Vice president quits as Egypt votes on constitution


CAIRO (Reuters) - Egypt's vice-president resigned on Saturday as Egyptians voted in a referendum that is expected to approve a new constitution that lays the foundations for the country's transition to democracy but will strip him of his role.


Authorities extended voting by four hours in the second and decisive round of the plebiscite on an Islamist-drafted constitution that the opposition has criticized as divisive and likely to cause more unrest.


Just hours before polls closed, Vice President Mahmoud Mekky announced his resignation, saying he wanted to quit last month but stayed on to help President Mohamed Mursi tackle a crisis that blew up when the Islamist leader assumed wide powers.


Mekky, a prominent judge who said he was uncomfortable in politics, disclosed earlier he had not been informed of Mursi's power grab. However, the timing of Mekky's move appeared linked to the fact there is no vice-presidential post under the draft constitution.


In a resignation letter, Mekky said that although he had held on in the post he had "realized for some time that the nature of political work did not suit my professional background as a judge".


Islamist supporters of Mursi say the charter is vital to move towards democracy, nearly two years after an Arab Spring revolt overthrew authoritarian ruler Hosni Mubarak. It will help restore stability needed to fix a struggling economy, they say.


But the opposition says the document is divisive and has accused Mursi of pushing through a text that favors his Islamist allies while ignoring the rights of Christians, who make up about 10 percent of the population, as well as women.


"I'm voting 'no' because Egypt can't be ruled by one faction," said Karim Nahas, 35, a stockbroker, heading to a polling station in Giza, a province included in this round of voting which covers parts of greater Cairo.


At another polling station, some voters said they were more interested in ending Egypt's long period of political instability than in the Islamist aspects of the charter.


"We have to extend our hands to Mursi to help fix the country," said Hisham Kamal, an accountant.


Queues formed at some polling stations around the country and voting was extended by four hours to 11 p.m. (2100 GMT).


Unofficial tallies are likely to emerge within hours of the close, but the referendum committee may not declare an official result for the two rounds until Monday, after hearing appeals.


CHEATING ALLEGED


As polling opened on Saturday, a coalition of Egyptian rights groups reported a number of alleged irregularities.


They said some polling stations had opened late, that Islamists urging a "yes" vote had illegally campaigned at some stations, and complained of irregularities in voter registration irregularities, including the listing of one dead person.


Last week's first round of voting gave a 57 percent vote in favour of the constitution, according to unofficial figures.


Analysts expect another "yes" on Saturday because the vote covers rural and other areas seen as having more Islamist sympathizers. Islamists may also be able to count on many Egyptians who are simply exhausted by two years of upheaval.


Among the provisions of the new basic law are a limit of two four-year presidential terms. It says the principles of sharia law remain the main source of legislation but adds an article to explain this further. It also says Islamic authorities will be consulted on sharia - a source of concern to Christians and other non-Muslims.


If the constitution is passed, a parliamentary election will be held in about two months. If not, an assembly will have to be set up to draft a new one.


After the first round of voting, the opposition said alleged abuses meant the first stage of the referendum should be re-run.


But the committee overseeing the two-stage vote said its investigations showed no major irregularities in voting on December 15, which covered about half of Egypt's 51 million voters.


MORE UNREST


Even if the charter is approved, the opposition say it is a recipe for trouble since it has not received sufficiently broad backing from the population. They say the result may go in Mursi's favour but it will not be a fair vote.


"I see more unrest," said Ahmed Said, head of the liberal Free Egyptians Party and a member of the National Salvation Front, an opposition coalition formed after Mursi expanded his powers on November 22 and then pushed the constitution to a vote.


Protesters accused the president of acting like a pharaoh, and he was forced to issue a second decree two weeks ago that amended a provision putting his decisions above legal challenge.


Said cited "serious violations" on the first day of voting, and said anger against Mursi and his Islamist allies was growing. "People are not going to accept the way they are dealing with the situation."


At least eight people were killed in protests outside the presidential palace in Cairo this month. Islamists and rivals clashed on Friday in the second biggest city of Alexandria, hurling stones at each other. Two buses were torched.


The head of the Muslim Brotherhood, an Islamist group that represents Mursi's power base, said the vote was an opportunity for Egypt to move on.


"After the constitution is settled by the people, the wheels in all areas will turn, even if there are differences here and there," the Brotherhood's supreme guide, Mohamed Badie, said as he went to vote in Beni Suef, south of Cairo.


"After choosing a constitution, all Egyptians will be moving in the same direction," he said.


