kahane, Bitya Kahane, Tzivya Kahane, Rivka Kahane, and Shlomtsion Kahane, were injured in the attack. March 28, 2001, Neve Yamin. Bombing at bus stop. U.S. citizens injured: Netanel Herskovitz, 15, formerly of Hempstead, NY. May 9, 2001, Tekoa, West Bank. Kobi Mandell, 13, of Silver Spring, MD, an American-Israeli, was found stoned to death along with a friend in a cave near the Jewish settlement of Tekoa. Two organizations, the Islamic Jihad and Hizballah-Palestine, claimed responsibility for the attack. May 29, 2001, Gush Etzion, West Bank. The Fatah Tanzim claimed responsibility for a drive-by shooting of six in the West Bank that killed two American-Israeli citizens, Samuel Berg, and his mother, Sarah Blaustein. U.S. citizens injured: Norman Blaustein of Lawrence, NY. July 19, 2001, Hebron, West Bank. Shooting attack. U.S. citizens injured: An unidentified woman from Brooklyn, NY. August 9, 2001, Jerusalem, Israel. A suicide bombing at Sbarro's, a pizzeria situated in one of the busiest areas of downtown Jerusalem, killed 15 people and wounded more than 90. Hamas claimed responsibility for the attack. U.S. citizens killed: Judith L. Greenbaum, 31, of New Jersey and California, Malka Roth, 15, whose family was from New York. U.S. citizens injured: David Danzig, 21, of Wynnewood, PA, Matthew P. Gordon, 25, of New York, Joanne (Chana) Nachenberg, 31, Sara Shifra Nachenberg, 2. August 18, 2001, Jerusalem, Israel. Shooting at a bus. U.S. citizen injured: Andrew Feibusch of New York. August 27, 2001, near Roglit, Israel. Shooting attack. U.S. citizen injured: Ben Dansker. September 11, 2001, New York, Washington D.C., and Pennsylvania, United States. During a carefully coordinated attack, 19 Islamist extremists hijacked four U.S. jetliners and forced them to crash into the World Trade Center and the Pentagon. In all, 266 people perished in the four planes, and more than 3,000 people were killed on the ground. U.S. investigators determined on the basis of extensive evidence that Usama bin Ladin's al-Qaida group was responsible for the attack. The first plane, American Airlines Flight 11 en route from Boston to Los Angeles, crashed into the World Trade Center's north tower at 8:48 a.m. Eighteen minutes later, United Airlines Flight 175, also headed from Boston to Los Angeles, smashed into the World Trade Center's south tower. At 9:40 a.m. a third airplane, an American Airlines Boeing 757 that left Washington's Dulles International Airport for Los Angeles, crashed into the western part of the Pentagon where 24,000 people worked. The fourth plane, a United Airlines Flight 93 flying from Newark to San Francisco, crashed near Pittsburgh, Pennsylvania, most likely before it could hit its target. Hundreds of firefighters, police officers and other rescue workers who arrived in the site after the first plane crash were killed or injured. November 4, 2001, Jerusalem, Israel. Shoshana Ben-Yishai, 16, of Queens, NY was killed in a shooting at a bus station. U.S. citizen injured: Shlomo Kaye. December 2, 2001, Jerusalem, Israel. Bombing on Ben-Yehuda Street, Jerusalem. U.S. citizens injured: Ziv Brill, 17, of West Hempstead, Long Island, NY, Temima Spetner, 19, of St. Louis, MI, Jason Kirshenbaum of New Rochelle, NY, Israel Hirschfield, 18, Joseph Leifer, 29, of Borough Park (Brooklyn), NY. December 18, 2001, shooting on the Jerusalem-Shilo road. U.S. citizens injured: David Rubin, 44, of Brooklyn, NY, Asher "Ruby" Rubin, 3. January 15, 2002, Bethlehem, West Bank. Avraham Boaz, 71, of New York, a dual Israeli-American citizen, was kidnapped at a PA security checkpoint in Beit Jala and murdered. January 18, 2002: Shooting in Hadera. U.S. citizen killed: Aaron Elis, 32, son of Chicago family. January 22, 2002: Shooting in Jerusalem, Israel. U.S. citizen injured: Shayna Gould, 19, of Chicago, IL January 27, 2002, Jerusalem, Israel. A Palestinian woman triggered a massive explosion in downtown Jerusalem killing one elderly Israeli and injuring more than 150, including American Mark Sokolow, his wife, and 16 and 12-year-old daughters. Sokolow had earlier survived the September 11 attack on the World Trade Center, escaping from his law office on the 38th floor of the South Tower before it collapsed. February 8, 2002, Jerusalem, Israel. Stabbing in Abu Tor Peace Forest Jerusalem. U.S. citizen killed: Moranne Amit, 25 February 15, 2002, near Ramallah, West Bank. Lee Akunis was shot to death. February 16, 2002: Bombing in Karnei Shomron. U.S. citizens killed: Keren Shatsky, 14, of Brooklyn, NY and Maine, Rachel Thaler, 16, of Baltimore, MD. U.S. citizens injured: Lior Thaler, 14, of Baltimore, MD, Hillel Trattner of Chicago, IL, Ronit Yucht Trattner of Chicago, IL, Chani Friedman of New York. February 19, 2002: Shooting near Neve Dekalim. U.S. citizens injured: Moshe Saperstein of New York. February 25, 2002, Jerusalem, Israel. Moran Amit, 25, was stabbed to death in Abu Tor Peace Forest in Jerusalem. March 7, 2002, Eshel Hashomron Hotel, Ariel, Israel. A Christian tourist from Arkansas lost her right eye in an attack by a suicide bomber. March 21, 2002, Jerusalem, Israel. Bombing on a Jerusalem street. U.S. citizens injured: Alan Joseph Bauer, 37, of Chicago, Yonathon Bauer, 7 (dual U.S.