Foreigners still trapped in Sahara hostage crisis

ALGIERS/IN AMENAS, Algeria (Reuters) - More than 20 foreigners were captive or missing inside a desert gas plant on Saturday, nearly two days after the Algerian army launched an assault to free them that saw many hostages killed.

The standoff between the army and al Qaeda-linked gunmen - one of the biggest international hostage crises in decades - entered its fourth day, having thrust Saharan militancy to the top of the global agenda.

The number and fate of victims has yet to be confirmed, with the Algerian government keeping officials from Western countries far from the site where their countrymen were in peril.

Reports put the number of hostages killed at between 12 to 30, with possibly dozens of foreigners still unaccounted for - among them Norwegians, Japanese, Britons, Americans and others.

The U.S. State Department said on Friday one American, Frederick Buttaccio, had died but gave no further details.

On Saturday, the Algerian military was holding the vast residential barracks at the In Amenas gas processing plant, while gunmen were holed up in the industrial plant itself with an undisclosed number of hostages, making it difficult for Algerian special forces to intervene.

The army is surrounding the plant, and helicopters are monitoring the area, Algerian state radio said, quoting a reporter in the city of In Amenas.

Scores of Westerners and hundreds of Algerian workers were inside the heavily fortified compound when it was seized before dawn on Wednesday by Islamist fighters who said they wanted a halt to a French military operation in neighboring Mali.

Hundreds escaped on Thursday when the army launched an operation, but many hostages were killed in the assault. Algerian forces destroyed four trucks holding hostages, according to the family of a Northern Irish engineer who escaped from a fifth truck and survived.

Leaders of Britain, Japan and other countries have expressed frustration that the assault was ordered without consultation and officials have grumbled at the lack of information. Many countries also withheld details about their missing citizens to avoid releasing information that might aid the captors.

An Algerian security source said 30 hostages, including at least seven Westerners, had been killed during Thursday's assault, along with at least 18 of their captors. Eight of the dead hostages were Algerian, with the nationalities of the rest of the dead still unclear, he said.

Algeria's state news agency APS put the total number of dead hostages at 12, including both foreigners and locals.

The base was home to foreign workers from Britain's BP, Norway's Statoil and Japanese engineering firm JGC Corp and others.

Norway says eight Norwegians are still missing. JGC said it was missing 10 staff. Britain and the United States have said they have citizens unaccounted for but have not said how many.

The Algerian security source said 100 foreigners had been freed but 32 were still unaccounted for.

"We must be prepared for bad news this weekend but we still have hope," Norwegian Prime Minister Jens Stoltenberg said.

A U.S. official said on Friday a U.S. flight carrying wounded people from many countries had left Algeria, without giving further details.

The attack has plunged international capitals into crisis mode and is a serious escalation of unrest in northwestern Africa, where French forces have been in Mali since last week fighting an Islamist takeover of Timbuktu and other towns.

"We are still dealing with a fluid and dangerous situation where a part of the terrorist threat has been eliminated in one part of the site, but there still remains a threat in another part," British Prime Minister David Cameron told his parliament.

Two Japanese, two Britons and a French national were among the seven foreigners confirmed dead in the army's storming, the Algerian security source told Reuters. One British citizen was killed when the gunmen seized the hostages on Wednesday.

"(The army) is still trying to achieve a ‘peaceful outcome' before neutralizing the terrorist group that is holed up in the (facility) and freeing a group of hostages that is still being held," Algeria's state news agency said on Friday, quoting a security source.

MULTINATIONAL INSURGENCY

Algerian commanders said they moved in on Thursday about 30 hours after the siege began, because the gunmen had demanded to be allowed to take their captives abroad.

A French hostage employed by a French catering company said he had hidden in his room for 40 hours under the bed before he was rescued by Algerian troops, relying on Algerian employees to smuggle him food with a password.

"I put boards up pretty much all round," Alexandre Berceaux told Europe 1 radio. "I didn't know how long I was going to stay there ... I was afraid. I could see myself already ending up in a pine box."

The captors said their attack was a response to the French military offensive in neighboring Mali. However, some U.S. and European officials say the elaborate raid probably required too much planning to have been organized from scratch in the single week since France first launched its strikes.

Paris says the incident proves its decision to fight Islamists in neighboring Mali was necessary.

Security in the half-dozen countries around the Sahara desert has long been a preoccupation of the West. Smugglers and militants have earned millions in ransom from kidnappings.

The most powerful Islamist groups operating in the Sahara were severely weakened by Algeria's secularist military in a civil war in the 1990s. But in the past two years the regional wing of Al Qaeda gained fighters and arms as a result of the civil war in Libya, when arsenals were looted from Muammar Gaddafi's army.

Al Qaeda-linked fighters, many with roots in Algeria and Libya, took control of northern Mali last year, prompting the French intervention in that poor African former colony.

The apparent ease with which the fighters swooped in from the dunes to take control of an important energy facility, which produces some 10 percent of the natural gas on which Algeria depends for its export income, has raised questions over the value of outwardly tough Algerian security measures.

Algerian officials said the attackers may have had inside help from among the hundreds of Algerians employed at the site.

U.S. Defense Secretary Leon Panetta said those responsible would be hunted down: "Terrorists should be on notice that they will find no sanctuary, no refuge, not in Algeria, not in North Africa, not anywhere. ... Those who would wantonly attack our country and our people will have no place to hide."

(Additional reporting by Ali Abdelatti in Cairo, Eamonn Mallie in Belfast, Gwladys Fouche in Oslo, Mohammed Abbas in London, Padraic Halpin and Conor Humphries in Dublin, Andrew Quinn and David Alexander in Washington; Editing by Giles Elgood)

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Getting the law to work for you

SINGAPORE: The National Trades Union Congress and the Law Society of Singapore have launched a new initiative to educate working people on their legal rights.

The initiative called 'Law Works' will include a series of programmes that will be implemented to reach out to PMEs, working women and freelance professionals.

The year-long campaign will see the publication of a 10-part quick guide and on-site legal clinics.

At the clinics, workers will be able to consult with practising lawyers on specific legal issues.

Chief Justice Sundaresh Menon said this collaboration is very timely with the recent legislative changes.

These include the Retirement and Re-employment Act which was recently passed and the Employment Act which is currently being reviewed.

Chief Justice Menon said: "Amidst these changes to the labour laws, it is critical that workers be made aware of not only the existing legal position, and equally that they are apprised of such changes.

"The focus of the labour laws is firstly to safeguard the interests of workers by conferring rights upon them, and secondly to enable them to understand their obligations and responsibilities in the workplace."

- CNA/fa

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Chintan Shivir: Congress leaders pitch for Rahul Gandhi as PM candidate

JAIPUR: Amid talk that Rahul Gandhi will be given a larger responsibility, clamour for declaring the young leader as the Congress prime ministerial candidate grew louder at the party's Chintan Shivir on Saturday.

Union ministers Jyotiraditya Scindia, Rajiv Shukla, Jitin Prasada, senior leader Manishankar Aiyar batted for larger responsibility for Rahul as the party recognised the need to respond to the demands of "new changing India peopled by a more younger" generation.

Young leader Milind Deora said, "It is a consensus and feeling in the Shivir that youths should be empowered.

On the first day also, a number of leaders including Raj Babbar and Avtar Singh Badhana had demanded that Rahul should be declared Congress PM candidate before the party goes to next Lok Sabha polls.

"Rahul will lead the party during 2014 general elections and would be the prime ministerial candidate," party leader Sanjay Nirupam said before the discussions began on Day-2.

Uttar Pradesh leader Jitin Prasada said, "Things are being discussed as to how we can ensure participation of youths. Rahul is certainly our leader and he will lead 2014 general elections of Congress and the country as well."

Union minister Veeprappa Moily said, "Rahul is already a leader.We have stable leaders we are proud of them. Congress has always enjoyed great leadership. If there is any disconnect we are discussing these concerns and will ensure that there is proper connect."

About the demand for larger role to Rahul, Union minister Rajiv Shukla said, "It is to be decided by Sonia and Rahul, we can only demand and we are demanding.

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Lilly drug chosen for Alzheimer's prevention study

Researchers have chosen an experimental drug by Eli Lilly & Co. for a large federally funded study testing whether it's possible to prevent Alzheimer's disease in older people at high risk of developing it.

The drug, called solanezumab (sol-ah-NAYZ-uh-mab), is designed to bind to and help clear the sticky deposits that clog patients' brains.

Earlier studies found it did not help people with moderate to severe Alzheimer's but it showed some promise against milder disease. Researchers think it might work better if given before symptoms start.

"The hope is we can catch people before they decline," which can come 10 years or more after plaques first show up in the brain, said Dr. Reisa Sperling, director of the Alzheimer's center at Brigham and Women's Hospital in Boston.

She will help lead the new study, which will involve 1,000 people ages 70 to 85 whose brain scans show plaque buildup but who do not yet have any symptoms of dementia. They will get monthly infusions of solanezumab or a dummy drug for three years. The main goal will be slowing the rate of cognitive decline. The study will be done at 50 sites in the U.S. and possibly more in Canada, Australia and Europe, Sperling said.

