South Africa makes progress in HIV/AIDS fight

JOHANNESBURG (AP) — In the early 90s when South Africa's Themba Lethu clinic could only treat HIV/AIDS patients for opportunistic diseases, many would come in on wheelchairs and keep coming to the health center until they died.

Two decades later the clinic is the biggest ARV (anti-retroviral) treatment center in the country and sees between 600 to 800 patients a day from all over southern Africa. Those who are brought in on wheelchairs, sometimes on the brink of death, get the crucial drugs and often become healthy and are walking within weeks.

"The ARVs are called the 'Lazarus drug' because people rise up and walk," said Sue Roberts who has been a nurse at the clinic , run by Right to Care in Johannesburg's Helen Joseph Hospital, since it opened its doors in 1992. She said they recently treated a woman who was pushed in a wheelchair for 3 kilometers (1.8 miles) to avoid a taxi fare and who was so sick it was touch and go. Two weeks later, the woman walked to the clinic, Roberts said.

Such stories of hope and progress are readily available on World AIDS Day 2012 in sub-Saharan Africa where deaths from AIDS-related causes have declined by 32 percent from 1.8 million in 2005 to 1.2 million in 2011, according to the latest UNAIDS report.

As people around the world celebrate a reduction in the rate of HIV infections, the growth of the clinic, which was one of only a few to open its doors 20 years ago, reflects how changes in treatment and attitude toward HIV/AIDS have moved South Africa forward. The nation, which has the most people living with HIV in the world at 5.6 million, still faces stigma and high rates of infection.

"You have no idea what a beautiful time we're living in right now," said Dr. Kay Mahomed, a doctor at the clinic who said treatment has improved drastically over the past several years.

President Jacob Zuma's government decided to give the best care, including TB screening and care at the clinic, and not to look at the cost, she said. South Africa has increased the numbers treated for HIV by 75 percent in the last two years, UNAIDS said, and new HIV infections have fallen by more than 50,000 in those two years. South Africa has also increased its domestic expenditure on AIDS to $1.6 billion, the highest by any low-and middle-income country, the group said.

Themba Lethu clinic, with funding from the government, USAID and PEPFAR, is now among some 2,500 ARV facilities in the country that treat approximately 1.9 million people.

"Now, you can't not get better. It's just one of these win-win situations. You test, you treat and you get better, end of story," Mahomed said.

But it hasn't always been that way.

In the 1990s South Africa's problem was compounded by years of misinformation by President Thabo Mbeki, who questioned the link between HIV and AIDS, and his health minister, Manto Tshabalala-Msimang, who promoted a "treatment" of beets and garlic.

Christinah Motsoahae first found out she was HIV positive in 1996, and said she felt nothing could be done about it.

"I didn't understand it at that time because I was only 24, and I said, 'What the hell is that?'" she said.

Sixteen years after her first diagnosis, she is now on ARV drugs and her life has turned around. She says the clinic has been instrumental.

"My status has changed my life, I have learned to accept people the way they are. I have learned not to be judgmental. And I have learned that it is God's purpose that I have this," the 40-year-old said.

She works with a support group of "positive ladies" in her hometown near Krugersdorp. She travels to the clinic as often as needed and her optimism shines through her gold eye shadow and wide smile. "I love the way I'm living now."

Motsoahae credits Nelson Mandela's family for inspiring her to face up to her status. The anti-apartheid icon galvanized the AIDS community in 2005 when he publicly acknowledged his son died of AIDS.

None of Motsoahae's children was born with HIV. The number of children newly infected with HIV has declined significantly. In six countries in sub-Saharan Africa — South Africa, Burundi, Kenya, Namibia, Togo and Zambia —the number of children with HIV declined by 40 to 59 percent between 2009 and 2011, the UNAIDS report said.

But the situation remains dire for those over the age of 15, who make up the 5.3 million infected in South Africa. Fear and denial lend to the high prevalence of HIV for that age group in South Africa, said the clinic's Kay Mahomed.

About 3.5 million South Africans still are not getting therapy, and many wait too long to come in to clinics or don't stay on the drugs, said Dr. Dave Spencer, who works at the clinic .

"People are still afraid of a stigma related to HIV," he said, adding that education and communication are key to controlling the disease.

Themba Lethu clinic reaches out to the younger generation with a teen program.

Tshepo Hoato, 21, who helps run the program found out he was HIV positive after his mother died in 2000. He said he has been helped by the program in which teens meet one day a month.

