The 43rd US president has been faced with the attacks of 11 September 2001, taken his country to war in Afghanistan and Iraq, and provided billions of dollars to help fight HIV/Aids in Africa.
George W Bush has also been ridiculed for his slips of the tongue, and became during his second term in office one of the least popular American presidents.
GUIDANCE: This slideshow contains images that some readers may find upsetting.
Click 'show captions' for photograph information. Slideshow by Paul Kerley. Publication date 7 January 2009.
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