Report: Death rates from cancer still inching down


WASHINGTON (AP) — Death rates from cancer are continuing to inch down, researchers reported Monday.


Now the question is how to hold onto those gains, and do even better, even as the population gets older and fatter, both risks for developing cancer.


"There has been clear progress," said Dr. Otis Brawley of the American Cancer Society, which compiled the annual cancer report with government and cancer advocacy groups.


But bad diets, lack of physical activity and obesity together wield "incredible forces against this decline in mortality," Brawley said. He warned that over the next decade, that trio could surpass tobacco as the leading cause of cancer in the U.S.


Overall, deaths from cancer began slowly dropping in the 1990s, and Monday's report shows the trend holding. Among men, cancer death rates dropped by 1.8 percent a year between 2000 and 2009, and by 1.4 percent a year among women. The drops are thanks mostly to gains against some of the leading types — lung, colorectal, breast and prostate cancers — because of treatment advances and better screening.


The news isn't all good. Deaths still are rising for certain cancer types including liver, pancreatic and, among men, melanoma, the most serious kind of skin cancer.


Preventing cancer is better than treating it, but when it comes to new cases of cancer, the picture is more complicated.


Cancer incidence is dropping slightly among men, by just over half a percent a year, said the report published by the Journal of the National Cancer Institute. Prostate, lung and colorectal cancers all saw declines.


But for women, earlier drops have leveled off, the report found. That may be due in part to breast cancer. There were decreases in new breast cancer cases about a decade ago, as many women quit using hormone therapy after menopause. Since then, overall breast cancer incidence has plateaued, and rates have increased among black women.


Another problem area: Oral and anal cancers caused by HPV, the sexually transmitted human papillomavirus, are on the rise among both genders. HPV is better known for causing cervical cancer, and a protective vaccine is available. Government figures show just 32 percent of teen girls have received all three doses, fewer than in Canada, Britain and Australia. The vaccine was recommended for U.S. boys about a year ago.


Among children, overall cancer death rates are dropping by 1.8 percent a year, but incidence is continuing to increase by just over half a percent a year. Brawley said it's not clear why.


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Meet Obama's Defense Secretary Nominee













President Obama nominated former Senator Chuck Hagel as the next U.S. secretary of defense. To those who haven't followed the Senate closely in the past decade, he's probably not a household name.


Hagel is a former GOP senator from Nebraska and Purple-Heart-decorated Vietnam veteran, but he wouldn't necessarily be a popular pick with Republicans in Congress.


At age 21, Hagel and his brother Tom became the next in the family to serve in the United States Army. They joined the masses of Americans fighting an unfamiliar enemy in Vietnam.


In his book, he describes finding himself "pinned down by Viet Cong rifle fire, badly burned, with my wounded brother in my arms."


"Mr. President, I'm grateful for this opportunity to serve our country again," Hagel said after Obama announced his nomination Monday.


In 1971, Hagel took his first job in politics as chief of staff to Congressman John Y. McCollister, a position he held for six years. After that, he moved to Washington for the first time, where he went on to work for a tire company's government affairs office, the 1982 World's Fair and in 1981, as Ronald Reagan's Deputy Administrator of the Veterans Administration.








Obama Taps Sen. Chuck Hagel for Defense Secretary Watch Video









Sen. Chuck Hagel's Defense Nomination Draws Criticism Watch Video









Obama's Defense Nominee Chuck Hagel Stirs Washington Lawmakers Watch Video





He worked in the private sector for most of the 80s and 90s before his first election to the Senate in 1997.
Since the turn of the century, Hagel has followed a curvy path of political alliances that puts his endorsements all over the map. Hagel's record of picking politically unpopular positions could be a large part of why Obama is naming him for the job, as Slate's Fred Kaplan surmises the next Defense secretary will be faced with tough choices.


In 2000, he was one of few Republican senators to back Sen. John McCain over then-presidential-candidate George W. Bush.