"What I've seen is a lot people around our ages, some commit suicide as soon as they find out they are HIV. That's a very hard stage for them so we came up with this program to help one another," he said. "We tell them our stories so they can understand and progress and see that no, man, it's not the end of the world."

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Cliff fight may knock out December rally

NEW YORK (Reuters) - In normal times, next week's slew of U.S. economic data could be a springboard for a December rally in the stock market.


December is historically a strong month for markets. The S&P 500 has risen 16 times in the past 20 years during the month.


But the market hasn't been operating under normal circumstances since November 7 when a day after the U.S. election, investors' focus shifted squarely to the looming "fiscal cliff."


Investors are increasingly nervous about the ability of lawmakers to undo the $600 billion in tax increases and spending cuts that are set to begin in January; those changes, if they go into effect, could send the U.S. economy into a recession.


A string of economic indicators next week, which includes a key reading of the manufacturing sector on Monday, culminates with the November jobs report on Friday.


But the impact of those economic reports could be muted. Distortions in the data caused by Superstorm Sandy are discounted.


The spotlight will be more firmly on signs from Washington that politicians can settle their differences on how to avoid the fiscal cliff.


"We have a week with a lot of economic data, and obviously most of the economic data is going to reflect the effects of Sandy, and that might be a little bit negative for the market next week, but most of that is already expected - the main focus remains the fiscal cliff," said Peter Cardillo, chief market economist at Rockwell Global Capital in New York.


Concerns about the cliff sent the S&P 500 <.spx> into a two-week decline after the elections, dropping as much as 5.3 percent, only to rally back nearly 4 percent as the initial tone of talks offered hope that a compromise could be reached and investors snapped up stocks that were viewed as undervalued.


On Wednesday, the S&P 500 gained more than 20 points from its intraday low after House Speaker John Boehner said he was optimistic that a budget deal to avoid big spending cuts and tax hikes could be worked out. The next day, more pessimistic comments from Boehner, an Ohio Republican, briefly wiped out the day's gains in stocks.


On Friday, the sharp divide between the Democrats and the Republicans on taxes and spending was evident in comments from President Barack Obama, who favors raising taxes on the wealthy, and Boehner, the top Republican in Congress, who said Obama's plan was the wrong approach and declared that the talks had reached a stalemate.


"It's unusual to end up with one variable in this industry, it's unusual to have a single bullet that is the causal factor effect, and you are sitting here for the next maybe two weeks or more, on that kind of condition," said Sandy Lincoln, chief market strategist at BMO Asset Management U.S. in Chicago.


"And that is what is grabbing the markets."


BE CONTRARY AND MAKE MERRY


But investor attitudes and seasonality could also help spur a rally for the final month of the year.


The most recent survey by the American Association of Individual Investors reflected investor caution about the cliff. Although bullish sentiment rose above 40 percent for the first time since August 23, bearish sentiment remained above its historical average of 30.5 percent for the 14th straight week.


December is a critical month for retailers such as Target Corp and Macy's Inc . They saw monthly retail sales results dented by Sandy, although the start of the holiday shopping season fared better.


With consumer spending making up roughly 70 percent of the U.S. economy, a solid showing for retailers during the holiday season could help fuel any gains.


Ryan Detrick, senior technical strategist at Schaeffer's Investment Research in Cincinnati, believes the recent drop after the election could be a market bottom, with sentiment leaving stocks poised for a December rally.


"The concerns on the fiscal cliff - as valid as they might be - could be overblown. When you look at a lot of the overriding sentiment, that has gotten extremely negative," said Detrick.


"From that contrarian point of view with the historically bullish time frame of December, we once again could be setting ourselves up for a pretty nice end-of-year rally, based on lowered expectations."


SOME FEEL THE BIG CHILL


Others view the fiscal cliff as such an unusual event that any historical comparisons should be thrown out the window, with a rally unlikely because of a lack of confidence in Washington to reach an agreement and the economic hit caused by Sandy.


"History doesn't matter. You're dealing with an extraordinary set of circumstances that could very well end up in the U.S. economy going into a recession," said Phil Orlando, chief equity market strategist at Federated Investors in New York.


"And the likelihood of that is exclusively in the hands of our elected officials in Washington. They could absolutely drag us into a completely voluntary recession."


