80 witnesses in chargesheet

NEW DELHI: Delhi Police files around 500 chargesheets in rape cases every year, but the first one of 2013 will be their most elaborate ever. With the world's attention now on the Nirbhaya rape and torture case, police cannot afford to go wrong and the 1,000-page document is likely to include statements of close to 80 witnesses, besides crucial forensic reports. The statements of the 23-year-old victim and her male friend are expected to strengthen the police's case.

Sources say the draft of the chargesheet is almost ready and the final challan will be filed this week. The investigating officer is waiting for the postmortem report from Mount Elizabeth Hospital in Singapore which will be the most important evidence in the case. Liaison officers of the Indian High Commission in Singapore are working to have it sent quickly.

A team comprising four inspectors, two ACPs and the DCP (South) is working to finalize the chargesheet after getting it approved by legal experts. While police hope to meet their January 3 (commitment) for submission, it could be delayed till Saturday.

Among the 80 witnesses quoted in the chargesheet are police officers, including PCR officials, Vasant Vihar police station staff and the investigating officer who attended to Nirbhaya and registered the FIR, around 10 doctors of Safdarjung Hospital who looked after her for 11 days, three doctors of Mount Elizabeth Hospital, where she breathed her last, and her parents. The evidence includes DNA reports, forensic reports of clothes worn by the accused, results of the test identification parade, the bar used to hit the victims, the bus used in the crime, fingerprint reports etc.

The chargesheet, with a 30-page operative part, will detail the role of five accused and a separate report will be sent to the Juvenile Justice Board for the trial of the minor involved in the case.

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AP IMPACT: Big Pharma cashes in on HGH abuse


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


___


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


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


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


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


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Cliffhanger: 'Major Setback' For Budget Talks













With less than two days remaining for Congress to reach a budget agreement that would avoid the so-called "fiscal cliff," ABC News has learned that negotiations have reached a "major setback."


According to Democratic sources the row was sparked when the GOP offered a proposal that included a new method of calculating entitlement benefits with inflation. Called the "chained consumer price index," or Chained CPI, the strategy has been criticized by some Democrats because it would lower cost of living increases for Social Security recipients.


"We thought it was mutually understood that it was off the table for a scaled-back deal," an aide said. "It's basically a poison pill."


President Obama has floated chained CPI in the past as part of a grand bargain, despite opposition from the AARP and within his own party.


Also in the Republican plan brought today: An extension of the current estate tax and no increase in the debt ceiling. Higher income earners would see their taxes increase, but at levels "well above $250,000," the sources said.


That "major setback" in the talks was evident on the floor of the Senate this afternoon.


"I'm concerned about the lack of urgency here, I think we all know we are running out of time," Senate Minority Leader Mitch McConnell, R-Ky., said, "I want everyone to know I am willing to get this done, but I need a dance partner."






J. Scott Applewhite/AP Photo











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McConnell said he submitted the Republican's latest offer to Majority Leader Harry Reid, D-Nev., at 7:10 pm last night and was willing to work through the night. Reid promised to get back to him at 10 this morning, but has yet to do so.


Why have the Democrats not come up with a counteroffer? Reid admitted it himself moments later.


"At this stage we're not able to make a counteroffer," Reid said noting that he's had numerous conversations with Obama, but the two parties are still far apart on some big issues, "I don't have a counteroffer to make. Perhaps as the day wears on I will be able to."


McConnell said he believes there is no major issue that is the sticking point but rather, "the sticking point appears to be a willingness, an interest, or frankly the courage to close the deal."


Reid said the fiscal cliff negotiations are getting "real close" to falling apart completely.


"At some point in the negotiating process, it appears that there are things that stop us from moving forward," he said. "I hope we're not there but we're getting real close and that's why I still hold out hope that we can get something done. But I'm not overly optimistic but I am cautiously optimistic that we can get something done."


Reid said there are serious difference between the two sides, starting with Social Security. He said Democrats are not willing to cut Social Security benefits as part of a smaller, short-term agreement, as was proposed in the latest Republican proposal.


"We're not going to have any Social Security cuts. At this stage it just doesn't seem appropriate," he said. "We're open to discussion about entitlement reforms, but we're going to have to take a different direction. The present status will not work."


Reid said that even 36 hours before the country could go over the cliff, he remains "hopeful" but "realistic," about the prospects of reaching an agreement.


