AP PHOTOS: Simple surgery heals blind Indonesians

PADANG SIDEMPUAN, Indonesia (AP) — They came from the remotest parts of Indonesia, taking crowded overnight ferries and riding for hours in cars or buses — all in the hope that a simple, and free, surgical procedure would restore their eyesight.

Many patients were elderly and needed help to reach two hospitals in Sumatra where mass eye camps were held earlier this month by Nepalese surgeon Dr. Sanduk Ruit. During eight days, more than 1,400 cataracts were removed.

The patients camped out, sleeping side-by-side on military cots, eating donated food while fire trucks supplied water for showers and toilets. Many who had given up hope of seeing again left smiling after their bandages were removed.

"I've been blind for three years, and it's really bad," said Arlita Tobing, 65, whose sight was restored after the surgery. "I worked on someone's farm, but I couldn't work anymore."

Indonesia has one of the highest rates of blindness in the world, making it a target country for Ruit who travels throughout the developing world holding free mass eye camps while training doctors to perform the simple, stitch-free procedure he pioneered. He often visits hard-to-reach remote areas where health care is scarce and patients are poor. He believes that by teaching doctors how to perform his method of cataract removal, the rate of blindness can be reduced worldwide.

Cataracts are the leading cause of blindness globally, affecting about 20 million people who mostly live in poor countries, according to the World Health Organization.

"We get only one life, and that life is very short. I am blessed by God to have this opportunity," said Ruit, who runs the Tilganga Eye Center in Katmandu, Nepal. "The most important of that is training, taking the idea to other people."

During the recent camps, Ruit trained six doctors from Indonesia, Thailand and Singapore.

Here, in images, are scenes from the mobile eye camps:

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Gas Explosion Levels Buildings Like 'Missile Strike'












A natural gas explosion in one of New England's biggest cities on Friday leveled a strip club with a boom heard for miles and heavily damaged a dozen other buildings but didn't kill anyone, authorities said.



Firefighters, police officers and gas company workers in the area because of an earlier gas leak and odor report were among the 18 people injured in the blast, authorities said.



"This is a miracle on Worthington Street that no one was killed," Lt. Gov. Tim Murray said at a press conference.



The explosion in Springfield, 90 miles west of Boston, blew out all windows in a three-block radius, leaving three buildings irreparably damaged and prompting emergency workers to evacuate a six-story apartment building that was buckling, police said.



Police Sgt. John Delaney marveled at the destruction at the blast's epicenter, where a multistory building housing a Scores Gentleman's Club, evacuated earlier because of the gas leak, was leveled.



"It looks like there was a missile strike here," he said.



The victims were taken to two hospitals in the city. None of their injuries was considered life-threatening, officials said. Those hurt were nine firefighters, two police officers, four Columbia Gas of Massachusetts workers, two civilians and another city employee.






Don Treeger, Springfield Republican/AP Photo








Firefighters responded to the scene at 4:20 p.m. and were investigating the gas leak when the blast happened about one hour later. The cause of the explosion hadn't been identified but was under investigation, they said.



Springfield, which has about 150,000 residents, is the largest city in western Massachusetts. It's known as the home of the Basketball Hall of Fame, which is not in the vicinity of the blast.



The city has been rebuilding from damage it sustained in a June 2011 tornado.



The explosion happened in an area of downtown Springfield with commercial properties and residences. Area resident Wayne Davis, who lives about a block away from the destroyed strip club building, said he felt his apartment shake.



"I was laying down in bed, and I started feeling the building shaking and creaking," he said.



The Navy veteran said the boom from the explosion was louder than anything he'd ever heard, including the sound of a jet landing on an aircraft carrier.



The blast was so loud it was heard in several neighboring communities for miles around. Video from WWLP-TV showed the moment of the explosion, with smoke billowing into the air above the neighborhood.



Mayor Domenic Sarno said it was through "God's mercy" that nobody had been reported killed in the explosion.



"My thoughts and prayers are with the individuals that have been injured and the people who have been displaced," he said, adding that emergency shelter was being set up for those unable to go home.



An official of the gas company said there were no signs of any additional gas leaks in the area but crews would be monitoring the area closely over the next two days.



———



Associated Press writers Bridget Murphy and Bob Salsberg in Boston contributed to this story.



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Clashes in Cairo after Mursi seizes new powers

CAIRO (Reuters) - Angry youths hurled rocks at security forces and burned a police truck as thousands gathered in central Cairo to protest at Egyptian President Mohamed Mursi's decision to grab sweeping new powers.


Police fired tear gas near Tahrir Square, heart of the 2011 uprising that toppled Hosni Mubarak at the height of the Arab Spring. Thousands demanded that Mursi should quit and accused him of launching a "coup".


There were also violent protests in Alexandria, Port Said and Suez.


Mursi on Thursday issued a decree that puts his decisions beyond any legal challenge until a new parliament is elected. Opponents immediately accused him of turning into a new Mubarak and hijacking the Egyptian revolution.


"This is the point of no return for Mursi. He has dug himself deeper in a hole and won't know how to get out of it," said Ahmed Saleh, an activist who said many would stay in Tahrir square until Mursi withdrew the decree.


"The people want to bring down the regime," shouted protesters in Tahrir, echoing a chant used in the uprising that forced Mubarak to step down.


The United States, the European Union and the United Nations expressed concern at Mursi's move.


Mursi's rivals condemned him as an autocratic pharaoh who wanted to impose his Islamist vision on Egypt.


The president's aides said the decree was intended to speed up a protracted transition to democracy that has been hindered by legal obstacles


"I am for all Egyptians," Mursi said on a stage outside the presidential palace, adding that he was working for social and economic stability and remained committed to the revolution.


JUDGES MEET


Egyptian judges will meet on Saturday to respond to Mursi's move, which put him above the judicial oversight. The judges could threaten to go on strike, which would bring the judiciary to a halt.


Some non-Islamist political parties called for a million-strong march on Tuesday to demand that Mursi rescinds his decree.


But Islamist parties, including the Building and Development Party, accused Mursi's opponents of undermining the democratic process that brought him to office.


"Those calling for the downfall of President Mohamed Mursi have rejected democracy because President Mursi has been democratically elected by popular will," the party said in a statement. Mursi's decree would "save the revolution from the remnants of Mubarak's regime", it said.


Buoyed by accolades from around the world for mediating a truce between Hamas and Israel in the Gaza Strip, Mursi on Thursday ordered that an Islamist-dominated assembly writing the new constitution could not be dissolved by legal challenges.


Mursi, an Islamist whose roots are in the Muslim Brotherhood, also gave himself wide powers that allowed him to sack the unpopular public prosecutor and opened the door for a retrial for Mubarak and his aides.


TURBULENCE AND TURMOIL


The president's decree has consolidated his power but looks set to polarize Egypt further, threatening more turmoil in a nation at the heart of the Arab Spring.


In Alexandria, north of Cairo, protesters ransacked an office of the Brotherhood's political party, burning books and chairs in the street. Supporters of Mursi and opponents clashed elsewhere in the city, leaving 12 injured.


A party building was attacked by stone-throwing protesters in Port Said, and demonstrators in Suez threw petrol bombs that burned banners outside the party building.


Although Washington has praised Egypt for its part in bringing Israelis and Palestinians to a ceasefire on Wednesday, it expressed reservations about Mursi's latest move.


"The decisions and declarations announced on November 22 raise concerns for many Egyptians and for the international community," State Department spokeswoman Victoria Nuland said in a statement.


The European Union urged Mursi to respect the democratic process, while the United Nations expressed fears about human rights.


"The decree is basically a coup on state institutions and the rule of law that is likely to undermine the revolution and the transition to democracy," said Mervat Ahmed, an independent activist in Tahrir protesting against the decree.


Leading liberal Mohamed ElBaradei, who joined other politicians on Thursday night to demand the decree was withdrawn, wrote on his Twitter account that Mursi had "usurped all state powers and appointed himself Egypt's new pharaoh".


Almost two years after Mubarak was toppled and about five months since Mursi took office, Egypt has no permanent constitution, which must be in place before new parliamentary elections are held.


An assembly drawing up the constitution has yet to complete its work. Many liberals, Christians and others have walked out accusing the Islamists who dominate it of ignoring their voices over the extent that Islam should be enshrined in the new state.


(Additional reporting by Tom Miles in Geneva and Sebastian Moffett in Brussels; Editing by Giles Elgood)


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Tensions flare as protesters urge Thai PM to quit






BANGKOK: Thai police on Saturday fired tear gas and detained dozens of demonstrators as clashes erupted at the first major street protests against Prime Minister Yingluck Shinawatra's government.

About 17,000 police were deployed for the rally in Bangkok's historic district, which was organised by the royalist group Pitak Siam.

"In the name of Pitak Siam and its allies I promise that we will topple this government," the movement's head, retired general Boonlert Kaewprasit, declared from the rally stage.

The authorities expected tens of thousands of people to attend the demo, which comes about two and a half years after dozens of people died in a military crackdown on opposition protests in the heart of the capital.

By early afternoon police estimated that about 12,000 people had turned out.

Police said they fired tear gas at a group of protesters who removed barbed wire and barriers blocking their route in front of a UN building close to the main rally site.

"Tear gas was used in one area because protesters did not comply with the rules," said national police spokesman Major General Piya Uthayo.

About 100 protesters were detained while knives and bullets were confiscated, he said.

Seventeen people, including seven police officers, were treated for cuts and other injuries, officials said.