In October, researchers said combined results from two studies of solanezumab suggested it might modestly slow mental decline, especially in patients with mild disease. Taken separately, the studies missed their main goals of significantly slowing the mind-robbing disease or improving activities of daily living.

Those results were not considered good enough to win the drug approval. So in December, Lilly said it would start another large study of it this year to try to confirm the hopeful results seen patients with mild disease. That is separate from the federal study Sperling will head.

About 35 million people worldwide have dementia, and Alzheimer's is the most common type. In the U.S., about 5 million have Alzheimer's. Current medicines such as Aricept and Namenda just temporarily ease symptoms. There is no known cure.

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Online:

Alzheimer's info: http://www.alzheimers.gov

Alzheimer's Association: http://www.alz.org

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Follow Marilynn Marchione's coverage at http://twitter.com/MMarchioneAP

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Armstrong Tearful Over Telling Kids Truth

Lance Armstrong, 41, began to cry today as he described finding out his son Luke, 13, was publicly defending him from accusations that he doped during his cycling career.

Armstrong said that he knew, at that moment, that he would have to publicly admit to taking performance-enhancing drugs and having oxygen-boosting blood transfusions when competing in the Tour de France. He made those admissions to Oprah Winfrey in a two-part interview airing Thursday and tonight.

"When this all really started, I saw my son defending me, and saying, 'That's not true. What you're saying about my dad? That's not true,'" Armstrong said, tearing up during the second installment of his interview tonight. "And it almost goes to this question of, 'Why now?'

"That's when I knew I had to talk," Armstrong said. "He never asked me. He never said, 'Dad, is this true?' He trusted me."

He told Winfrey that he sat down with his children over the holidays to come clean about his drug use.

"I said, 'Listen, there's been a lot of questions about your dad, about my career and whether I doped or did not dope,'" he said he told them. "'I always denied that. I've always been ruthless and defiant about that, which is why you defended me, which makes it even sicker' I said, 'I want you to know that it's true.'"

He added that his mother was "a wreck" over the scandal.

Armstrong said that the lowest point in his fall from grace and the top of the cycling world came when his cancer charity, Livestrong, asked him to consider stepping down.

George Burns/Harpo Studios, Inc.

Lance Armstrong-Winfrey Interview: How Honest Was He? Watch Video

Lance Armstrong-Winfrey Interview: Doping Confession Watch Video

After the U.S. Anti-Doping Agency alleged in October that Armstrong doped throughout his reign as Tour de France champion, Armstrong said, his major sponsors -- including Nike, Anheuser Busch and Trek -- called one by one to end their endorsement contracts with him.

"Everybody out," he said. "Still not the most humbling moment."

Then came the call from Livestrong, the charity he founded at age 25 when he was diagnosed with testicular cancer.

"The story was getting out of control, which was my worst nightmare," he said. "I had this place in my mind that they would all leave. The one I didn't think would leave was the foundation.

"That was most humbling moment," he said.

Armstrong first stepped down as chairman of the board for the charity before being asked to end his association with the charity entirely. Livestrong is now run independently of Armstrong.

"I don't think it was 'We need you to step down,' but, 'We need you to consider stepping down for yourself,'" he said, recounting the call. "I had to think about that a lot. None of my kids, none of my friends have said, 'You're out,' and the foundation was like my sixth child. To make that decision, to step aside, that was big."

In Thursday's interview installment, the seven-time winner of the Tour de France admitted publicly for the first time that he doped throughout his career, confirming after months of angry denials the findings of the U.S. Anti-Doping Agency, which stripped him of his titles in October.

He told Winfrey that he was taking the opportunity to confess to everything he had done wrong, including for years angrily denying claims that he had doped.

READ MORE: Armstrong Admits to Doping

WATCH: Armstrong's Many Denials Caught on Tape

READ MORE: 10 Scandalous Public Confessions

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Hostages still held after Sahara assault

ALGIERS (Reuters) - At least 22 foreign hostages remained unaccounted for on Friday after Algerian forces stormed a desert gas complex to free hundreds of captives taken by Islamist gunmen, an operation in which dozens of the hostages were killed.

With Western leaders clamoring for details of the assault they said Algeria had launched on Thursday without consulting them, a local source said the gas base was still surrounded by Algerian special forces and some hostages remained inside.

Thirty hostages, including several Westerners, were killed during the storming on Thursday, the source said, along with at least 11 of their captors, who said they had taken the site as retaliation for French intervention against Islamists in neighboring Mali.

Fourteen Japanese were among those still unaccounted for by the early hours of Friday, their Japanese employer said, while Norwegian energy company Statoil, which runs the Tigantourine gas field with Britain's BP and Algeria's national oil company, said eight Norwegian employees were still missing.

An Irish engineer who survived said he saw four jeeps full of hostages blown up by Algerian troops whose commanders said they moved in about 30 hours after the siege began because the gunmen had demanded to be allowed to take their captives abroad.

The crisis posed a serious dilemma for Paris and its allies as French troops attacked the hostage-takers' al Qaeda allies in Mali. It also left question marks over the ability of OPEC-member Algeria to protect vital energy resources and strained its relations with Western powers.

Two Japanese, two Britons and a French national were among at least seven foreigners killed, the source told Reuters. Eight dead hostages were Algerian. The nationalities of the rest, as well as of perhaps dozens more who escaped, were unclear. Some 600 local Algerian workers, less well guarded, survived.

A diplomatic source said Britain had not received any information to suggest the hostage situation had ended. "The situation is still really fluid on the ground. We have no information from the Algerian authorities that it's over."

Japan's Prime Minister Shinzo Abe has cancelled part of his trip in Southeast Asia, his first overseas trip since taking office, and will fly home early due to the hostage crisis, Japan's senior government spokesman said on Friday.

"The action of Algerian forces was regrettable," said Japan's Chief Cabinet Secretary Yoshihide Suga, adding Tokyo had not been informed of the operation in advance.

Americans, Romanians and an Austrian have also been mentioned by their governments as having been captured by the militants, who call themselves the "Battalion of Blood" and have demanded France end its week-old offensive in Mali.

Underlining the view of African and Western leaders that they face a multinational Islamist insurgency across the Sahara - a conflict that prompted France to send hundreds of troops to Mali last week - the official source said only two of the 11 dead militants were Algerian, including the squad's leader.

The bodies of three Egyptians, two Tunisians, two Libyans, a Malian and a Frenchman - all assumed to have been hostage-takers - were found, the security source said.

The group had claimed to have dozens of guerrillas on site and it was unclear whether any militants had managed to escape.

The overall commander, Algerian officials said, was Mokhtar Belmokhtar, a veteran of Afghanistan in the 1980s and Algeria's bloody civil war of the 1990s. He appears not to have been present and has now risen in stature among a host of Saharan Islamists, flush with arms and fighters from chaotic Libya, whom Western powers fear could spread violence far beyond the desert.

"NO TO BLACKMAIL"

Algeria's government made clear it remains implacably at odds with Islamist guerrillas who remain at large in the south, years after the civil war in which some 200,000 people died. Communication Minister Mohamed Said repeated their refusal ever to negotiate with hostage-takers.

"We say that in the face of terrorism, yesterday as today as tomorrow, there will be no negotiation, no blackmail, no respite in the struggle against terrorism," he told APS news agency.

British Prime Minister David Cameron, who warned people to prepare for bad news and who cancelled a major policy speech on Friday to deal with the situation, said through a spokesman that he would have liked Algeria to have consulted before the raid.

A Briton and an Algerian were also killed on Wednesday.

U.S. officials had no clear information on the fate of Americans, though a U.S. military drone had flown over the area. Washington, like its European allies, has endorsed France's move to protect the Malian capital by mounting air strikes last week and now sending 1,400 ground troops to attack Islamist rebels.

A U.S. official said on Thursday it would provide transport aircraft to help France with a mission whose vital importance, President Francois Hollande said, was demonstrated by the attack in Algeria. Some fear, however, that going on the offensive in the remote region could provoke more bloodshed closer to home.

The apparent ease with which the fighters swooped in from the dunes to take control of an important energy facility, which produces some 10 percent of the natural gas on which Algeria depends for its export income, has raised questions over the value of security measures that are outwardly draconian.

(Additional reporting by Ali Abdelatti in Cairo, Eamonn Mallie in Belfast, Gwladys Fouche in Oslo, Mohammed Abbas in London and Padraic Halpin and Conor Humprhies in Dublin; writing by Alastair Macdonald and Philippa Fletcher; editing by Peter Millership, Michael Perry and Will Waterman)

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Palestinians brace for new rightwing Israeli govt

RAMALLAH, Palestinian Territories: The Palestinians are bracing for a new right-wing government that Israel's election is expected to produce, hoping that international and domestic moves will strengthen their position.

"There is complete ignorance and denial of the peace process and the two-state solution," warned Palestinian analyst Mahdi Abdul Hadi, director of the Passia think tank.

"Nobody is talking about the Palestinians."