After that election, Hagel fiercely criticized Bush for adding 30,000 surge troops to Iraq, in place of the bipartisan Iraq Study Group's proposal of a draw-down and regional diplomacy, which Hagel preferred. When Bush instead announced that more troops would go to Iraq, Hagel co-sponsored a nonbinding resolution to oppose it, along with then-Sen. Joe Biden, D-Del.


"The president says, 'I don't care.' He's not accountable anymore," Hagel told Esquire in June 2007. "He's not accountable anymore, which isn't totally true. You can impeach him, and before this is over, you might see calls for his impeachment. I don't know. It depends how this goes."


Hagel's fierce opposition to America's involvement in Iraq – he called it one of the five monumental blunders of history, on par with the Trojan War – will be of substantial importance as the Obama administration charts our course out of Afghanistan, deciding how to withdraw the last of the troops in 2014 and how much of a presence to leave behind.


Hagel's support for McCain, which was substantial in his competition against Bush, disappeared in the 2008 election. Hagel toured Iraq and Afghanistan with Obama during his first campaign for the presidency.


In October 2008, Hagel's wife, Lillibet, announced her support for the Obama team, after the Washington Post reported on her donations to his campaign. She donated again in 2012.


Before the 2008 election, Hagel wrote: "The next president of the United States will face one of the most difficult national security decisions of modern times: what to do about an Iran that may be at the threshold of acquiring nuclear weapons."






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Assad "peace plan" greeted with scorn by foes


BEIRUT (Reuters) - Syrian President Bashar al-Assad rejected peace talks with his enemies on Sunday in a defiant speech that his opponents described as a renewed declaration of war.


Although the speech was billed as the unveiling of a new peace plan, Assad offered no concessions and even appeared to harden many of his positions. He rallied Syrians for "a war to defend the nation" and disparaged the prospect of negotiations.


"We do not reject political dialogue ... but with whom should we hold a dialogue? With extremists who don't believe in any language but killing and terrorism?" Assad asked supporters who packed Damascus Opera House for his first speech since June.


"Should we speak to gangs recruited abroad that follow the orders of foreigners? Should we have official dialogue with a puppet made by the West, which has scripted its lines?"


It was his first public speech to an audience in six months. Since the last, rebels have reached the capital's outskirts.


George Sabra, vice president of the opposition National Coalition, told Reuters the peace plan Assad put at the heart of his speech did "not even deserve to be called an initiative":


"We should see it rather as a declaration that he will continue his war against the Syrian people," he said.


"The appropriate response is to continue to resist this unacceptable regime and for the Free Syrian Army to continue its work in liberating Syria until every inch of land is free."


The speech was seen by many as a response to U.N. mediator Lakhdar Brahimi, who has been meeting U.S. and Russian officials to try to narrow differences between Washington and Moscow over a peace plan. Brahimi also met Assad in Syria late last month.


"Lakhdar Brahimi must feel foolish after that Assad speech, where his diplomacy is dismissed as intolerable intervention," said Rana Kabbani, a Syrian analyst who supports the opposition.


The United States, European Union, Turkey and most Arab states have called on Assad to quit. Russia, which sells arms to and leases a naval base from Syria, says it backs a transition of power but that Assad's departure should not be a precondition for any talks.


REPETITIONS


Assad's foreign foes were scornful and dismissive of the speech. "His remarks are just repetitions of what he's said all along," said Ahmet Davutoglu, foreign minister of Syria's northern neighbor and former friend Turkey.


"It seems he's locked himself up in a room and only reads the intelligence reports presented to him."


The U.S. State Department said Assad's speech "is yet another attempt by the regime to cling to power and does nothing to advance the Syrian people's goal of a political transition".


"His initiative is detached from reality, undermines the efforts of Joint Special Representative Lakhdar Brahimi, and would only allow the regime to further perpetuate its bloody oppression of the Syrian people," said spokeswoman Victoria Nuland.


EU foreign affairs chief Catherine Ashton said Brussels would "look carefully if there is anything new in the speech, but we maintain our position that Assad has to step aside and allow for a political transition".