"The other side is intentionally demanding concessions they know we are not willing to make," he said.






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Body of India rape victim cremated in New Delhi


NEW DELHI (Reuters) - The body of a woman, whose gang rape provoked protests and rare national debate about violence against women in India, arrived back in New Delhi on Sunday and was cremated at a private ceremony.


Scuffles broke out in central Delhi between police and protesters who say the government is doing too little to protect women. But the 2,000-strong rally was confined to a single area, unlike last week when protests raged up throughout the capital.


Riot police manned barricades along streets leading to India Gate war memorial - a focal point for demonstrators - and, at another gathering point - the centuries-old Jantar Mantar - protesters held banners reading "We want justice!" and "Capital punishment".


Most sex crimes in India go unreported, many offenders go unpunished, and the wheels of justice turn slowly, according to social activists, who say that successive governments have done little to ensure the safety of women.


The unidentified 23-year-old victim of the December 16 gang rape died of her injuries on Saturday, prompting promises of action from a government that has struggled to respond to public outrage.


The medical student had suffered brain injuries and massive internal injuries in the attack and died in hospital in Singapore where she had been taken for treatment.


She and a male friend had been returning home from the cinema, media reports say, when six men on a bus beat them with metal rods and repeatedly raped the woman. The friend survived.


New Delhi has the highest number of sex crimes among India's major cities, with a rape reported on average every 18 hours, police figures show. Reported rape cases rose by nearly 17 percent between 2007 and 2011, according to government data.


Six suspects were charged with murder after her death and face the death penalty if convicted.


In Kolkata, one of India's four biggest cities, police said a man reported that his mother had been gang-raped and killed by a group of six men in a small town near the city on Saturday.


She was killed on her way home with her husband, a senior official said, and the attackers had thrown acid at the husband, raped and killed her, and dumped her body in a roadside pond.


Police declined to give any further details. One officer told Reuters no criminal investigation had yet been launched.


"MISOGYNY"


The leader of India's ruling Congress party, Sonia Gandhi, was seen arriving at the airport when the plane carrying the woman's body from Singapore landed and Prime Minister Mannmohan Singh's convoy was also there.


A Reuters correspondent saw family members who had been with her in Singapore take her body from the airport to their Delhi home in an ambulance with a police escort.


Her body was then taken to a crematorium and cremated. Media were kept away but a Reuters witness saw the woman's family, New Delhi's chief minister, Sheila Dikshit, and the junior home minister, R P N Singh, coming out of the crematorium.


The outcry over the attack caught the government off guard. It took a week for the prime minister to make a statement, infuriating many protesters. Last weekend they fought pitched battles with police.


Issues such as rape, dowry-related deaths and female infanticide rarely enter mainstream political discourse.


Analysts say the death of the woman dubbed "Amanat", an Urdu word meaning "treasure", by some Indian media could change that, though it is too early to say whether the protesters can sustain their momentum through to national elections due in 2014.


U.N. Secretary General Ban Ki-Moon added his voice to those demanding change, calling for "further steps and reforms to deter such crimes and bring perpetrators to justice".


Commentators and sociologists say the incident earlier this month has tapped into a deep well of frustration many Indians feel over what they see as weak governance and poor leadership on social issues.


Newspapers raised doubts about the commitment of both male politicians and the police to protecting women.


"Would the Indian political system and class have been so indifferent to the problem of sexual violence if half or even one-third of all legislators were women?" the Hindu newspaper asked.


The Indian Express said it was more complicated than realizing that the police force was understaffed and underpaid.


"It is geared towards dominating citizens rather than working for them, not to mention being open to influential interests," the newspaper said. "It reflects the misogyny around us, rather than actively fighting for the rights of citizens who happen to be female."


(Additional reporting by Ross Colvin and Diksha Madhokin New Delhi and Sujoy Dhar in Kolkata; Editing by Louise Ireland)



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Nobel medicine laureate Levi-Montalcini dies aged 103






ROME: Nobel medicine laureate Rita Levi-Montalcini, a neurologist and developmental biologist, died on Sunday at her home in Rome aged 103.

She was the oldest living Nobel laureate at the time of her death.

Levi-Montalcini shared the prize with colleague Stanley Cohen in 1986 for their ground-breaking discovery of growth factors.

The Nobel committee cited the pair for advancing "our knowledge from a stage when... growth factors were unknown, to a situation today when the role of growth factors in cell proliferation, organ differentiation, and tumour transformation is generally recognised."