The vote was staggered after many judges refused to supervise the ballot, meaning there were not enough to hold the referendum on a single day nationwide.


The first round was won by a slim enough margin to buttress opposition arguments that the text was divisive. Opponents who include liberals, leftists, Christians and more moderate-minded Muslims accuse Islamists of using religion to sway voters.


Islamists, who have won successive ballots since Mubarak's overthrow, albeit by narrowing margins, dismiss charges that they are exploiting religion and say the document reflects the will of a majority in the country where most people are Muslim.


(Additional reporting by Tamim Elyan; Writing by Edmund Blair and Giles Elgood; Editing by Mark Trevelyan and Jason Webb)



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US politicians trade blame over 'fiscal cliff' talks






WASHINGTON: Democratic and Republican leaders traded blame as they left for the Christmas holiday amid fading hope of an agreement to avert a year-end fiscal crisis that could lead to stiff tax hikes and drastic budget cuts.

In the weekly Republican Party radio address on Saturday, House Speaker John Boehner, the top Republican in Congress, said that President Barack Obama's proposal to solve the crisis by raising taxes "would still leave red ink as far as the eye can see."

"What the president has offered so far simply won't do anything to solve our spending problem and begin to address our nation's crippling debt," Boehner said.

"Instead, he wants more spending and more tax hikes that will hurt our economy. And he refuses to challenge the members of his party to deal honestly with entitlement reform and the big issues facing our nation. That is why we find ourselves here today."

Boehner has made an offer to Obama that would raise US$1 trillion in tax revenue -- mostly through closing loopholes and ending certain deductions -- and another US$1 trillion in spending cuts, including in some social programs like Medicare.

"I told the president on Monday these were my bottom lines," Boehner said earlier.

The White House has described its own offer as US$1.2 trillion in tax revenues and nearly US$1 trillion in spending cuts, although Republicans dispute whether all of the austerity measures are real.

On Friday, president Obama seemed frustrated that Republicans were not willing to offer him a compromise after, in his eyes, he made major concessions to his opponents.

"Nobody gets 100 per cent of what they want," he said.

With just over a week to go before automatic and massive spending cuts and tax increases due to kick in for all Americans on January 1, Obama urged lawmakers to pass a scaled-down tax package to avoid the so-called fiscal cliff.

Obama said he still wanted a comprehensive and large deficit-cutting bill to put the US economy on the path to long-term prosperity, but in the meantime, he called for a stop-gap bill to protect middle-class taxpayers.

"There is absolutely no reason, none, not to protect these Americans from a tax hike. At the very least, let's agree right now on what we already agree on. Let's get that done."

Obama said he met Democratic Senate leader Harry Reid and spoke to Republican House Speaker John Boehner on the phone to discuss a fall-back plan, while stressing he still believed a big compromise was possible.

He asked Congress to next week produce a package that at a minimum prevents a tax hike on the middle class, would extend unemployment insurance and lays the groundwork for further deficit reduction next year.

The move would still satisfy his demand to raise taxes on the richest Americans, as all Bush-era taxes will go up on January 1, and Obama only envisions extending the lower rates for middle class earners.

"Everybody can cool off, everybody can drink some eggnog, have some Christmas cookies, sing some Christmas carols," Obama said.

"Call me a hopeless optimist, but I actually still think that we can get it done," said Obama, who will spend Christmas in his native Hawaii, but told reporters he would be back in Washington next week.

Obama's suggestion would extend tax breaks to 98 per cent of Americans -- those earning below US$250,000 a year. In talks with Boehner on a larger compromise, the president had offered to raise that threshold to US$400,000.

On Thursday, Republicans rejected a bid by Boehner to pass a backup bill to solve the crisis, leaving Washington in turmoil, markets spooked and renewing fears that America's political gridlock could spark a recession.

Obama's aides privately say they doubt that conservative deficit hawks, who oppose raising taxes as a matter of principle, will ever back a deal agreed with the president.

In that case, Boehner could opt to pass a compromise in the House with the help of votes from minority Democrats -- a move that could undermine his position as speaker with his own party.

Experts, however, say one way to make a tax hike on the wealthy more palatable for Republicans is to not make them vote for one at all.

Should the new year arrive with no deal, taxes will automatically rise for everyone. Congress could then technically vote to lower taxes on the middle class, something conservatives might be more willing to do.