(Wall St Week Ahead runs every Friday. Questions or comments on this column can be emailed to: charles.mikolajczak(at)thomsonreuters.com )


(Reporting by Chuck Mikolajczak; Editing by Jan Paschal)


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Palestinians win de facto U.N. recognition of sovereign state

UNITED NATIONS (Reuters) - The 193-nation U.N. General Assembly on Thursday overwhelmingly approved the de facto recognition of the sovereign state of Palestine after Palestinian President Mahmoud Abbas called on the world body to issue its long overdue "birth certificate."


The U.N. victory for the Palestinians was a diplomatic setback for the United States and Israel, which were joined by only a handful of countries in voting against the move to upgrade the Palestinian Authority's observer status at the United Nations to "non-member state" from "entity," like the Vatican.


Britain called on the United States to use its influence to help break the long impasse in Israeli-Palestinian peace talks. Washington also called for a revival of direct negotiations.


There were 138 votes in favor, nine against and 41 abstentions. Three countries did not take part in the vote, held on the 65th anniversary of the adoption of U.N. resolution 181 that partitioned Palestine into separate Jewish and Arab states.


Thousands of flag-waving Palestinians in the West Bank and the Gaza Strip set off fireworks and danced in the streets to celebrate the vote.


The assembly approved the upgrade despite threats by the United States and Israel to punish the Palestinians by withholding funds for the West Bank government. U.N. envoys said Israel might not retaliate harshly against the Palestinians over the vote as long as they do not seek to join the International Criminal Court.


If the Palestinians were to join the ICC, they could file complaints with the court accusing Israel of war crimes, crimes against humanity and other serious crimes.


U.S. Secretary of State Hillary Clinton called the vote "unfortunate and counterproductive," while the Vatican praised the move and called for an internationally guaranteed special status for Jerusalem, something bound to irritate Israel.


The much-anticipated vote came after Abbas denounced Israel from the U.N. podium for its "aggressive policies and the perpetration of war crimes," remarks that elicited a furious response from the Jewish state.


"Sixty-five years ago on this day, the United Nations General Assembly adopted resolution 181, which partitioned the land of historic Palestine into two states and became the birth certificate for Israel," Abbas told the assembly after receiving a standing ovation.


"The General Assembly is called upon today to issue a birth certificate of the reality of the State of Palestine," he said.


Israeli Prime Minister Benjamin Netanyahu responded quickly, condemning Abbas' critique of Israel as "hostile and poisonous," and full of "false propaganda.


"These are not the words of a man who wants peace," Netanyahu said in a statement released by his office. He reiterated Israeli calls for direct talks with the Palestinians, dismissing Thursday's resolution as "meaningless."


ICC THREAT


A number of Western delegations noted that Thursday's vote should not be interpreted as formal legal recognition of a Palestinian state. Formal recognition of statehood is something that is done bilaterally, not by the United Nations.


Granting Palestinians the title of "non-member observer state" falls short of full U.N. membership - something the Palestinians failed to achieve last year. But it does have important legal implications - it would allow them access to the ICC and other international bodies, should they choose to join.


Abbas did not mention the ICC in his speech. But Palestinian Foreign Minister Riyad al-Maliki told reporters after the vote that if Israel continued to build illegal settlements, the Palestinians might pursue the ICC route.


"As long as the Israelis are not committing atrocities, are not building settlements, are not violating international law, then we don't see any reason to go anywhere," he said.


"If the Israelis continue with such policy - aggression, settlements, assassinations, attacks, confiscations, building walls - violating international law, then we have no other remedy but really to knock those to other places," Maliki said.


In Washington, a group of four Republican and Democratic senators announced legislation that would close the Palestinian office in Washington unless the Palestinians enter "meaningful negotiations" with Israel, and eliminate all U.S. assistance to the Palestinian Authority if it turns to the ICC.


"I fear the Palestinian Authority will now be able to use the United Nations as a political club against Israel," said Republican Senator Lindsey Graham, one of the sponsors.


Abbas led the campaign to win support for the resolution, which followed an eight-day conflict this month between Israel and Islamists in the Gaza Strip, who are pledged to Israel's destruction and oppose a negotiated peace.


The vote highlighted how deeply divided Europe is on the Israeli-Palestinian conflict.


At least 17 European nations voted in favor of the Palestinian resolution, including Austria, France, Italy, Norway and Spain. Abbas had focused his lobbying efforts on Europe, which supplies much of the aid the Palestinian Authority relies on. Britain, Germany and many others chose to abstain.


The traditionally pro-Israel Czech Republic was unique in Europe, joining the United States, Israel, Canada, Panama and the tiny Pacific Island states Nauru, Palau, Marshall Islands and Micronesia in voting against the move.