Hanan Ashrawi, a senior member of the Palestine Liberation Organisation (PLO), said: "The absence of peace and the Palestinian question in the Israeli electoral discourse points to an inability to confront reality."

Israelis go to the polls on Tuesday, when they are expected to vote in a government which polls indicate could be even more right-wing than the outgoing administration.

Prime Minister Benjamin Netanyahu's right-wing Likud, which is running on a joint list with the hardline nationalist Yisrael Beitenu of Avigdor Lieberman, a settler and former foreign minister, is projected to win most seats.

And polls show the third biggest party -- and probably Netanyahu's biggest coalition partner -- will be the hardline religious nationalist Jewish Home, whose leader has pledged to prevent the creation of a Palestinian state.

"We're expecting a change for the worse and an increase in Israeli extremism, especially as Netanyahu is now allied with the extremists, and that doesn't bode well," Ashrawi told AFP.

The view from the Gaza Strip was equally gloomy.

"This Israeli election is a race to shed Palestinian blood, increase settlement activity and expel Palestinians," said Fawzi Barhum, a spokesman for Gaza's ruling Islamist Hamas movement.

Israel and Hamas engaged in eight days of bloody fighting in November over rocket fire on the Jewish state, which ended with the deaths of 177 Gazans and six Israelis.

Although an Egypt-brokered truce deal has largely been respected, it is only a matter of time before Israel's new government is drawn into a new confrontation with Hamas, experts say.

With the general election just days away, many believe the only answer is to strengthen the Palestinians' standing internationally and work towards overcoming the bitter rivalry between Hamas and Fatah, which dominates the West Bank-based Palestinian Authority.

"There must be a new, strong and unified Palestinian position in the framework of a national unity programme to confront this Israeli challenge and to protect our people, our land and our holy places," Barhum said.

Implementation of a stalled reconciliation deal between Fatah and Hamas showed encouraging signs last month.

Passia's Abdul Hadi warned said that any progress would be in "slow motion" although integrating Hamas into the Palestinian political system "would be a clear message to Israelis: 'You cannot have your cake and eat it'."

The Palestinians hope the international community will pressure Israel to resume peace talks which have been on hold for more than two years over the issue of settlement construction.

"Palestinians... are hoping that something might come from Brussels or Washington," Abdul Hadi said.

In the meantime, with their new upgraded UN ranking as a non-member state, the Palestinians have a menu of more than 60 international organisations they could seek to join.

Speculation has centred on the possibility of them looking to join the International Criminal Court where they could challenge Israel on settlement building.

So far, the Palestinians have said they would only exercise that option as a last resort, in extreme cases such as settlement construction in the E1 area near Jerusalem which could potentially cut the West Bank in half.

A more immediate concern is a financial crisis faced by the Palestinian Authority, which has been unable to pay its employees after Israel withheld tax and tariff revenues as a punishment for the UN move.

"Maintenance -- survival of the PA, financially and politically -- both in house and in the region" will be high on the Palestinian agenda whoever comes to power in Israel on January 22, Abdul Hadi said.

- AFP/xq

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Congress is the only pan-India party: Sonia Gandhi

JAIPUR: Sonia Gandhi has said that Congress remains the most popular political party in India.

"Congress is the only pan-India party with presence in all cities and villages," Sonia Gandhi said.

The Congress president also said that the party should look at its strengths and weaknesses.

"There is increased competition and inroads have been made in our traditional strongholds," Congress chief Sonia Gandhi said.

Sonia Gandhi was addressing the Congress Party's 'Chintan Shivir' at Jaipur on Friday.

Ways to shore up the economy, women's empowerment, foreign affairs, organisational strength and the recent flash mob protests will be discussed at the Congress' strategy session at Jaipur Jan 18-20.

Prime Minister Manmohan Singh and the party's de facto number two Rahul Gandhi will address the All India Congress Committee session on Jan 20, which will approve the Jaipur declaration.

That declaration is expected to serve as a guide to the party in the nine assembly polls to be held 2013 and the 2014 Lok Sabha elections.

(With inputs from IANS)

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Food servers more vulnerable to legal threats

WASHINGTON (AP) — People with severe food allergies have a new tool in their attempt to find menus that fit their diet: federal disabilities law. And that could leave schools, restaurants and anyplace else that serves food more vulnerable to legal challenges over food sensitivities.

A settlement stemming from a lack of gluten-free foods available to students at a Massachusetts university could serve as a precedent for people with other allergies or conditions, including peanut sensitivities or diabetes. Institutions and businesses subject to the Americans With Disabilities Act could be open to lawsuits if they fail to honor requests for accommodations by people with food allergies.

Colleges and universities are especially vulnerable because they know their students and often require them to eat on campus, Eve Hill of the Justice Department's civil rights division says. But a restaurant also could be liable if it blatantly ignored a customer's request for certain foods and caused that person to become ill, though that case might be harder to argue if the customer had just walked in off the street, Hill said.

The settlement with Lesley University, reached last month but drawing little attention, will require the Cambridge, Mass., institution to serve gluten-free foods and make other accommodations for students who have celiac disease. At least one student complained to the federal government after the school would not exempt the student from a meal plan even though the student couldn't eat the food.

"All colleges should heed this settlement and take steps to make accommodations," says Alice Bast, president and founder of the National Foundation for Celiac Awareness. "To our community this is definitely a precedent."

People who suffer from celiac disease don't absorb nutrients well and can get sick from the gluten found in wheat, rye and barley. The illness, which affects around 2 million Americans, causes abdominal pain, bloating and diarrhea, and people who have it can suffer weight loss, fatigue, rashes and other problems. Celiac is a diagnosed illness that is more severe than gluten sensitivity, which some people self-diagnose.

Ten years ago, most people had never heard of celiac disease. But awareness has exploded in recent years, for reasons that aren't entirely clear. Some researchers say it was under-diagnosed, others say it's because people eat more processed wheat products like pastas and baked goods than in past decades, and those items use types of wheat that have a higher gluten content.

Gluten-free diets have expanded beyond those with celiac disease. Millions of people are buying gluten-free foods because they say they make them feel better, even if they don't have a wheat allergy. Americans were expected to spend $7 billion on gluten-free foods last year.

With so many people suddenly concerned with gluten content, colleges and universities have had to make accommodations. Some will allow students to be exempted from meal plans, while others will work with students individually. They may need to do even more now as the federal government is watching.

"These kids don't want to be isolated," Bast says. "Part of the college experience is being social. If you can't even eat in the school cafeteria then you are missing out on a big part of college life."

Under the Justice Department agreement, Lesley University says it will not only provide gluten-free options in its dining hall but also allow students to pre-order, provide a dedicated space for storage and preparation to avoid cross-contamination, train staff about food allergies and pay a $50,000 cash settlement to the affected students.

"We are not saying what the general meal plan has to serve or not," Hill says. "We are saying that when a college has a mandatory meal plan they have to be prepared to make reasonable modifications to that meal plan to accommodate students with disabilities."

The agreement says that food allergies may constitute a disability under the Americans With Disabilities Act, if they are severe enough. The definition was made possible under 2009 amendments to the disability law that allowed for episodic impairments that substantially limit activity.

"By preventing people from eating, they are really preventing them from accessing their educational program," Hill said of the school and its students.

Mary Pat Lohse, the chief of staff and senior adviser to Lesley University's president, says the school has been working with the Justice Department for more than three years to address students' complaints. She says the school has already implemented most parts of the settlement and will continue to update policies to serve students who need gluten-free foods.

"The settlement agreement provides a positive road map for other colleges and universities to follow with regard to accommodating students with food allergies and modifying existing food service plans," Lohse said.

Some say the Justice Department decision goes too far. Hans von Spakovsky, a fellow at the conservative Heritage Foundation who worked in the civil rights division of the Justice Department under President George W. Bush, says food allergies shouldn't apply under the disability act. He adds that the costs could be substantial when schools are already battling backlash from high tuition costs.

"I certainly encourage colleges and universities to work with students on this issue, but the fact that this is a federal case and the Justice Department is going to be deciding what kind of meals could be served in a dining hall is just absurd," he said.

Whether the government is involved or not, schools and other food service establishments are likely to hear from those who want more gluten-free foods. Dhanu Thiyagarajan, a sophomore at the University of Pittsburgh, said she decided to speak up when she arrived at school and lost weight because there were too few gluten-free options in the cafeteria. Like Lesley University, the University of Pittsburgh requires that on-campus students participate in a meal plan.

Thiyagarajan eventually moved off campus so she could cook her own food, but not before starting an organization of students who suffer from wheat allergies like hers. She says she is now working with food service at the school and they have made a lot of progress, though not enough for her to move back on campus.

L. Scott Lissner, the disability coordinator at Ohio State University, says he has seen similar situations at his school, though people with food allergies have not traditionally thought of themselves as disabled. He says schools will eventually have to do more than just exempt students from a meal plan.

"This is an early decision on a growing wave of needs that universities are going to have to address," he said of the Lesley University agreement.