The authorities called in an extra 5,700 police after the skirmishes, but said they would allow the rally to go ahead at the Royal Plaza so long as the other protesters gathered peacefully.

The demonstrators, who included supporters of the influential "Yellow Shirt" royalist movement, called on Yingluck's government to stand down.

"I can't stand that they disrespect the king. I want the government to quit," said 48-year-old farmer Namsai Jantarat from the northern province of Chiang Mai.

Yingluck on Thursday voiced fears the protesters aimed to use violence and to "overthrow an elected government and democratic rule", in a televised address to the nation.

The government has invoked a special security law, the Internal Security Act (ISA), in three districts of the capital to cope with possible unrest.

"We will evaluate the situation daily and if it escalates we are ready to invoke emergency rule, but so far I think the ISA will be sufficient," Thai police chief General Adul Sangsingkaew said on national television.

Thailand has been rocked by a series of sometimes violent rival street protests in recent years, although an uneasy calm had returned after national elections in 2011.

Two months of mass opposition protests in 2010 by "Red Shirt" supporters of ousted premier Thaksin Shinawatra sparked a military crackdown that left about 90 people dead and nearly 1,900 wounded.

Thaksin's sister Yingluck is now prime minister after his political allies won a landslide election victory last year.

"This government ignores widespread disrespect of the monarchy and even supports the perpetrators. It is a puppet of Thaksin," Pitak Siam spokesman Vachara Riddhagni told AFP ahead of the demo.

Observers say prosecutions for insulting the monarchy have surged since royalist generals toppled Thaksin in a coup in 2006 following a series of mass protests by the Yellow Shirts.

Many of those targeted with lese majeste charges are linked to the Red Shirt movement, the rivals of the Yellows.

- AFP/xq



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3 die due to gas leakage at sugar mill

BIJNOR: Three persons were killed and two others fell ill due to methane gas leakage at Seohara Sugar Mill in the district, police said today.

Turbine operator Jagdish Singh, Lokesh and security guard Pradeep fell unconscious and later died when they tried to stop the leakage from a turbine of the distillery plant of Upper Ganges Sugar Mill yesterday, they said.

Two guards Kashinath and Vijay also became unconscious and were rushed to a hospital from where they were referred to Moradabad.

Executive president of the mill Sukhveer Singh announced that the widows of the deceased employees, Jagdish and Lokesh, would continue to receive salaries of their husbands.

An interim relief of Rs 1.25 lakh and due compensation would also be paid to them, he added.

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AP PHOTOS: Simple surgery heals blind Indonesians

PADANG SIDEMPUAN, Indonesia (AP) — They came from the remotest parts of Indonesia, taking crowded overnight ferries and riding for hours in cars or buses — all in the hope that a simple, and free, surgical procedure would restore their eyesight.

Many patients were elderly and needed help to reach two hospitals in Sumatra where mass eye camps were held earlier this month by Nepalese surgeon Dr. Sanduk Ruit. During eight days, more than 1,400 cataracts were removed.

The patients camped out, sleeping side-by-side on military cots, eating donated food while fire trucks supplied water for showers and toilets. Many who had given up hope of seeing again left smiling after their bandages were removed.

"I've been blind for three years, and it's really bad," said Arlita Tobing, 65, whose sight was restored after the surgery. "I worked on someone's farm, but I couldn't work anymore."

Indonesia has one of the highest rates of blindness in the world, making it a target country for Ruit who travels throughout the developing world holding free mass eye camps while training doctors to perform the simple, stitch-free procedure he pioneered. He often visits hard-to-reach remote areas where health care is scarce and patients are poor. He believes that by teaching doctors how to perform his method of cataract removal, the rate of blindness can be reduced worldwide.

Cataracts are the leading cause of blindness globally, affecting about 20 million people who mostly live in poor countries, according to the World Health Organization.

"We get only one life, and that life is very short. I am blessed by God to have this opportunity," said Ruit, who runs the Tilganga Eye Center in Katmandu, Nepal. "The most important of that is training, taking the idea to other people."

During the recent camps, Ruit trained six doctors from Indonesia, Thailand and Singapore.

Here, in images, are scenes from the mobile eye camps:

Read More..

Stores Work to Keep Black Friday Safe













With earlier-than-ever deals and 147 million people expected to hit the stores this holiday weekend, retailers such as Best Buy are taking extra steps to avoid the Black Friday shopper chaos -- and inevitable news stories -- of the past.


Best Buy officials said they've been prepping for the madness for days.


The retailer has created color-coded maps, moved merchandise around to ease congestion and held a dry run so that its employees can get practice.


"[We want to] get people in safely and out safely," said Jay Buchanan, a Best Buy employee. The goal is to get them "through the lines quick, fast and in a hurry so they can get what they need."


In Bloomington, Minn., the Mall of America extended its ban on young people younger than 16 shopping without an adult during the weekend evenings to Black Friday.






Daniel Acker/Bloomberg/Getty Images













At the Arden Fair Mall in Sacramento, Calif., security planned to place barricades at the mall entrance to control the crowds and officials planned to double the number of security officers.


In Los Angeles, the police were putting hundreds of extra officers on foot, on horseback and in the air to monitor shopping crowds.


"It seems like Black Friday's become bigger and bigger as the years have gone by," said Los Angeles Police Cmdr. Andrew Smith. "What we've seen across the country are huge problems with crowds. They just forget about everyday courtesy and sometimes go nuts."


According to today's news reports, though, things were already getting out of hand.


When a south Sacramento, Calif., K-Mart opened its doors at 6 a.m. today, a shopper in a line of people that had formed nearly two hours earlier reportedly threatened to stab the people around him.


And at two K-Marts in Indianapolis, police officers were called in after fights broke out among shoppers trying to score vouchers for a 32-inch plasma TV going for less than $200.


"When you have large crowds of people, control is the most important thing," Steve Reed, a security officer at the Arden Fair Mall, told ABC News affiliate News 10. "You want them [customers] to be able to get in the mall without getting trampled and having issues of any kind happening to them. That's really important for us."



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S Korea vows "aggressive" defence against Lone Star claim






SEOUL: South Korea said it would "aggressively" defend itself on Friday after a US private equity firm initiated arbitration of a damages claim arising from the sale of its stake in a Korean bank.

Texas-based Lone Star Funds said on Wednesday it had filed for arbitration with the International Centre for Settlement of Investment Disputes in Washington, becoming the first firm to invoke a clause in a free trade agreement between the countries.

Lone Star argues that South Korean government interference in its attempts to sell its stake in the Korean Exchange Bank (KEB), which it bought in 2003, cost its investors billions of dollars.

The firm says it was impeded by disagreements over price and a legal probe that found Lone Star guilty of stock manipulation.

"The Korean government will ... aggressively defend itself against Lone Star Funds' unjust accusations," the Finance Ministry said in a statement on Friday.

The move by Lone Star invokes a clause in the US-South Korea free trade agreement that came into effect in March.

The agreement allows a foreign investor to seek international arbitration over a breach of international investment treaty obligations by either government.

Lone Star argues that Seoul's decision to impose capital gains taxes on the sale of its investment in KEB violated a treaty between South Korea and Belgium.

Lone Star's holdings in KEB were held via a Belgian investment vehicle.

- AFP/xq



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Study finds mammograms lead to unneeded treatment

Mammograms have done surprisingly little to catch deadly breast cancers before they spread, a big U.S. study finds. At the same time, more than a million women have been treated for cancers that never would have threatened their lives, researchers estimate.

Up to one-third of breast cancers, or 50,000 to 70,000 cases a year, don't need treatment, the study suggests.

It's the most detailed look yet at overtreatment of breast cancer, and it adds fresh evidence that screening is not as helpful as many women believe. Mammograms are still worthwhile, because they do catch some deadly cancers and save lives, doctors stress. And some of them disagree with conclusions the new study reached.

But it spotlights a reality that is tough for many Americans to accept: Some abnormalities that doctors call "cancer" are not a health threat or truly malignant. There is no good way to tell which ones are, so many women wind up getting treatments like surgery and chemotherapy that they don't really need.

Men have heard a similar message about PSA tests to screen for slow-growing prostate cancer, but it's relatively new to the debate over breast cancer screening.

"We're coming to learn that some cancers — many cancers, depending on the organ — weren't destined to cause death," said Dr. Barnett Kramer, a National Cancer Institute screening expert. However, "once a woman is diagnosed, it's hard to say treatment is not necessary."

He had no role in the study, which was led by Dr. H. Gilbert Welch of Dartmouth Medical School and Dr. Archie Bleyer of St. Charles Health System and Oregon Health & Science University. Results are in Thursday's New England Journal of Medicine.

Breast cancer is the leading type of cancer and cause of cancer deaths in women worldwide. Nearly 1.4 million new cases are diagnosed each year. Other countries screen less aggressively than the U.S. does. In Britain, for example, mammograms are usually offered only every three years and a recent review there found similar signs of overtreatment.

The dogma has been that screening finds cancer early, when it's most curable. But screening is only worthwhile if it finds cancers destined to cause death, and if treating them early improves survival versus treating when or if they cause symptoms.

Mammograms also are an imperfect screening tool — they often give false alarms, spurring biopsies and other tests that ultimately show no cancer was present. The new study looks at a different risk: Overdiagnosis, or finding cancer that is present but does not need treatment.