The 47-year-old Assad, tall and mustachioed, in a business suit and tie, spoke confidently for about an hour before a crowd of cheering loyalists, who occasionally interrupted him to shout and applaud, at one point raising their fists and chanting: "With blood and soul we sacrifice for you, oh Bashar!"


At the end of the speech, supporters rushed to the stage, mobbing him and shouting: "God, Syria and Bashar is enough!" as a smiling president waved and was escorted from the hall past a backdrop showing a Syrian flag made of pictures of people whom state television described as "martyrs" of the conflict so far.


"We are now in a state of war in every sense of the word," Assad said in the speech, broadcast on Syrian state television. "This war targets Syria using a handful of Syrians and many foreigners. Thus, this is a war to defend the nation."


Independent media are largely barred from Damascus.


Giving the speech in the opera house, in a part of central Damascus that has been hit by rebel attacks, could be intended as a show of strength by a leader whose public appearances have grown rarer as the rebellion has gathered force.


Critics saw irony in the venue: "Assad speech appropriately made in Opera House!" tweeted Rami Khouri, a commentator for Lebanon's Daily Star newspaper. "It was operatic in its other-worldly fantasy, unrelated to realities outside the building."


DEATHS


The United Nations says 60,000 people have been killed in the civil war, the longest and bloodiest of the conflicts to emerge in two years of revolts in Arab states.


Rebels now control much of the north and east of the country, a crescent of suburbs on the outskirts of the capital and the main border crossings with Turkey in the north.


But Assad's forces are still firmly in control of most of the densely populated southwest, the main north-south highway and the Mediterranean coast. The army also holds military bases throughout the country from which its helicopters and jets can strike rebel-held areas with impunity, making it impossible for the insurgents to consolidate their grip on territory they hold.


Assad, an eye doctor, has ruled since 2000, succeeding his late father Hafez, who had seized power in a 1970 coup.


The rebels are drawn mainly from Syria's Sunni Muslim majority, while Assad, a member of the Alawite sect related to Shi'ite Islam, is supported by some members of religious minorities who fear retribution if he falls.


The conflict has heightened confrontation in the Middle East between Shi'ite Iran and Sunni Arab rulers, particularly those in the Gulf who are allied with the West against Tehran.


The plan unveiled in Sunday's speech could hardly have been better designed to ensure its rejection by the opposition. Among its proposals: rebels would first be expected to halt operations before the army would cease fire, a certain non-starter.


Assad also repeatedly emphasized rebel links to al Qaeda and other Sunni Islamist radicals. Washington has also labeled one of the main rebel groups a terrorist organization and says it is linked to the network founded by Osama bin Laden.


Diplomacy has been largely irrelevant so far in the conflict, with Moscow vetoing U.N. resolutions against Assad.


U.N. mediator Brahimi has been trying to bridge the gap, meeting senior U.S. and Russian officials to discuss his own peace proposal, which does not explicitly mention Assad's fate.


National Coalition spokesman Walid Bunni said Assad's speech appeared timed to prevent a breakthrough in those talks, by taking a position that could not be reconciled with diplomacy.


"The talk by Brahimi and others that there could be a type of political solution being worked out has prompted him to come out and tell the others 'I won't accept a solution'," Bunni said, adding that Assad feared any deal would mean his downfall.


(Additional reporting by Suleiman al-Khalidi in Amman, Gulsen Solaker in Ankara and Tim Castle in London; Writing by Peter Graff; Editing by Alastair Macdonald and Kevin Liffey)



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TP students present innovations at exhibition






SINGAPORE: More than 60 nifty inventions were presented at this year's Engineering Project Show at Temasek Polytechnic on Monday.

Some ideas included a baby pram that can function as a high chair and a tray return system. The ideas are the final-year projects of the polytechnic's engineering students.

Five students created an "Ah Long" detector, which could be attached to front doors to deter loansharks from vandalising.

When paint is poured over the door, the system detects the paint fumes and sends the information and a screen shot of the culprit to relevant authorities.

The project is thought to be the first in the market, and was created by students Chelsea Koh, Nur Syairah Baharuddin, B Nisha, Ryan Fan and Haris Fadhillah Ismail.