- AFP/jc



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Narendra Modi to move into 'North Block' in January

AHMEDABAD: While Narendra Modi may take some time to move to Delhi, he is poised to shift to a newly-built office in Gandhinagar which is already being unofficially dubbed as the 'North Block'. The move will happen soon after the 'kamurtas', or the inauspicious period that ends in mid-January. The Prime Minister, incidently, operates out of South Block in New Delhi.

The new Rs 150-crore CMO complex, which has been readied in less than a year, has a south block too - modelled on the secretariat in the national capital — where other ministers will operate. The complex will officially be called 'Panchamrut', meaning that elixir for six crore Gujaratis will flow from here.

The four-storeyed complex — spread across 35,000 sq ft — has been built by the Roads & Buildings (R&B) department and designed by a leading Ahmedabad-based architect who designed the Gujarat high court and Amul Dairy building, apart from some corporate offices.

Given security concerns, a lot of bullet proof glass has been used in the windows and doors. The centrally air-conditioned building has a special room for cabinet meetings and will be constantly under CCTV surveillance. "The new CM office is directly connected to the first floor of the state assembly from where the CM, ministers and MLAs can enter the assembly hall," said a senior R&B official.

Modi took keen interest in every detail of the design. Currently, Modi's office is located on the fifth floor of block No.1 in Sachivalaya. Over the past few years, the scope of its activity has expanded considerably, under his centralised style of administration, with a number of staffers occupying space on the second, third and fourth floors.

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Predicting who's at risk for violence isn't easy


CHICAGO (AP) — It happened after Columbine, Virginia Tech, Aurora, Colo., and now Sandy Hook: People figure there surely were signs of impending violence. But experts say predicting who will be the next mass shooter is virtually impossible — partly because as commonplace as these calamities seem, they are relatively rare crimes.


Still, a combination of risk factors in troubled kids or adults including drug use and easy access to guns can increase the likelihood of violence, experts say.


But warning signs "only become crystal clear in the aftermath, said James Alan Fox, a Northeastern University criminology professor who has studied and written about mass killings.


"They're yellow flags. They only become red flags once the blood is spilled," he said.


Whether 20-year-old Adam Lanza, who used his mother's guns to kill her and then 20 children and six adults at their Connecticut school, made any hints about his plans isn't publicly known.


Fox said that sometimes, in the days, weeks or months preceding their crimes, mass murderers voice threats, or hints, either verbally or in writing, things like "'don't come to school tomorrow,'" or "'they're going to be sorry for mistreating me.'" Some prepare by target practicing, and plan their clothing "as well as their arsenal." (Police said Lanza went to shooting ranges with his mother in the past but not in the last six months.)


Although words might indicate a grudge, they don't necessarily mean violence will follow. And, of course, most who threaten never act, Fox said.


Even so, experts say threats of violence from troubled teens and young adults should be taken seriously and parents should attempt to get them a mental health evaluation and treatment if needed.


"In general, the police are unlikely to be able to do anything unless and until a crime has been committed," said Dr. Paul Appelbaum, a Columbia University professor of psychiatry, medicine and law. "Calling the police to confront a troubled teen has often led to tragedy."


The American Academy of Child & Adolescent Psychiatry says violent behavior should not be dismissed as "just a phase they're going through."


In a guidelines for families, the academy lists several risk factors for violence, including:


—Previous violent or aggressive behavior


—Being a victim of physical or sexual abuse


—Guns in the home


—Use of drugs or alcohol


—Brain damage from a head injury


Those with several of these risk factors should be evaluated by a mental health expert if they also show certain behaviors, including intense anger, frequent temper outbursts, extreme irritability or impulsiveness, the academy says. They may be more likely than others to become violent, although that doesn't mean they're at risk for the kind of violence that happened in Newtown, Conn.


Lanza, the Connecticut shooter, was socially withdrawn and awkward, and has been said to have had Asperger's disorder, a mild form of autism that has no clear connection with violence.


Autism experts and advocacy groups have complained that Asperger's is being unfairly blamed for the shootings, and say people with the disorder are much more likely to be victims of bullying and violence by others.


According to a research review published this year in Annals of General Psychiatry, most people with Asperger's who commit violent crimes have serious, often undiagnosed mental problems. That includes bipolar disorder, depression and personality disorders. It's not publicly known if Lanza had any of these, which in severe cases can include delusions and other psychotic symptoms.


Young adulthood is when psychotic illnesses typically emerge, and Appelbaum said there are several signs that a troubled teen or young adult might be heading in that direction: isolating themselves from friends and peers, spending long periods alone in their rooms, plummeting grades if they're still in school and expressing disturbing thoughts or fears that others are trying to hurt them.


