Homeland Security

Terrorism as a Cancer: Does this Metaphor Work for India?
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Issue Vol. 33.4 Oct-Dec 2018 | Date : 09 Feb , 2019

Though primarily a medical term, the word ‘cancer’ is increasingly being applied to ideas associated with ‘terrorism’. It is generally understood that cancer is triggered by conditions that exist both within the biological systems endemic to the host and those outside the biological systems, in the environment of the host. Terrorism experienced in India is intense, but its indigenous component is relatively small. It is exported to India mostly from Pakistan and some from elsewhere. At a minimum, the medical allegory calls for the management of cancer-causing factors that are located in Pakistan, suggesting an invasive military surgical operation in Pakistani territory. As such, the medical metaphor of cancer to describe terrorism has rather limited value in terms of choosing non-military, communal, socio-political, socio-economic or systemic treatment strategies that are directed towards meeting the aspirations, goals and social welfare of citizens and constituencies.

In 2016, India was the third largest target of terrorism, after Iraq and Afghanistan but before Pakistan…

Though primarily a medical term, the word ‘cancer’ is increasingly being applied to ideas associated with ‘terrorism’. It is generally understood that cancer is triggered by conditions that exist both within the biological systems endemic to the host and those outside the biological systems, in the environment of the host. Terrorism experienced in India is intense, but its indigenous component is relatively small. It is exported to India mostly from Pakistan and some from elsewhere. At a minimum, the medical allegory calls for the management of cancer-causing factors that are located in Pakistan, suggesting an invasive military surgical operation in Pakistani territory. As such, the medical metaphor of cancer to describe terrorism has rather limited value in terms of choosing non-military, communal, socio-political, socio-economic or systemic treatment strategies that are directed towards meeting the aspirations, goals and social welfare of citizens and constituencies.

The Institute for Economics and Peace headquartered in Sydney defines terrorism as, “The threatened or actual use of illegal force and violence by a non-state actor to attain a political, economic, religious or social goal through fear, coercion or intimidation.”1 It reports that the ten countries worst affected by terrorism are Afghanistan, Egypt, India, Iraq, Libya, Nigeria, Pakistan, Somalia, Syria, and Yemen. All these are in Middle East, Africa, or Asia.2 In 2016, India was the third largest target of terrorism after Iraq and Afghanistan but before Pakistan. “Out of a total of 11,072 terror attacks in 2016 worldwide, India bore the brunt of 927, 16 per cent more than 2015 (798).”3 Of these, 317 terror incidents were in the East by the Maoists, also known as Naxalites albeit down from 866 in 2015.4 Also, merely four of the known 274 terror groups, the Islamic State or ISIS, Boko Haram, the Taliban and al-Qaeda, were responsible for 74 per cent of all deaths.5

The Cancer Metaphor

Terrorism has been described by some scholars as a disease. Paul B Stares and Mona Yacoubian have examined terrorism through an epidemiological model, drawing similarities in incidence, distribution and control of terrorism as a disease.6 They focused especially on Islamic extremism because majority of terror incidents seem to have such attributes. They observe that the fight against terrorist extremism is different from the conventional wars of the past, waged against fascism and communism during the Cold War or during the two World Wars. Today, the war against terrorism has the following characteristics:–

  • The conflict is likely to be prolonged.
  • The frontline is generally diffused and not clearly defined.
  • The enemy deploys unorthodox weapons and tactics.
  • There are no standard or conventional rules of engagement.
  • Distinction between civilians and enemy combatants is not discernable.
  • The enemy combatants are composed of transactional cohort of decentralised non-state fighters, who are highly dynamic.
  • The enemy combatants blend into the society effectively and hide the militant ideals that motivate them.

The fight against terrorist extremism is different from the conventional wars of the past  waged against fascism and communism during the Cold War or during the two World Wars…

Other characteristics that can be added to this list are:–

  • To achieve their ends, terrorists effectively use the openness of the democratic society, including its guarantee of freedom and religious expression.
  • The enemy combatants use the resources and technologies of the societies they attack.
  • The enemy combatants may or may not seek territorial gains.