Researchers used federal surveys on mammography and cancer registry statistics from 1976 through 2008 to track how many cancers were found early, while still confined to the breast, versus later, when they had spread to lymph nodes or more widely.

The scientists assumed that the actual amount of disease — how many true cases exist — did not change or grew only a little during those three decades. Yet they found a big difference in the number and stage of cases discovered over time, as mammograms came into wide use.

Mammograms more than doubled the number of early-stage cancers detected — from 112 to 234 cases per 100,000 women. But late-stage cancers dropped just 8 percent, from 102 to 94 cases per 100,000 women.

The imbalance suggests a lot of overdiagnosis from mammograms, which now account for 60 percent of cases that are found, Bleyer said. If screening were working, there should be one less patient diagnosed with late-stage cancer for every additional patient whose cancer was found at an earlier stage, he explained.

"Instead, we're diagnosing a lot of something else — not cancer" in that early stage, Bleyer said. "And the worst cancer is still going on, just like it always was."

Researchers also looked at death rates for breast cancer, which declined 28 percent during that time in women 40 and older — the group targeted for screening. Mortality dropped even more — 41 percent — in women under 40, who presumably were not getting mammograms.

"We are left to conclude, as others have, that the good news in breast cancer — decreasing mortality — must largely be the result of improved treatment, not screening," the authors write.

The study was paid for by the study authors' universities.

"This study is important because what it really highlights is that the biology of the cancer is what we need to understand" in order to know which ones to treat and how, said Dr. Julia A. Smith, director of breast cancer screening at NYU Langone Medical Center in New York. Doctors already are debating whether DCIS, a type of early tumor confined to a milk duct, should even be called cancer, she said.

Another expert, Dr. Linda Vahdat, director of the breast cancer research program at Weill Cornell Medical College in New York, said the study's leaders made many assumptions to reach a conclusion about overdiagnosis that "may or may not be correct."

"I don't think it will change how we view screening mammography," she said.

A government-appointed task force that gives screening advice calls for mammograms every other year starting at age 50 and stopping at 75. The American Cancer Society recommends them every year starting at age 40.

Dr. Len Lichtenfeld, the cancer society's deputy chief medical officer, said the study should not be taken as "a referendum on mammography," and noted that other high-quality studies have affirmed its value. Still, he said overdiagnosis is a problem, and it's not possible to tell an individual woman whether her cancer needs treated.

"Our technology has brought us to the place where we can find a lot of cancer. Our science has to bring us to the point where we can define what treatment people really need," he said.

___

Online:

Study: http://www.nejm.org/doi/full/10.1056/NEJMoa1206809

Screening advice: http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm

___

Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Egypt's Morsi Wins U.S., Israeli Gratitude













Egyptian President Mohammed Morsi is being credited with brokering the cease-fire today between Israel and Hamas, but the international gratitude and praise he is gettting could come with a political price at home.


Both Secretary of State Hillary Clinton and President Obama heaped praise on the Egyptian president. Obama called his Egyptian counterpart today to thank him for his efforts in the negotiations, and Clinton expressed her gratitude personally in the press conference announcing the deal.


"I want to thank President Morsi for his personal leadership to de-escalate the situation in Gaza and end the violence," said Clinton. "This is a critical moment for the region. Egypt's new government is assuming the responsibility and leadership that has long made this country a cornerstone of regional stability and peace."


FULL COVERAGE: Israel-Gaza Conflict


In the last week Egypt emerged as the third and maybe the most pivotal party in the conflict between Israel and Hamas. Both Obama and Clinton made multiple calls to Morsi, understanding the long-term diplomatic consequences for America's historically strongest Arab ally in the Middle East, an ally that receives billions of dollars in aid annually.






Khaed Desouki/AFP/Getty Images











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The latest crisis was considered a crucial moment for Morsi. Both the U.S. and Israel for years had come to trust and depend on former Egyptian President Hosni Mubarak's right hand man, Intelligence Chief Omar Suleiman. He brokered the initial peace deal between Hamas and Israel and was respected by both sides. Suleiman lost power when Mubarak stepped down and died in July.


Under Morsi, Egypt, whose new governing Muslim Brotherhood party has a relationship with Hamas, also must maintain its peace treaty with Israel to keep diplomatic relations with the United States. But Morsi has a different mandate. As the first democratically-elected president, he is accountable to the people of Egypt, and must walk a fine line between meeting his constituents wants' and maintaining Egypt's diplomatic needs.


Throughout the crisis Morsi and Egyptian officials have spouted harsh rhetoric against Israel, calling the Jewish state the aggressors in the conflict and declaring that the Palestinians have the right to self-defense.



PHOTOS: Israel, Hamas Fight Over Gaza


Behind the scenes, however, Morsi has received high marks by his Israeli counterparts with Israeli President Shimon Peres calling the Egyptian president a "nice surprise" at the height of the talks on Tuesday.


Those familiar with how the cease-fire was eventually brokered credit the Egyptians, and say this was an Egyptian achievement, announced in Egypt.


But the fact that the announcement was made by Egyptian Foreign Minister Mohamed Kamel Amr, allowed Morsi some political cover from the negative swelling of Egyptian opinion over this deal.


While the U.S., Israel and Hamas may be happy about the deal, there has been significant backlash from Egyptian citizens who claim that despite the election and Morsi's Muslim Brotherhood background, he is no different than Mubarak, a puppet of the West. There are reports of calls for national protests this Friday.


There are also Egyptians who claim the president they elected cares more about the Palestinians than the many domestic problems Egyptians are facing.






Read More..

Hamas-Israel ceasefire takes hold but mistrust runs deep

GAZA/JERUSALEM (Reuters) - A ceasefire between Israel and Gaza's Hamas rulers took hold on Thursday after eight days of conflict, although deep mistrust on both sides cast doubt on how long the Egyptian-sponsored deal can last.


Even after the ceasefire came into force late on Wednesday, a dozen rockets from the Gaza Strip landed in Israel, all in open areas, a police spokesman said. In Gaza, witnesses reported an explosion shortly after the truce took effect at 9 p.m (1900 GMT), but there were no casualties and the cause was unclear.


The deal prevented, at least for the moment, an Israeli ground invasion of the Palestinian enclave following bombing and rocket fire that killed five Israelis and 162 Gazans, including 37 children.


But trust was in short supply. The exiled leader of Hamas, Khaled Meshaal, said his Islamist movement would respect the truce if Israel did, but would respond to any violations. "If Israel complies, we are compliant. If it does not comply, our hands are on the trigger," he told a news conference in Cairo.


Israeli Prime Minister Benjamin Netanyahu said he had agreed to "exhaust this opportunity for an extended truce", but told his people a tougher approach might be required in the future.


Both sides quickly began offering differing interpretations of the ceasefire, brokered by Egypt's new Islamist government and backed by the United States, highlighting the many actual or potential areas of discord.


If the truce holds, it will give the 1.7 million Gazans respite from days of ferocious air strikes and halt rocket salvoes from militants that have unnerved a million people in southern Israel and reached Tel Aviv and Jerusalem for the first time.


"Allahu akbar, (God is greatest), dear people of Gaza you won," blared mosque loudspeakers in Gaza as the truce took effect. "You have broken the arrogance of the Jews."


Fifteen minutes later, wild celebratory gunfire echoed across the darkened streets, which gradually filled with crowds waving Palestinian flags. Ululating women leaned out of windows and fireworks lit up the sky.


Meshaal thanked Egypt for mediating and praised Iran for providing Gazans with financing and arms. "We have come out of this battle with our heads up high," he said, adding that Israel had been defeated and failed in its "adventure".


Some Israelis staged protests against the deal, notably in the southern town of Kiryat Malachi, where three people were killed by a Gaza rocket during the conflict, army radio said.


Netanyahu, already taking political flak from an Israeli opposition that had rallied to him during the Gaza fighting, said he was willing to give the truce a chance but held open the possibility of reopening the conflict.


"I know there are citizens expecting a more severe military action, and perhaps we shall need to do so," he said.


The rightist Israeli leader, who faces a parliamentary election in January, delivered a similar message earlier in a phone call with U.S. President Barack Obama, his office said.


"A PIECE OF PAPER"


According to a text of the ceasefire agreement seen by Reuters, both sides should halt all hostilities, with Israel desisting from incursions and targeting of individuals, while all Palestinian factions should cease rocket fire and cross-border attacks.


The deal also provides for easing Israeli restrictions on Gaza's residents, who live in what British Prime Minister David Cameron has called an "open prison".


The text said procedures for implementing this would be "dealt with after 24 hours from the start of the ceasefire".


Israeli sources said Israel would not lift a blockade of the enclave it enforced after Hamas, which preaches the Jewish state's destruction, won a Palestinian election in 2006.


However, Meshaal said the deal covered the opening of all of the territory's border crossings. "The document stipulates the opening of the crossings, all the crossings, and not just Rafah," he said. Israel controls all of Gaza's crossings apart from the Rafah post with Egypt.


Interviewed on Israel's Army Radio, Defence Minister Ehud Barak dismissed a ceasefire text published by Hamas as "a piece of paper which I don't remember anyone going around with. There's no signature on it."


He appeared to confirm, however, a key Hamas claim that the Israelis would no longer enforce a no-go zone on the inside of the Gaza border that they have said prevents armed infiltration.


"If there are no attacks along the border ... then I tell you that there is no problem with them working the farmland on the perimeter up to the (boundary) fence," Barak said.