Appelbaum said the most agonizing calls he gets are from parents whose children are descending into severe mental illness but who deny they are sick and refuse to go for treatment.


And in the case of adults, forcing them into treatment is difficult and dependent on laws that vary by state.


All states have laws that allow some form of court-ordered treatment, typically in a hospital for people considered a danger to themselves or others. Connecticut is among a handful with no option for court-ordered treatment in a less restrictive community setting, said Kristina Ragosta, an attorney with the Treatment Advocacy Center, a national group that advocates better access to mental health treatment.


Lanza's medical records haven't been publicly disclosed and authorities haven't said if it is known what type of treatment his family may have sought for him. Lanza killed himself at the school.


Jennifer Hoff of Mission Viejo, Calif. has a 19-year-old bipolar son who has had hallucinations, delusions and violent behavior for years. When he was younger and threatened to harm himself, she'd call 911 and leave the door unlocked for paramedics, who'd take him to a hospital for inpatient mental care.


Now that he's an adult, she said he has refused medication, left home, and authorities have indicated he can't be forced into treatment unless he harms himself — or commits a violent crime and is imprisoned. Hoff thinks prison is where he's headed — he's in jail, charged in an unarmed bank robbery.


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Online:


American Academy of Child & Adolescent Psychiatry: http://www.aacap.org


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AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner


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'Fiscal Cliff' Leaves Boehner a Wounded Speaker













John Boehner is a bloodied House speaker following the startling setback that his own fractious Republican troops dealt him in their "fiscal cliff" struggle against President Barack Obama.



There's plenty of internal grumbling about the Ohio Republican, especially among conservatives, and lots of buzzing about whether his leadership post is in jeopardy. But it's uncertain whether any other House Republican has the broad appeal to seize the job from Boehner or whether his embarrassing inability to pass his own bill preventing tax increases on everyone but millionaires is enough to topple him.



"No one will be challenging John Boehner as speaker," predicted John Feehery, a consultant and former aide to House GOP leaders. "No one else can right now do the job of bringing everyone together" and unifying House Republicans.



The morning after he yanked the tax-cutting bill from the House floor to prevent certain defeat, Boehner told reporters he wasn't worried about losing his job when the new Congress convenes Jan. 3.



"They weren't taking that out on me," he said Friday of rank-and-file GOP lawmakers, who despite pleading from Boehner and his lieutenants were shy of providing the 217 votes needed for passage. "They were dealing with the perception that somebody might accuse them of raising taxes."






Jacquelyn Martin/AP Photo











Cliffhanger: Congress Heads Home after 'Plan B' Vote Pulled from House Floor Watch Video









President Obama on Fiscal Cliff: 'Nobody Gets 100 Percent of What They Want' Watch Video









Next Steps for Fiscal Cliff? 'God Only Knows,' Says Boehner Watch Video






That "somebody" was a number of outside conservative groups such as the Club for Growth and Heritage Action for America, which openly pressured lawmakers to reject Boehner's bill. Such organizations often oppose GOP lawmakers they consider too moderate and have been headaches for Boehner in the past.



This time, his retreat on the tax measure was an unmistakable blow to the clout of the 22-year House veteran known for an amiable style, a willingness to make deals and a perpetual tan.



Congressional leaders amass power partly by their ability to command votes, especially in showdowns. His failure to do so Thursday stands to weaken his muscle with Obama and among House Republicans.



"It's very hard for him to negotiate now," said Sarah Binder, a George Washington University political scientist, adding that it's premature to judge if Boehner's hold on the speakership is in peril. "No one can trust him because it's very hard for him to produce votes."



She said the loss weakens his ability to summon support in the future because "you know the last time he came to you like this, others didn't step in line."



Boehner, 63, faces unvarnished hostility from some conservatives.



"We clearly can't have a speaker operate well outside" what Republicans want to do, said freshman Rep. Tim Huelskamp, R-Kan.



Huelskamp is one of four GOP lawmakers who lost prized committee assignments following previous clashes with party leaders. That punishment was an anomaly for Boehner, who is known more for friendly persuasion than arm-twisting.



He said Boehner's job would depend on whether the speaker is "willing to sit and listen to Republicans first, or march off" and negotiate with Obama.



Conservative Rep. Steve King, R-Iowa, said one of the tea party's lasting impacts would be if Boehner struggled to retain his speakership due to the fight over the fiscal cliff, which is the combination of deep tax increases and spending cuts that start in early January without a bipartisan deal to avert them.