Their work has helped understanding of such disorders as cancer, birth defects and Alzheimer's and Parkinson's diseases.

Enjoying great affection and respect in Italy, Levi-Montalcini intervened to defend the teaching of evolution in schools when, in 2004, the then education minister, Letizia Moratti, wanted to remove it from the curriculum.

In 2001, Italy's then president Carlo Azeglio Ciampi named Levi-Montalcini a senator for life, an honour bestowed on former presidents and prominent figures in social, scientific, artistic or literary fields.

In this role, she was the grand old lady of the Senate, taking pains to turn up for crucial votes in support of the Italian centre-left, even late in life when she was deaf and nearly blind.

In 2007 she cut short a trip to Dubai to help then prime minister Romano Prodi survive a confidence vote.

Levi-Montalcini had vowed to continue exercising her "right and duty" to vote alongside elected senators despite her age and sniping from elements of the right.

The indefatigable scientist continued to work daily at her laboratory in Rome well into her declining years.

She was the first woman president of the Italian Encyclopaedia and a member of several prestigious scientific societies including the Italian Academy of Sciences, the National Academy of Sciences in the United States and London's Royal Society.

Born into a wealthy Jewish intellectual family in northern Turin in 1909, Montalcini was the daughter of an engineer and an artist whom she described in her Nobel autobiography as "an exquisite human being."

Her twin sister Paola died in 2000, and her brother Gino in 1974. The oldest, Anna,

Overcoming her father's resistance to the idea of a professional career for a woman, Levi-Montalcini entered medical school in Turin aged 20.

Levi-Montalcini shunned marriage and motherhood to devote herself to a medical career.

But in 1936, the same year she earned a summa cum laude degree in medicine and surgery, Mussolini decreed racial laws that barred Jews from pursuing academic and professional careers.

So instead of embarking on a specialisation in neurology and psychiatry, she set up a small laboratory in her bedroom, performing experiments on chick embryos.

The Allied bombing of Turin in 1941 forced the family to flee to the Piedmont countryside, where Levi-Montalcini rebuilt the lab. Two years later, with the German invasion, the family fled to Florence, where they lived underground until the end of the war.

She managed to work as a medical doctor for Allied forces, treating war refugees afflicted by deadly epidemics of infectious diseases such as typhus.

Finally, when the war in Italy ended in May 1945, Levi-Montalcini was able to resume her career.

Her work on chick embryos, published in Switzerland and Belgium, led to an invitation to a research position at Washington University in Saint Louis, Missouri, in 1947.

Although she initially planned to stay for a brief stint, she wound up staying 30 years. It was there that she and Cohen studied mouse tumours implanted in chick embryos.

She set up the interdisciplinary European Brain Research Institute in Rome in 2002.

She established the Levi-Montalcini Foundation to help African women, and as Food and Agriculture Organisation ambassador for many years and in many other public forums she advocated the alleviation of world hunger.

- AFP/jc



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Don’t let Nirbhaya’s fire die

NEW DELHI: Her funeral was conducted in near-secrecy and amid tight security, but all of India mourned as the mortal remains of 23-year-old Nirbhaya were cremated at Dwarka early on Sunday morning. The bubbly girl who was the pride and joy of her family could not live to fulfill her fond dreams. But as the protesters who congregated at Jan tar Mantar a few hours later clearly demonstrated, the memory of her courage will never die.

The aircraft bearing her body reached Palam technical area of IGI airport from Singapore at 3.30am. Prime Minister Manmohan Singh and Congress president Sonia Gandhi arrived immediately. They spent around 30 minutes at the airport consoling the girl's parents. The body reached the family's residence at around 4:30am in an ambulance amid heavy security and a convoy of police vans.

After prayers by relatives, Nirbhaya's body was taken to the Dwarka crematorium at 6:45am in dense fog. The charnel ground had no light and preparations for her funeral were made under torch and flashlights. The girl's emotionally drained mother collapsed and was rushed to hospital, where doctors later described her condition as stable. Nirbhaya's father lit the pyre with chief minister Sheila Dikshit, Union minister RPN Singh and Delhi BJP chief Vijender Gupta among those in attendance.