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Armstrong Admits to Doping, 'One Big Lie'

Lance Armstrong, formerly cycling's most decorated champion and considered one of America's greatest athletes, confessed to cheating for at least a decade, admitting on Thursday that he owed all seven of his Tour de France titles and the millions of dollars in endorsements that followed to his use of illicit performance-enhancing drugs.

After years of denying that he had taken banned drugs and received oxygen-boosting blood transfusions, and attacking his teammates and competitors who attempted to expose him, Armstrong came clean with Oprah Winfrey in an exclusive interview, admitting to using banned substances for years.

"I view this situation as one big lie that I repeated a lot of times," he said. "I know the truth. The truth isn't what was out there. The truth isn't what I said.

"I'm a flawed character, as I well know," Armstrong added. "All the fault and all the blame here falls on me."

In October, the U.S. Anti-Doping Agency issued a report in which 11 former Armstrong teammates exposed the system with which they and Armstrong received drugs with the knowledge of their coaches and help of team physicians.

George Burns/Courtesy of Harpo Studios, Inc./AP Photo

Lance Armstrong Admits Using Performance-Enhancing Drugs Watch Video

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The U.S. Postal Service Cycling Team "ran the most sophisticated, professionalized and successful doping program that sport has ever seen," USADA said in its report.

As a result of USADA's findings, Armstrong was stripped of his Tour de France titles. Soon, longtime sponsors including Nike began to abandon him, too.

READ MORE: Did Doping Cause Armstrong's Cancer?

Armstrong said he was driven to cheat by a "ruthless desire to win."

He told Winfrey that his competition "cocktail" consisted of EPO, blood transfusions and testosterone, and that he had previously used cortisone. He would not, however, give Winfrey the details of when, where and with whom he doped during seven winning Tours de France between 1999 and 2005.

He said he stopped doping following his 2005 Tour de France victory and did not use banned substances when he placed third in 2009 and entered the tour again in 2010.

"It was a mythic perfect story and it wasn't true," Armstrong said of his fairytale story of overcoming testicular cancer to become the most celebrated cyclist in history.

READ MORE: 10 Scandalous Public Confessions

PHOTOS: Olympic Doping Scandals: Past and Present

PHOTOS: Tour de France 2012

Armstrong would not name other members of his team who doped, but admitted that as the team's captain he set an example. He admitted he was "a bully" but said there "there was a never a directive" from him that his teammates had to use banned substances.

"At the time it did not feel wrong?" Winfrey asked.

"No," Armstrong said. "Scary."

"Did you feel bad about it?" she asked again.

"No," he said.

Armstrong said he thought taking the drugs was similar to filling his tires with air and bottle with water. He never thought of his actions as cheating, but "leveling the playing field" in a sport rife with doping.

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Sahara hostage siege turns Mali war global

ALGIERS/BAMAKO (Reuters) - Islamist gunmen holding dozens of Western hostages and scores of Algerians at a gas plant deep in the Sahara desert let some them speak to the media on Thursday to warn that they would be blown up if the site is stormed.

Governments around the globe were holding emergency meetings to respond to one of the biggest international hostage crises in decades, which sharply raises the stakes over a week-old French campaign against al Qaeda-linked fighters in neighboring Mali.

A group calling itself the "Battalion of Blood" says it seized 41 foreigners, including Americans, Japanese and Europeans, after storming a natural gas pumping station and employee barracks in Algeria before dawn on Wednesday.

The attackers have demanded an end to the French military campaign in Mali, where hundreds of French paratroops and marines are launching a ground offensive against rebels in a campaign that began a week ago with air strikes.

Algerian troops have the site surrounded, deep in the Sahara desert. An unidentified hostage who spoke to France 24 television said prisoners were being forced to wear explosive belts. Their captors were heavily armed and had threatened to blow up the base if the Algerian army tried to storm it.

"They attacked the two sites at the same time. They went inside, and once it was daylight they gathered everyone together," the man, who sounded calm, said in the only part of the phone call the French broadcaster aired.

Another hostage, identified as British, spoke to Al Jazeera television and called on the Algerian army to withdraw from the area to avoid casualties.

"We are receiving care and good treatment from the kidnappers. The (Algerian) army did not withdraw and they are firing at the camp," the man said.

"There are around 150 Algerian hostages. We say to everybody that negotiations is a sign of strength and will spare many any loss of life," he said, adding that there were about 150 Algerian hostages in custody.

Another hostage, identified as Irish, told the Qatar-based channel: "The situation is deteriorating. We have contacted the embassies and we call the Algerian army to withdraw ... We are worried because of the continuation of the firing. Among the hostages are French, American, Japanese, British, Norwegian and Irish."

In what it said was a phone interview with one of the hostage takers, the Mauritanian news agency ANI said Algerian security forces had tried to approach the facility at dawn.

"We will kill all the hostages if the Algerian army try to storm the area," it quoted the hostage taker as saying. Algeria has not commented on reports its troops tried to approach.

Algerian Interior Minister Daho Ould Kablia said the raid was led by Mokhtar Belmokhtar, a veteran Islamist guerrilla fighter who fought Soviet forces in Afghanistan in the 1980s and had recently set up his own group in the Sahara after falling out with other local al Qaeda leaders.

A holy warrior-cum-smuggler dubbed "The Uncatchable" by French intelligence and "Mister Marlboro" by some locals for his illicit cigarette-running business, Belmokhtar's links to those who seized towns across northern Mali last year are unclear.

NUMBERS UNCONFIRMED

The precise number and nationalities of foreign hostages could not be confirmed, with countries perhaps reluctant to release information that could be useful to the captors.

British Foreign Secretary William Hague confirmed one Briton had been killed and "a number" of other British citizens were being held. Algerian media said an Algerian was killed in the assault. Another local report said a Frenchman had died.

The militants said seven Americans were among their hostages - a figure U.S. officials said they could not confirm. Norwegian oil company Statoil said nine of its Norwegian staff and three Algerian employees were captive. Japanese media said five workers from Japanese engineering firm JGC Corp. were held. France has not confirmed whether any French citizens were held.

"This is a dangerous and rapidly developing situation," Britain's Hague told reporters in Sydney. "The safety of those involved and their co-workers is our absolute priority, and we will work around the clock to resolve this crisis."

U.S. Defense Secretary Leon Panetta said: "I want to assure the American people that the United States will take all necessary and proper steps that are required to deal with this situation."

Japan's Prime Minister Shinzo Abe, in Vietnam on the first leg of a Southeast Asian tour, told reporters that "Japan will never tolerate such an act", according to the Jiji news agency. His government held an emergency meeting and said it was working with other countries to free Japanese citizens.

One thing is clear: as a headline-grabbing counterpunch to this week's French buildup in Mali, it presents French President Francois Hollande with stark choices.

France's ambassador to Mali, Christian Rouyer, said the attack in Algeria demonstrated that the French were right on the need to intervene in Mali.

"We have the flagrant proof that this problem goes beyond just the north of Mali," Rouyer told France Inter radio. "Northern Mali is at heart of the problem, of course, but the dimension is really national and international, which gives even more justification to the French intervention."

Hollande has received backing from Western and African allies who fear that al Qaeda, flush with men and arms from the defeated forces of Libya's Muammar Gaddafi, is building a desert haven in Mali, a poor country that was helpless to combat fighters who seized its northern cities last year.

The Algerian government has ruled out negotiating with the hostage takers and the United States and other Western governments condemned the attack on a facility that produces 10 percent of Algeria's gas, much of which is pumped to Europe.

The militants, communicating through established contacts with media in neighboring Mauritania, said they had dozens of men armed with mortars and anti-aircraft missiles at the base and had rigged it with explosives.

They said they had repelled a raid by Algerian forces after dark on Wednesday. There was no government comment on that. Algerian officials said earlier about 20 gunmen were involved.

GOVERNMENTS HELD RESPONSIBLE

"We hold the Algerian government and the French government and the countries of the hostages fully responsible if our demands are not met, and it is up to them to stop the brutal aggression against our people in Mali," read one statement carried by Mauritanian media.

They condemned Algeria's secularist government for letting French warplanes fly over its territory to Mali. They also accused Algeria of shutting its border to Malian refugees.

Regis Arnoux, head of CIS, a French catering firm operating at the site, told BFM television he had been in touch with a manager of some 150 Algerian workers there. Local staff were being prevented from leaving but were otherwise free to move around inside and keep on working.

"The Westerners are kept in a separate wing of the base," Arnoux said. "They are tied up and are being filmed. Electricity is cut off, and mobile phones have no charge.

"Direct action seems very difficult ... Algerian officials have told the French authorities as well as BP that they have the situation under control and do not need their assistance."

Norway's Statoil operates the gas field in a joint venture with Britain's BP and the Algerian state company Sonatrach.

"Our total focus is on fixing this situation and returning our colleagues home," Statoil CEO Helge Lund told a news conference in Stavanger, western Norway. "Family, friends and colleagues are waiting for news from them."

Lund will travel later Thursday to Bergen, western Norway, to a crisis centre set up in a hotel by the company where some relatives of the hostages are gathering.