"If there's a major defeat delivered here, it could make it tough on him," King said. "He's in a tough spot."





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Italy PM Monti resigns, elections likely in February


ROME (Reuters) - Italian Prime Minister Mario Monti tendered his resignation to the president on Friday after 13 months in office, opening the way to a highly uncertain national election in February.


The former European commissioner, appointed to lead an unelected government to save Italy from financial crisis a year ago, has kept his own political plans a closely guarded secret but he has faced growing pressure to seek a second term.


President Giorgio Napolitano is expected to dissolve parliament in the next few days and has already indicated that the most likely date for the election is February 24.


In an unexpected move, Napolitano said he would hold consultations with political leaders from all the main parties on Saturday to discuss the next steps. In the meantime Monti will continue in a caretaker capacity.


European leaders including German Chancellor Angela Merkel and European Commission President Jose Manuel Barroso have called for Monti's economic reform agenda to continue but Italy's two main parties have said he should stay out of the race.


Monti, who handed in his resignation during a brief meeting at the presidential palace shortly after parliament approved his government's 2013 budget, will hold a news conference on Sunday at which he is expected clarify his intentions.


Ordinary Italians are weary of repeated tax hikes and spending cuts and opinion polls offer little evidence that they are ready to give Monti a second term. A survey this week showed 61 percent saying he should not stand.


Whether he runs or not, his legacy will loom over an election which will be fought out over the painful measures he has introduced to try to rein in Italy's huge public debt and revive its stagnant economy.


His resignation came a couple of months before the end of his term, after his technocrat government lost the support of Silvio Berlusconi's centre-right People of Freedom (PDL) party in parliament earlier this month.


Speculation is swirling over Monti's next moves. These could include outlining policy recommendations, endorsing a centrist alliance committed to his reform agenda or even standing as a candidate in the election himself.


The centre-left Democratic Party (PD) has held a strong lead in the polls for months but a centrist alliance led by Monti could gain enough support in the Senate to force the PD to seek a coalition deal which could help shape the economic agenda.


BERLUSCONI IN WINGS


Senior figures from the alliance, including both the UDC party, which is close to the Roman Catholic Church, and a new group founded by Ferrari sports car chairman Luca di Montezemolo, have been hoping to gain Monti's backing.


He has not said clearly whether he intends to run, but he has dropped heavy hints he will continue to push a reform agenda that has the backing of both Italy's business community and its European partners.


The PD has promised to stick to the deficit reduction targets Monti has agreed with the European Union and says it will maintain the broad course he has set while putting more emphasis on reviving growth.


Berlusconi's return to the political arena has added to the already considerable uncertainty about the centre-right's intentions and increased the likelihood of a messy and potentially bitter election campaign.


The billionaire media tycoon has fluctuated between attacking the government's "Germano-centric" austerity policies and promising to stand aside if Monti agrees to lead the centre right, but now appears to have settled on an anti-Monti line.


He has pledged to cut taxes and scrap a hated housing tax which Monti imposed. He has also sounded a stridently anti-German line which has at times echoed the tone of the populist 5-Star Movement headed by maverick comic Beppe Grillo.


The PD and the PDL, both of which supported Monti's technocrat government in parliament, have made it clear they would not be happy if he ran against them and there have been foretastes of the kind of attacks he can expect.


Former centre-left prime minister Massimo D'Alema said in an interview last week that it would be "morally questionable" for Monti to run against the PD, which backed all of his reforms and which has pledged to maintain his pledges to European partners.


Berlusconi who has mounted an intensive media campaign in the past few days, echoed that criticism this week, saying Monti risked losing the credibility he has won over the past year and becoming a "little political figure".


(Additional reporting by Gavin Jones, Massimiliano Di Giorgio and Paolo Biondi; Writing by Gavin Jones and James Mackenzie; Editing by Michael Roddy)



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Psy's 'Gangnam Style' reaches one billion views






SEOUL: Psy's "Gangnam Style" became the first video to hit a billion views on YouTube on Friday, marking a fresh milestone in the global craze for the South Korean rapper and his horse-riding dance.

The view counter attached to "Gangnam Style," which was only posted on the video-sharing site July 15, clicked over into 10 figures, confirming its status as the most viewed video in the site's history.

"One billion views is an incredible number," said Kevin Allocca, YouTube trends manager, who attributed Psy's success "to the universal appeal of catchy music -- and er, great equine dance moves."

