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Adrianne Lapar, director of Watchlist on Children and Armed Conflict, said the delisting "sends the message that powerful actors can get away with killing children" and called for "an independent, objective, transparent assessment of the process leading to the decision".

Adrianne Lapar, director of Watchlist on Children and Armed Conflict, an international advocacy group, said that by removing the Saudi-led coalition, which also includes the United Arab Emirates, “the Secretary-General sends the message that powerful actors can get away with killing children.”

Watchlist program director Adrianne Lapar said that to date the U.N. has signed 32 action plans with listed parties, including 12 government forces and 20 armed groups.

The Watchlist’s Lapar told a video press briefing launching the report that “all violators should be held to the same standards.”

"The study findings indicate that primary payer status should be considered as an independent risk factor during preoperative patient risk evaluation," said the study's lead author, Dr. Damien LaPar of the University of Virginia Health System.