Japan's JGC Corp. said in a statement it was cooperating with the government but would not comment the number of its employees kidnapped.

In Mali, France said on Wednesday its forces were about to launch a ground assault on the rebels they began targeting from the air last week. Residents said a column of some 30 French Sagaie armoured vehicles set off toward rebel positions from the town of Niono, 300 km (190 miles) from the capital, Bamako.

Many inhabitants of northern Mali have welcomed the French attacks, although some also fear being caught in the cross-fire. The Mali rebels who seized Timbuktu and other oasis towns in northern Mali last year had imposed Islamic law, including public amputations and beheadings, that angered many locals.

"There is a great hope," one man said from Timbuktu, where he said Islamist fighters were trying to blend into civilian neighborhoods. "We hope that the city will be freed soon."

The rebels include fighters from al Qaeda's mainly Algerian-based North African wing AQIM as well as home-grown Malian groups Ansar Dine and MUJWA. Islamists have warned Hollande that he has "opened the gates of hell" for all French citizens.

The United Nations has authorized an African force to fight the rebels, and about 2,000 troops from Nigeria, Chad, Niger and other states are expected soon.

(Additional reporting by Pascal Fletcher and Andrew Callus in London, Balazs Koranyi in Oslo, Laurent Prieur in Nouakchott, Daniel Flynn in Dakar, John Irish, Catherine Bremer, Marine Pennetier, and Nick Vinocur in Paris, David Alexander in Rome, Andrew Quinn in Washington, Jane Wardell in Sydney, Omar Fahmy in Cairo, Mirna Sleiman in Dubai and Kaori Kaneko in Tokyo; Writing by Peter Graff and Alastair Macdonald)

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Nokia to cut up to 300 jobs in IT unit

HELSINKI: Nokia said on Thursday it will cut up to 300 jobs in a restructuring of its global IT organisation.

"As part of the planned changes, Nokia plans to transfer certain activities and up to 820 employees to HCL Technologies and TATA Consultancy Services," the company said in a statement.

The Espoo-based company said the majority of those affected by the changes were based in Finland.

The plan would increase efficiency, reduce costs and create an IT organisation "appropriate for Nokia's current size and scope," it added.

"These are the last anticipated reductions as part of Nokia's focused strategy announcement of June 2012," the company said.

In June last year, the company said it planned 10,000 job cuts by the end of 2013 amid massive cost-saving measures.

Once the leader in mobile phones, Nokia has been losing market share as consumers move to smartphones powered by Apple's iOS or Google's Android operating system.

The company was the world's number one mobile phone maker for more than a decade but lost that title to Samsung in 2011 and has registered six straight quarterly losses.

Credit rating agencies have downgraded the beleaguered Finnish phone giant amid worries over its future profitability and its cash position.

However, shares in the company soared last week after it published partial fourth quarter earnings that were better than expected.

It is scheduled to present its full fourth quarter and full-year 2012 earnings report on January 24.

- AFP/al

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Amid tension, India returns Pakistani national

AMRITSAR: Notwithstanding the brimming tension across Line of Control (LoC) in Jammu following brutal killing of two Indian soldiers by Pakistani army, India on late Wednesday night repatriated a Pakistani national who had inadvertently crossed into India.

A BSF official Shubhendu Bhardwaj informed TOI on Thursday that Sayed Naseem Hussain Shah, 28, was detained by BSF's Kissan Guard inside Indian territory near Kahangarh check post on Wednesday.

The preliminary interrogation of Shah revealed that he was upset following a tiff with his wife and left his home in fit of anger. Resident of Patti Ground falling under Naulakha police station in Lahore, Shah, informed his interrogators that he worked as a labourer in a fan manufacturing factory in Lahore.

Shubhendu informed that investigations revealed that on Wednesday noon Shah had a fight with his wife over some issue and he even thrashed her following which he left his home in state of absent mindedness and came toward the Pakistan side of Integrated Check Post (ICP) at Wagah from where he entered India. According to BSF official, Shah admitted that he was spotted by Pakistan Rangers who didn't prevent him from crossing the border. But as he crossed the international boundary with Pakistan and entered India, he was challenged by BSF's Kissan Guard and was asked to return but he didn't listen to them following which he was detained. BSF recovered Rs 105 Pakistan currency, a double SIM mobile phone and an identity card in Urdu. After being convinced of his innocence, BSF sent a message for flag meeting to Pakistan Rangers at India-Pakistan joint check post at Attari at around 8pm and provided them with Shah's details for verification. It took nearly three hours to ascertain Shah's identity following which he was handed over to Pakistan Rangers at midnight after obtaining receipt from them.

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Large study confirms flu vaccine safe in pregnancy

NEW YORK (AP) — A large study offers reassuring news for pregnant women: It's safe to get a flu shot.

The research found no evidence that the vaccine increases the risk of losing a fetus, and may prevent some deaths. Getting the flu while pregnant makes fetal death more likely, the Norwegian research showed.

The flu vaccine has long been considered safe for pregnant women and their fetus. U.S. health officials began recommending flu shots for them more than five decades ago, following a higher death rate in pregnant women during a flu pandemic in the late 1950s.

But the study is perhaps the largest look at the safety and value of flu vaccination during pregnancy, experts say.

"This is the kind of information we need to provide our patients when discussing that flu vaccine is important for everyone, particularly for pregnant women," said Dr. Geeta Swamy, a researcher who studies vaccines and pregnant women at Duke University Medical Center.

The study was released by the New England Journal of Medicine on Wednesday as the United States and Europe suffer through an early and intense flu season. A U.S. obstetricians group this week reminded members that it's not too late for their pregnant patients to get vaccinated.

The new study was led by the Norwegian Institute of Public Health. It tracked pregnancies in Norway in 2009 and 2010 during an international epidemic of a new swine flu strain.

Before 2009, pregnant women in Norway were not routinely advised to get flu shots. But during the pandemic, vaccinations against the new strain were recommended for those in their second or third trimester.

The study focused on more than 113,000 pregnancies. Of those, 492 ended in the death of the fetus. The researchers calculated that the risk of fetal death was nearly twice as high for women who weren't vaccinated as it was in vaccinated mothers.

U.S. flu vaccination rates for pregnant women grew in the wake of the 2009 swine flu pandemic, from less than 15 percent to about 50 percent. But health officials say those rates need to be higher to protect newborns as well. Infants can't be vaccinated until 6 months, but studies have shown they pick up some protection if their mothers got the annual shot, experts say.

Because some drugs and vaccines can be harmful to a fetus, there is a long-standing concern about giving any medicine to a pregnant woman, experts acknowledged. But this study should ease any worries about the flu shot, said Dr. Denise Jamieson of the Centers for Disease Control and Prevention.

"The vaccine is safe," she said.

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Online:

Medical journal: http://www.nejm.org

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Notre Dame: Football Star Was 'Catfished' in Hoax

Notre Dame's athletic director and the star of its near-championship football team said the widely-reported death of the star's girlfriend from leukemia during the 2012 football season was apparently a hoax, and the player said he was duped by it as well.

Manti Te'o, who led the Fighting Irish to the BCS championship game this year and finished second for the Heisman Trophy, said in a statement today that he fell in love with a girl online last year who turned out not to be real.

The university's athletic director, Jack Swarbrick, said it has been investigating the "cruel hoax" since Te'o approached officials in late December to say he believed he had been tricked.

Private investigators hired by the university subsequently monitored online chatter by the alleged perpetrators, Swarbrick said, adding that he was shocked by the "casual cruelty" it revealed.

"They enjoyed the joke," Swarbrick said, comparing the ruse to the popular film "Catfish," in which filmmakers revealed a person at the other end of an online relationship was not who they said they were.

"While we still don't know all of the dimensions of this ... there are certain things that I feel confident we do know," Swarbrick said. "The first is that this was a very elaborate, very sophisticated hoax, perpetrated for reasons we don't understand."

Mike Ehrmann/Getty Images

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Te'o said during the season that his girlfriend, Lennay Kekua, died of leukemia in September on the same day Te'o's grandmother died, triggering an outpouring of support for Te'o at Notre Dame and in the media.

"While my grandma passed away and you take, you know, the love of my life [Kekua]. The last thing she said to me was, 'I love you,'" Te'o said at the time, noting that he had talked to Kekua on the phone and by text message until her death.

Now, responding to a story first reported by the sports website Deadspin, Te'o has acknowledged that Kekua never existed. The website reported today that there were no records of a woman named Lennay Kekua anywhere.

Te'o denied that he was in on the hoax.

"This is incredibly embarrassing to talk about, but over an extended period of time, I developed an emotional relationship with a woman I met online," Te'o said in a statement released this afternoon. "We maintained what I thought to be an authentic relationship by communicating frequently online and on the phone, and I grew to care deeply about her."

Swarbrick said he expected Te'o to give his version of events at a public event soon, perhaps Thursday, and that he believed Te'o's representatives were planning to disclose the truth next week until today's story broke.