'HOPE SOME REASON WILL PREVAIL'


Peace talks have been stalled for two years, mainly over Israeli settlements in the West Bank, which have expanded despite being deemed illegal by most of the world. There are 4.3 million Palestinians in the West Bank and Gaza.


After the vote, U.S. Ambassador to the United Nations Susan Rice called for the immediate resumption of peace talks.


"The Palestinian people will wake up tomorrow and find that little about their lives has changed save that the prospects of a durable peace have only receded," she said.


She added that both parties should "avoid any further provocative actions in the region, in New York or elsewhere."


Palestinian Prime Minister Salam Fayyad said he hoped all sides would use the vote to push for new breakthroughs in the peace process.


"I hope there will be no punitive measures," Fayyad told Reuters in Washington, where he was attending a conference.


"I hope that some reason will prevail and the opportunity will be taken to take advantage of what happened today in favor of getting a political process moving," he said.


Britain's U.N. ambassador, Mark Lyall Grant, told reporters it was time for recently re-elected U.S. President Barack Obama to make a new push for peace.


"We believe the window for the two-state solution is closing," he said. "That is why we are encouraging the United States and other key international actors to grasp this opportunity and use the next 12 months as a way to really break through this impasse."


(Additional reporting by Andrew Quinn in Washington, Noah Browning in Ramallah, Jeffrey Heller in Jerusalem, Robert Mueller in Prague, Gabriela Baczynska and Reuters bureaux in Europe and elsewhere; Editing by Eric Beech and Peter Cooney)


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Apple overcomes last hurdle, iPhone 5 cleared for sale in China as Android continues to dominate












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The X Factor Announces Top 6






The X Factor










11/29/2012 at 09:40 PM EST







From left; Demi Lovato, Britney Spears and Simon Cowell


FOX


Mario Lopez called the first elimination on Thursday's The X Factor a "bit of a shocker."

And so was the second.

The top eight contestants sang No. 1 hits Wednesday in an emotional night. Keep reading to find out which two performers were sent packing – and who's in season 2's top six ...

Paige Thomas was the first to go – which is shocking because she toned down her over-the-top performing style to sing Rick Astley's "Never Gonna Give You Up" like a like a "legitimate pop star," according to Simon Cowell.

That left Demi Lovato with just one singer on her team: CeCe Frey, who was told (by Cowell) to "pack her bags" Wednesday after her performance of "Lady Marmalade."

But L.A. Reid's contestant Vino Alan and Team Britney's Diamond White were in the bottom two and had to sing for survival. He performed "Trouble" and she sang Beyoncé's "I Was Here."

L.A. voted to send home Diamond; Britney returned the favor and voted to send home Vino. Demi voted Vino out as well. That left Simon ... and he fell in line with the female panelists, voting to get rid of Vino. Either one would have been a shock but Vino had been ranked third last week.

Here's how the top six rank this week:
1. Carly Rose Sonenclar
2. Tate Stevens
3. Emblem3
4. Fifth Harmony
5. CeCe Frey
6. Diamond White

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Ukraine fights spreading HIV epidemic

BUCHA, Ukraine (AP) — Andrei Mandrykin, an inmate at Prison No. 85 outside Kiev, has HIV. He looks ghostly and much older than his 35 years. But Mandrykin is better off than tens of thousands of his countrymen, because is he receiving treatment amid what the World Health Organization says is the worst AIDS epidemic in Europe.

Ahead of World AIDS Day on Saturday, international organizations have urged the Ukrainian government to increase funding for treatment and do more to prevent HIV from spreading from high-risk groups into the mainstream population, where it is even harder to manage and control.

An estimated 230,000 Ukrainians, or about 0.8 percent of people aged 15 to 49, are living with HIV, the virus that causes AIDS. Some 120,000 are in urgent need of anti-retroviral therapy, which can greatly prolong and improve the quality of their lives. But due to a lack of funds, fewer than a quarter are receiving the drugs — one of the lowest levels in the world.

Ukraine's AIDS epidemic is still concentrated among high-risk groups such as intravenous drug users, sex workers, homosexuals and prisoners. But nearly half of new cases registered last year were traced to unprotected heterosexual contact.

"Slowly but surely the epidemic is moving from the most-at-risk, vulnerable population to the general population," said Nicolas Cantau of The Global Fund to Fight AIDS, Tuberculosis and Malaria, who manages work in Eastern Europe and Central Asia. "For the moment there is not enough treatment in Ukraine."