With such characteristics, terrorism has been compared with cancer, especially by the late oncologist and renowned cancer researcher Dr Gregory A Curt (1952-2016). He served as the Clinical Director of the National Cancer Institute in the United States.7 He noted that the biological cells in an individual’s body, having hitherto existed “in apparent harmony with their neighbours for years”, become “activated” by some unknown and unheard “signal”, that is discernable only to the cells that are destined to develop malignant behavior. He saw the mechanism of cancer as being remarkably similar to that of terrorism. Activated, the cancerous cells migrate to the “nodes”. From there, they spread out to the various systems of the host organism. They no longer follow the “normal cell-to-cell interactions”. Like the terrorists, activated cells sustain themselves by using resources and mechanisms of the host’s biological systems. Interestingly, while recognising the extremely disruptive behaviour of the cancerous cells, Curt goes on to observe that the behaviour of the cancerous cell is “ultimately futile since the malignant cells will also die if they kill their host. The language and consequences of cancer and of international terrorism are eerily similar.”8

Curt viewed terrorism as a serious threat to free society just as cancer is to individual well-being. His motivation in tracing the similarities between terrorism and cancer was to sensitise our times to the need for dealing with terrorism through a new approach, one that had more in common with countering a disease. He too recognised that war against terrorism would not be won through the conventional approach during the two World Wars and the Cold War subsequently. A war against a disease is fundamentally of a different nature than a conventional war. Curt also recognised that cancer was a socio-economic disease that proved to be devastating for the poor. Terrorism too, thrives on deprivation, hopelessness, helplessness and inequality.

This metaphor has found appeal with a number of policy and decision makers. Former US President Richard Nixon was perhaps the first to describe terrorism as ‘a cancer’. On September 16, 1970, he responded to a string of airline hijackings and described these as “cancerous disease”. Through this metaphor, he also implied that “this disease must be combated through a variety of responses, just as cancer is treated through a variety of medical procedures.”9 Former Prime Minister of Spain, Jose Luis Rodriguez Zapatero, who was at times referred to as ‘Zapatero Presidente’, used the metaphor of cancer to describe terrorism in Spain. He described the government as the doctor and the nation as the patient.10

Prevention of indigenous terrorism requires committed strategies implemented over an extended period for economic development in order to eradicate poverty…

The use of the medical metaphor for terrorism suggests a few approaches to treatment. Long term adherence to healthy nutrition and avoidance of carcinogenic stimuli, are important for the prevention of cancer. Similarly, prevention of indigenous terrorism requires committed strategies implemented over an extended period for economic development in order to eradicate poverty. When risks of cancer are increased by carcinogenic stimuli in the environment that are beyond an individual’s control, public health strategies are commonly instituted. For example, the move to reduce the inhalation of second-hand tobacco smoke. If the propensity for terrorism increases due to stimuli existing beyond its boundaries, India might engage in diplomacy to influence removal of associated risks.

Beyond nutrition and health promotion strategies, to prevent cancer from taking hold, it is important to take timely action to counter the factors that trigger it. Similarly, early detection of a propensity for terror incident and elimination of the risk factors, are critical in the prevention of a full-blown terror incident. India actively engages in counter-insurgency activities to neutralise such incidents at the outset, as witnessed on the Line of Control in Kashmir and in the North-Eastern Region of India. If in spite of all efforts, the cancer takes hold, the last resort in fighting cancer is surgery. US President Obama’s Secretary of Defence, Ash Carter, used the medical metaphor, stating, “ISIL is a cancer that threatens to spread. And like all cancers, you cannot cure the disease just by cutting out the tumor. You have to eliminate it wherever it has spread and stop it from coming back…And as we destroy the parent tumor and disrupt its metastases, we are constantly mindful of our most important mission – protecting the homeland.”11

Nearly two-thirds of all terror attacks in India are planned in Pakistan. A major point of contention between India and Pakistan is Kashmir. Pre-partition, about 75 per cent of the population of Kashmir was Muslim. One major consideration for the division of British India was to carve Pakistan out of the region where Muslims were in majority.12 Water is arguably the scarcest commodity in South Asia.13 River Indus is a major source of water for Pakistan and Western India. Controlling Kashmir is critical because this important river passes through it. When British India was split into India and Pakistan, there were Muslim majorities in different parts of British India. Hence, Pakistan was created both, in the East and the West, separated by nearly 1,700 kilometres!

