Gaza shakes, Israelis killed as Clinton seeks truce

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

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

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

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

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

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

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

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

ELECTION

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

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

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

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

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

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

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

"SELF-DEFENCE"

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

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

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

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

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

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

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

AMMUNITION STORES

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

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

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

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

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

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

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

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

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

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

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Football: Chelsea sack manager Roberto Di Matteo

LONDON: Chelsea manager Roberto Di Matteo has been sacked after the European champions were left facing elimination at the group stage of the Champions League, the club said on Wednesday.

"Chelsea Football Club has parted company this morning with Manager Roberto Di Matteo," a statement said, following Tuesday's 3-0 defeat by Juventus.

Chelsea said the team's "recent performances and results have not been good enough".

"The club faces a difficult task ahead in qualifying for the knockout stages of the UEFA Champions League as well as maintaining a strong challenge for the top of the Premier League while competing in three other cup competitions," they added.

Tuesday's loss in Turin means Chelsea are poised to become the first ever Champions League winners to be knocked out in the group phase the following season.

Even victory at home to Danish side FC Nordsjaelland in their final group match may not be enough to take Chelsea into last 16, as a draw between Juventus and Shakhtar Donetsk in the other Group D game would take both sides through.

Di Matteo was only appointed on a permanent basis in June, having led Chelsea to their first ever Champions League title after replacing his sacked predecessor Andre Villas-Boas in March.

Chelsea beat Bayern Munich on penalties in the Champions League final in May, two weeks after beating Liverpool 2-1 in the FA Cup final.

"The owner and the Board would like to thank Roberto for all he has done for the club since taking over in March," Chelsea added, saying the Italian "will always be welcome at Stamford Bridge".

The statement continued: "The club will be making an announcement shortly regarding a new first team manager.

- AFP/de

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Bal Thackeray's ashes to be immersed in Godavari on Friday

NASHIK: The urn containing ashes of Shiv Sena chief late Bal Thackeray was brought here and will be kept at the party office for 'darshan' till tomorrow, official sources said today.

On Friday, the ashes would be immersed in Godavari river, they said.

The urn was kept for darshan at Ghoti, Igatpuri yesterday and today it will keep at Nashik Road, Sinnar, Trimbakeshwar, Dindori, Niphad, Yeola, Manmad, Nandgaon and Pimpalgaon for people to pay their tributes to the late leader.

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

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

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

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

Still, momentum may be building.

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

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

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

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

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

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

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

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

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

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

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

The doctors group made clear that:

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

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

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

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

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

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

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

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

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

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

___

Online:

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

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Ceasefire or 'De-Escalation'? Words Chosen Carefully

Nov 20, 2012 7:27pm

AP Photo/Hatem Moussa

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

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

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

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

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

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

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

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

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

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

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

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

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World pressure for Gaza truce intensifies

GAZA/JERUSALEM (Reuters) - The U.N. chief called for an immediate ceasefire in the Gaza Strip on Tuesday and U.S. Secretary of State Hillary Clinton headed to the region with a message that escalation of the week-long conflict was in nobody's interest.

Nevertheless, Palestinian rocket fire and Israeli air strikes continued for a seventh day.

Hamas militants said they fired 16 missiles at the southern Israeli city of Beersheba after Israel's military targeted roughly 100 sites in Gaza overnight, including ammunition stores and the Gaza headquarters of the National Islamic Bank.

Some 110 Palestinians have died in a week of fighting, the majority of them civilians, including 27 children. Three Israelis died last week when a Gaza missile struck their house.

In Cairo, U.N. Secretary-General Ban Ki-moon called for an immediate ceasefire and said an Israeli ground operation in Gaza would be a "dangerous escalation" that must be avoided.

He had held talks in the Egyptian capital with Arab League chief Nabil Elaraby and was due to meet Egypt's Islamist President Mohamed Mursi before travelling to Israel for talks with Israeli Prime Minister Benjamin Netanyahu.