Stigma is also a big problem for those with HIV in Ukraine. Liliya, a 65-year-old woman who would give only her first name, recently attended a class on how to tell her 9-year-old great-granddaughter that she has HIV. The girl, who contacted HIV at birth from her drug-abusing mother, has been denied a place in preschool because of her diagnosis.

"People are like wolves, they don't understand," said Liliya. "If any of the parents found out, they would eat the child alive."

While the AIDS epidemic has plateaued elsewhere in the world, it is still progressing in Eastern Europe and Central Asia, according to Cantau. Nearly 21,200 new cases were reported in Ukraine in 2011, the highest number since the former Soviet republic registered its first case in 1987, and a 3 percent increase over 2010. As a result of limited and often delayed treatment, the number of AIDS-related deaths grew 17 percent last year to about 3,800.

Two years ago, Mandrykin, the prisoner, was on the verge of becoming part of that statistic, with his level of crucial CD4 immune cells — a way to measure the strength of the immune system — dropping to 11. In a healthy person, the CD4 count is usually over 600.

"I was lying in the hospital, I was dying," said Mandrykin, who is serving seven years for robbery, his fourth stint in jail. "It's a scary disease."

After two years of treatment in a small prison clinic, his CD4 count has risen to 159 and he feels much better, although he looks exhausted and is still too weak to work in the workshop of the medium-security prison.

The Ukrainian government currently focuses on testing and treating standard cases among the general population. The anti-retroviral treatment of more than 1,000 inmates, as well as some 10,000 HIV patients across Ukraine who also require treatment for tuberculosis and other complications and all prevention and support activities, are paid for by foreign donors, mainly the Global Fund.

The Global Fund is committed to spending $640 million through 2016 to fight AIDS and tuberculosis in Ukraine and then hopes to hand over most of its programs to the Ukrainian government.

Advocacy groups charge that corruption and indifference by government officials help fuel the epidemic.

During the past two years, Ukrainian authorities have seized vital AIDS drugs at the border due to technicalities, sent prosecutors to investigate AIDS support groups sponsored by the Global Fund and harassed patients on methadone substitution therapy, prompting the Global Fund to threaten to freeze its prevention grant.

Most recently, Ukraine's parliament gave initial approval to a bill that would impose jail terms of up to five years for any positive public depiction of homosexuality. Western organizations say it would make the work of AIDS prevention organizations that distribute condoms and teach safe homosexual sex illegal and further fuel the epidemic. It is unclear when the bill will come up for a final vote.

AIDS drug procurement is another headache, with Ukrainian health authorities greatly overpaying for AIDS drugs. Advocacy groups accuse health officials of embezzling funds by purchasing drugs at inflated prices and then pocketing kickbacks.

Officials deny those allegations, saying their tender procedures are transparent.

Much also remains to be done in Ukraine to educate people about AIDS.

Oksana Golubova, a 40-year-old former drug user, infected her daughter, now 8, with HIV and lost her first husband to AIDS. But she still has unprotected sex with her new husband, saying his health is in God's hands.

"Those who are afraid get infected," Golubova said.

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Stock futures signal flat start

LONDON (Reuters) - Stock futures pointed to a flat opening on Wall Street on Friday, with futures for the S&P 500, the Dow Jones and the Nasdaq 100 trading unchanged to 0.1 percent higher at 4.33 a.m. EST.


Japan's Nikkei average hit a seven-month closing high on Friday as a weaker yen, driven by persistent expectations the Bank of Japan will act more boldly under a likely new government following December 16 elections, lifted the shares of exporters.


European shares were steady at 15-month highs as investors squared the books on the final trading day of the month, with all eyes on U.S. budget talks.


The U.S. President, Barack Obama, plans to travel to a factory in Pennsylvania to press his case on raising taxes on the wealthy to narrow the deficit. The president and congressional Republicans are negotiating how to avoid steep automatic tax hikes and deep spending cuts that will kick in soon unless they can reach a deal to avoid them.


The U.S. Commerce Dept releases October personal income and consumption data at 8.30 a.m. EST. Economists in a Reuters survey expect a 0.2 percent rise in income, and an unchanged reading for spending. In September, income rose 0.4 percent and spending was up 0.8 percent.


The Institute for Supply Management in Chicago releases November index of manufacturing activity at 9.45 a.m. EST. A reading of 50.5 is expected, compared with 49.9 in October.