At that time, there were about 570 princely states in British India. These states, along with Kashmir, had the freedom to integrate into either India or Pakistan or to remain independent. The ruler of Kashmir, Maharaja Hari Singh, vacillated for months. Raiders from Pakistan invaded Kashmir during in September – October 1947 to force the Maharaja to submission. The Maharaja escaped to India and sought protection of Kashmir, agreeing on October 26, 1947, to join India. This led to the Indo-Pakistan War of 1947. By the time a ceasefire was agreed upon, on January 01, 1949, India had pushed Pakistan back to create a Line of Control (LOC) that separated about a third of Jammu and Kashmir controlled by Pakistan from about two-thirds controlled by India. Subsequently, China staked a claim on the Aksai Chin part of Kashmir during the Sino-Indian War of 1962. The Chinese are claiming about 20 per cent of the entire Jammu and Kashmir. It is significant that China, India and Pakistan, are all nuclear powers.

Nearly two-thirds of all terror attacks in India are planned in Pakistan…

India describes itself as a secular, democratic republic. This description makes Kashmir important to India. Every state in India has a Hindu majority, except for Kashmir. Giving up Kashmir would compromise India’s claims to being secular. Pakistan too, needs Kashmir. Besides the fact that Kashmir has a Muslim majority, it gives the Pakistani military legitimacy for exercising power on a nation-wide scale, ostensibly in national interest. If the conflict between India and Pakistan over Kashmir were to be resolved, Pakistan’s military would have no legitimacy to remain on the national scene and would have to retreat to its barracks. Continuation of the perception of Kashmir issue as a threat to Pakistan’s national security, keeps the military in position to play a role in the governance of Pakistan, directly, through surrogates or through influence. Although India claims all of Jammu and Kashmir to be its part, the LOC has served as the de facto border between India and Pakistan for the past 71 years. However, the ongoing infiltration indicates that this is not acceptable to the Pakistani military.

Tension Between India and Pakistan

Much of the conflict experienced in India, comes from its neighbouring nations. Since the primary source is Pakistan, this essay focuses mainly on terrorism launched out of that neighborhood. The management of its terrorism challenge presents India with four options: (i) treatment of the indigenous problem, (ii) diplomatic collaboration with neighbouring countries, (iii) counter-insurgency to deal with cross-border infiltration of terrorists and (iv) surgical intervention well within the territory of the neighbouring countries harbouring the staging grounds from where terror attacks against India are launched. Let us review the history of each of these responses.

Treating the Indigenous Problem

Insurgencies experienced in India may be classified in three broad categories – those seeking (i) political rights, as in Kashmir and in demand for Khalistan out of Punjab (ii) social and economic justice, as in the case of Maoists or Naxalites and populations in the North-Eastern states of Assam, Arunachal Pradesh, Meghalaya, Manipur, Mizoram, Nagaland and Tripura, collectively referred to as the Seven Sisters and (iii) religious identity, as in Ladakh.14 The insurgencies in Kashmir and Punjab may be viewed in political terms. As stated before, a number of these insurgencies include exploitation by foreign elements. Nevertheless, the indigenous causes of dissatisfaction create a fertile ground for foreign elements to exploit.

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As stated by Shahid Siddiqi, “During and after the colonial rule, territories were lumped together to form new administrative and political units or states, in many cases, without taking into account the preferences and aspirations of the people. For the people of these territories, amalgam amounted to loss of identity, freedom and rule by aliens. Democracy, in many cases, brought no political or economic advantage.”15 Caste is another social factor, contributing especially to the Maoist insurgency. The caste system effectively allows a powerful minority exercise a hold over the weaker majority through practice of ancient discriminatory customs. Overlapping with this is the issue of poverty. Various measures to improve quality of life and social justice, including sanitation, clean water, healthcare, nutrition and job opportunities, are correlated with the uneven distribution of wealth and resources.16 To address the threats to India from homegrown insurgency, it is critical that India give due attention to economic development of hitherto neglected regions and citizens along the identities of caste, ethnicity, language, religion and various other dimensions. However, as far as terrorism is concerned, eradication of poverty would address less than a third of India’s total terrorism challenge.

