U.S., rebels urge gloomy Moscow to help oust Assad

BEIRUT (Reuters) - Syria's rebel leadership and the United States seized on Russian pessimism over President Bashar al-Assad's future to urge Moscow to help push its ally into ceding power and end the battles closing in around his capital.

"We want to commend the Russian government for finally waking up to the reality and acknowledging that the regime's days are numbered," the U.S. State Department spokeswoman said after a senior Kremlin envoy conceded publicly on Thursday that Assad's opponents could win the 20-month-old civil war.

"The question now is, will the Russian government join those of us in the international community who are working with the opposition to try to have a smooth democratic transition?" U.S. spokeswoman Victoria Nuland added in Washington.

In Marrakech, where his new coalition won recognition from other international powers as the legitimate leadership of Syria, rebel political leader Mouaz al-Khatib said he believed Russia, ally and arms supplier to the Assad dynasty since Soviet times, was looking for ways out of its support for a lost cause.

"I believe that the Russians have woken up and are sensing that they have implicated themselves with this regime, but they don't know how to get out," al-Khatib told Reuters. He held them "particularly responsible" for helping Assad with arms but said Moscow need not "lose everything" in Syria if it changed tack.

Under President Vladimir Putin, wary since last year's Libyan war of what Russia sees as a Western drive to use the United Nations to overthrow national leaders it dislikes, Russia has blocked U.N. efforts to squeeze Assad, who has also had strong support from his long-time sponsor Iran.

But Mikhail Bogdanov, a deputy foreign minister and the Kremlin's special envoy for Middle East affairs, was quoted as saying in Moscow: "One must look the facts in the face."

"Unfortunately, the victory of the Syrian opposition cannot be ruled out." The Syrian government, he said, was "losing control of more and more territory" and Moscow was preparing to evacuate Russian citizens if necessary.

Nuland said Bogdanov's comments demonstrated that Moscow now "sees the writing on the wall" on Syria and said Russia should now rally behind U.N. efforts to prevent a wider bloodbath.

"They can withdraw any residual support for the Assad regime, whether it is material support (or) financial support," she said. "They can also help us to identify people who might be willing, inside of Syria, to work on a transitional structure."

DIPLOMACY

International envoy Lakhdar Brahimi, who has met Russian and U.S. officials twice in the past week, is seeking a solution based on an agreement reached in Geneva in June that called for the creation of a transitional government in Syria.

But Russia has repeated warnings that recognition of al-Khatib's coalition, notably by the United States, is undermining diplomacy, and rejected U.S. contentions that the Geneva agreement sent a clear message that Assad should step down.

Nuland said the Brahimi meetings could lay the framework for a political structure to follow Assad:

"We've said all along to the Russians that we are concerned that the longer that this goes on, and the longer it takes us to get to an alternative political path for Syria, the only path is going to be the military one and that is just going to bring more violence.

"We all ought to be working together."

Bogdanov, whose government has suggested that Assad himself should be allowed to see through a transition he has promised, suggested the rebels and their allies were set on a military solution and he gave little hint of detente with Washington.

"The fighting will become even more intense and (Syria) will lose tens of thousands and, perhaps, hundreds of thousands of civilians," Bogdanov was quoted as saying. "If such a price for the removal of the president seems acceptable to you, what can we do? We, of course, consider it absolutely unacceptable."

The head of NATO, Anders Fogh Rasmussen, said elsewhere: "I think the regime in Damascus is approaching collapse."

A U.S. official said: "Assad probably still believes that Syria is his and illusions can die hard. But Assad and those closest to him have got to be feeling the psychological strain of fighting a long war that is not going their way."

DAMASCUS BATTLES

But Al-Khatib, who played down Western concerns of sectarian Sunni Islamists in rebel ranks, warned that the fighting was far from over, even as it has begun to rattle the heart of Assad's power in Damascus. On Wednesday, a car bomb killed at least 16 people in a nearby town which is home to many military families.

"The noose is tightening around the regime," al-Khatib said.