But should the Palestinians exploit such measures to breach the truce, Israel would be "free to act," he said, adding: "The right to self-defence trumps any piece of paper."


Hamas lost its top military commander to an Israeli strike in the conflict and suffered serious hits to its infrastructure and weaponry, but has emerged with its reputation both in the Arab world and at home stronger.


Israel can take comfort from the fact that it dealt painful blows to its enemy, from which Hamas will take many months to recover, and showed it can defend itself from a barrage of missiles.


"No one is under the illusion that this is going to be an everlasting ceasefire," said former Barak aide Michael Herzog.


"But there is a chance that it could hold for a significant period of time, if all goes well," he told Reuters.


Egypt, an important U.S. ally now under Islamist leadership, took center stage in diplomacy to halt the bloodshed. Cairo has walked a fine line between its sympathies for Hamas, an offshoot of the Muslim Brotherhood to which President Mohamed Mursi belongs, and its need to preserve its 1979 peace treaty with Israel and its ties with Washington, its main aid donor.


Announcing the agreement in Cairo, Egyptian Foreign Minister Mohamed Kamel Amr said mediation had "resulted in understandings to cease fire, restore calm and halt the bloodshed".


U.S. Secretary of State Hillary Clinton, standing beside Amr, thanked Mursi for peace efforts that showed "responsibility, leadership" in the region.


"This is a critical moment for the region," Clinton said. "Egypt's new government is assuming the responsibility and leadership that has long made this country a cornerstone for regional stability and peace."


Gaza erupted in a Middle East already shaken by last year's Arab revolts that toppled several veteran U.S.-backed leaders, including Egypt's Hosni Mubarak, and by a civil war in Syria, where President Bashar al-Assad is fighting for survival.


In his call with Netanyahu, Obama repeated the U.S. commitment to Israel's security and promised to seek fresh funds for a joint missile defence programme, the White House said.


BUS BOMBING


The ceasefire was forged despite a bus-bomb explosion that wounded 15 Israelis in Tel Aviv earlier in the day and despite more Israeli air strikes that killed 10 Gazans. It was the first serious bombing in Israel's commercial capital since 2006.


In Amman, U.N. chief Ban Ki-moon urged both sides to stick to their ceasefire pledges. "There may be challenges implementing this agreement," he said, urging "maximum restraint".


Israel, the United States and the European Union all classify Hamas as a terrorist organization. It seized the Gaza Strip from the Western-backed Palestinian President Mahmoud Abbas in 2007 in a brief but bloody war with his Fatah movement.


(Additional reporting by Noah Browning in Gaza, Ori Lewis, Allyn Fisher-Ilan Crispian Balmer and Dan Williams in Jerusalem, Yasmine Saleh, Shaimaa Fayed and Tom Perry in Cairo, Suleiman al-Khalidi in Amman and Margaret Chadbourn in Washington; Writing by Alistair Lyon and David Stamp; Editing by Louise Ireland and David Brunnstrom)


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97.6% of students pass PSLE






SINGAPORE: 97.6 percent of students who sat for this year's PSLE are eligible to progress to secondary school.

A total of 48,333 Primary 6 students sat for the PSLE this year.

47,163 of them passed the examination.

63.1% qualify for the Express course, 23.1% for the Normal (Academic) and 11.4% for the Normal (Technical) course.

There are 1,170 students (or 2.4%) who are assessed to be not yet ready for secondary school.

Students collected their PSLE results from their respective schools from noon on Thursday.

Result slips obtained by Channel NewsAsia showed that the highest aggregate score for this year's Primary School Leaving Examination (PSLE) is 285.

Students eligible to progress to secondary school could select their school and submit their forms before 3pm on 28 November.

The Secondary One posting results will be released on 19 December.

- CNA/ir



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Rajya Sabha paralyzed on day one of winter session

NEW DELHI: Rajya Sabha could not function on the first day of the winter session of Parliament with issues like FDI and reservation to SCs/STs in promotions triggering uproar that led to its adjournment for the day.

Trinamool Congress and AIADMK raised the issue of FDI in retail when the House met at noon after the first adjournment, while BSP members rushed to the well raising slogans and created uproar over the issue of reservation to SCs/STs in promotions.

With appeals by deputy chairman P J Kurien going unheeded, BSP members kept raising slogans forcing him to adjourn the House for the day.

As Mayawati stood up, her BSP colleagues led by Brajesh Pathak raised slogans demanding a bill for reservation to SCs/STs in promotions.

At least six Trinamool Congress members also entered the well raising the issue of FDI in retail but lodged their protest silently.

AIADMK members also raised the FDI issue from their seats showing pictures of Prime Minister Manmohan Singh and US President Barack Obama's togetherness on the issue.

M Venkaiah Naidu (BJP) too rose to raise some issue but could not be heard in the din.

Earlier, when the House met for the day, it witnessed turmoil soon after it mourned the death of Bal Thackeray and former members including former defence minister K C Pant and the loss of life in cyclones in the US and Tamil Nadu and during Chhath Puja in Patna.

Prime Minister Manmohan Singh introduced the ministers elevated or inducted in the recent Cabinet reshuffle.

Chairman Hamid Ansari tried to restore order but as members were unrelenting he adjourned the House till noon.

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OB/GYNs back over-the-counter birth control pills

WASHINGTON (AP) — No prescription or doctor's exam needed: The nation's largest group of obstetricians and gynecologists says birth control pills should be sold over the counter, like condoms.

Tuesday's surprise opinion from these gatekeepers of contraception could boost longtime efforts by women's advocates to make the pill more accessible.

But no one expects the pill to be sold without a prescription any time soon: A company would have to seek government permission first, and it's not clear if any are considering it. Plus there are big questions about what such a move would mean for many women's wallets if it were no longer covered by insurance.

Still, momentum may be building.

Already, anyone 17 or older doesn't need to see a doctor before buying the morning-after pill — a higher-dose version of regular birth control that can prevent pregnancy if taken shortly after unprotected sex. Earlier this year, the Food and Drug Administration held a meeting to gather ideas about how to sell regular oral contraceptives without a prescription, too.

Now the influential American College of Obstetricians and Gynecologists is declaring it's safe to sell the pill that way.

Wait, why would doctors who make money from women's yearly visits for a birth-control prescription advocate giving that up?

Half of the nation's pregnancies every year are unintended, a rate that hasn't changed in 20 years — and easier access to birth control pills could help, said Dr. Kavita Nanda, an OB/GYN who co-authored the opinion for the doctors group.

"It's unfortunate that in this country where we have all these contraceptive methods available, unintended pregnancy is still a major public health problem," said Nanda, a scientist with the North Carolina nonprofit FHI 360, formerly known as Family Health International.

Many women have trouble affording a doctor's visit, or getting an appointment in time when their pills are running low — which can lead to skipped doses, Nanda added.

If the pill didn't require a prescription, women could "pick it up in the middle of the night if they run out," she said. "It removes those types of barriers."

Tuesday, the FDA said it was willing to meet with any company interested in making the pill nonprescription, to discuss what if any studies would be needed.

Then there's the price question. The Obama administration's new health care law requires FDA-approved contraceptives to be available without copays for women enrolled in most workplace health plans.

If the pill were sold without a prescription, it wouldn't be covered under that provision, just as condoms aren't, said Health and Human Services spokesman Tait Sye.

ACOG's opinion, published in the journal Obstetrics & Gynecology, says any move toward making the pill nonprescription should address that cost issue. Not all women are eligible for the free birth control provision, it noted, citing a recent survey that found young women and the uninsured pay an average of $16 per month's supply.

The doctors group made clear that:

—Birth control pills are very safe. Blood clots, the main serious side effect, happen very rarely, and are a bigger threat during pregnancy and right after giving birth.

—Women can easily tell if they have risk factors, such as smoking or having a previous clot, and should avoid the pill.

—Other over-the-counter drugs are sold despite rare but serious side effects, such as stomach bleeding from aspirin and liver damage from acetaminophen.

—And there's no need for a Pap smear or pelvic exam before using birth control pills. But women should be told to continue getting check-ups as needed, or if they'd like to discuss other forms of birth control such as implantable contraceptives that do require a physician's involvement.

The group didn't address teen use of contraception. Despite protests from reproductive health specialists, current U.S. policy requires girls younger than 17 to produce a prescription for the morning-after pill, meaning pharmacists must check customers' ages. Presumably regular birth control pills would be treated the same way.

Prescription-only oral contraceptives have long been the rule in the U.S., Canada, Western Europe, Australia and a few other places, but many countries don't require a prescription.

Switching isn't a new idea. In Washington state a few years ago, a pilot project concluded that pharmacists successfully supplied women with a variety of hormonal contraceptives, including birth control pills, without a doctor's involvement. The question was how to pay for it.

Some pharmacies in parts of London have a similar project under way, and a recent report from that country's health officials concluded the program is working well enough that it should be expanded.

And in El Paso, Texas, researchers studied 500 women who regularly crossed the border into Mexico to buy birth control pills, where some U.S. brands sell over the counter for a few dollars a pack. Over nine months, the women who bought in Mexico stuck with their contraception better than another 500 women who received the pill from public clinics in El Paso, possibly because the clinic users had to wait for appointments, said Dr. Dan Grossman of the University of California, San Francisco, and the nonprofit research group Ibis Reproductive Health.

"Being able to easily get the pill when you need it makes a difference," he said.