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

The White House said Clinton was going to the Middle East for talks in Jerusalem, Ramallah and Cairo to try to calm the conflict. An Israeli sources said she was expected to meet Netanyahu on Wednesday.

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

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

A delegation of nine Arab ministers, led by the Egyptian foreign minister, were due in Gaza later on Tuesday in a further signal of heightened Arab solidarity with the Palestinians.

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

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

"The two leaders discussed ways to de-escalate the situation in Gaza, and President Obama underscored the necessity of Hamas ending rocket fire into Israel," the White House said, adding that the U.S. leader had also called Netanyahu.

"In both calls, President Obama expressed regret for the loss of Israeli and Palestinian civilian lives."

EGYPT SEES DEAL

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

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

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

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

An official close to Netanyahu told Reuters: "We would prefer to see a diplomatic solution that would guarantee the peace for Israel's population in the south. If that is possible, then a ground operation would no longer be required."

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

LOWER INTENSITY

Israeli statistics showed some easing in the ferocity of the exchanges on Monday. Israeli police counted 110 rockets, causing no casualties, of which 42 were shot down by anti-missile batteries. Tuesday's salvo also caused no injuries.

There has been no attack on Tel Aviv since Sunday.

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

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

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

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

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

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

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

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

(Writing by Alastair Macdonald; and Crispian Balmer)

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Dutch multinational firm Philips eyes Asia for future growth

JAKARTA: Philips - one of Europe's oldest multi-national companies - is depending on Asia for future growth, as the economies of Europe and the United States falter.

The region already accounts for a third of its revenue and Philips CEO Frans van Houten said it will continue its investment strategy to put the company in a stronger position when the global economy rebounds.

Mr Van Houten made his first trip to Indonesia since becoming CEO of Philips in April last year.

His visit shows the country's importance as an emerging market, although its current growth is largely driven by China and India.

Looking to the future, Philips sees potential for growth in Indonesia's healthcare sector.

Mr Van Houten said: "We have heard of course about the stated goal to add many hospitals in Indonesia, I think about 120,000 beds. That kind of investment in the country's healthcare infrastructure provides huge growth opportunity for Philips where we can contribute through our knowledge on how to build effective hospitals."

Currently, Philips has two plants in Indonesia, employing more than 3,000 workers. The plants produce light bulbs and consumer products.

Its investment in Asia has so far paid off, boosting the Dutch company's revenue in a sluggish global economy.

Mr Van Houten said: "Europe for Philips is about 25 per cent of our revenue. Asia is 36. So you can see that we already re-positioned Philips to become much more of an Asian company and Asia is our second home. Of course, we have a long brand history in Asia."

And that brand history is going to continue.

Under his leadership, Mr Van Houten launched a project, unprecedented for Philips - using social media to find out what their consumers want... in this case, it's to find out what doctors want.

Mr Van Houten said: "We want to engage with people in the country. And thanks to modern technology - social media - we can have a two-way dialogue. So the plus project is about engaging with people in Indonesia to hear what's on their minds - to hear what's on the minds of doctors, to hear what's on the minds of consumers and to get feedback of what's important to them."

And using that valuable knowledge, Philips will craft its expansion plans, with an eye to the future.

Mr Van Houten said: "So we see this as a time to invest and to make sure that we come out of this world's crisis in a much stronger way by engaging in the right opportunity, and also by making sure that we invest in those countries like Indonesia where we can grow."

It's almost unthinkable to give Indonesia a miss for MNCs like Philips that have expansion plans in Asia.

The numbers are just staggering. In the last five years, Indonesia's middle class doubled to more than 13 million. And this is the consumer class that is projected to grow by another 90 million by 2030 - behind only China and India.

- CNA/de

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Mamata's no-trust vote: BJP not inclined to back motion

NEW DELHI: Realising that the numbers are stacked in favour of the government, BJP on Tuesday appeared not inclined towards supporting the no-confidence motion that TMC has threatened to move against UPA but is gearing up to corner it on the FDI issue by seeking a vote on it.