State of Diplomacy

India’s Minister for External Affairs, Sushma Swaraj, during her meeting with the previous US Secretary of State, Rex Tillerson, in New Delhi in October 2017, stated that Pakistan needed to dismantle the terror infrastructure operating out of that country. Rex Tillerson agreed that Islamabad needed to take concrete action against terror groups to ensure peace and security in the region, particularly in Afghanistan. He stated that terror havens inside Pakistan would not be tolerated by the US. He asked the Pakistani leadership “to take action against terror groups” and said that “an enhancement in [the terrorists’] capabilities may pose a threat to the government in Islamabad”.17

If the conflict between India and Pakistan over Kashmir were to be resolved, Pakistan’s military would have no legitimacy to remain on the national scene.

In his very first tweet in 2018, President Trump was more direct, stating, “The US has foolishly given Pakistan more than $33 billion in aid over the last 15 years and they have given us nothing but lies and deceit, thinking of our leaders as fools. They give safe haven to the terrorists we hunt in Afghanistan, with little help. No more!”18 The tweet highlights the tensions growing between the US and Pakistan, since August 2017, when President Trump described his administration’s strategy for war in Afghanistan. At that time, President Trump had accused Pakistan of offering “safe haven to agents of chaos, violence and terror.” Pakistan has expressed deep disappointment at President Trump’s assertions, citing “decades of sacrifice made by the Pakistani nation.” Retired Air Vice Marshal Shahzad Chaudhry states that “the US looks at Pakistan as a transactional nation…used when needed and trashed when not needed.” He cites that “seventy thousand lives for the last 16 years” have been the price of Pakistani support for US in the war on terrorism.19

Cordesman and Vira state, “Broad patterns of violence in Pakistan have serious implications for Pakistan’s future, for regional stability and for core US interests. Pakistan remains a central node in global terrorism. Osama Bin Laden was killed deep inside Pakistan in an area that raises deep suspicion about what Pakistani intelligence officials, senior military officers and government officials did and did not know about his presence…”. They also state that there are numerous movements feeding violence and extremism in Pakistan, due to consistent failure of the government “to meet the needs of Pakistan’s people over a period of decades.”20 Ian Bremmer goes further. He states that “counter-terrorism will only become more important as ISIS fighters from Syria and Iraq scatter around the world. The US may never get exactly what it pays for in Pakistan, but China will be only too glad to double down on its own investment if Trump decides to cash out entirely on this inconstant ally.”21

Diplomatic overtures between India and Pakistan have so far yielded limited returns. Peace initiatives are interspersed with aggression and conflicts. In 1987, India engaged in proactive military exercises in response to Pakistan’s nuclear programme. This was followed by Pakistani President Zia-ul-Haq visiting India in a gesture of reconciliation. After a crisis in 1990, the two Prime Ministers, Benazir Bhutto and Rajiv Gandhi, collaborated to initiate some confidence-building measures. In 1999, India’s Prime Minister Atal Bihari Vajpayee and Pakistan’s Prime Minister Nawaz Sharif met in Lahore. However, the goodwill developed there dissipated when, in the same year, the two countries fought a mini-war in Kargil, along the LOC. Nevertheless, after the Kargil conflict, Prime Minister Vajpayee met with President Parvez Musharraf yet again, but with little yield. It is evident that India and Pakistan are capable of arriving at agreements on confidence-building measures and secondary issues. However, when it comes to Kashmir, resolution is absent. As the two countries progress toward agreements, they reach a point at which the cost of breaking off further discussions is perceived to be less than the cost of proceeding further, mainly due to forces within the respective countries.22

Although India claims all of Jammu and Kashmir to be a part of India, the Line of Control has served as the de facto border between India and Pakistan for these past 71 years…

State of Counter-insurgency

It is notable that since 1987 of the 43 Ashoka Chakras23 awarded, 27 (63 per cent) went to those valiant individuals who stopped terrorists infiltrating into India in the Jammu & Kashmir region and additional ten (23 per cent) to those who confronted terrorists in Mumbai, Delhi and Kabul. These terrorists were all handled or assisted out of Pakistan. Six Ashoka Chakras (14 per cent) were awarded to brave individuals who confronted the Maoists or Naxalites in the North-Eastern states. Some of these too, had foreign links. Counter-insurgency efforts cost India dearly in terms of its precious lives. Of the 43 Ashoka Chakras awarded since 1987, 42 were awarded posthumously!