Psy has swept all before him in the past five months, hoovering up awards and scoring guest appearances with everyone from Madonna to the head of the United Nations.

The video and its singer have been given walk-on roles in major world events like the US presidential election and major maybe-events like the Mayan calendar-inspired speculation about looming global armageddon.

The timing of the one-billion views breakthrough dovetailed with a viral social network hoax that had the 16th century French seer Nostradamus apparently referencing Psy as a harbinger of the December 21 apocalypse.

And it came less than a month after the video took the all-time "most-viewed" title away from "Baby" by Canadian heartthrob Justin Bieber.

Bieber's effort was still in second place Friday with more than 812 million views.

"Perhaps what's most impressive about this feat is that it took just over five months to happen," Allocca said in a blog post.

"Congratulations to Psy, the flash mobbers, K-Pop fans and people who love fun across the globe," he added.

Although its imminent demise has been predicted many times, the Psy phenomenon has simply refused to die.

Every time it has looked like fading, another parody, another celebrity or even another world leader has popped up to administer some publicity CPR and restore it to health.

Rolling Stone put "Gangnam Style" at number 25 on its top 50 list of best songs for 2012 and labelled Psy as "Seoul Brother Number One." On the Billboard Hot 100 chart it peaked at number two.

The song -- which refers to a trendy Seoul district -- has spawned a mini tribute video industry and has been co-opted by an impressive roster of big names, including Chinese dissident artist Ai Weiwei.

It earned Psy a contract with Bieber's management agency and a number of assessments and projections have been posted claiming "Gangnam Style" has generated over US$8.1 million in advertising deals.

And the public has joined in, with tens of thousands turning out for giant flashmob performances of Psy's horse-riding dance in cities like Paris and Rome -- even beauty spots like South America's majestic Iguazu waterfalls.

The quirky star, whose real name is Park Jae-Sang, has won adulation in his homeland for the global hit and was awarded one of South Korea's highest cultural honours this month, the Okgwan Order of Cultural Merit.

Psy hit a speedbump in the United States when anti-American views he voiced a decade ago caught up with him last month -- but he apologised and went on to perform at a "Christmas in Washington" gala attended by Obama and his family.

South Korea sees popular culture as a potent export force, providing international exposure for a country that still feels overlooked in comparison to neighbours China and Japan.

The government has spent substantial time and money supporting the so-called Hallyu, or Korean Wave, of TV shows and pop music that has swept across Asia in the past decade.

- AFP/jc



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Durg-Bhilainagar, not Delhi, the rape capital of the country

DURG-BHILAINAGAR: Delhi, it seems, is not really the rape capital of India. Chhattisgarh's Durg-Bhilainagar, an urban agglomeration with a population of almost 10 lakh is being billed as the region with the highest incidence of rapes recorded in the country. According to the National Crime Records Bureau, the area recorded 5.7 rapes per 100,000 people last year while 2.8 rapes were registered in Delhi. The rate for Bangalore was 1.1; for Kolkata 0.3, and for Mumbai 1.2.

Is Durg-Bhilainagar - twin cities associated with the largest steel plant in the country -- then really the most unsafe place in the country for women? Residents vehemently deny it saying that their area has been given this label merely on the basis of "number-juggling." Priya Rao, assistant professor at Pandit Ravishankar Shukla University here, says that there are many ways of looking at figures and interpreting them."This does not necessarily mean that the situation on the ground is bad."

Many women that TOI spoke to in the area seem to share this view. "Bhilai has over the years emerged as a major education and sports hub from where a large number of girls are excelling in competitive examinations and various sports. Is it possible to achieve this in a small city where girls feel unsafe to move out of their homes? ", asks Bhilai mayor Nirmala Yadav.

Many believe that a simple mathematical calculation of rate of incidence of crime per lakh population has earned Durg-Bhilainagar this dubious distinction. The rate of incidence of rape is obtained by a calculation of dividing the number of reported cases of rape by the population of the city and multiplying the figure by 100,000. Thus the sum obtained is not a percentage but a figure per 100,000. In that respect, a total of 68 rape cases were reported from the area which would have sent up the ratio of rapes in the region with respect to its 10 lakh population.

Sonal V Mishra, Chhattisgarh' deputy inspector general of police, claims that even the cases registered as rape were not really so . "Most of the 'rape' cases reported during 2011 in Durg-Bhilainagar were registered following elopement of girls of less than 18 years of age and on complaints of sex based on false promise of marriage," she says adding that the police has been prompt in registering complaints and that the perception was "totally unjustified."