The team said they were initially looking at creating a bomb detection system, until the Singapore Police Force suggested the paint detection idea.

Ms Syairah said: "The rate of (crimes committed by loansharks) is increasing in Singapore, and it also benefits the Singapore Police Force to attend to the matter in a shorter period of time, thus it's a very important job for us to help them to make their task even easier."

Another timely creation at the show was a coin-operated tray return system.

The team behind the idea was inspired by a supermarket's trolley-lock system. Users slot a coin into the trays, slide them out of the tray racks. They would then collect their food, and slide the the trays into specially-designed tables.

Not returning the tray after a meal would mean forfeiting the coin.

The team of three, comprising Sadish Rao, Effendy Parman and Chen I Chieh, said the idea came about following a tray return campaign conducted by the National Environment Agency (NEA) in 2012.

Mr Rao said: "During the peak hours, there are a lot of customers, and cleaners can't cope with the cleaning. Sometimes when we want to go and eat, we find a table to sit down, but nobody clears the utensils and trays. With this system, every table will be clean and we'll have a lot of space to sit down and we won't have this kind of problems to face in the future."

The project has been nominated for the Tan Kah Kee Young Inventors Award. Mr Rao said it cost the team about S$250 to make one section that accommodates four trays. Each tray with the attached lock system costs S$40. His team is in touch with NEA on the project.

The Engineering Project Show is open to the public till Tuesday.

- CNA/xq



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Delhi gang-rape case: Ansari seeks corrective measures in laws

NEW DELHI: Describing the gruesome Delhi gang rape as an incident that "let our heads hang in shame", Vice President Hamid Ansari today sought immediate steps for comprehensive corrective measures in laws and social behaviour.

He said one must remember that full respect for human rights of all and on all occasions, inclusive of gender equality and gender justice, are prerequisites of a modern, progressive, society.

"A recent event on the eve of the New Year gave all of us occasion for remorse and sorrow. It made us, as people, hang our heads in shame. The expressions of anguish and anger, fully justified, must now be speedily translated into comprehensive correctives in laws, procedures, societal norms and values, and social behaviour," Ansari said, addressing NCC Republic Day Camp 2013 here.

The 23-year-old victim, a paramedical student, was brutally raped and assaulted in a moving bus in the capital on the night of December 16 and died of her injuries on December 29 in a Singapore hospital.

The Vice President said this responsibility must be shouldered by all and discharged by all. "As a disciplined corps of young men and women, you can be the vanguard and trend setters," he told the NCC cadets.

"NCC is the premier uniformed youth organisation of the country and its contribution to nation building deserves highest commendation. It helps channelise the energy of our youth into a creative force to usher in social change to a wide spectrum of activities which are powerful instrument of awakening in the society at grass-root level," he said.

2004 cadets, both boys and girls drawn from 17 NCC Directorates, covering all the states and Union Territories are participating in this camp that culminates on January 28.

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Your medical chart could include exercise minutes


CHICAGO (AP) — Roll up a sleeve for the blood pressure cuff. Stick out a wrist for the pulse-taking. Lift your tongue for the thermometer. Report how many minutes you are active or getting exercise.


Wait, what?


If the last item isn't part of the usual drill at your doctor's office, a movement is afoot to change that. One recent national survey indicated only a third of Americans said their doctors asked about or prescribed physical activity.


Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too.


Here's how it works: During any routine check of vital signs, a nurse or medical assistant asks how many days a week the patient exercises and for how long. The number of minutes per week is posted along with other vitals at the top the medical chart. So it's among the first things the doctor sees.


"All we ask our physicians to do is to make a comment on it, like, 'Hey, good job,' or 'I noticed today that your blood pressure is too high and you're not doing any exercise. There's a connection there. We really need to start you walking 30 minutes a day,'" said Dr. Robert Sallis, a Kaiser family doctor. He hatched the vital sign idea as part of a larger initiative by doctors groups.


He said Kaiser doctors generally prescribe exercise first, instead of medication, and for many patients who follow through that's often all it takes.