BJP Parliamentary Party Executive Committee today held a meeting here to discuss the strategy for the forthcoming Winter Session. TMC's no-confidence motion and FDI in multi- brand retail, as well as issues related to coal allocation and other matters, were discussed.

But the party leaders were tight-lipped about their future course of action as a common strategy is yet to be finalised with the other NDA partners in a meeting later this evening.

"We discussed in elaborate detail our strategy for the forthcoming Parliament session and have reached an opinion. We will share our views with our NDA partners and then convey the decision," BJP Chief spokesperson Ravi Shankar Prasad said.

Party sources said BJP is watching the developments but with not enough numbers to over-throw the UPA government, it may not support TMC's no-confidence motion.

However, on the issue of FDI in multi-brand retail, BJP may have floor coordination with the Left as well as like- minded parties to press for a discussion under Rule 184, which entails voting, in Lok Sabha.

The meeting was attended by BJP president Nitin Gadkari, senior leader L K Advani, Leader of Opposition in Lok Sabha Sushma Swaraj, her Rajya Sabha counterpart Arun Jaitley, M Venkaiah Naidu, Yashwant Sinha, Jaswant Singh, Ramesh Bais, Maya Singh, Prasad, Rajiv Pratap Rudy and Shahnawaz Hussain, among others.

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

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

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

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

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

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

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

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

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

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

Monday's proposal also recommends:

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

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

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

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

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

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

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

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

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

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

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

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Clinton Heading to Middle East to Meet With Leaders

President Obama urgently dispatched Secretary of State Hillary Clinton to the Middle East with the hope that she can bring an end to the escalating violence that has gripped the region for the last week.

Clinton is scheduled to arrive in Jerusalem later tonight to meet with Israel Prime Minister Benjamin Netanyahu, according to Deputy National Security Advisor Ben Rhodes. Clinton will also meet with Palestinian officials in Ramallah before heading to Cairo to meet with leaders in Egypt.

"It's in nobody's interest to see this escalate," said Ben Rhodes, Deputy National Security Adviser, at a press conference in Phnom Penh, Cambodia, where President Obama is attending the East Asia Summit.

Clinton hastily departed from Cambodia following the announcement. Clinton was with Obama on his trip to Southeast Asia.

A State Department official tells ABC News that Clinton's visit "will build on American engagement with regional leaders over the past days."

A White House official said they felt face-to-face diplomacy could help but no concrete details were offered.

Middle East on the Brink: Israel Prepared to Invade Gaza Watch Video

Gaza Violence: More Missiles Fired, Death Toll Rises Watch Video

President Obama was on the phone until 2:30 a.m. local time with leaders in the region trying to de-escalate the violence, Rhodes told reporters. The president spoke with Netanyahu and Egyptian President Morsi on Monday as well.

"To date, we're encouraged by the cooperation and the consultation we've had with the Egyptian leadership. We want to see that, again, support a process that can de-escalate the situation," Rhodes said. "But again, the bottom line still remains that Hamas has to stop this rocket fire."

Rhodes insisted that Palestinian officials need to be a part of the discussions to end the violence and rocket fire coming out of the Hamas-ruled territory.

"The Palestinian Authority, as the elected leaders of the Palestinian people, need to be a part of this discussion," Rhodes said. "And they're clearly going to play a role in the future of the Palestinian people—a leading role."

With the death toll rising, Egypt accelerated efforts to broker a cease-fire Monday. Anger boiled over in Gaza as the death toll passed 100 and the civilian casualties mounted. Volleys of Palestinian militant rockets flew into Israel as Israeli drones buzzed endlessly overhead and warplanes streaked through the air to unleash missile strikes.

An Israeli strike on a Gaza City high-rise Monday killed Ramez Harb, one of the top militant leaders of Islamic Jihad, the Palestinian militant group said.

It is also the second high profile commander taken out in the Israeli offensive, which began seven days ago with a missile strike that killed Ahmed Jibari, Hamas' top military commander.

ABC News' Reena Ninan, Dana Hughes and Mary Bruce contributed to this report.

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