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AP IMPACT: Big Pharma cashes in on HGH abuse


A federal crackdown on illicit foreign supplies of human growth hormone has failed to stop rampant misuse, and instead has driven record sales of the drug by some of the world's biggest pharmaceutical companies, an Associated Press investigation shows.


The crackdown, which began in 2006, reduced the illegal flow of unregulated supplies from China, India and Mexico.


But since then, Big Pharma has been satisfying the steady desires of U.S. users and abusers, including many who take the drug in the false hope of delaying the effects of aging.


From 2005 to 2011, inflation-adjusted sales of HGH were up 69 percent, according to an AP analysis of pharmaceutical company data collected by the research firm IMS Health. Sales of the average prescription drug rose just 12 percent in that same period.


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EDITOR'S NOTE — Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.


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Unlike other prescription drugs, HGH may be prescribed only for specific uses. U.S. sales are limited by law to treat a rare growth defect in children and a handful of uncommon conditions like short bowel syndrome or Prader-Willi syndrome, a congenital disease that causes reduced muscle tone and a lack of hormones in sex glands.


The AP analysis, supplemented by interviews with experts, shows too many sales and too many prescriptions for the number of people known to be suffering from those ailments. At least half of last year's sales likely went to patients not legally allowed to get the drug. And U.S. pharmacies processed nearly double the expected number of prescriptions.


Peddled as an elixir of life capable of turning middle-aged bodies into lean machines, HGH — a synthesized form of the growth hormone made naturally by the human pituitary gland — winds up in the eager hands of affluent, aging users who hope to slow or even reverse the aging process.


Experts say these folks don't need the drug, and may be harmed by it. The supposed fountain-of-youth medicine can cause enlargement of breast tissue, carpal tunnel syndrome and swelling of hands and feet. Ironically, it also can contribute to aging ailments like heart disease and Type 2 diabetes.


Others in the medical establishment also are taking a fat piece of the profits — doctors who fudge prescriptions, as well as pharmacists and distributors who are content to look the other way. HGH also is sold directly without prescriptions, as new-age snake oil, to patients at anti-aging clinics that operate more like automated drug mills.


Years of raids, sports scandals and media attention haven't stopped major drugmakers from selling a whopping $1.4 billion worth of HGH in the U.S. last year. That's more than industry-wide annual gross sales for penicillin or prescription allergy medicine. Anti-aging HGH regimens vary greatly, with a yearly cost typically ranging from $6,000 to $12,000 for three to six self-injections per week.


Across the U.S., the medication is often dispensed through prescriptions based on improper diagnoses, carefully crafted to exploit wiggle room in the law restricting use of HGH, the AP found.


HGH is often promoted on the Internet with the same kind of before-and-after photos found in miracle diet ads, along with wildly hyped claims of rapid muscle growth, loss of fat, greater vigor, and other exaggerated benefits to adults far beyond their physical prime. Sales also are driven by the personal endorsement of celebrities such as actress Suzanne Somers.


Pharmacies that once risked prosecution for using unauthorized, foreign HGH — improperly labeled as raw pharmaceutical ingredients and smuggled across the border — now simply dispense name brands, often for the same banned uses. And usually with impunity.


Eight companies have been granted permission to market HGH by the U.S. Food and Drug Administration, which reviews the benefits and risks of new drug products. By contrast, three companies are approved for the diabetes drug insulin.


The No. 1 maker, Roche subsidiary Genentech, had nearly $400 million in HGH sales in the U.S. last year, up an inflation-adjusted two-thirds from 2005. Pfizer and Eli Lilly were second and third with $300 million and $220 million in sales, respectively, according to IMS Health. Pfizer now gets more revenue from its HGH brand, Genotropin, than from Zoloft, its well-known depression medicine that lost patent protection.


On their face, the numbers make no sense to the recognized hormone doctors known as endocrinologists who provide legitimate HGH treatment to a small number of patients.


Endocrinologists estimate there are fewer than 45,000 U.S. patients who might legitimately take HGH. They would be expected to use roughly 180,000 prescriptions or refills each year, given that typical patients get three months' worth of HGH at a time, according to doctors and distributors.


Yet U.S. pharmacies last year supplied almost twice that much HGH — 340,000 orders — according to AP's analysis of IMS Health data.


While doctors say more than 90 percent of legitimate patients are children with stunted growth, 40 percent of 442 U.S. side-effect cases tied to HGH over the last year involved people age 18 or older, according to an AP analysis of FDA data. The average adult's age in those cases was 53, far beyond the prime age for sports. The oldest patients were in their 80s.