The funeral preparations were made in complete secrecy with everyone - from the police, to family members and politicians - told by the home affairs ministry about fears of crowd trouble at the crematorium if information about it leaked. Nevertheless, as the day wore on and people gathered at various places in the capital in protest, youth groups of ABVP, NSUI and AISA clashed with the police at Jantar Mantar.

Deliberations on who would receive the body took place at a Congress core group meeting at the PM's residence late on Saturday evening, during which Sonia was learnt to have expressed her wish to receive the body and meet the grief-stricken family.

The meeting - also attended by home minister Sushil Kumar Shinde and RPN Singh - agreed on Sonia's decision and also advised the PM to be there at the airport. Delhi CM Sheila Dikshit and West Delhi MP Mahabal Mishra, too, were informed about the plan.

Delhi Police was directed to make necessary arrangements and deploy personnel along the entire route from Palam technical area to Mahavir Enclave, where Nirbhaya lived. The lanes to her house were fortified with more than 200 policemen and BSF jawans as early as Saturday night.

A neighbour of the 23-year-old said police deployment in the area had begun at 8pm on Saturday when all the lanes were barricaded.

When the body arrived at the house, people were seen coming in from everywhere, politicians included. Among the first to reach were Vijender Gupta and Mahabal Mishra. Not many were allowed to meet the family members.

Soon the body was taken out and people walked with it for a short distance before it was transferred to an ambulance and taken to Dwarka crematorium. More than 200 people from the neighbourhood where the girl lived joined the family members in mourning and moved in a convoy of vans and cars.

Many people, on hearing about the funeral, even walked to the crematorium. The last rites were performed within an hour of the body reaching the crematorium. Nirbhaya's father looked completely distraught. Nirbhaya's three uncles and her younger brothers were present.

RPN Singh and Dikshit condoled with the family. After the funeral, Nirbhaya's family members were taken to their home in cars arranged by Mahabal Mishra.

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Kenya hospital imprisons new mothers with no money


NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.


Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.


Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.


"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."


"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."


The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.


Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.


"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.


She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.


A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.


"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.


Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.


One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.


Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.


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Associated Press reporter Tom Odula contributed to this report.


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'Mom' Loses Russian Girl Weeks From Adoption













After a roller coaster week, Kendra Skaggs sat down to vent on her blog. She had used that space to document her 13 month journey of adopting a young girl named Polina from Russia. But now, with that dream just weeks away from fulfillment, she described her frustration, fear and anger as she watched it being snatched away.


"I have no control. I'm on the other side of the world and I can't hold and comfort my daughter as I wait to hear if we will forever be separated," she wrote in a passionate entry


Her writing seemed to speak for hundreds of American parents whose hopes of adopting a Russian orphan were dashed today when Russian President Vladimir Putin signed into law a controversial ban on adoptions to the United States. The move is part of Russia's retaliation for a set of human rights sanctions passed by the U.S. Congress and signed by President Obama earlier this month. Critics, including the U.S. State Department, say the adoption ban is playing politics with the lives of children.


Russia is the third most popular country for Americans to adopt from, but in recent years the issue has become a political football in Russia. Americans have adopted over 60,000 Russian children since the fall of the Soviet Union, but Russian officials have seized on the cases of 19 children who died after being adopted by Americans.












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In 2010, a 7-year-old adopted boy named Artyom was put on a plane back to Russia alone by his adoptive mother from Tennessee with little more than a note saying she did not want him anymore. The case touched off a wave of fury in Russia and adoptions to the United States were nearly halted.


The Many Adventures of Vladimir Putin


Just a week ago Kendra and her husband visited Polina at her orphanage outside Moscow. The bubbly 5-year-old suffers from spina bifida, a condition that has left her numb from the waist down and unable to walk. They showed Polina photos of her new bedroom and told her about her new family. They played together, hugged each other, and promised to see each other soon when they returned in January to bring her home to Arkansas.


The adoption ban legislation, meanwhile, had just been introduced by Russian lawmakers. Kendra had hoped their case, which was nearly completed, would sneak in under the wire. She held out hope again after a Moscow court approved her adoption on Monday. All that was needed was a 30 day waiting period before they could bring Polina home.


It appears even that was too late. The law goes into effect on Jan. 1, but Russian officials have said even cases of 52 children who are within weeks of traveling to the United States are now frozen. Authorities have pledged to find new homes for them in Russia.


For the Skaggs family, it is agonizing to be so close to bringing her home, yet so far. Kendra fears Polina will think she was abandoned again.