Facebook Inc and Zynga Inc severed the cozy ties that once bound the Internet industry's closest couple, revising a years-old partnership between the two companies. Zynga stock fell 12 percent to $2.30 in after-hours trading. Facebook shares were off 5 cents at $27.27.


Apple Inc's latest iPhone has received final clearance from Chinese regulators, paving the way for a December debut in a highly competitive market where the lack of a new model had severely eroded its share of product sales.


The Dow Jones industrial average <.dji> rose 36.71 points, or 0.28 percent, to 13,021.82 on Thursday. The Standard & Poor's 500 Index <.spx> gained 6.02 points, or 0.43 percent, to 1,415.95. The Nasdaq Composite Index <.ixic> advanced 20.25 points, or 0.68 percent, to close at 3,012.03.


(Reporting By Francesco Canepa/editing by Chris Pizzey)


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Insight: Cash crisis, Arab ferment threaten Jordan's stability

AMMAN (Reuters) - Violent protests that shocked Jordan this month have mostly subsided, but unprecedented chants for the "fall of the regime" suggested a deeper malaise in a kingdom so far spared the revolts reshaping the Arab world.


Anger over fuel subsidy cuts undoubtedly drove the unrest, in which police shot dead one man during a confrontation at a police station. The government's planned electricity price rises starting next year may well ignite more popular fury.


King Abdullah has made some constitutional reforms and his counselors say turnout at a parliamentary poll in January will test public support for the pace of political change amid an acute financial crisis that has forced Jordan to go to the IMF.


However, the model that has kept Jordan relatively stable for decades is cracking, nowhere more so than in the tribal East Bank provinces long seen as the bedrock of support for the Hashemite monarchy installed here by Britain in 1921.


The formula reinforced after the 1970 civil war between the army and Palestinian guerrillas - a defining national trauma now airbrushed from public discourse - broadly gives East Bankers jobs in the army, police, security services and bureaucracy.


Jordan's Palestinian-origin majority dominates private enterprise, but does not play a commensurate political role, in part because electoral gerrymandering curbs its voting power.


Although the fissure between the two communities is blurred by inter-marriage, long co-existence and, at least among the elite, business ties, it is likely to haunt Jordan as long as the wider Israeli-Palestinian conflict remains unresolved.


Jordanians of all stripes are fearful of the insecurity that stalks their neighbors, but the money that kept discontent in check across a fragmented society is simply no longer there.


An influx of 240,000 refugees from the Syrian conflict next door has further strained the resources of a country of seven million that has almost no oil and precious little water.


"Reform is genuinely difficult because you need to change the economic as well as the political rules," said a European diplomat. "In the past the tribes gave their support in return for jobs and money. Now that this is no longer affordable, they are shouting things like 'We won't pay for your corruption'."


Palestinians, while also hard hit by the austerity measures, have mostly laid low to avoid political flak.


DISGRUNTLED TRIBESMEN


In Kerak, a tribal hilltop town caught up in price protests earlier this month, morose shopkeepers await customers in the narrow market streets below the imposing Crusader citadel.


"Everyone who feels the pinch should go out in the street to express his views peacefully," said Hani Herzallah, 41, a barber with four children. He said he had joined the protests against fuel price rises that included a 54 percent increase in the cost of gas cylinders most Jordanians use for cooking and heating.


At a shop selling live chickens from wire cages, Tahseen al-Tanashat, 64, said he had just drawn his 200 dinar ($280) pension, but only had 50 dinars left after paying his bills.


Tanashat, on a state pension since he retired as a guard 31 years ago, said two of his three sons were soldiers. "I just want my 19-year-old still at home to get a job in the army."


For all their complaints, Kerak, 90 km (56 miles) south of Amman, has been lavished with state funds, thanks perhaps to powerful Majali and Tarawneh tribal figures who have occupied top positions in the government and military for decades.


An illuminated four-lane highway leads to the town of 65,000, passing a power station and an industrial zone that is far from bustling. Kerak boasts a major university, a new public hospital along with training colleges, and a palace of justice.


But jobs are scarce. A government hiring freeze is meant to alleviate the public sector pay and pension burden on a state treasury long reliant on aid from Gulf Arab and Western donors.


A U.S. diplomatic cable published by WikiLeaks said Jordan's "bloated civil service and military patronage system" soaked up 83 percent of the 2010 budget, despite planned spending cuts.


The economy has hit even stormier seas since then. Egypt's new rulers have sharply reduced cheap gas supplies to Jordan, which imports 97 percent of its energy and which has suddenly had to pay an extra $2.5 billion a year for fuel.