Some of these medical records even give explicit hints of use to combat aging, justifying treatment with reasons like fatigue, bone thinning and "off-label," which means treatment of an unapproved condition


Even Medicare, the government health program for older Americans, allowed 22,169 HGH prescriptions in 2010, a five-year increase of 78 percent, according to data released by the Centers for Medicare and Medicaid Services in response to an AP public records request.


"There's no question: a lot gets out," said hormone specialist Dr. Mark Molitch of Northwestern University, who helped write medical standards meant to limit HGH treatment to legitimate patients.


And those figures don't include HGH sold directly by doctors without prescriptions at scores of anti-aging medical practices and clinics around the country. Those numbers could only be tallied by drug makers, who have declined to say how many patients they supply and for what conditions.


First marketed in 1985 for children with stunted growth, HGH was soon misappropriated by adults intent on exploiting its modest muscle- and bone-building qualities. Congress limited HGH distribution to the handful of rare conditions in an extraordinary 1990 law, overriding the generally unrestricted right of doctors to prescribe medicines as they see fit.


Despite the law, illicit HGH spread around the sports world in the 1990s, making deep inroads into bodybuilding, college athletics, and professional leagues from baseball to cycling. The even larger banned market among older adults has flourished more recently.


FDA regulations ban the sale of HGH as an anti-aging drug. In fact, since 1990, prescribing it for things like weight loss and strength conditioning has been punishable by 5 to 10 years in prison.


Steve Kleppe, of Scottsdale, Ariz., a restaurant entrepreneur who has taken HGH for almost 15 years to keep feeling young, said he noticed a price jump of about 25 percent after the block on imports. He now buys HGH directly from a doctor at an annual cost of about $8,000 for himself and the same amount for his wife.


Many older patients go for HGH treatment to scores of anti-aging practices and clinics heavily concentrated in retirement states like Florida, Nevada, Arizona and California.


These sites are affiliated with hundreds of doctors who are rarely endocrinologists. Instead, many tout certification by the American Board of Anti-Aging and Regenerative Medicine, though the medical establishment does not recognize the group's bona fides.


The clinics offer personalized programs of "age management" to business executives, affluent retirees, and other patients of means, sometimes coupled with the amenities of a vacation resort. The operations insist there are few, if any, side effects from HGH. Mainstream medical authorities say otherwise.


A 2007 review of 31 medical studies showed swelling in half of HGH patients, with joint pain or diabetes in more than a fifth. A French study of about 7,000 people who took HGH as children found a 30 percent higher risk of death from causes like bone tumors and stroke, stirring a health advisory from U.S. authorities.


For proof that the drug works, marketers turn to images like the memorable one of pot-bellied septuagenarian Dr. Jeffry Life, supposedly transformed into a ripped hulk of himself by his own program available at the upscale Las Vegas-based Cenegenics Elite Health. (He declined to be interviewed.)


These promoters of HGH say there is a connection between the drop-off in growth hormone levels through adulthood and the physical decline that begins in late middle age. Replace the hormone, they say, and the aging process slows.


"It's an easy ruse. People equate hormones with youth," said Dr. Tom Perls, a leading industry critic who does aging research at Boston University. "It's a marketing dream come true."


___


Associated Press Writer David B. Caruso reported from New York and AP National Writer Jeff Donn reported from Plymouth, Mass. AP Writer Troy Thibodeaux provided data analysis assistance from New Orleans.


___


AP's interactive on the HGH investigation: http://hosted.ap.org/interactives/2012/hgh


___


The AP National Investigative Team can be reached at investigate(at)ap.org


EDITOR'S NOTE _ Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.


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Boehner's Take on Fiscal Cliff Deal: 'God Only Knows'


Dec 21, 2012 11:00am







Speaker of the House John Boehner bluntly acknowledged Friday morning he did not have the votes to pass his “Plan B” and said the only real solution is a broad agreement to cut spending and reform the tax code. Then he added these words:


“How we get there, God only knows.”


That about sums up the whole “fiscal cliff” situation after a chaotic Thursday night when Republicans had to abandon “Plan B” – their proposal to raise taxes only on people making more than $1 million.


Boehner said he is not giving up on talks to pursue a bipartisan agreement with the President, who wants taxes to be raised on people making more than $250,000. But Boehner made it clear nothing is going on right now.  Instead he said it was up to Senate Democrats and the White House to make the next move.


Read more  about “Plan B” and the dramatic action in the House on Thursday.





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