"It's the fear of what she is going to think, that we forgot her," she said in an interview with ABC News.


"She's out there and I can't take care of her," she said, crying softly. "I can't help her. I can't tell her I love her. So it's really hard."


She also worries what will happen to Polina in Russia, a country with scarce accommodations for the handicapped.


"Russia really isn't set up for people with disabilities. You can't get into the metro even to get around because it's just levels and levels of stairs that you have to go up and down and there's no handicapped access to the buildings," Kendra said.






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Syria opposition leader rejects Moscow invitation


ALEPPO PROVINCE, Syria/BEIRUT (Reuters) - Syria's opposition leader has rejected an invitation from Russia for peace talks, dealing another blow to international hopes that diplomacy can be resurrected to end a 21-month civil war.


Russia, President Bashar al-Assad's main international protector, said on Friday it had sent an invitation for a visit to Moaz Alkhatib, whose six-week-old National Coalition opposition group has been recognized by most Western and Arab states as the legitimate voice of the Syrian people.


But in an interview on Al Jazeera television, Alkhatib said he had already ruled out such a trip and wanted an apology from Moscow for its support for Assad.


"We have clearly said we will not go to Moscow. We could meet in an Arab country if there was a clear agenda," he said.


"Now we also want an apology from (Russian Foreign Minister Sergei) Lavrov because all this time he said that the people will decide their destiny, without foreign intervention. Russia is intervening and meanwhile all these massacres of the Syrian people have happened, treated as if they were a picnic."


"If we don't represent the Syrian people, why do they invite us?" Alkhatib said. "And if we do represent the Syrian people why doesn't Russia respond and issue a clear condemnation of the barbarity of the regime and make a clear call for Assad to step down? This is the basic condition for any negotiations."


With the rebels advancing steadily over the second half of 2012, diplomats have been searching for months for signs that Moscow's willingness to protect Assad is faltering.


So far Russia has stuck to its position that rebels must negotiate with Assad's government, which has ruled since his father seized power in a coup 42 years ago.


"I think a realistic and detailed assessment of the situation inside Syria will prompt reasonable opposition members to seek ways to start a political dialogue," Lavrov said on Friday.


That was immediately dismissed by the opposition: "The coalition is ready for political talks with anyone ... but it will not negotiate with the Assad regime," spokesman Walid al-Bunni told Reuters. "Everything can happen after the Assad regime and all its foundations have gone. After that we can sit down with all Syrians to set out the future."


BRAHIMI TO MOSCOW


Russia says it is behind the efforts of U.N. mediator Lakhdar Brahimi, fresh from a five-day trip to Damascus where he met Assad. Brahimi, due in Moscow for talks on Saturday, is touting a months-old peace plan for a transitional government.


That U.N. plan was long seen as a dead letter, foundering from the outset over the question of whether the transitional body would include Assad or his allies. Brahimi's predecessor, Kofi Annan, quit in frustration shortly after negotiating it.


But with rebels having seized control of large sections of the country in recent months, Russia and the United States have been working with Brahimi to resurrect the plan as the only internationally recognized diplomatic negotiating track.


Russia's Middle East envoy, Deputy Foreign Minister Mikhail Bogdanov, who announced the invitation to Alkhatib, said further talks were scheduled between the "three B's" - himself, Brahimi and U.S. Undersecretary of State William Burns.


Speaking in Damascus on Thursday, Brahimi called for a transitional government with "all the powers of the state", a phrase interpreted by the opposition as potentially signaling tolerance of Assad remaining in some ceremonial role.


But such a plan is anathema to the surging rebels, who now believe they can drive Assad out with a military victory, despite long being outgunned by his forces.


"We do not agree at all with Brahimi's initiative. We do not agree with anything Brahimi says," Colonel Abdel-Jabbar Oqaidi, who heads the rebels' military council in Aleppo province, told reporters at his headquarters there.


Oqaidi said the rebels want Assad and his allies tried in Syria for crimes. Assad himself says he will stay on and fight to the death if necessary.


In the rebel-held town of Kafranbel, demonstrators held up cartoons showing Brahimi speaking to a news conference with toilet bowls in front of him, in place of microphones. Banners denounced the U.N. envoy with obscenities in English.


DIPLOMATS IMPOTENT


Diplomacy has largely been irrelevant to the conflict so far, with Western states ruling out military intervention like the NATO bombing that helped topple Libya's Muammar Gaddafi last year, and Russia and China blocking U.N. action against Assad.