___

Online:

OB/GYN group: http://www.acog.org

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Ceasefire or 'De-Escalation'? Words Chosen Carefully


Nov 20, 2012 7:27pm







ap gaza ac 121120 wblog U.S. Officials Emphasize De escalating Gaza Violence

AP Photo/Hatem Moussa


As news reports emerged Tuesday of a cease-fire or truce to end the crisis in Gaza, American officials made it a point not to use either of those terms.


Instead, U.S. officials were  talking about “de-escalating” the violence in Gaza as a step toward a long-term resolution.


Briefing White House reporters in Phnom Penh, Cambodia,  Deputy National Security Advisor Ben Rhodes repeatedly said “de-escalation” was the goal for ending the violence in Gaza and Israel.


When asked if he was avoiding using the term “cease-fire,” Rhodes said,  ”No, I mean, there are many ways that you can achieve the goal of a de-escalation.”  He added, ” Our bottom line is, is an end to rocket fire. We’re open to any number of ideas for achieving that goal. We’ve discussed any number of ideas for accomplishing that goal. But it’s going to have to begin with a reduction of tensions and space created for the situation to calm. ”


At the State Department briefing earlier in the day, spokesperson Victoria Nuland was also using “de-escalation.”


Nuland was asked several times why she was using that term instead of “ceasefire”  or “truce.”  She indicated it was because the State Department did not want to get into characterizing acceptable terminology.  “I’m not going to characterize X is acceptable, Y is not acceptable. That’s a subject for negotiation,” she said.


Furthermore, she said, “because the parties are talking, we’re going to be part of that, and we’re not going to negotiate it here from the podium. We’re not going to characterize it here from the podium.”


The message she did want to get across was that “any de-escalation is a step forward.”


Of the long-term aims of Secretary of State Clinton’s last minute mission to Jerusalem, Ramallah and Cairo, Nuland said you “obviously start with a de-escalation of this conflict.”  From there, “we have to see an end to the rocket fire on Israel. We have to see a restoration of calm in Gaza. And the hope is that if we can get through those stages, that will create space for the addressing of broader issues, but I don’t want to prejudge. This is obviously ongoing and live diplomacy.”


Before her meeting  in Jerusalem with Israeli Prime Minister Benjamin Netanyahu, Clinton too avoided using the term “cease-fire.”


After describing America’s commitment to Israel’s security as “rock-solid and unwavering,” Clinton said, “That is why we believe it is essential to de-escalate the situation in Gaza.”


Clinton said that the rocket attacks into Israel from Gaza “must end and a broader calm restored.”  She added that the focus was on  ”a durable outcome that promotes regional stability and advances the security and legitimate aspirations of Israelis and Palestinians alike.”



SHOWS: World News







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Gaza shakes, Israelis killed as Clinton seeks truce

GAZA/JERUSALEM (Reuters) - Israeli air strikes shook the Gaza Strip and Palestinian rockets struck across the border as U.S. Secretary of State Hillary Clinton held talks in Jerusalem in the early hours of Wednesday, seeking a truce that can hold back Israel's ground troops.


Egypt's new Islamist government is mediating talks and had floated hopes for a ceasefire by late Tuesday between Israel and Hamas, the Islamist movement controlling Gaza. However, by the time Clinton met Israeli Prime Minister Benjamin Netanyahu, it was clear there would be more argument, and more violence, first.


Hamas leaders in Cairo accused the Jewish state of failing to respond to proposals and said an announcement on holding fire would not come before daylight on Wednesday. Israel Radio quoted an Israeli official saying a truce was held up due to "a last-minute delay in the understandings between Hamas and Israel."


An initial halt to attacks may, however, not see the sides stand their forces down from battle stations immediately. Clinton, who flies to Cairo to see Egyptian President Mohamed Mursi later on Wednesday, spoke of a deal "in the days ahead."


Like most Western powers, Washington shuns Hamas as an obstacle to peace and has blamed it for the Gaza conflagration. A U.N. Security Council statement condemning the conflict was blocked on Tuesday by the United States, which complained that it "failed to address the root cause," the Palestinian rockets.


As Clinton arrived in Israel after nightfall, Israel was stepping up its bombardment from air and sea. At one point munitions slammed into Gaza at a rate of one every 10 minutes.


Gazan rocket fire waned overnight but resumed before dawn on Wednesday with six launches, Israel said. No one was hurt.


After seven days of hostilities that have killed over 130 Palestinians and five Israelis, both sides are looking for more than a return to the sporadic calm that has prevailed across the blockaded enclave since Israel ended a much more devastating air and ground offensive four years ago.


ELECTION


Netanyahu, who faces an election in two months that he is, for now, favored to win, told Clinton he wanted a "long-term" solution. Failing that, Netanyahu made clear, he stood ready to step up the military campaign to silence Hamas' rockets.


Hamas for its part is exploring the opportunities that last year's Arab Spring has given it to enjoy favor from the new Islamist governments of states once ruled by U.S. proteges, and from Sunni Gulf powers keen to woo it away from Shi'ite Iran. It has used longer-range missiles, some sent by Tehran, and hopes to eclipse Western-backed Palestinian President Mahmoud Abbas.


Hamas has spoken of an easing of Israel's blockade on the 40-km (25-mile) slice of Mediterranean coast that is home to 1.7 million people. It may count on some sympathy from Mursi, though Egypt's first freely elected leader, whose Muslim Brotherhood inspired Hamas' founders, has been careful to stick by the 1979 peace deal with Israel struck by Cairo's former military rulers.


Clinton, who broke off from an Asian tour with President Barack Obama and assured Netanyahu of "rock-solid" U.S. support for Israel's security, spoke of seeking a "durable outcome" and of Egypt's "responsibility" for promoting peace.


She repeated international calls for the kind of lasting, negotiated, comprehensive Israeli-Palestinian settlement that has eluded the two peoples for decades - something neither of the two warring parties seems seriously to be anticipating.


"In the days ahead, the United States will work with our partners here in Israel and across the region toward an outcome that bolsters security for the people of Israel, improves conditions for the people of Gaza and moves toward a comprehensive peace for all people of the region," Clinton said.


"It is essential to de-escalate the situation in Gaza. The rocket attacks from terrorist organizations inside Gaza on Israeli cities and towns must end and a broader calm restored," she said.


"SELF-DEFENCE"


Netanyahu, who has appeared in no immediate rush to repeat the invasion of winter 2008-09 in which over 1,400 Palestinians died, said: "If there is a possibility of achieving a long-term solution to this problem with diplomatic means, we prefer that.


"But if not, I'm sure you understand that Israel will have to take whatever action is necessary to defend its people."


As Israeli aircraft have carried out hundreds of strikes on rocket stores, launchpads and suspected Hamas command posts since assassinating the head of its military wing a week ago. Tens of thousands of Israeli soldiers have been preparing tanks and infantry units for a possible invasion.


During the night, explosions again rocked the city of Gaza and other parts of the Strip, while rockets from the enclave, some essentially home-made, others Iranian-designed and smuggled through tunnels from Egypt, landed in southern Israel.


One reached as far as Rishon Lezion, near Tel Aviv, on Tuesday, the latest to jar Israel's metropolis, long untroubled by Palestinian attacks. Another rocket fell close to Jerusalem, the holy city claimed by both sides in the conflict.


Medical officials in Gaza said 31 Palestinians were killed on Tuesday. An Israeli soldier and a civilian died when rockets exploded near the Gaza frontier, police and the army said.


Gaza medical officials say 138 people have died in Israeli strikes, mostly civilians, including 34 children. In all, five Israelis have died, including three civilians killed last week.


AMMUNITION STORES


Obama, whose relations with the hawkish Netanyahu have long been strained, has said he wants a diplomatic solution, rather than a possible Israeli ground operation in the densely populated territory, home to 1.7 million Palestinians.


Israel's military said it targeted overnight more than 100 sites in Gaza, including rocket launchers, tunnels and the Ministry of Internal Security, used by Hamas as a command center. Israeli police said more than 150 rockets had been fired from Gaza by Tuesday evening.


"No country would tolerate rocket attacks against its cities and against its civilians," Netanyahu said with U.N. Secretary-General Ban Ki-moon, who arrived in Jerusalem from talks in Cairo, at his side. "Israel cannot tolerate such attacks."


Critics have accused Israel of using disproportionate force that has killed civilians. Israel accuses Hamas of putting Gaza's people in harm's way by siting rockets among them.


Media groups have criticized attacks on Gaza media facilities. On Tuesday, three local journalists died in air strikes on their vehicles.


A building housing AFP's bureau was bombed. The French news agency said its staff were unhurt. Israel's military said it had been targeting a Hamas intelligence centre in the tower.


Hamas executed six Palestinians accused of spying for Israel, who a security source quoted by Hamas Aqsa radio said had been "caught red-handed" with "filming equipment to take footage of positions." The radio said they had been shot.


Militants on a motorcycle dragged the body of one of the men through the streets.


A delegation of nine Arab ministers, led by the Egyptian foreign minister, visited Gaza in a further signal of heightened Arab solidarity with the Palestinians.


(Additional reporting by Cairo bureau; Writing by Alastair Macdonald; Editing by Lisa Shumaker)


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South Korean bus drivers set for nationwide strike






SEOUL: Millions of South Koreans face commuter chaos on Thursday with bus drivers set to launch a national strike to protest against a bill recognising taxis as public transport.

Some 80,000 bus drivers across the country will launch the action from midnight on Wednesday, a bus union spokesman told AFP.

