Gunmen kill dozens in multiple attacks in one of the deadliest days in a Pakistani province

QUETTA, Pakistan (AP) — Gunmen in southwestern Pakistan killed at least 38 people in three separate attacks on Monday, officials said, while the military said security forces killed 21 insurgents, marking one of the deadliest days of violence in the restive Baluchistan province, with reports of other shootings and destruction in the area as well.

Twenty-three people were fatally shot overnight after being taken from buses, vehicles and trucks in Musakhail, a district in Baluchistan, senior police official Ayub Achakzai said. The attackers burned at least 10 vehicles before fleeing.

In a separate attack, gunmen killed at least nine people, including four police officers and five passersby, in Baluchistan's Qalat district, authorities said. The bodies of six people were found in Bolan, where insurgents also blew up a railway track. They also attacked a police station in Mastung and attacked and burned vehicles in Gwadar, all districts in Baluchistan. No casualties were reported in those attacks.

The military said 14 security forces were “martyred” while responding to the attacks. Those appeared to be included in the overall death toll.

“Sanitization operations are being conducted and the instigators, perpetrators, facilitators and abettors of these heinous and cowardly acts, targeting innocent civilians, will be brought to justice,” the military said in a statement.

Sarfraz Bugti, the chief minister in Baluchistan, told reporters in Quetta that operations against the insurgents are underway, and “those who killed our innocent civilians and security with be dealt with a full force.”

Baluchistan has been the scene of a long-running insurgency in Pakistan, with an array of separatist groups staging attacks, mainly on security forces. The separatists have been demanding independence from the central government in Islamabad. Although Pakistani authorities say they have quelled the insurgency, violence in Baluchistan has persisted.

The attack in Musakhail came hours after the outlawed Baluch Liberation Army separatist group warned people to stay away from highways as they launched attacks on security forces in various parts of the province.

But there there was no immediate claim of responsibility for the latest killings.

In a statement on Monday, the BLA only said it inflicted heavy losses on security forces in attacks in the province. Pakistan's military and government did not immediately comment on that claim. The group often provides exaggerated figures of troop casualties.

It said one female suicide bomber also took part in the attack on security forces.

Separatists are known to ask people for their ID cards, and then abduct or kill those who are from outside the province. Many recent victims have come from neighboring Punjab province.

Uzma Bukhari, a spokesperson for the Punjab provincial government, denounced the latest killings, saying the “attacks are a matter of grave concern” and urging the Baluchistan government to “step up efforts to eliminate BLA terrorists.”

Pakistani President Asif Ali Zardari, Prime Minister Shehbaz Sharif and Interior Minister Mohsin Naqvi in separate statements called the attack in Musakhail “barbaric” and vowed that those behind it would not escape justice.

In May, gunmen fatally shot seven barbers in Gwadar, a port city in Baluchistan.

In April, separatists killed nine people after abducting them from a bus on a highway in Baluchistan. They also killed two people and wounded six in another car they forced to stop. The BLA claimed responsibility for those attacks.

Syed Muhammad Ali, an Islamabad-based security analyst, said the latest killings of non-Baluch people are an attempt by separatists to harm the province economically.

Ali told The Associated Press that most such attacks are carried out with the aim of weakening Baluchistan economically, noting that “the weakening of Baluchistan means the weakening of Pakistan.”

Separatists in Baluchistan have often killed workers and others from the country's eastern Punjab region as part of a campaign to force them to leave the province.

Most such previous killings have been blamed on the outlawed group and others demanding independence from the central government in Islamabad. The Pakistani Taliban also have a presence in the province, and they are closely connected to the BLA.

In a separate attack on Monday in the northwestern Khyber Pakhtunkhwa province, a roadside bomb killed four people and wounded 12 others in North Waziristan district, said local administration official Abid Khan.

The Pakistani Taliban, known as Tehreek-e-Taliban Pakistan, is a separate group but allied with the Afghan Taliban, who seized power in Afghanistan in 2021 as U.S. and NATO troops were in the final stages of their pullout from the country after 20 years of war.