Terrorist organisations in Pakistan are a major threat to Pakistan itself. In 2014, reporting on the massacre of school children in North-Western Pakistan, Dennis Ross referred to the Islamic State, Al-Qaeda and the Tehreek-e-Taliban and stated, “Beheadings, taking young women as sex slaves or murdering children, are the normal practices of these groups who claim to own the truth. These radical Islamists seek to remake the world in their image and terror is their chosen instrument for doing so.”24 US Intelligence experts continue to warn the US Congress that terrorists out of Pakistan will remain a threat to the US, India and Afghanistan.25 At the same time, responding to the proposition that for most Pakistanis, “foreign aggression and interference by outside powers seem to top the list of potentially mortal risks facing them,” Syed Rifaat Hussain of the National University of Sciences and Technology in Islamabad states, “While Pakistan’s nuclear weapons capability has thwarted the threat of foreign invasion, it has made the country more vulnerable to proxy wars, externally sponsored subversion and acts of armed violence by non-state actors such as the Tehreek-e-Taliban Pakistan and Al-Qaeda.”26

In the same forum, Babar Ayaz, a Pakistani journalist, states, “After dithering for decades and suffering the loss of over 60,000 with twice as many injured and maimed, Pakistan’s ruling elite has finally declared that terrorist organisations are an existential threat to the country. The exclusionist interpretation of Islam propagated by Al-Qaeda, ISIS and their various franchisees, attracts people to join terrorist outfits and lay down their lives for it. These extremists know that their brand of Sharia cannot be imposed in Muslim-majority countries through a democratic system. Hence, terrorism is their chosen tactic.”27

However, India blames Pakistan for promoting insurgencies in India. It accuses Pakistan of supporting terrorist infiltration into India across the LOC, “To facilitate this infiltration, Pakistani soldiers open intense fire at Indian posts to keep soldiers’ heads down. That provides an opportunity for small groups of militants to thread their way across no-man’s land, scale a formidable Indian border fence and then cross through minefields between Indian posts.”28

Diplomatic overtures between India and Pakistan have so far yielded limited returns; peace initiatives are interspersed with aggression and conflicts…

State of Surgical Intervention

In June 2015, India had executed a surgical strike against North-Eastern militants hiding in the jungles of Manipur-Myanmar, well within Myanmar territory, eliminating at least 60 insurgents. The applicability of this tactic in Pakistan was not lost on the military decision and policy makers. Former Defence Minister of India Manohar Parrikar recalls, “Although I didn’t spell it our explicitly, I knew someday a grave provocation by Pakistan may require a Myanmar-like operation.”29 That provocation seems to have come on September 18, 2016, when militants from Pakistan crossed over the Line of Control and killed 19 Indian soldiers in Uri, Jammu & Kashmir. Eleven days later, India conducted a ‘surgical strike’, going into POK claiming to have killed 35 to 50 individuals. Pakistan disputed India’s claims. The significant point, however, was that the announcement of the September 29 raid was the first time that India had publicly acknowledged crossing the LOC. US security expert, Bruce Reidel, stated that while India’s “surgical military response was limited and calibrated, it would send a sharp signal to the Pakistani establishment.” He acknowledged that, “India could legitimately cite a right to self-defence in taking such strong action, following the example of US operations in Pakistan against Osama bin Laden and Mullah Akhtar Mansour.”30 

Limitation of the Cancer Metaphor

More than sixty years ago, we were warned by Edith Penrose against taking biological analogies of social systems too far.31 She stated: “The chief danger of carrying sweeping analogies very far is that the problems they are designed to illuminate, become framed in such a special way that significant matters are frequently inadvertently obscured.” We cannot afford to lose sight of the fact that ultimately, terrorism is a tactic designed by people, who seek specific ends. In that context, Peter Klein, a professor at Baylor University, describes terrorism as being more like a military tactic rather than a disease.32