The strike call was confirmed after a parliamentary committee approved the proposed bill, bringing it a step closer to becoming legislation.

The union argues that the bill - which will give taxi drivers new tax benefits and allow them to drive in bus-only lanes - will eventually reduce state support for buses and disrupt their operations.

"The budget for public transport is limited, meaning the new bill may eventually force us to raise bus fares, not to mention the increased risk of car accidents in bus-only lanes," the spokesman said.

"We won't be able to drive buses as scheduled if reckless taxi drivers keep cutting in on our lanes," he added.

The threatened strike would take 45,000 buses off the roads, affecting millions of commuters and overloading already packed subway systems in major cities.

City buses carry an average of 15 million passengers each day. The transport ministry said it would expand subway operations and offer free shuttle services on Thursday.

The government also asked state agencies and schools to delay office hours and classes by an hour Thursday morning to help ease traffic chaos, Yonhap news agency said, citing a Seoul official.

The bus union said the proposed bill was a populist measure aimed at winning the votes of South Korea's nearly 300,000 registered taxi drivers ahead of the December presidential election.

- AFP/de



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Govt defends Kasab hanging; says wrong to question timing

PANJIM: Government on Wednesday denied that defended that 26/11 terrorist Ajmal Kasab's hanging was timed before the winter session of Parliament.

Responding to questions information and broadcasting (I&B) minister Manish Tewari said that the message being sent to people is that perpetrators of the terrorist attack in Mumbai have been brought to justice.

When asked about the timing of Kasab's execution Tewari said, "To look at timing of the hanging is not right. The message being sent is that if India and its citizens are attacked, appropriate action will be taken."

He added that the decision underlined that a dastardly attack had taken place killing innocent people. "Law has taken its course. This shows if India is attacked, the perpetrators will be brought to justice," the minister said on the sidelines of IFFI function.

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New push for most in US to get at least 1 HIV test

WASHINGTON (AP) — There's a new push to make testing for the AIDS virus as common as cholesterol checks.

Americans ages 15 to 64 should get an HIV test at least once — not just people considered at high risk for the virus, an independent panel that sets screening guidelines proposed Monday.

The draft guidelines from the U.S. Preventive Services Task Force are the latest recommendations that aim to make HIV screening simply a routine part of a check-up, something a doctor can order with as little fuss as a cholesterol test or a mammogram. Since 2006, the Centers for Disease Control and Prevention also has pushed for widespread, routine HIV screening.

Yet not nearly enough people have heeded that call: Of the more than 1.1 million Americans living with HIV, nearly 1 in 5 — almost 240,000 people — don't know it. Not only is their own health at risk without treatment, they could unwittingly be spreading the virus to others.

The updated guidelines will bring this long-simmering issue before doctors and their patients again — emphasizing that public health experts agree on how important it is to test even people who don't think they're at risk, because they could be.

"It allows you to say, 'This is a recommended test that we believe everybody should have. We're not singling you out in any way,'" said task force member Dr. Douglas Owens of Stanford University and the Veterans Affairs Palo Alto Health Care System.

And if finalized, the task force guidelines could extend the number of people eligible for an HIV screening without a copay in their doctor's office, as part of free preventive care under the Obama administration's health care law. Under the task force's previous guidelines, only people at increased risk for HIV — which includes gay and bisexual men and injecting drug users — were eligible for that no-copay screening.

There are a number of ways to get tested. If you're having blood drawn for other exams, the doctor can merely add HIV to the list, no extra pokes or swabs needed. Today's rapid tests can cost less than $20 and require just rubbing a swab over the gums, with results ready in as little as 20 minutes. Last summer, the government approved a do-it-yourself at-home version that's selling for about $40.

Free testing is available through various community programs around the country, including a CDC pilot program in drugstores in 24 cities and rural sites.

Monday's proposal also recommends:

—Testing people older and younger than 15-64 if they are at increased risk of HIV infection,

—People at very high risk for HIV infection should be tested at least annually.

—It's not clear how often to retest people at somewhat increased risk, but perhaps every three to five years.

—Women should be tested during each pregnancy, something the task force has long recommended.

The draft guidelines are open for public comment through Dec. 17.

Most of the 50,000 new HIV infections in the U.S. every year are among gay and bisexual men, followed by heterosexual black women.

"We are not doing as well in America with HIV testing as we would like," Dr. Jonathan Mermin, CDC's HIV prevention chief, said Monday.

The CDC recommends at least one routine test for everyone ages 13 to 64, starting two years younger than the task force recommended. That small difference aside, CDC data suggests fewer than half of adults under 65 have been tested.

"It can sometimes be awkward to ask your doctor for an HIV test," Mermin said — the reason that making it routine during any health care encounter could help.

But even though nearly three-fourths of gay and bisexual men with undiagnosed HIV had visited some sort of health provider in the previous year, 48 percent weren't tested for HIV, a recent CDC survey found. Emergency rooms are considered a good spot to catch the undiagnosed, after their illnesses and injuries have been treated, but Mermin said only about 2 percent of ER patients known to be at increased risk were tested while there.

Mermin calls that "a tragedy. It's a missed opportunity."

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Israel Combats Cyber Attacks During Gaza Offensive












The Israeli government said today that since the beginning of its military operation in Gaza, cyber attackers have launched more than 44 million attempts to disrupt the operation of various Israeli government websites, but were only successful in knocking out one site for a short period.


"One hacking attempt was successful and took down a site for a few minutes," Carmela Avner, the Chief Information Officer at the Finance Ministry, told ABC News. Avner said the website in question belongs to a "small unit of one of the ministries," but declined to comment further.


Israeli Finance Minister Dr. Yuval Steinitz ordered the government CIO unit to operate in emergency mode but said he remains confident in its abilities.


"We are reaping the fruits on the investment in recent years in the development of computerized defense systems, but we have a lot of work in store for us," he told reporters during a visit to the Government Computing Center in Jerusalem.


The Prime Minister's office, the Ministry of Foreign Affairs and the President's residence were among the government websites targeted. Israeli government websites are a common target of cyber attacks, Avner said, but the sheer volume this time around indicated a clear escalation during the Gaza operation.


The dramatic spike comes after the loose hacking collective Anonymous announced online that it would be targeting Israeli websites "in retaliation for the mistreating of people in Gaza and other areas."






Michael Gottschalk/AFP/Getty Images







Anonymous, the same group that reportedly took out the CIA's public website for a few hours in February, claimed it had attacked approximately 10,000 Israeli websites, both government and private.


Avner said most of the attacks on the government websites were designed to overload the site servers with excessive data. One method of doing that, known as a Distributed Denial of Service (DDos) attack, is a fairly rudimentary tactic historically favored by Anonymous.


Tweeting under the hashtag "OpIsrael" after the name it had given to its campaign, Anonymous claimed to have disrupted service on dozens of private Israeli websites, including the website for the Bank of Jerusalem and the local servers for news outlet MSN and search engine Bing. Both MSN and Bing's Israeli home pages appeared to have experienced trouble earlier Monday but were functioning properly as of this report. The Bank of Jerusalem's website's homepage was functioning but its English section was inaccessible.


Anonymous also tweeted a link to what it presented as the personal contact information of more than 3,000 "donors to Israel," including members of the U.S. Congress. Much of the data appeared to be a compilation of publicly available contact information.


As the real-world military operation gained steam last week, Anonymous posted what it dubbed as a "Gaza Care Package," containing information in Arabic and English about how to circumvent Israeli online surveillance by shielding IP addresses and how to set up alternative Wi-Fi access in the event of an internet shutdown.


Anonymous made the care package apparently in response to what it called Israeli threats to cut off electricity and internet access in Gaza. That threat was not reported elsewhere and there have been no reports of internet or power outages in Gaza so far.






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Gaza truce pressure builds, Cairo in focus

GAZA/JERUSALEM (Reuters) - International pressure for a ceasefire in the Gaza Strip puts Egypt's new Islamist president in the spotlight on Tuesday after a sixth day of Palestinian rocket fire and Israeli air strikes that have killed more than 100 people.


Israel's leaders weighed the benefits and risks of sending tanks and infantry into the densely populated coastal enclave two months before an Israeli election, and indicated they would prefer a diplomatic path backed by world powers, including U.S. President Barack Obama, the European Union and Russia.


Israeli Prime Minister Benjamin Netanyahu and his top ministers debated their next moves in a meeting that lasted into the early hours of Tuesday.


"Before deciding on a ground invasion, the prime minister intends to exhaust the diplomatic move in order to see if a long-term ceasefire can be achieved," a senior Israeli official, speaking on condition of anonymity, said after the meeting.


Any diplomatic solution may pass through Egypt, Gaza's other neighbor and the biggest Arab nation, where the ousting of U.S. ally Hosni Mubarak and election of President Mohamed Mursi is part of a dramatic reshaping of the Middle East, wrought by the Arab Spring and now affecting the Israeli-Palestinian conflict.


Mursi, whose Muslim Brotherhood was mentor to the founders of Hamas, took a call from Obama on Monday telling him the group must stop rocket fire into Israel - effectively endorsing Israel's stated aim in launching the offensive last week. Obama, as quoted by the White House, also said he regretted civilian deaths - which have been predominantly among the Palestinians.


"The two leaders discussed ways to de-escalate the situation in Gaza, and President Obama underscored the necessity of Hamas ending rocket fire into Israel," the White House said.