Deadspin reported that the image attached to Kekua's social media profiles, through which the pair interacted, was of another woman who has said she did not even know Te'o or know that her picture was being used. The website reported that it traced the profiles to a California man who is an acquaintance of Te'o and of the woman whose photo was stolen.

"To realize that I was the victim of what was apparently someone's sick joke and constant lies was, and is, painful and humiliating," Te'o said.

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French, Malian troops encircle Islamist rebels in central Mali

BAMAKO/PARIS (Reuters) - French ground troops and Malian army forces encircled Islamist fighters in the central Malian town of Diabaly on Wednesday, military sources said, as France prepared to launch its first ground assault on the rebels.

France, which has warned that Islamists' seizure of Mali's desert north last year represented a threat to the security of the West, moved a column of armored vehicles on Tuesday into position at the nearby town of Niono, some 300 km (190 miles) from the dusty riverside capital Bamako.

"French forces have secured Niono to stop the Islamists advancing to Segou while the Malian army is securing the border area with Mauritania," said one source. "They are now encircled and a final assault is only a matter of time."

A Diabaly resident, who had fled to Niono to avoid the fighting, reported seeing French and Malian troops leaving in armored vehicles toward Islamist rebel lines.

In a sixth day of air assaults, French fighter jets also struck the headquarters of the Islamic police in Niafunke, near the ancient caravan town of Timbuktu, local residents said.

French army chief Edouard Guillaud said its forces were prepared to dislodge the Islamist fighters from the whole of Mali.

"In the coming hours -- but I cannot tell you if it's in one hour or 72 hours -- yes, of course we will be fighting them directly," he told Europe 1 radio.

French Defense Minister Jean-Yves Le Drian said on Wednesday that the country's campaign against al Qaeda-affiliated rebels in Mali would be long.

President Francois Hollande said on Tuesday French forces would remain in Mali until stability returned to the West African nation. Hollande said France hoped, however, to hand over to African forces in its former colony, "in the coming days or weeks."

Military chiefs from the West African regional bloc ECOWAS met for a second day in Bamako on Wednesday in a bid to hammer out the details of their U.N.-mandated deployment.

(Additional reporting By Tiemoko Diallo; writing by Daniel Flynn; Editing by David Lewis)

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Man charged over Changi Village murder

SINGAPORE : A man has been charged with murder, following a fight at Changi Village that left a man dead.

44-year-old Low Chuan Woo is alleged to have caused the death of 45-year-old Mohd Iskander Ishak on Monday night at a pub at Changi Village.

Media reports quoted eyewitnesses who said Mr Mohd Iskander was stabbed repeatedly.

He was taken to Changi General Hospital, but died from his injuries.

In court on Wednesday, Low was calm as charges were read to him.

Some of his family members were spotted in the public gallery.

He will be be back in court on January 23.

- CNA/ms

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Indian troops did not cross LoC: Army chief General Bikram Singh

KHAIRAIR (UP): Rejecting Pakistan's allegations, Army chief General Bikram Singh on Wednesday said Indian troops have not crossed the Line of Control (LoC) or indulged in unprovoked firing and that any casualty on the other side may have been due to retaliatory firing.

"Our jawans don't cross the LoC. We honour human rights. We fire in retaliation when provoked," he said here after meeting the family of Lance Naik Hemraj, who was beheaded by Pakistani soldiers in a cross-LoC attack in Poonch sector of Jammu and Kashmir on January 8.

Responding to the Pakistani charge that one of its soldiers was killed in "unprovoked firing" along LoC, the Army chief said it may have happened during cross-firing.

"These are normal activities that take place at the LoC. We have retaliated in response to cross-firing," he said.

Replying to questions, Singh said, "The relationship (between the two countries) is got to be seen on what has been going on at the border".

The Pakistan army had alleged that Indian troops had violated the ceasefire along LoC late last night and "carried out unprovoked firing" in Hotspring and Jandrot sectors.

On the possibility of getting back the head of Hemraj, which was taken away by Pakistani soldiers, the Army chief said efforts are being made to get it back.

Singh, however, refused to respond to Pakistani foreign minister Hina Rabbani Khar's statement that the Indian Army chief's comments were "provocative", saying he was yet to read the statement.

He met the family of Hemraj and offered his condolences. He assured them that all their requirements will be met.

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ER visits tied to energy drinks double since 2007

SAN FRANCISCO (AP) — A new government survey suggests the number of people seeking emergency treatment after consuming energy drinks has doubled nationwide during the past four years, the same period in which the supercharged drink industry has surged in popularity in convenience stores, bars and on college campuses.

From 2007 to 2011, the government estimates the number of emergency room visits involving the neon-labeled beverages shot up from about 10,000 to more than 20,000. Most of those cases involved teens or young adults, according to a survey of the nation's hospitals released late last week by the Substance Abuse and Mental Health Services Administration.

The report doesn't specify which symptoms brought people to the emergency room but calls energy drink consumption a "rising public health problem" that can cause insomnia, nervousness, headache, fast heartbeat and seizures that are severe enough to require emergency care.

Several emergency physicians said they had seen a clear uptick in the number of patients suffering from irregular heartbeats, anxiety and heart attacks who said they had recently downed an energy drink.

More than half of the patients considered in the survey who wound up in the emergency room told doctors they had downed only energy drinks. In 2011, about 42 percent of the cases involved energy drinks in combination with alcohol or drugs, such as the stimulants Adderall or Ritalin.

"A lot of people don't realize the strength of these things. I had someone come in recently who had drunk three energy drinks in an hour, which is the equivalent of 15 cups of coffee," said Howard Mell, an emergency physician in the suburbs of Cleveland, who serves as a spokesman for the American College of Emergency Physicians. "Essentially he gave himself a stress test and thankfully he passed. But if he had a weak heart or suffered from coronary disease and didn't know it, this could have precipitated very bad things."

The findings came as concerns over energy drinks have intensified following reports last fall of 18 deaths possibly tied to the drinks — including a 14-year-old Maryland girl who died after drinking two large cans of Monster Energy drinks. Monster does not believe its products were responsible for the death.

Two senators are calling for the Food and Drug Administration to investigate safety concerns about energy drinks and their ingredients.

The energy drink industry says its drinks are safe and there is no proof linking its products to the adverse reactions.

Late last year, the FDA asked the U.S. Health and Human Services to update the figures its substance abuse research arm compiles about emergency room visits tied to energy drinks.

The Substance Abuse and Mental Health Services Administration's survey was based on responses it receives from about 230 hospitals each year, a representative sample of about 5 percent of emergency departments nationwide. The agency then uses those responses to estimate the number of energy drink-related emergency department visits nationwide.

The more than 20,000 cases estimated for 2011 represent a small portion of the annual 136 million emergency room visits tracked by Centers for Disease Control and Prevention.

The FDA said it was considering the findings and pressing for more details as it undertakes a broad review of the safety of energy drinks and related ingredients this spring.

"We will examine this additional information ... as a part of our ongoing investigation into potential safety issues surrounding the use of energy-drink products," FDA spokeswoman Shelly Burgess said in a statement.

Beverage manufacturers fired back at the survey, saying the statistics were misleading and taken out of context.

"This report does not share information about the overall health of those who may have consumed energy drinks, or what symptoms brought them to the ER in the first place," the American Beverage Association said in a statement. "There is no basis by which to understand the overall caffeine intake of any of these individuals — from all sources."

Energy drinks remain a small part of the carbonated soft drinks market, representing only 3.3 percent of sales volume, according to the industry tracker Beverage Digest. Even as soda consumption has flagged in recent years, energy drinks sales are growing rapidly.

In 2011, sales volume for energy drinks rose by almost 17 percent, with the top three companies — Monster, Red Bull and Rockstar — each logging double-digit gains, Beverage Digest found. The drinks are often marketed at sporting events that are popular among younger people such as surfing and skateboarding.

From 2007 to 2011, the most recent year for which data was available, people from 18 to 25 were the most common age group seeking emergency treatment for energy drink-related reactions, the report found.

"We were really concerned to find that in four years the number of emergency department visits almost doubled, and these drinks are largely marketed to younger people," said Al Woodward, a senior statistical analyst with the Substance Abuse and Mental Health Services Administration who worked on the report.

Emergency physician Steve Sun said he had seen an increase in such cases at the Catholic hospital where he works on the edge of San Francisco's Golden Gate Park.

"I saw one young man who had mixed energy drinks with alcohol and we had to admit him to the hospital because he was so dehydrated he had renal failure," Sun said. "Because he was young he did well in the hospital, but if another patient had had underlying coronary artery disease, it could have led to a heart attack."

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Follow Garance Burke on Twitter at http://twitter.com/garanceburke

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NRA Ad Calls Obama 'Elitist Hypocrite'

Jan 16, 2013 12:04am

Pablo Martinez Monsivais/AP Photo

As the White House prepares to unveil a sweeping plan aimed at curbing gun violence, the National Rifle Association has launched a preemptive, personal attack on President Obama, calling him an “elitist hypocrite” who, the group claims, is putting American children at risk.