Ahmed reported from Islamabad. Associated Press writers Asim Tanveer in Multan, Pakistan, and Riaz Khan in Peshawar, Pakistan, contributed to this report.

Relatives gather around a body of a passenger, killed by gunmen at a highway in Musakhail, as they wait for transportation at a hospital, in Quetta, Pakistan, Monday, Aug. 26, 2024. (AP Photo/Arshad Butt)

Relatives stand around a body of a passenger, who was killed by gunmen at a highway in Musakhail, and wait for transportation at a hospital, in Quetta, Pakistan, Monday, Aug. 26, 2024. (AP Photo/Arshad Butt)

Volunteers and relatives load the body of a passenger, who was killed by gunmen at a highway in Musakhail, into a vehicle after collecting it from a hospital, in Quetta, Pakistan, Monday, Aug. 26, 2024. (AP Photo/Arshad Butt)

Relatives take care of a passenger, wounded by gunmen at a highway in Musakhail, after receiving initial treatment at a hospital, in Quetta, Pakistan, Monday, Aug. 26, 2024. (AP Photo/Arshad Butt)

Relatives look at the body of passenger, killed by gunmen at a highway in Musakhail, inside an ambulance after collecting it from a hospital, in Quetta, Pakistan, Monday, Aug. 26, 2024. (AP Photo/Arshad Butt)

A man comforts another, who mourns over the death of his family member, killed by gunmen at a highway in Musakhail, at a hospital, in Quetta, Pakistan, Monday, Aug. 26, 2024. (AP Photo/Arshad Butt)

Volunteers and relatives load the body of a passenger, who was killed by gunmen at a highway in Musakhail, into an ambulance after collecting it from a hospital, in Quetta, Pakistan, Monday, Aug. 26, 2024. (AP Photo/Arshad Butt)

People look at a burnt vehicle which was torched by gunmen after they killed passengers at a highway in Musakhail, a district in Baluchistan province in restive southwestern Pakistan, Monday, Aug. 26, 2024. (AP Photo/Rahmat Khan)

People look burnt vehicles, torched by gunmen after killing passengers, at a highway in Musakhail, a district in Baluchistan province in southwestern Pakistan, Monday, Aug. 26, 2024. (AP Photo/Rahmat Khan)

MIAMI GARDENS, Fla. (AP) — Miami Dolphins quarterback Tua Tagovailoa sustained a concussion for the third time in his NFL career, leaving his team's game Thursday night against Buffalo after running into defensive back Damar Hamlin and hitting the back of his head against the turf.

Tagovailoa remained down for about two minutes before getting to his feet and walking to the sideline after the play in the third quarter. He made his way to the tunnel not long afterward, looking into the stands before smiling and departing toward the locker room.

The Dolphins needed almost no time before announcing it was a concussion. The team said he had two during the 2022 season, and Tagovailoa was diagnosed with another concussion when he was a college player at Alabama.

Dolphins coach Mike McDaniel said Tagovailoa would get “proper procedural evaluation” and “appropriate care” on Friday.

“The furthest thing from my mind is, ‘What is the timeline?’ We just need to evaluate and just worry about my teammate, like the rest of the guys are,” McDaniel said. “We’ll get more information tomorrow and take it day by day from here.”

Some players saw Tagovailoa in the locker room after the game and said they were encouraged. Tagovailoa spoke with some players and then went home after the game, McDaniel said.

“I have a lot of love for Tua, built a great relationship with him,” said quarterback Skylar Thompson, who replaced Tagovailoa after the injury. “You care about the person more than the player and everybody in the organization would say the same thing. Just really praying for Tua and hopefully everything will come out all right.”

Tagovailoa signed a four-year, $212 million extension before this season — a deal that makes him one of the highest-paid players in the NFL — and was the NFL’s leading passer in Week 1 this season. Tagovailoa left with the Dolphins trailing 31-10, and that was the final score.