"President Obama then called Prime Minister Netanyahu of Israel and received an update on the situation in Gaza and Israel. In both calls, President Obama expressed regret for the loss of Israeli and Palestinian civilian lives."


Three Israeli civilians and 108 Palestinians have been killed. Gaza officials say more than half of those killed in the enclave were civilians, 27 of them children.


EGYPT SEES DEAL


Mursi has warned Netanyahu of serious consequences from a ground invasion of the kind that killed more than 1,400 people in Gaza four years ago. But he has been careful not to alienate Israel, with whom Egypt's former military rulers signed a peace treaty in 1979, or Washington, a major aid donor to Egypt.


A meeting on Tuesday in Cairo between Mursi and Ban Ki-moon, the secretary-general of the United Nations who flew in late on Monday, could shed light on the shape of any truce proposals.


Egyptian Prime Minister Hisham Kandil told Reuters: "I think we are close, but the nature of this kind of negotiation, (means) it is very difficult to predict."


Israeli media have said Israeli officials are also in Cairo to talk. Ban is due to meet Netanyahu in Jerusalem soon.


After Hamas leader Khaled Meshaal laid out demands in Cairo that Israel take the first step in restoring calm, and warned Netanyahu that a ground war in Gaza could wreck his re-election prospects in January, a senior Israeli official denied a Hamas assertion that the prime minister had asked for a truce.


"Whoever started the war must end it," Meshaal said, referring to Israel's assassination from the air on Wednesday of Hamas's Gaza military chief, a move that followed a scaling up of rocket fire onto Israeli towns over several weeks.


An official close to Netanyahu told Reuters: "Israel is prepared and has taken steps and is ready for a ground incursion which will deal severely with the Hamas military machine.


"We would prefer to see a diplomatic solution that would guarantee the peace for Israel's population in the south. If that is possible, then a ground operation would no longer be required," he added. "If diplomacy fails, we may well have no alternative but to send in ground forces."


CIVILIANS KILLED


Fortified by the ascendancy of fellow Islamists in Egypt and elsewhere, and courted by fellow Sunni Arab leaders in the Gulf keen to draw the Palestinian group away from old ties to Shi'ite Iran, Hamas has tested its room for maneuver, as well as longer-range rockets that have reached the Tel Aviv metropolis.


Israeli statistics showed some easing in the ferocity of the exchanges on Monday. Israeli police counted 110 rockets, causing no casualties, of which 42 were shot down by anti-missile batteries. Compared with more than 1,000 rockets fired in total, the indications were that the level of violence had fallen.


Palestinian militants resumed rocket fire into Israel on Tuesday morning, sending Israelis in southern towns running for shelter.


Israel's military said it had conducted 100 air strikes throughout the night. "A financial institution used by Hamas to fuel its terror activity was targeted in the northern Gaza Strip," it said.


Hamas said 4-year-old twin boys had died with their parents when their house in the town of Beit Lahiya was struck from the air. Neighbors said the occupants were not involved with militant groups.


Israel had no immediate comment on that attack. It says it takes extreme care to avoid civilians and accuses Hamas and other militant groups of deliberately placing Gaza's 1.7 million people in harm's way by placing rocket launchers among them.


Nonetheless, fighting Israel, whose right to exist Hamas refuses to recognize, is popular with many Palestinians and has kept the movement competitive with the secular Fatah movement of Palestinian President Mahmoud Abbas, who remains in the West Bank after losing Gaza to Hamas in a civil war five years ago.


"Hamas and the others, they're our sons and our brothers, we're fingers on the same hand," said 55-year-old Faraj al-Sawafir, whose home was blasted by Israeli forces. "They fight for us and are martyred, they take losses and we sacrifice too."


Thousands turned out on Monday to mourn four children and five women who were among 11 people killed in an Israeli air strike that flattened a three-storey home the previous day.


The bodies were wrapped in Palestinian and Hamas flags. Echoes of explosions mixed with cries of grief and defiant chants of "God is greatest!"


ISRAELI INVESTIGATION


Israel said it was investigating the strike that brought the block crashing down on the al-Dalu family, where the dead spanned four generations. Some Israeli newspapers said the house might have been targeted by mistake.


For the second straight day, Israeli missiles blasted a tower block in the city of Gaza housing international media. Two people were killed there, one of them an Islamic Jihad militant.


In scenes recalling Israel's 2008-2009 winter invasion of the coastal enclave, tanks, artillery and infantry have massed in field encampments along the sandy, fenced-off border.


Israel has also authorized the call-up of 75,000 military reservists, so far mobilizing around half that number.


Although 84 percent of Israelis support the current Gaza assault, according to a poll by Israel's Haaretz newspaper, only 30 percent want an invasion.


With the power balances of the Middle East drastically shifted by the Arab Spring during a first Obama term that began two days after Israel ended its last major Gaza offensive, the newly re-elected U.S. president faces testing choices to achieve Washington's hopes for peace and stability across the region.


In an echo of frictions over the civil war in Syria, Russia accused the United States on Monday of blocking a bid by the U.N. Security Council to condemn the escalating conflict in the Gaza Strip. Washington has generally stopped the U.N. body from putting what it sees as undue pressure on its Israeli ally.


(Writing by Alastair Macdonald; Editing by Kevin Liffey and Mohammad Zargham)


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Foreign investment in China drops in October






BEIJING: Foreign direct investment in China fell again in October, the government said on Tuesday, as investors remained cautious amid global economic woes and China's own slowdown.

Foreign companies invested $8.3 billion in factories and other projects in China last month, down 0.24 percent from a year ago, Shen Danyang, Ministry of Commerce spokesman, said at a regular news conference.

The drop extended a broad downward trend stretching back to November of last year. Since then, FDI has declined every month except May, when it rose a marginal 0.05 percent.

For the first 10 months of the year, FDI fell 3.45 percent on year to $91.7 billion, Shen said.

The government has blamed the slump on the slowdown in global economic growth, the prolonged European debt crisis and rising costs and weak demand at home.

The world's second-largest economy itself has slowed for seven consecutive quarters as well, expanding 7.4 percent in the three months ended September 30, its worst performance since the first quarter of 2009.

Investment from debt-laden European Union countries decreased by five percent on year in the January-October period to $5.2 billion, according to the ministry's data.

Ten Asian countries and regions, including Hong Kong and Thailand, invested $78.0 billion in China in the period, down 4.7 percent from a year ago.

In contrast to dropping FDI, China's investment abroad surged sharply this year after slowing last year owing to a weak global economic recovery and financial turmoil in Europe and the United States.

Outbound direct investment in non-financial sectors in the first 10 months of the year totalled $58.2 billion, soaring 25.8 percent from the same period last year, Shen said.

"This is the inevitable result of the implementation of our strategy (for Chinese companies) to go abroad, the improvement of Chinese firms' competitiveness and changes in the international market," he said.

In 2011, the figure stood at $60.1 billion, up just 1.8 percent year on year, previous official data showed.

China has set goals to increase overseas direct investment at an average annual rate of 17 percent through 2015 to $150 billion by then, according to the government.

- AFP/de



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YS Jaganmohan Reddy's sister Sharmila Reddy takes over, Congress worried

HYDERABAD: Congress' belief that a prolonged jail for YSR Congress party president YS Jaganmohan Reddy may drain the enthusiasm of his supporters appears to have come to a nought, with his sister Sharmila also drawing huge crowds.

Reddy, Kadapa MP and son of late Congress iron man YS Rajasekhara Reddy, is in jail for the last 175 days, after he was arrested by CBI on May 27, for alleged disproportionate assets. Added to frequent defections of MLAs from Congress, TDP and TRS into YSR Congress, the long-term political ally All India Majlis-e-Ittehadul Muslimeen (AIMIM) recently served a blow to Congress by withdrawing support to government.

An MP, who did not want to be named, said the senior Congress leaders at the Centre and state were acutely worried after seeing the massive crowds that Sharmila Reddy was drawing over the last month or so.

Clad in a salwar kameez and a pair of sneakers, YSR's daughter Sharmila has already covered over 430 km out of targeted 3,000-km padayatra in the last 32 days, helping the party consolidate its base.

K Nageshwar, an independent member of legislative council, said: "Since YSR Congress is the legacy of the late YSR, it now hardly matters whether Jagan is in jail or outside jail. It also hardly matters whether it is Sharmila or Vijayamma (widow of YSR). As long as the legacy has hold over the people, YSR Congress will continue to draw crowds. Of course, there should be a leader who capitalises on the legacy and translates it into votes. This was not there for the YSR Congress since it had no organisation and rank and file. Jagan was its sole leader. Now it has several leaders, defected from other parties, at various levels."

Jagan's aide and party leader Sajjala Ramakrishna Reddy gives a large part of the credit on YSR Congress' gaining strength to Congress' scheme to pester Reddy.

"The more Congress harasses Jagan, the more YSR Congress consolidates in the state since majority people have accepted Jagan as YSR's political heir and believe only Jagan can deliver on both welfare and development fronts. Almost every family in the state was benefited by YSR's welfare and development schemes and they are hurt as most of the schemes were discontinued by the state government."

Reddy is slowly attracting leaders from Congress, TDP and TRS, helping the party strengthen the organization with rank and file across three regions of the state.

As Sharmila's padayatra continues, several more MLAs from Congress, TDP and TRS, who had already met Jagan in jail over the last few months, have announced their decision to join YSR Congress.

A sizeable part of the success of Sharmila's padayatra also goes to leaders and cadres defecting into YSR Congress from the ruling and opposition parties, admits a party leader.