It's a challenge to make progress. A study looking at the first year of Kaiser's effort showed more than a third of patients said they never exercise.


Sallis said some patients may not be aware that research shows physical inactivity is riskier than high blood pressure, obesity and other health risks people know they should avoid. As recently as November a government-led study concluded that people who routinely exercise live longer than others, even if they're overweight.


Zendi Solano, who works for Kaiser as a research assistant in Pasadena, Calif., says she always knew exercise was a good thing. But until about a year ago, when her Kaiser doctor started routinely measuring it, she "really didn't take it seriously."


She was obese, and in a family of diabetics, had elevated blood sugar. She sometimes did push-ups and other strength training but not anything very sustained or strenuous.


Solano, 34, decided to take up running and after a couple of months she was doing three miles. Then she began training for a half marathon — and ran that 13-mile race in May in less than three hours. She formed a running club with co-workers and now runs several miles a week. She also started eating smaller portions and buying more fruits and vegetables.


She is still overweight but has lost 30 pounds and her blood sugar is normal.


Her doctor praised the improvement at her last physical in June and Solano says the routine exercise checks are "a great reminder."


Kaiser began the program about three years ago after 2008 government guidelines recommended at least 2 1/2 hours of moderately vigorous exercise each week. That includes brisk walking, cycling, lawn-mowing — anything that gets you breathing a little harder than normal for at least 10 minutes at a time.


A recently published study of nearly 2 million people in Kaiser's southern California network found that less than a third met physical activity guidelines during the program's first year ending in March 2011. That's worse than results from national studies. But promoters of the vital signs effort think Kaiser's numbers are more realistic because people are more likely to tell their own doctors the truth.


Dr. Elizabeth Joy of Salt Lake City has created a nearly identical program and she expects 300 physicians in her Intermountain Healthcare network to be involved early this year.


"There are some real opportunities there to kind of shift patients' expectations about the value of physical activity on health," Joy said.


NorthShore University HealthSystem in Chicago's northern suburbs plans to start an exercise vital sign program this month, eventually involving about 200 primary care doctors.


Dr. Carrie Jaworski, a NorthShore family and sports medicine specialist, already asks patients about exercise. She said some of her diabetic patients have been able to cut back on their medicines after getting active.


Dr. William Dietz, an obesity expert who retired last year from the Centers for Disease Control and Prevention, said measuring a patient's exercise regardless of method is essential, but that "naming it as a vital sign kind of elevates it."


Figuring out how to get people to be more active is the important next step, he said, and could have a big effect in reducing medical costs.


___


Online:


Exercise: http://1.usa.gov/b6AkMa


___


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


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Pakistani officials say US drones kill 9 militants


DERA ISMAIL KHAN, Pakistan (AP) — Suspected American drones fired several missiles into three militant hideouts near Afghan border on Sunday, killing nine Pakistani Taliban fighters, intelligence officials said.


The strikes targeted the group's hideouts in the South Waziristan tribal region, the three officials said, speaking on condition of anonymity because they were not authorized to talk to the media. The identity of the killed militants was not immediately known yet, but two important commanders of the Pakistani Taliban may be among them, they said.


It was the third suspected U.S. drone strike in five days. A strike late Wednesday night killed a top Pakistani militant commander, Maulvi Nazir, whose fighters focus on attacks against U.S. and allied NATO troops in Afghanistan. It was followed close on by another attack on Thursday.


Islamabad opposes the use of U.S. drones on its territory, but is believed to have tacitly approval some strikes in past. Washington wants Pakistan to launch a military operation in North Waziristan, but Islamabad had been refusing to do so, saying it does not have enough troops and resources to do that.


In absence of such an operation, the U.S. relies more on drone strikes to take out militants. The program has killed a number of top militant commanders including Abu Yahya al-Libi, who was al-Qaida's No. 2 when he was killed in a June strike.


The dead of Nazir was likely to be seen in Washington as affirmation of the necessity of its controversial drone program. But it could also cause more friction in already tense relations with Pakistan because Nazir did not focus on Pakistani targets. Nazir was believed to have a nonaggression pact with the Pakistani army.