In 35-second video posted online Tuesday night, the NRA criticizes Obama for accepting armed Secret Service protection for his daughters, Sasha and Malia, at their private Washington, D.C., school while questioning the placement of similar security at other schools.

“Are the president’s kids more important than yours? Then why is he skeptical about putting armed security in our schools, when his kids are protected by armed guards at their school?” the narrator says.

“Mr. Obama demands the wealthy pay their fair share of taxes, but he’s just another elitist hypocrite when it comes to a fair share of security,” it continues. “Protection for their kids and gun-free zones for ours.”

The immediate family members of U.S. presidents – generally considered potential targets – have long received Secret Service protection.

The ad appeared on a new website for a NRA advocacy campaign – “NRA Stand and Fight” — that the gun-rights group appears poised to launch in response to Obama’s package of gun control proposals that will be announced today.

It’s unclear whether the video will air on TV or only on the web. The NRA did not respond to ABC News’ request for comment.  The domain for the website is registered to Ackerman McQueen, the NRA’s long-standing public relations firm.

The White House had no comment on the NRA ad.

In the wake of last month’s mass shooting at Sandy Hook Elementary School, the Obama administration has met with a cross-section of advocacy groups on all sides of the gun debate to formulate new policy proposals.

The NRA, which met with Vice President Joe Biden last week, has opposed any new legislative gun restrictions, including expanded background checks and limits on the sale of assault-style weapons, instead calling for armed guards at all American schools.

Obama publicly questioned that approach in an interview with “Meet the Press” earlier this month, saying, “I am skeptical that the only answer is putting more guns in schools. And I think the vast majority of the American people are skeptical that that somehow is going to solve our problem.”

Still, the White House has been considering a call for increased funding for police officers at public schools and the proposal could be part of a broader Obama gun policy package.

Fifty-five percent of Americans in the latest ABC News/Washington Post poll say they support adding armed guards at schools across the country.

“The issue is, are there some sensible steps that we can take to make sure that somebody like the individual in Newtown can’t walk into a school and gun down a bunch of children in a shockingly rapid fashion.  And surely, we can do something about that,” Obama said at a news conference on Monday.

“Responsible gun owners, people who have a gun for protection, for hunting, for sportsmanship, they don’t have anything to worry about,” he said.

ABC News’ Mary Bruce and Jay Shaylor contributed reporting. 

SHOWS: Good Morning America World News

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France keeps up Mali air strikes, African troop plan advances

BAMAKO (Reuters) - France kept up its air strikes against Islamist rebels in Mali as plans to deploy African troops gathered pace on Tuesday amid concerns that delays could endanger a wider mission to dislodge al Qaeda and its allies.

France has already poured hundreds of troops into Mali and carried out days of air strikes since Friday in a vast desert area seized last year by an Islamist alliance that combines al Qaeda's north African wing AQIM with Mali's home-grown MUJWA and Ansar Dine rebel groups.

Western and regional powers are concerned the insurgents will use Mali's north as a launchpad for international attacks.

West African defense chiefs were to meet in Bamako on Tuesday to approve plans to speed up the deployment of 3,300 regional troops foreseen in a U.N.-backed intervention plan to be led by Africans.

Speaking from a French military base in Abu Dhabi at the start of a day-long visit to the United Arab Emirates, President Francois Hollande said French forces in Mali had carried out further strikes overnight "which hit their targets."

"We will continue the deployment of forces on the ground and in the air," Hollande said. "We have 750 troops deployed at the moment and that will keep increasing so that as quickly as possible we can hand over to the Africans."

He saw the African troop deployment taking "a good week".

France plans to field a total 2,500 soldiers in its former colony to bolster the Malian army and work with the intervention force provided by the ECOWAS grouping of West African states.

Foreign Minister Laurent Fabius - accompanying Hollande on a visit aimed at firming up trade relations and making progress on a possible sale of 60 French Rafale fighter jets - said he was confident Gulf Arab states would also help the Mali campaign.

Fabius said there would be a meeting of donors for the Mali operation most likely in Addis Ababa at the end of January.

He predicted the current level of the French involvement in Mali would go on for "a matter of weeks".

ECOWAS mission head in Bamako Aboudou Toure Cheaka said the West African troops would be on the ground in a week. Their immediate mission would be to help stop the rebel advance while preparations for a full intervention plan continued.

The original timetable for the 3,300-strong U.N.-sanctioned African force - backed by western logistics, money and intelligence services - did not initially foresee full deployment before September due to logistical constraints.

Senegal, Burkina Faso, Niger, Nigeria and Guinea have all offered troops. But regional powerhouse Nigeria, which is due to lead the mission, has cautioned that even if some troops arrive in Mali soon, training will take more time.

The plan is being fast-tracked after a plea for help by Mali's government after mobile columns of Islamist fighters last week threatened the central garrison towns of Mopti and Sevare, with its key airport.

"SAFEGUARD MALI"

French Prime Minister Jean-Marc Ayrault said France's goals were to stop the Islamist rebels, to "safeguard the existence of Mali" and pave the way for the African-led military operation.

U.S. officials said Washington was sharing information with French forces in Mali and considering providing logistics, surveillance and airlift capability.

"We have made a commitment that al Qaeda is not going to find anyplace to hide," U.S. Defense Secretary Leon Panetta told reporters as he began a visit to Europe.

As French aircraft bombarded mobile columns of Islamist fighters, other insurgents launched a counter-attack further to the south, dislodging government forces from the town of Diabaly, 350 km (220 miles) from Bamako.

French intervention has raised the risk for eight French hostages held by al Qaeda allies in the Sahara and for 30,000 French expatriates living in neighboring, mostly Muslim states. Concerned about reprisals at home, France has tightened security at public buildings and on public transport.

The U.N. said an estimated 30,000 people had fled the latest fighting in Mali, joining more than 200,000 already displaced.

U.N. Secretary-General Ban Ki-moon on Monday welcomed the French-led military intervention in Mali and voiced the hope that it would halt the Islamist assault.

Amnesty International said at least six civilians were killed in recent fighting in the town of Konna, where French aircraft had earlier bombarded rebel positions, and called on both sides to spare non-combatants.

France, which has repeatedly said it has abandoned its role as the policeman of its former African colonies, is among the toughest proponents of a speedier deployment of the African troops, and convened a U.N. Security Council meeting Monday to discuss the crisis.

French U.N. Ambassador Gerard Araud told reporters after the meeting that the U.S., Canada, Belgium, Denmark and Germany had also offered logistical support for France's Mali operation.

"I felt that all the members of the Security Council were expressing their support (for) and understanding of the French decision," Araud told reporters.

No Europeans or other African Union members will be allowed in the defense chiefs meeting in Bamako on Tuesday, a western diplomat told Reuters, requesting not to be named.

"They don't want any French pressure at the meeting," the diplomat said.

(Additional reporting by Elizabeth Pineau and Raissa Kasolowsky in Abu Dhabi; Michelle Nichols and Louis Charbonneau at the United Nations; Richard Valdmanis in Dakar, Brian Love in Paris and David Alexander in Lisbon; Editing by Pascal Fletcher and Anna Willard)

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Japan, US fighter planes in joint drill

TOKYO: US and Japanese fighter jets on Tuesday carried out joint air exercises, an official said, days after Chinese and Japanese military planes shadowed each other near disputed islands in the East China Sea.

The five-day exercise involves six US FA-18 fighters and around 90 American personnel, along with four Japanese F-4 jets and an unspecified number of people, the official said.

The drill is being carried out over Pacific waters off the coast of Shikoku, the fourth largest of Japan's islands.

It comes weeks after hawkish new Prime Minister Shinzo Abe won an election landslide following campaign promises to re-invigorate Tokyo's security alliance with Washington and take a more robust line against Beijing.

The exercise also comes as a stand-off between China and Japan over the sovereignty of the disputed East China Sea islands shows no signs of letting up.

Tokyo reportedly scrambled fighter jets on Thursday to head off Chinese military planes in an area adjoining the airspace of the Japanese-controlled Senkaku islands, which Beijing claims as the Diaoyus.

A Chinese defence ministry official later said two J-10 fighters flew to the area to monitor two Japanese F-15 fighters that had trailed a Chinese Y-8 aircraft, according to China's official Xinhua news agency.

On Tuesday, one Chinese state-owned Y-12 plane flew close to -- but not inside -- the airspace of the disputed islands, triggering the scrambling of Japanese fighter jets, the defence ministry in Tokyo said.

The row between Asia's two largest economies over the uninhabited, but potentially resource-rich islands blistered in September when Tokyo nationalised three of them.

Chinese government ships have repeatedly gone to the archipelago's territorial waters since then.

Beijing insists it is simply patrolling islands it has owned since ancient times. Commentators say China wants to prove that Japan does not have effective control over the chain and draw Tokyo into concessions.

On Sunday, Japan's Ground Self-Defense Force carried out the nation's first military exercise designed to recapture "a remote island invaded by an enemy force".

Some 300 troops took part in the 40-minute drill with 20 warplanes and more than 30 military vehicles at the Narashino Garrison in Chiba, southeast of Tokyo.