“If you know Tua outside of football, you can't help but feel for him,” Bills quarterback Josh Allen said on Amazon following the game. “He's a great football player but he's an even greater human being. He's one of the best humans on the planet. I've got a lot of love for him and I'm just praying for him and his family, hoping everything's OK. But it's tough, man. This game of football that we play, it's got its highs and it's got its lows — and this is one of the lows.”

Tagovailoa's college years and first three NFL seasons were marred by injury, though he positioned himself for a big pay bump with an injury-free and productive 2023 as he led the Dolphins into the playoffs. He threw for 29 touchdowns and a league-best 4,624 yards last year.

When, or if, he can come back this season is anyone's guess. Tagovailoa said in April 2023 that the concussions he had in the 2022 season left him contemplating his playing future. “I think I considered it for a time,” he said then, when asked if he considered stepping away from the game to protect himself.

McDaniel said it's not his place to say if Tagovailoa should return to football. “He'll be evaluated and we'll have conversations and progress as appropriate,” McDaniel said.

Tagovailoa was hurt Thursday on a fourth-down keeper with about 4:30 left in the third. He went straight ahead into Hamlin and did not slide, leading with his right shoulder instead.

Hamlin was the player who suffered a cardiac arrest after making a tackle during a Monday night game in January 2023 at Cincinnati, causing the NFL to suspend a pivotal game that quickly lost significance in the aftermath of a scary scene that unfolded in front of a national television audience.

Tagovailoa wound up on his back, both his hands in the air and Bills players immediately pointed at him as if to suggest there was an injury. Dolphins center Aaron Brewer quickly did the same, waving to the sideline.

Tagovailoa appeared to be making a fist with his right hand as he lay on the ground. It was movement consistent with something that is referred to as the “fencing response,” which can be common after a traumatic brain injury.

Tagovailoa eventually got to his feet. McDaniel grabbed the side of his quarterback’s head and gave him a kiss on the cheek as Tagovailoa departed. Thompson came into the game to take Tagovailoa's spot.

“I love Tua on and off the football field,” Bills edge Von Miller said. "I’m a huge fan of him. I can empathize and sympathize with him because I’ve been there. I wish him the best.”

Tagovailoa’s history with concussions — and how he has since worked to avoid them — is a huge part of the story of his career, and now comes to the forefront once again.

He had at least two concussions during the 2022 season. He was hurt in a Week 3 game against Buffalo and cleared concussion protocol, though he appeared disoriented on that play but returned to the game.

The NFL later changed its concussion protocol to mandate that if a player shows possible concussion symptoms — including a lack of balance or stability — he must sit out the rest of the game.

Less than a week later, in a Thursday night game at Cincinnati, Tagovailoa was concussed on a scary hit that briefly knocked him unconscious and led to him being taken off the field on a stretcher.

His second known concussion of that season came in a December game against Green Bay, and he didn’t play for the rest of the 2022 season. After that, Tagovailoa began studying ways where he may be able to fall more safely and protect himself against further injury — including studying jiu-jitsu.

“I'm not worried about anything that's out of my hands,” McDaniel said. “I'm just worried about the human being.”

AP NFL: http://www.apnews.com/hub/NFL

Miami Dolphins quarterback Tua Tagovailoa (1) falls in the field after colliding with Buffalo Bills safety Damar Hamlin (3) during the second half of an NFL football game, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) collides with Buffalo Bills safety Damar Hamlin (3) during the second half of an NFL football game, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. Tagovailoa was injured on the play. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) is assisted on the field after suffering a concussion during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) is assisted on the field during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) is assisted on the field during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins head coach Mike McDaniel talks to quarterback Tua Tagovailoa (1) as he leaves the game after suffering a concussion during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Rebecca Blackwell)

Miami Dolphins quarterback Tua Tagovailoa (1) lies on the field after suffering a concussion during the second half of an NFL football game against the Buffalo Bills, Thursday, Sept. 12, 2024, in Miami Gardens, Fla. (AP Photo/Lynne Sladky)