Congress' attempts to appropriate the YSR legacy proved a dampener owing to weak leadership and the key opposition TDP also failed in capitalising on the situation and regaining image.

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EU drug regulator OKs Novartis' meningitis B shot

LONDON (AP) — Europe's top drug regulator has recommended approval for the first vaccine against meningitis B, made by Novartis AG.

There are five types of bacterial meningitis. While vaccines exist to protect against the other four, none has previously been licensed for type B meningitis. In Europe, type B is the most common, causing 3,000 to 5,000 cases every year.

Meningitis mainly affects infants and children. It kills about 8 percent of patients and leaves others with lifelong consequences such as brain damage.

In a statement on Friday, Andrin Oswald of Novartis said he is "proud of the major advance" the company has made in developing its vaccine Bexsero. It is aimed at children over two months of age, and Novartis is hoping countries will include the shot among the routine ones for childhood diseases such as measles.

Novartis said the immunization has had side effects such as fever and redness at the injection site.

Recommendations from the European Medicines Agency are usually adopted by the European Commission. Novartis also is seeking to test the vaccine in the U.S.

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Officials: Israeli Strike Kills 11 Civilians in Gaza













The Palestinian civilian death toll mounted Monday as Israeli aircraft struck densely populated areas in the Gaza Strip in its campaign to quell militant rocket fire menacing nearly half of Israel's population.



Overnight, an airstrike leveled two houses belonging to a single family, killing two children and two adults and injuring 42 people, said Gaza heath official Ashraf al-Kidra. Rescue workers were frantically searching for 12 to 15 people under the rubble.



Shortly after, Israeli aircraft bombarded the remains of the former national security compound in Gaza City. Al-Kidra said flying shrapnel killed one child and wounded others living nearby.



A missile strike on a pickup truck killed three members of the radical Islamic Jihad group, said security officials from the Hamas militant group that rules the Gaza Strip. They spoke anonymously as they were not authorized to talk to journalists.



In all, 84 Palestinians, half of them civilians, have been killed in the five-day onslaught and 720 have been wounded. Three Israeli civilians have died from Palestinian rocket fire and dozens have been wounded.












Is Ceasefire Possible for Israel and Hamas? Watch Video






Israel's decision to step up targeted attacks on leaders in Gaza on Sunday marked a new and risky phase of the operation, given the likelihood of civilian casualties in the crowded territory of 1.6 million Palestinians. The rising civilian toll was likely to intensify pressure on Israel to end the fighting. Hundreds of civilian casualties in an Israeli offensive in Gaza four years ago led to fierce international condemnation of Israel.



Israel launched the current offensive Wednesday after months of intensifying rocket fire from the Gaza Strip, which continued despite the strikes. Overnight, the military said, aircraft targeted about 80 militant sites, including underground rocket-launching sites, smuggling tunnels and training bases, as well as command posts and weapons storage facilities located in buildings owned by militant commanders, the military said in a release. Aircraft and gunboats joined forces to attack police headquarters, and rocket squads were struck as they prepared to fire, the release said.



In all, 1,350 targets have been struck since the operation began on Wednesday.



International efforts to wrest a cease-fire from the two sides has picked up steam despite the escalated hostilities. The two sides have put forth widely divergent demands, but the failure to end the fighting could touch off an Israeli ground invasion, for which thousands of soldiers, backed by tanks and armored vehicles, have already been mobilized and dispatched to Gaza's border.



President Barack Obama said he was in touch with players across the region in hopes of halting the fighting. While defending Israel's right to defend itself against the rocket fire, he also warned of the risks the Jewish state would take if it were to expand its air assault into a ground war.



"If we see a further escalation of the situation in Gaza, the likelihood of us getting back on any kind of peace track that leads to a two-state solution is going to be pushed off way into the future," Obama said.



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Israel pounds Gaza as rocket fire wanes; talks in Egypt

GAZA/JERUSALEM (Reuters) - Israel bombed dozens of suspected guerrilla sites in the Hamas-ruled Gaza Strip on Monday and Palestinian rocket fire from the enclave dropped off as international efforts to broker a truce intensified.


Ten civilians and two field commanders from the Islamic Jihad faction were killed and at least 30 other Palestinians were hurt in the new air strikes, hospital officials said, bringing the death toll from six days of clashes in Gaza to 85.


United Nations Secretary General Ban Ki-moon was due to arrive in Cairo to weigh in on ceasefire efforts led by Egypt, which borders both Israel and Gaza and whose Islamist-rooted government has been hosting leaders of Hamas.


Israeli media said a delegation from Israel had also been to Cairo for truce talks, though a spokesman for Prime Minister Benjamin Netanyahu's government declined comment on the matter.


The Gaza flare-up, and Israel's signaling that it could soon escalate from the aerial bombings to a ground sweep of the cramped and impoverished enclave, have stoked the worries of world powers watching an already combustible region.


As Hamas and other Islamist factions spurn permanent peace with the Jewish state, mediated deals for each to hold fire unilaterally have been the only formula for stemming bloodshed in the past. But each side now placed the onus on the other.


Izzat Risheq, aide to Hamas politburo chief Khaled Meshaal, wrote on Facebook that Hamas would enter a truce only after Israel "stops its aggression, ends its policy of targeted assassinations and lifts the blockade of Gaza".


Listing Israel's terms, Vice Prime Minister Moshe Yaalon wrote on Twitter: "If there is quiet in the south and no rockets and missiles are fired at Israel's citizens, nor terrorist attacks engineered from the Gaza Strip, we will not attack."


Yaalon also said Israel wanted an end to Gaza guerrilla activity in the neighboring Egyptian Sinai, a desert peninsula where lawlessness has spread during Cairo's political crises.


WESTERN SUPPORT


Israel's operation has so far drawn Western support for what U.S. and European leaders have called its right to self-defense in the face of years of cross-border attacks, but there have also been growing appeals for an end to the hostilities.


Sympathy for Israel may wear thin as the Gaza toll mounts. On Sunday, 11 Palestinian civilians were apparently killed during an Israeli attack on a militant which brought a three-storey family home crashing down on them.


"I am deeply saddened by the reported deaths of more than ten members of the Dalu family... (and) by the continuing firing of rockets against Israeli towns, which have killed several Israeli civilians. I strongly urge the parties to cooperate with all efforts led by Egypt to reach an immediate ceasefire," Ban said before leaving for Egypt. He visits Israel on Tuesday.


At least 22 of the Gaza fatalities have been children.


Netanyahu said he had assured world leaders that Israel was doing its utmost to avoid causing civilian casualties in Gaza.


In scenes recalling Israel's 2008-2009 winter invasion of Gaza, tanks, artillery and infantry have massed in field encampments along the sandy, fenced-off border and military convoys moved on roads in the area. Israel has also authorized the call-up of 75,000 military reservists, so far mobilizing around half that number.


A big, bloody rocket strike on Israelis might be enough for Netanyahu to give a green light for a ground offensive.


Three Israelis have been killed and dozens wounded in hundreds of salvoes since Wednesday. Some rockets reached as far as Tel Aviv, Israel's commercial capital, but were shot down by the country's air defense system.


As a precaution against the rocket interceptions endangering nearby Ben-Gurion International Airport, civil aviation authorities said on Monday new flight paths were being used. There was no indication takeoffs and landings at Ben-Gurion had been affected.


OVERNIGHT LULL


There was no rocket fire from Gaza between midnight and daybreak on Monday, the Israeli military said. It said a few cross-border launches followed in the early morning but there was no immediate word on casualties in southern Israel, where such salvoes usually set off sirens so residents can shelter.


Israel bombed some 80 sites in Gaza overnight, the military said, adding in a statement that targets included "under-ground rocket launching sites, terror tunnels and training bases" as well as "buildings owned by senior terrorist operatives".


Israel's declared goal is to deplete Gaza arsenals and force Hamas to stop rocket fire that has bedeviled Israeli border towns for years. The rockets now have greater range, putting Tel Aviv and Jerusalem within their reach - a strategic weapon for Gaza's otherwise massively outgunned guerrillas.


The southern resort city of Eilat was apparently added to the list of targets when residents said they heard explosions on Sunday and Monday thought to be rockets, though there was no word on casualties or damage.


Eilat is thought to be well out of the range of any rocket in possession of Hamas or any other Gaza group. But militants have in the recent past fired rockets at Eilat and its surroundings, using Egypt's Sinai desert as a launch site.


Hamas and other groups in Gaza are sworn enemies of the Jewish state which they refuse to recognize and seek to eradicate, claiming all Israeli territory as rightfully theirs.


Hamas won legislative elections in the Palestinian Territories in 2006 but a year later, after the collapse of a unity government under President Mahmoud Abbas the Islamist group seized control of Gaza in a brief and bloody civil war with forces loyal to Abbas.


Abbas then dismissed the Hamas government led by the group's leader Ismail Haniyeh but he refuses to recognize Abbas' authority and runs Gazan affairs.


While it is denounced as a terrorist organization in the West, Hamas enjoys widespread support in the Arab world, where Islamist parties are on the rise.


U.S.-backed Abbas and Fatah hold sway in the Israeli-occupied West Bank from their seat of government in the town of Ramallah. The Palestinians seek to establish an independent state in the West Bank and the Gaza Strip with East Jerusalem as its capital.


(Writing by Ori Lewis and Dan Williams; Editing by Catherine Evans) 䴀ˆ


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