In the case of terrorism exported to India from Pakistan, the medical metaphor has its limits. The international law scholar, Oscar Schachter states, “When a government provides weapons, technical advice, transportation, aid and encouragement to terrorists on a substantial scale, it is not unreasonable to conclude that the armed attack is imputable to that government”.33 The exported, state-supported terrorism is essentially a military warfare, whether we choose to call it a proxy war or for what it is in the eyes of Oscar Schachter. Management of diseases is often described in terms of military metaphor. Conventional military conflicts, however, are seldom described in terms of medical metaphors. Yet rare examples might be found in the context of nuclear warfare. In one such case, Jane Orient observes that although considerable resources are applied to extend the lives of cancer patients by a few months, “physicians have labeled as hopeless any conflict involving nuclear weapons. While prevention is always preferable, nuclear warfare is the only disease in which physicians say with moral fervour, ‘No response to medical needs should be expected from medicine’.”34 The medical metaphor appears to be not very helpful or useful in the management of a military conflict.

When a government provides weapons, technical advice, transportation, aid and encouragement to terrorists on a substantial scale, it is not unreasonable to conclude that the armed attack is imputable to that government…

Summary

This article reviews the medical metaphor of cancer for its applicability to explain the nature of terrorism in India. This metaphor draws on the similarities in the characteristics of cancer and that of terrorism to assess whether various treatment plans for cancer suggest analogous approaches to the management of terrorism. To grow, cancer usually uses the resources of its host. An analogy would suggest a degree of applicability to indigenous terrorism. The degree to which one can make the case that the Maoist insurgency in North-Eastern India arises through general neglect of economic development in that region, the metaphor of cancer could be helpful.

However, to the extent that terrorism in India is launched from outside India, the analogy suggests different strategies. India could act diplomatically and seek to aid its neighbouring countries in the effort to exercise control over the agencies promoting terrorism. In the case of terrorism exported to India from Pakistan, such aid would be of limited use, as already being claimed by President Trump. In addition, decades of diplomatic give and take between India and Pakistan has yielded no resolution for the Kashmir issue. The cancer metaphor suggests that the factors that trigger cancer, be blocked or removed before the cancer is triggered. From India’s perspective, this makes counter-insurgency important. India is ever vigilant to stop infiltrators at the LOC in Jammu and Kashmir and at its Eastern borders. This strategy is already costing India dearly in blood. Her soldiers sacrifice their lives to neutralise the terrorists on the LOC.

After seven decades of dealing with on-again-off-again crises between India and Pakistan and the associated history of terrorism, India is showing signs of impatience and a tendency towards surgical strikes well within Pakistan. Today, the 776-kilometre LOC is “the most intensively manned and militarised border in the world.”35 India’s Chief of Army Staff, General Bipin Rawat, declared on January 12, 2018, that Indian troops were indeed violating the LOC to punish Pakistani troops for supporting infiltrations by militants, stating, “These militants are disposable commodities for Pakistan. The pain has to be felt by the Pakistan armed forces for supporting infiltration. So we have started targeting (Pakistani) posts. That is why we get repeated requests from Pakistan to take the ceasefire back to 2003 levels.”36

In light of the potential for a nuclear war between Pakistan and India, with unthinkable consequences for destruction and lives lost, using the medical metaphor for treating cancer by surgical removal of terror pods within Pakistan, is difficult when these organisations appear to have active support of the Pakistani military and government, as useful tools to destabilise India. One has to conclude that the medical metaphor does not produce an advantage for India in terms to reducing the cost of neutralising terrorism.