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WP hopes to raise S$1.5m to purchase headquarters






SINGAPORE: The opposition Workers' Party (WP) is hoping to raise S$1.5 million for the purchase of its own headquarters.

The party's secretary-general Low Thia Khiang and chairman Sylvia Lim said this at the party's first musical concert, titled "Brick in Blue".

Ms Lim said since the 2011 general election, the party has raised some S$500,000.

The money came from monthly contributions from its elected Members of Parliament, as well as private donations from friends and acquaintances.

The rest of the money, she said, will be raised through public donations.

Ms Lim said the S$1.5 million will be used for the down payment of the property, while the balance of the purchase price will be financed through a loan.

Speaking to reporters during the intermission of the musical, Mr Low said the party has yet to find a suitable property.

He said proceeds from the concert will go towards the party's building fund.

The party is currently renting an office along Syed Alwi Road.

- CNA/xq



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Wife should take care of house and husband should earn: Mohan Bhagwat

INDORE: RSS chief Mohan Bhagwat gave yet another controversial statement terming marriage as social contract between husband and wife in a function on Saturday in Indore.

"A husband and wife are involved in a contract under which the husband has said that you should take care of my house and I will take care of all your needs. I will keep you safe. So, the husband follows the contract terms. Till the time, the wife follows the contract, the husband stays with her, if the wife violates the contract, he can disown her," Bhagwat told a rally here yesterday.

Serving out an advice for happy marriage life, RSS chief said marriage is successful only when wife look after the household things and husband looks after the earning and outside work. "This system is also good for society and ensure proper order in society," Bhagwat said.

Reacting sharply to Bhagwat's comment, CPM leader Brinda Karat said, "I don' think it is really surprising because at the end of the day, this is what RSS is. That is why I think it is the retrogade 'samiti' of India. These were the regents who when BJP was in power wanted a new Constitution of India based on 'manushriti'. So when he talks in this language, he only reflects his ideology."

The RSS chief had created a flutter last week when he had said in Silchar in Assam that rape is mainly prevalent in urban India due to western influence and that such crimes against women do not happen in rural areas of the country.

The remark that came against the backdrop of the Delhi gang rape incident was slammed by Congress, CPI-M and women's bodies while BJP and RSS defended it saying the comment should be taken in proper perspective.

Bhagwat had claimed that the incidents of rape were the result of adoption of western culture in society as a whole and that erosion of traditional Indian values were more pronounced in urban areas.

"Crimes against women happening in urban India are shameful. It is a dangerous trend. But such crimes won't happen in Bharat or the rural areas of the country. You go to villages and forests of the country and there will be no such incidents of gangrape or sex crimes," he had said.

RSS spokesman Ram Madhav said the projection of Bhagwat's views on the marriage system in the Indian context is "totally false".

"It is totally falsifying his views. He said the western marriage system is contractual where a man and a woman consider marriage as a contract whereas he also went on to say that Indian marriage system is a very sacred institution.

"In this, the woman has a place of great respect and the man has certain obligations towards the family and the way the whole thing was projected was as though Bhagwat was calling Indian marriage contractual. This is total distortion of what he has said," according to Madhav.

On Bhagwat's comment on the rape issue, Karat had then said, "Bhagwat neither understands India nor Bharat." She had said said government statistics of atrocities on women and sexual assault showed that the maximum number of victims belong to the poor, dalit and tribal communities.

National Commission of Women(NCW) Chief Mamta Sharma had said Bhagwat should stop differentiating in terms of geography.

"We are all Indians. We are all citizens of India...Go to grassroots level and see what is the condition of the women there," she had said.

However, Madhav had said the RSS chief's statement should be taken in proper perspective.

"He has condemned the heinous crime of assaulting women, rape against women and he said it is an utterly wrong thing and that people who indulge in such things must be punished," he added.
(With inputs from PTI)

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FDA: New rules will make food safer


WASHINGTON (AP) — The Food and Drug Administration says its new guidelines would make the food Americans eat safer and help prevent the kinds of foodborne disease outbreaks that sicken or kill thousands of consumers each year.