Some 80 personnel from the SDF's First Airborne Brigade rappelled from helicopters to demonstrate manoeuvres to counter an enemy invasion of a remote island.

In October Japan and the US dropped plans for a joint drill to simulate the retaking of a remote island, reportedly because Tokyo did not wish to provoke Beijing further.

There was no outward indication that the joint Japan-US exercise that began Monday and runs until Friday was aimed at China, and the area being used was a long way from any contentious zone.

The official told AFP the drill had previously been staged from Iwakuni in the far west of Honshu, but had been moved to Miyazaki in the south of Kyushu out of consideration for people living near the base.

While the security alliance receives wide public support in Japan, there are tensions between bases and their host communities, particularly over noise and the risk of accidents, as well as associated crime.

-AFP/ac

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Lt Gen Parnaik: Three ceasefire violations after flag meet

AKHNOOR (J&K): India on Tuesday accused Pakistan of committing three ceasefire violations after a Brigadier-level flag meeting between the two countries but said it will "not act in haste or anger".

Lt Gen K T Parnaik, General-Officer-in Command (Northern Command), said the Indian Army has a "lot of options" and is watching the developments closely.

However, he said he does not think that a situation of war exists or will happen in future. "It is not good for Pakistan and we also don't desire it," he told a press conference.

Parnaik described the beheading of an Indian soldier was not just a provocation but a "grave provocation" and said the country reserves its right to strike at the time and place of its choosing.

"After the flag meeting yesterday, Pakistan still remained adamant, arrogant and not ready to accept anything. We told them we will continue to respect ceasefire but not if we are provoked.

"...Pakistan is always on denial mode, it always fabricates things...Even after the brigadier-level flag meeting, there were three ceasefire violations," he said.

During the meeting, Parnaik said, Indian officer vehemently protested the beheading of an Indian soldier and also showed photographs of landmines placed by Pakistani troops on forward areas inside Indian territory.

"We accused them of carrying out the barbaric attack, we insisted that the head (of Lance Naik Hemraj) be returned. We drew their attention to the frequent firing in the area," he said.

Parnaik said the Pakistani Brigadier, who was identified as Faizal, read out from a prepared text and denied everything.

"The text which he read out was a total denial (of India's charges). It was rigid. It said we (Pak) is not rigid but you (India) is," he said.

"At the end of the meeting, they were as arrogant and adamant; not ready to admit anything. We do not believe in reacting in hate and anger. We have our plans. We will react in time," he said.

He also said Pakistan has continuously tried to infiltrate terrorists from Uri district.

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Hospitals crack down on workers refusing flu shots

CHICAGO (AP) — Patients can refuse a flu shot. Should doctors and nurses have that right, too? That is the thorny question surfacing as U.S. hospitals increasingly crack down on employees who won't get flu shots, with some workers losing their jobs over their refusal.

"Where does it say that I am no longer a patient if I'm a nurse," wondered Carrie Calhoun, a longtime critical care nurse in suburban Chicago who was fired last month after she refused a flu shot.

Hospitals' get-tougher measures coincide with an earlier-than-usual flu season hitting harder than in recent mild seasons. Flu is widespread in most states, and at least 20 children have died.

Most doctors and nurses do get flu shots. But in the past two months, at least 15 nurses and other hospital staffers in four states have been fired for refusing, and several others have resigned, according to affected workers, hospital authorities and published reports.

In Rhode Island, one of three states with tough penalties behind a mandatory vaccine policy for health care workers, more than 1,000 workers recently signed a petition opposing the policy, according to a labor union that has filed suit to end the regulation.

Why would people whose job is to protect sick patients refuse a flu shot? The reasons vary: allergies to flu vaccine, which are rare; religious objections; and skepticism about whether vaccinating health workers will prevent flu in patients.

Dr. Carolyn Bridges, associate director for adult immunization at the federal Centers for Disease Control and Prevention, says the strongest evidence is from studies in nursing homes, linking flu vaccination among health care workers with fewer patient deaths from all causes.

"We would all like to see stronger data," she said. But other evidence shows flu vaccination "significantly decreases" flu cases, she said. "It should work the same in a health care worker versus somebody out in the community."

Cancer nurse Joyce Gingerich is among the skeptics and says her decision to avoid the shot is mostly "a personal thing." She's among seven employees at IU Health Goshen Hospital in northern Indiana who were recently fired for refusing flu shots. Gingerich said she gets other vaccinations but thinks it should be a choice. She opposes "the injustice of being forced to put something in my body."

Medical ethicist Art Caplan says health care workers' ethical obligation to protect patients trumps their individual rights.

"If you don't want to do it, you shouldn't work in that environment," said Caplan, medical ethics chief at New York University's Langone Medical Center. "Patients should demand that their health care provider gets flu shots — and they should ask them."

For some people, flu causes only mild symptoms. But it can also lead to pneumonia, and there are thousands of hospitalizations and deaths each year. The number of deaths has varied in recent decades from about 3,000 to 49,000.

A survey by CDC researchers found that in 2011, more than 400 U.S. hospitals required flu vaccinations for their employees and 29 hospitals fired unvaccinated employees.

At Calhoun's hospital, Alexian Brothers Medical Center in Elk Grove Village, Ill., unvaccinated workers granted exemptions must wear masks and tell patients, "I'm wearing the mask for your safety," Calhoun says. She says that's discriminatory and may make patients want to avoid "the dirty nurse" with the mask.

The hospital justified its vaccination policy in an email, citing the CDC's warning that this year's flu outbreak was "expected to be among the worst in a decade" and noted that Illinois has already been hit especially hard. The mandatory vaccine policy "is consistent with our health system's mission to provide the safest environment possible."

The government recommends flu shots for nearly everyone, starting at age 6 months. Vaccination rates among the general public are generally lower than among health care workers.

According to the most recent federal data, about 63 percent of U.S. health care workers had flu shots as of November. That's up from previous years, but the government wants 90 percent coverage of health care workers by 2020.

The highest rate, about 88 percent, was among pharmacists, followed by doctors at 84 percent, and nurses, 82 percent. Fewer than half of nursing assistants and aides are vaccinated, Bridges said.

Some hospitals have achieved 90 percent but many fall short. A government health advisory panel has urged those below 90 percent to consider a mandatory program.

Also, the accreditation body over hospitals requires them to offer flu vaccines to workers, and those failing to do that and improve vaccination rates could lose accreditation.

Starting this year, the government's Centers for Medicare & Medicaid Services is requiring hospitals to report employees' flu vaccination rates as a means to boost the rates, the CDC's Bridges said. Eventually the data will be posted on the agency's "Hospital Compare" website.

Several leading doctor groups support mandatory flu shots for workers. And the American Medical Association in November endorsed mandatory shots for those with direct patient contact in nursing homes; elderly patients are particularly vulnerable to flu-related complications. The American Nurses Association supports mandates if they're adopted at the state level and affect all hospitals, but also says exceptions should be allowed for medical or religious reasons.

Mandates for vaccinating health care workers against other diseases, including measles, mumps and hepatitis, are widely accepted. But some workers have less faith that flu shots work — partly because there are several types of flu virus that often differ each season and manufacturers must reformulate vaccines to try and match the circulating strains.

While not 100 percent effective, this year's vaccine is a good match, the CDC's Bridges said.

Several states have laws or regulations requiring flu vaccination for health care workers but only three — Arkansas, Maine and Rhode Island — spell out penalties for those who refuse, according to Alexandra Stewart, a George Washington University expert in immunization policy and co-author of a study appearing this month in the journal Vaccine.

Rhode Island's regulation, enacted in December, may be the toughest and is being challenged in court by a health workers union. The rule allows exemptions for religious or medical reasons, but requires unvaccinated workers in contact with patients to wear face masks during flu season. Employees who refuse the masks can be fined $100 and may face a complaint or reprimand for unprofessional conduct that could result in losing their professional license.

Some Rhode Island hospitals post signs announcing that workers wearing masks have not received flu shots. Opponents say the masks violate their health privacy.

"We really strongly support the goal of increasing vaccination rates among health care workers and among the population as a whole," but it should be voluntary, said SEIU Healthcare Employees Union spokesman Chas Walker.

Supporters of health care worker mandates note that to protect public health, courts have endorsed forced vaccination laws affecting the general population during disease outbreaks, and have upheld vaccination requirements for schoolchildren.

Cases involving flu vaccine mandates for health workers have had less success. A 2009 New York state regulation mandating health care worker vaccinations for swine flu and seasonal flu was challenged in court but was later rescinded because of a vaccine shortage. And labor unions have challenged individual hospital mandates enacted without collective bargaining; an appeals court upheld that argument in 2007 in a widely cited case involving Virginia Mason Hospital in Seattle.

Calhoun, the Illinois nurse, says she is unsure of her options.

"Most of the hospitals in my area are all implementing these policies," she said. "This conflict could end the career I have dedicated myself to."

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Online:

R.I. union lawsuit against mandatory vaccines: http://www.seiu1199ne.org/files/2013/01/FluLawsuitRI.pdf

CDC: http://www.cdc.gov

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

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