Notes

  1. Institute for Economics and Peace (2017). Global Terrorism Index 2017: Measuring and understanding the impact of terrorism, available at http://visionofhumanity.org/app/uploads/2017/11/Global-Terrorism-Index-2017.pdf, accessed on 11 February 2018.
  2. Institute of Economics and Peace, 2017, ibid.
  3. Neeraj Chauhan (2017). “India 3rd largest terror target after Iraq and Afghanistan: US report”, The Times of India, 23 July 2017, available at https://timesofindia.indiatimes.com/india/india-3rd-largest-terror-target-after-iraq-and-afghanistan-us-report/articleshow/59719216.cms, accessed on 11February 2018.
  4. Neeraj Chauhan (2017), ibid.
  5. Dudley, Dominic (2016). ‘The Ten Countries Most Affected by Terrorism’, Forbes, 18 November 2016, available at https://www.forbes.com/sites/dominicdudley/2016/11/18/countries-most-affected-by-terrorism/#23449a3530d9, accessed on 11February 2018.
  6. Paul B. Stares and Mona Yacoubian (2007). “Terrorism as a disease: An epidemiological model for countering Islamist extremism”, The Mathew B. Ridgway Center for International Security Studies, University of Pittsburgh, available at https://pdfs.semanticscholar.org/3a62/c0105444e2739f40357091f76db6c74f2eff.pdf, accessed on 11February 2018.
  7. Gregory A. Curt (2005). “Terrorism and cancer: Four years after 9/11”, The Oncologist, Volume 10, Number 8, p. 663.
  8. Gregory A. Curt (2001), ibid.
  9. Joseph H. Campos (2016) The State and Terrorism: National Security and the Mobilization of Power. New York: Routledge, Taylor and Francis Group.
  10. Maria Jose Hellin Garcia (2010). “Diagnosing terrorism in Spain: medical metaphors in presidential discourse.” Southwest Journal of Linguistics, Volume 29, Number 1, 2010, p. 53
  11. Ashton B. ‘Ash’ Carter (2016). “Ash Carter: It’s time to accelerate the ISIL fight”, Politico Magazine, 22 January 2016, available at https://www.politico.com/magazine/story/2016/01/ash-carter-isil-fight-213554, accessed on 11February 2018.
  12. Muslims were in majority in different parts of British India.Therefore, Pakistan was created both, in the East and the West, separated by nearly 1,700 kilometers or over 1,000 miles of India!
  13. Krishna S. Dhir (2015). “Explaining the Poverty of India to IITians,”Fundamatics, Volume Q3, pp. 42-52, available at http://www.fundamatics.net/article/explaining-the-poverty-of-india-to-iitians/, accessed on 11 February 2018.
  14. Shahid R. Siddiqi (2010). “Insurgency movements in India: Failure of the Indian government to address the root causes could lead to a domino effect in South Asia”, Axis of Logic, 26 December 2010, available at http://axisoflogic.com/artman/publish/Article_61885.shtml, accessed on 11February 2018.
  15. Shahid R. Siddiqi (2010). Ibid.
  16. Shahid R. Siddiqi (2010), ibid.
  17. US worried about Pakistan government’s stability: Tillerson”, The Times of India, 25 October 2017. Available at https://timesofindia.indiatimes.com/world/pakistan/us-worried-about-pakistan-governments-stability-tillerson/articleshow/61220850.cms, accessed on 11February 2018.
  18. Daniella Diaz (2018). “Trump’s first 2018 tweet: Pakistan has ‘given us nothing but lies & deceit’”, CNN politics, 2 January 2018, available at http://www.cnn.com/2018/01/01/politics/donald-trump-2018-pakistan/index.html, accessed on 11February 2018.
  19. Diaa Hadid (2018). “Tensions rise between Pakistan and U.S. after President Trump’s tweet”, National Public Radio, 2 January 2018, available at https://www.npr.org/sections/parallels/2018/01/02/575056954/tensions-rise-between-pakistan-and-u-s-after-president-trumps-tweet, accessed on 11 February 2018.
  20. Anthony H. Cordesman and Varun Vira (2011). Pakistan: Violence vs. stability, A national net assessment, Washington, DC: Center for Strategic and International Studies, available at https://csis-prod.s3.amazonaws.com/s3fs-public/legacy_files/files/publication/110607_Stabilizing_Pakistan.pdf, accessed on 11February 2018.
  21. Ian Bremmer (2018). “Trump turns his back on Pakistan, giving China an opportunity”, TIME, Volume 191, Number 3, p. 12, 29 January 2018. Available at http://time.com/5107502/trump-turns-back-pakistan-gives-china-opportunity/, accessed on 11February 2018.
