Pakistan has waged several offensives in the border region in recent years that have often ended inconclusively amid public anger at civilian casualties. The country's army, trained to fight conventional battles against rival India, is not used to guerrilla warfare.
Washington has called for tougher action, and U.S. officials said Obama would seek assurances fromPresident Asif Ali Zardari that his country's nuclear arsenal was safe and that the military intended to face down extremists in coordination with Afghanistan and the United States.
Buses carrying the residents of Mingora, the region's main town, were crammed inside and out: Refugees clambered onto the roofs after seats and floors filled up. Children and adults alike carried their belongings on their heads and backs — all of them fleeing fighting they fear is about to consume the region.

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