-Israeli citizenship). March 24, 2002, Ofra, Israel. Shooting near Ofra. U.S. citizens killed: Esther Kleinman, 23, formerly of Chicago, IL. March 27, 2002, Netanya, Israel. U.S. citizen Hannah Rogen, 90, was killed in a suicide attack at a Passover Seder. March 31, 2002, Efrat, Israel. Bombing in Efrat. U.S. citizens injured: An unidentified American citizen. June 18, 2002, Jerusalem, Israel. Moshe Gottlieb, 70, of Los Angeles, CA was killed in a bus bombing in Jerusalem. June 19, 2002, Jerusalem, Israel. Gila Sara Kessler, 19, whose family came from New York, was killed in a bombing at a bus stop. July 31, 2002, Hebrew University, Jerusalem, Israel. Nine people were killed when a bomb exploded in the main cafeteria at the Hebrew University's Mount Scopus campus in Jerusalem. Five were U.S. citizens: Janis Ruth Coulter, 36, of MA; Marla Bennet, 24, of San Diego, CA; David Gritz (also a French citizen), 24, of Peru, MA; Benjamin Blutstein, 25, of Susquehanna Township, PA; and Dina Carter, 37, of NC. Israelis David Ladovsky, 29, and Levina Shapira, 53 also died in the bombing. U.S. citizens injured: Spencer Dew, 26, of Owensboro, Kentucky; Zeev Spencer; Harris Gershon; Jamie Harris. Hamas claimed responsibility for the attack. March 5, 2003: Bus bombing in Haifa. U.S. citizens killed: Abigail Leitel, 14, who was born in Lebanon, New Hampshire. March 7, 2003: Shooting in the victims’ home. U.S. citizens killed: Rabbi Eli Horowitz, 52, who grew up in Chicago; Dina Horowitz, 50, who grew up in Florida April 30, 2003: Bombing at a Tel Aviv pub. U.S. citizens injured: Jack Baxter, 50, of New York City. June 11, 2003: Bus bombing in Jerusalem. U.S. citizens killed: Alan Beer, 47, who grew up in Cleveland. U.S. citizens injured: Sarri Singer, 27, daughter of New Jersey State Senator Robert Singer. June 20, 2003: Shooting attack on a car driving through the West Bank. U.S. citizens killed: Tzvi Goldstein, 47, who grew up in New York; U.S. citizens injured: Eugene Goldstein, Tzvi’s father, of Long Island, New York; Lorraine Goldstein, Tzvi’s mother, of Long Island, New York; Michal Goldstein, Tzvi’s wife, who grew up in New York. August 19, 2003: Homicide bombing on a bus in Jerusalem. U.S. citizens killed: Goldie Taubenfeld, 43, of New Square, New York; Shmuel Taubenfeld, 3 months, of New Square, New York; Mordechai Reinitz, 49; Yitzhak Reinitz, 9. Tehilla Nathanson, 3, of Monsey, New York; U.S. citizens injured: Mendel Reinitz, 11. September 9, 2003: Homicide bombing at a cafe in Jerusalem. David Applebaum, 51, and his daughter Nava, 20, originally of Cleveland were killed. October 15, 2003: Bombing of American convoy in the Gaza Strip: John Branchizio, 37, Mark Parson, 31, and John Martin Linde, 30, were on contract to the U.S. embassy in Tel Aviv through the defense contracting company Dyncorp.U.S. citizens injured: One as-yet-unnamed U.S. citizen (reportedly a diplomat). September 24, 2004: Mortar strike on a housing community: Tiferet Tratner, 24, (dual U.S.-Israeli citizenship). April 17, 2006: Homicide bombing at the Rosh Ha'ir restaurant in Tel Aviv: Daniel Wultz, 16, of Weston, Florida, died one month after receiving his wounds in this bombing. Compiled by Caroline Taillandier, a research assistant at the GLORIA center and student at Tel Aviv University, Dr. Mitchell Bard, and Alden Oreck, Avi Hein, and Elihai Braun, research assistants at the American-Israeli Cooperative Enterprise, and Paul Teller, Deputy Director, House Republican Study Committee. -------------------------------------------------------------------------------- Sources: Chronology on Terrorist Incidents 1961-2001, State Department; "Patterns of Terrorism" reports 1995-2000; State Department Institute for Counter-Terrorism Database; Interdisciplinary Center, Herzliya; Peacewatch, The Washington Institute for New East Policy; AIPAC; Ha'aretz, Republican Study Committee