This month's protests were the most violent of several bouts of unrest in Jordan since Arab uprisings erupted nearly two years ago and toppled autocrats in Tunisia, Egypt and Libya.


Those in Kerak and other East Bank towns were organized by local opposition movements known collectively as Hirak, whose grievances focus on corruption, poor services and unemployment. They also resent privatization and other market reforms intended to reduce state spending - from which they benefit.


"Hirak is not driven by democracy, but by a sense of entitlement," said Mustafa Hamarneh, a social scientist running for parliament in the provincial town of Madaba. "It has not developed from spontaneous mobilization into a national political movement. It is parochial, with personalized demands."


EMBOLDENED ISLAMISTS


Jordan lacks credible political parties, with the exception of the Muslim Brotherhood's Islamic Action Front, whose power base is mostly, but not exclusively, urban and Palestinian. In some cities Islamists have developed tentative links with Hirak.


The Brotherhood, which has a track record of moderation since its Jordan branch was licensed in 1946, plans to boycott the January election, citing rules it says are meant to keep it from securing the biggest bloc in the 150-seat assembly.


The authorities accuse the Islamists, emboldened by Arab uprisings that led to election wins for their counterparts in Egypt and Tunisia, of fomenting unrest and of refusing to join a reform dialogue launched by King Abdullah in early 2011.


"Apparently the Muslim Brotherhood decided they stood to get more gains if they stayed in the streets," said a senior official source, speaking on condition of anonymity.


He acknowledged that the timing of the subsidy cuts, just as winter and an election were approaching, was far from ideal, but said there was no choice because Jordan risked "insolvency".


In return for a $2 billion standby arrangement agreed in August, the International Monetary Fund wants public sector reform and action on subsidies, including electricity tariffs.


Gulf donors such as Saudi Arabia, which rescued Jordan from an earlier crunch point with $1.4 billion a year ago, have held off from giving direct budget support so far this year, though Riyadh and Kuwait have sent $250 million each for projects.


Speculation about the reasons ranges from heavy spending by Gulf nations to stave off disaffection at home, concern about corruption in Jordan, and more pressing regional priorities - or even irritation that Amman had factored assumptions about Gulf aid into its IMF presentation without asking the donors first.


Saudi Arabia and Qatar may also want Jordan to be more active in the Syria crisis. "They would essentially like to see Jordan becoming the southern equivalent of Turkey in supporting the Syrian opposition," said Amman-based analyst Moin Rabbani.


"The Jordanians however ... prefer to play a less visible role and exercise it more covertly."


The survival of a vengeful Bashar al-Assad or a triumph for his Islamist-dominated foes would both pose dangers for Amman.


Jordan, valued by the West for its peace treaty with Israel and for its role as a stable buffer in a volatile region, still has an ambassador in Damascus, in line with its usual policy of walking a careful line between its more powerful neighbors.


TOP-DOWN REFORM


When Arab revolts began last year, the king, reigning since his father Hussein died in 1999, renewed a political reform drive opposed by conservatives which he had set aside to focus on economic liberalization aimed at expanding the middle class.


"The results remain disappointing," wrote Julien Barnes-Dacey in a paper for the European Council on Foreign Relations. "Despite changes to the constitution, few restrictions have been placed on the king's direct political authority."


King Abdullah, who has replaced his cabinet five times in the past two years, can still appoint and dismiss governments, although he has promised to consult parliament on choosing the next prime minister, who must then win a confidence vote.


"Parliament must become its own master and not get dissolved by the king in two words," said Wisam al-Majali, a Hirak activist in Kerak. "Now if even the best parliament digs deeper on corruption, it is dissolved the next day."


Another Kerak activist, Moaz al-Batoush, said an empowered parliament would obviate the need for street protests against "stupid" decisions that risked igniting revolutionary demands.


"Some people angered by the price rises reacted by calling for the downfall of the regime," he said, adding that this had never been a Hirak demand. "There is a crisis of confidence."


The official source defended the reforms, which include creation of an independent electoral commission, saying an overwhelming majority of Jordanians opposed removing powers from a monarch seen as a safeguard amid competing interests.


He said re-drawing electoral boundaries was not easy, given resistance from now over-represented East Bankers - Amman gets only a fifth of seats in parliament, despite being home to roughly half Jordan's population, many of them Palestinians.


The mood is sour among Palestinians in the Hussein refugee camp, now a scruffy built-up neighborhood of the capital.