  22. Stephen P. Cohen (2004). “India and Pakistan: Steps towards rapprochement”, Brookings, 28 January 2004, available at https://www.brookings.edu/testimonies/india-and-pakistan-steps-towards-rapprochement/, accessed on 11 February 2018.
  23. Ashoka Chakra (AC) is India’s highest peacetime award for gallantry and valor. The other peacetime gallantry awards are the second highest, Kirti Chakra (KC) and the third, Shaurya Chakra (SC). When gallantry is observed during war, the recognition is through the war time Chakra awards, namely the Param Vir Chakra (PVC), the Maha Vir Chakra (MVC) and the Vir Chakra (VrC).
  24. Dennis Ross (2014). “Ross: Taliban bigger threat to Pakistan than India”, The USA Today, 16 December 2014, available at https://www.usatoday.com/story/opinion/2014/12/16/pakistan-taliban-school-massacre-dennis-ross-column/20502987/, accessed on 11February 2018.
  25. Anwar Iqbal (2017). “Pakistan struggling with terrorism threat, claim US secret agencies”, Dawn, 13 May, 2017, available at https://www.dawn.com/news/1332858, accessed on 11February 2018.
  26. Syed Rifaat Hussain (2016}. “Trouble in the neighbourhood”, in “What is the most potent existential threat to Pakistan?” Herald, 18 August 2016, available at https://herald.dawn.com/news/1153036, accessed on 11February 2018.
  27. Babar Ayaz (2016}. “The elephant in the room”, in “What is the most potent existential threat to Pakistan?” Herald, 18 August 2016, available at https://herald.dawn.com/news/1153036, accessed on 11February 2018.
  28. Ajai Shukla (2018). “Viewpoint: India and Pakistan up the ante on disputed border”, BBC, 30 January 2018, available at http://www.bbc.com/news/world-asia-india-42856494, accessed on 11February 2018.
  29. Nitin A. Gokhale (2017). “The inside story of India’s 2016 ‘Surgical Strikes’”, The Diplomat, 23 September 2017, available at https://thediplomat.com/2017/09/the-inside-story-of-indias-2016-surgical-strikes/, accessed on 11February 2018.
  30. Wikipedia (2018). “India – Pakistan military confrontation (2016 – present)”, last edited on 23 January 2018, available at https://en.wikipedia.org/wiki/India%E2%80%93Pakistan_military_confrontation_(2016%E2%80%93present), accessed on 11February 2018.
  31. Edith T. Penrose (1952). “Biological analogies in the theory of the firm”, The American Economic Review, Volume 42, Number 5, pp. 804-819.
  32. Peter G.Klein (2016). “Is terrorism a disease?” Mises Institute: Austrian Economics, Freedom, and Peace, available at https://mises.org/blog/terrorism-disease, accessed on 11February 2018.
  33. Oscar Schachter (1993). The lawful use of force by a state against terrorists in another country, in Henry H. Han, ed, Terrorism and Political Violence: Limits and possibilities of legal control, 243, 249, Plymouth, UK: Oceans Publishing.
  34. Jane M. Orient (1984). “The medical metaphor for nuclear warfare: A critique”, Perspectives in Biology and Medicine, Volume 27, Number 2, pp. 289-298.
  35. Ajai Shukla (2018). “Viewpoint: India and Pakistan up the ante on disputed border”, BBC, 30 January 2018, available at http://www.bbc.com/news/world-asia-india-42856494, accessed on 11February 2018.
  36. Ajai Shukla (2018), ibid.
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The views expressed are of the author and do not necessarily represent the opinions or policies of the Indian Defence Review.

About the Author

Dr Krishna S Dhir, PhD

is Research Professor at Széchenyi István University in Győr, Hungary; and Professor Emeritus at Berry College, USA. Earlier, he was a Dean at the University of Hawai‘i at Hilo, and at Berry College, both in USA. He has served as visiting professor at Swinburne University of Technology and RMIT University in Australia, University of Pannonia in Hungary, and Coventry University in UK. He was head of business programs at The Citadel: The Military College of South Carolina in Charleston, USA. He worked with BioStar Medical Products in USA; Borg-Warner Chemicals in USA; and CIBA-GEIGY in Switzerland. He was elected Fellow of the Operational Research Society in 2004; and President of Decision Sciences Institute during 2011-2012. He earned a BTech in chemical engineering at IIT Bombay; MS also in chemical engineering at Michigan State University; MBA at the University of Hawaii; and PhD in Management Science at the University of Colorado. His address is: kdhir@iitbombay.org.

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