Meanwhile, the fighting has grown fiercer and more sectarian, with rebels mainly from the Sunni Muslim majority battling Assad's government and allied militia dominated by his Alawite sect, an offshoot of Shi'ite Islam.


Still, Western diplomats have repeatedly touted signs of a change in policy from Russia, which they hope could prove decisive, much as Moscow's withdrawal of support for Serbian leader Slobodan Milosevic heralded his downfall a decade ago.


Bogdanov said earlier this month that Assad's forces were losing ground and rebels might win the war, but Russia has since rowed back, with Lavrov last week reiterating Moscow's position that neither side could win through force.


Still, some Moscow-based analysts see the Kremlin coming to accept it must adapt to the possibility of rebel victory.


"As the situation changes on the battlefield, more incentives emerge for seeking a way to stop the military action and move to a phase of political regulation," said Dmitry Trenin, director of the Carnegie Moscow Center.


Meanwhile, on the ground the bloodshed that has killed some 44,000 people continues unabated. According to the pro-opposition Syrian Observatory for Human Rights, a monitoring group based in Britain, 150 people were killed on Thursday, a typical toll as fighting has escalated in recent months.


Government war planes bombarded the town of Assal al-Ward in the Qalamoun district of Damascus province for the first time, killing one person and wounding dozens, the observatory said.


In Aleppo, Syria's northern commercial hub, clashes took place between rebel fighters and army forces around an air force intelligence building in the Zahra quarter, a neighborhood that has been surrounded by rebels for weeks.


(Additional reporting by Omar Fahmy in Cairo, Dominic Evans in Beirut and Steve Gutterman and Alissa de Carbonnel in Moscow; Writing by Peter Graff; Editing by Giles Elgood)



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Italy's Monti to lead centrist coalition in February polls






ROME: Italy's caretaker Prime Minister Mario Monti said Friday that he will contest February elections at the head of a centrist coalition, driving a wedge between centre-left and centre-right parties.

"I agree to assume the role of head of the coalition, and I will commit myself to guaranteeing the success of this operation," Monti said after meeting for four hours with representatives of centrist groups and civic organisations.

Monti, 69, announced a week ago that he would step down after 13 months at the head of an unelected team of technocrats that was appointed to steer Italy out of a financial crisis that could have had dire consequences for the entire 17-nation eurozone.

Technically, as an Italian senator for life, the former European commissioner cannot himself run for office, but is in a position to be renamed prime minister if a party or coalition he supports wins the vote on February 24-25.

Monti is seen as a recourse to prevent scandal-tainted former premier Silvio Berlusconi from returning to power and undoing hard-won reforms.

The "Monti Agenda" proposes to cut public funds for political parties and parliamentary groups, and also includes measures to make more room for women and environmental issues.

Monti could bar the route for Berlusconi, who is running for the premiership for the sixth time in 18 years, but who is now isolated on the right side of the political spectrum with support from anti-tax and anti-euro factions.

Analysts had expected Pier Luigi Bersani of the centre-left Democratic Party to be named prime minister, and to then appoint Monti as a "super economy minister".

Berlusconi, who is appealing an October conviction for tax fraud and is currently on trial for having sex with an underage prostitute, has made proposals including the abolition of a new property tax that Monti has called "very dangerous and illusory".

A Monti-backed reform coalition is likely to steal votes from both Bersani and Berlusconi, who has virulently lambasted Monti's pro-Europe austerity policies.

Monti has been endorsed by European leaders, the markets and the Roman Catholic Church.

But while Monti's bold reforms have received wide praise from investors and rescued Italy from the brink of bankruptcy, they are increasingly unpopular among Italians who have been on the receiving end.

Monti's approval rating has plunged from more than 60 percent as he took office to around 30 percent in recent weeks.

And he has come under fire for appearing to make no effort to reach out to voters.

The economy is still stuck in a recession, unemployment is at record highs and consumption has fallen this year at its fastest rate since World War II.

Monti was installed by parliament at the head of an unelected, technocratic government when Berlusconi was forced to step down last year in a storm of sex scandals, market panic and infighting within his own party.

With his professorial demeanour, sober lifestyle and dry English wit, Monti could not have been more different from the larger-than-life Berlusconi.

-AFP/ac



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