"These price rises have slapped people in the face," said Abdul-Moneim Abu Aisha, 52, a butcher dragging on a cigarette as he sold small gobbets of meat in a tiny neon-lit shop.


In a market street where stalls piled high with vegetables jut out into the snarled traffic, people said only minor fuel price protests had occurred in the camp. Some voiced suspicion that even these were the work of outside provocateurs.


"The Palestinian camps will move only when the Jordanian tribal cities move and when the whole country rises up. If the camps rise up on their own they will be put down brutally," said a carpenter, who gave his name only as Abu Omar.


"We are targeted as Palestinians," he said, while having his hair cut. "The first thing they ask when you enter a police station is about your original hometown. But I'm a Jordanian who served in the army, and if anything happens to the country I will be the first to defend it, so why ask where I come from?"


With East Bankers and Palestinians alike feeling aggrieved, tensions might calm if the January election produced a new-look parliament and a government with the popular legitimacy to take tough decisions, but the electoral rules and the planned boycott of the vote by Islamists and others make this unlikely.


While the 50-year-old king seems confident his roadmap is the best route for a divided society, not everyone is so sure.


"Jordan needs an inclusive political reform to cope with the horrendous economic challenges," the European diplomat said.


"What we have is a baby step. The democratic deficit remains and has not been narrowed at a time when you need public confidence to deal with the challenges and the corruption."


(editing by Janet McBride)


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Angus T. Jones Is Not Leaving Two and a Half Men: Source















11/28/2012 at 07:50 PM EST



The Half is back!

Ever since Angus T. Jones bashed Two and a Half Men in a now-viral video, it begged the question: Will the 19-year-old actor return to the hit show?

If he has it his way, he will.

"Angus expects to report to work after the holiday break in January," says a source close to the star. "He intends to honor his contract through the end of the season."

Jones, who called the show "filth" and urged viewers in a video interview on a religious website to stop watching, issued an apology Tuesday night, saying he has the "highest regard" for the "wonderful people" on the show.

Although Jones is not featured in an episode that tapes next week, he intends to show up on schedule after the break, the source says.

In the meantime, the source adds, "Angus is feeling positive and he is concentrating on spending some downtime with family and friends."

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Simple measures cut infections caught in hospitals

CHICAGO (AP) — Preventing surgery-linked infections is a major concern for hospitals and it turns out some simple measures can make a big difference.

A project at seven big hospitals reduced infections after colorectal surgeries by nearly one-third. It prevented an estimated 135 infections, saving almost $4 million, the Joint Commission hospital regulating group and the American College of Surgeons announced Wednesday. The two groups directed the 2 1/2-year project.

Solutions included having patients shower with special germ-fighting soap before surgery, and having surgery teams change gowns, gloves and instruments during operations to prevent spreading germs picked up during the procedures.

Some hospitals used special wound-protecting devices on surgery openings to keep intestine germs from reaching the skin.

The average rate of infections linked with colorectal operations at the seven hospitals dropped from about 16 percent of patients during a 10-month phase when hospitals started adopting changes to almost 11 percent once all the changes had been made.

Hospital stays for patients who got infections dropped from an average of 15 days to 13 days, which helped cut costs.

"The improvements translate into safer patient care," said Dr. Mark Chassin, president of the Joint Commission. "Now it's our job to spread these effective interventions to all hospitals."

Almost 2 million health care-related infections occur each year nationwide; more than 90,000 of these are fatal.

Besides wanting to keep patients healthy, hospitals have a monetary incentive to prevent these infections. Medicare cuts payments to hospitals that have lots of certain health care-related infections, and those cuts are expected to increase under the new health care law.

The project involved surgeries for cancer and other colorectal problems. Infections linked with colorectal surgery are particularly common because intestinal tract bacteria are so abundant.

To succeed at reducing infection rates requires hospitals to commit to changing habits, "to really look in the mirror and identify these things," said Dr. Clifford Ko of the American College of Surgeons.

The hospitals involved were Cedars-Sinai Medical Center in Los Angeles; Cleveland Clinic in Ohio; Mayo Clinic-Rochester Methodist Hospital in Rochester, Minn.; North Shore-Long Island Jewish Health System in Great Neck, NY; Northwestern Memorial Hospital in Chicago; OSF Saint Francis Medical Center in Peoria, Ill.; and Stanford Hospital & Clinics in Palo Alto, Calif.

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Online:

Joint Commission: http://www.jointcommission.org

American College of Surgeons: http://www.facs.org

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

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