The rules, the most sweeping food safety guidelines in decades, would require farmers to take new precautions against contamination, to include making sure workers' hands are washed, irrigation water is clean, and that animals stay out of fields. Food manufacturers will have to submit food safety plans to the government to show they are keeping their operations clean.


The long-overdue regulations could cost businesses close to half a billion dollars a year to implement, but are expected to reduce the estimated 3,000 deaths a year from foodborne illness. The new guidelines were announced Friday.


Just since last summer, outbreaks of listeria in cheese and salmonella in peanut butter, mangoes and cantaloupe have been linked to more than 400 illnesses and as many as seven deaths, according to the federal Centers for Disease Control and Prevention. The actual number of those sickened is likely much higher.


Many responsible food companies and farmers are already following the steps that the FDA would now require them to take. But officials say the requirements could have saved lives and prevented illnesses in several of the large-scale outbreaks that have hit the country in recent years.


In a 2011 outbreak of listeria in cantaloupe that claimed 33 lives, for example, FDA inspectors found pools of dirty water on the floor and old, dirty processing equipment at Jensen Farms in Colorado where the cantaloupes were grown. In a peanut butter outbreak this year linked to 42 salmonella illnesses, inspectors found samples of salmonella throughout Sunland Inc.'s peanut processing plant in New Mexico and multiple obvious safety problems, such as birds flying over uncovered trailers of peanuts and employees not washing their hands.


Under the new rules, companies would have to lay out plans for preventing those sorts of problems, monitor their own progress and explain to the FDA how they would correct them.


"The rules go very directly to preventing the types of outbreaks we have seen," said Michael Taylor, FDA's deputy commissioner for foods.


The FDA estimates the new rules could prevent almost 2 million illnesses annually, but it could be several years before the rules are actually preventing outbreaks. Taylor said it could take the agency another year to craft the rules after a four-month comment period, and farms would have at least two years to comply — meaning the farm rules are at least three years away from taking effect. Smaller farms would have even longer to comply.


The new rules, which come exactly two years to the day President Barack Obama's signed food safety legislation passed by Congress, were already delayed. The 2011 law required the agency to propose a first installment of the rules a year ago, but the Obama administration held them until after the election. Food safety advocates sued the administration to win their release.


The produce rule would mark the first time the FDA has had real authority to regulate food on farms. In an effort to stave off protests from farmers, the farm rules are tailored to apply only to certain fruits and vegetables that pose the greatest risk, like berries, melons, leafy greens and other foods that are usually eaten raw. A farm that produces green beans that will be canned and cooked, for example, would not be regulated.


Such flexibility, along with the growing realization that outbreaks are bad for business, has brought the produce industry and much of the rest of the food industry on board as Congress and FDA has worked to make food safer.


In a statement Friday, Pamela Bailey, president of the Grocery Manufacturers Association, which represents the country's biggest food companies, said the food safety law "can serve as a role model for what can be achieved when the private and public sectors work together to achieve a common goal."


The new rules could cost large farms $30,000 a year, according to the FDA. The agency did not break down the costs for individual processing plants, but said the rules could cost manufacturers up to $475 million annually.


FDA Commissioner Margaret Hamburg said the success of the rules will also depend on how much money Congress gives the chronically underfunded agency to put them in place. "Resources remain an ongoing concern," she said.


The farm and manufacturing rules are only one part of the food safety law. The bill also authorized more surprise inspections by the FDA and gave the agency additional powers to shut down food facilities. In addition, the law required stricter standards on imported foods. The agency said it will soon propose other overdue rules to ensure that importers verify overseas food is safe and to improve food safety audits overseas.


Food safety advocates frustrated over the last year as the rules stalled praised the proposed action.


"The new law should transform the FDA from an agency that tracks down outbreaks after the fact, to an agency focused on preventing food contamination in the first place," said Caroline Smith DeWaal of the Center for Science in the Public Interest.


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