"(But) the regime still has power. People think that the regime is finished, but it still has power left, but it is demoralized and however long it lasted its end is clear."

Day and night, Damascenes can hear the thunderous sound of bombardment aimed at rebel-held and contested neighborhoods.

The city's streets have now turned into a labyrinth of checkpoints and road blocks, with several major roads permanently closed off to traffic by concrete barriers.

"We escape from one place and trouble follows," said one grandmother, Um Hassan, as she described to Reuters her family's flight from one neighborhood to another as fighting seeps into the capital. "I don't know where we can keep running to."

Nonetheless, al-Khatib played down demands for their allies to provide heavier weaponry - a request long resisted by governments wary of anti-aircraft missiles and other hardware reaching Islamist rebels who might turn them against the West.

"The Syrian people ... no longer need international forces to protect them," he said, not specifying whether he meant a no-fly zone, arms supplies or other military support.

The opposition chief said he was willing to listen to proposals for Assad to escape with his life - "The best thing is that he steps down and stops drinking the blood of the Syrian people" - and outlined three scenarios for a change of power:

Al-Khatib ruled out the Russian proposal suggesting Assad hand over power to a transitional government while remaining president, saying it was "disgraceful for a slaughtered nation to accept to have a killer and criminal at its head".

The British-based Syrian Observatory said war planes bombed rebel-held eastern suburbs of Damascus on Thursday and artillery was hitting Daraya and Moadamiyeh, southwestern areas near the centre where rebels have been fighting for a foothold.

Syria has relied on war planes and helicopters to bombard rebel districts but Damascus denied accusations by U.S. and NATO officials that it had fired Scud missiles in recent days. The foreign ministry said the long-range missiles were not used against "terrorist groups," a term it uses for the rebels.

At least 40,000 people have been killed in Syria's uprising, which started in March 2011 with street protests which were met with gunfire by Assad's security forces, and which spiraled into the most enduring and destructive of the Arab revolts.

(Additional reporting by Steve Gutterman in Moscow and Andrew Quinn in Washington; Writing by Alastair Macdonald; Editing by Michael Roddy) For an interactive look at the uprising in Syria, please click on http://link.reuters.com/rut37s

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I'll answer crime questions in neutral country: McAfee

MIAMI: Anti-virus software pioneer John McAfee said in a TV interview Friday that he was willing to answer questions about the murder of his neighbor in Belize in a neutral country.

McAfee, who insists he is innocent, also admitted that he was worth "less than" US$5 million -- a day after saying he was broke -- though it was unclear how he would access that money.

"I've said in any neutral country I will meet and answer any questions you want," McAfee told the CNBC business TV network.

"I'm certainly not going to turn myself into the authorities who have been trying to lay their hands on me for months now. I will not go back to Belize," he said.

Authorities in Belize want to question McAfee about the death of Gregory Faull, a 52-year-old Florida expatriate who was found by his housekeeper with a 9-mm bullet in his head, lying in a pool of his own blood.

McAfee fled Belize to Guatemala with his 20 year-old girlfriend, but was then deported to the United States. He says he went on the run because he feared for his life, claiming corruption among Belizean police and politicians.

Belize has an extradition treaty with the United States, so if murder charges are filed he could be sent back to the Central American nation.

McAfee, who is staying in a popular Miami Beach hotel, has become a local attraction. A cloud of reporters and TV news crews follow his every step.

"If I am charged, of course, I'll go through the process, but they are not going to charge me. Let me be clear: I had nothing to do with the murder of Gregory Faull," McAfee said.

McAfee was evasive when CNBC asked him about his fortune, which was once estimated at more than US$100 million.

"My accountant may know what I'm worth. I have not asked him recently ... I'm 67 years old. I eat well and have enough money for food. And clothes. I really don't have a clue, sir," McAfee said.

When further pressed, McAfee said he was worth "less than US$5 million, certainly."

And where is that money?

"I believe it's in the pockets of the politicians in Belize now. I think they're in the process of doing an acquisition of my resources," he said.

On Thursday, McAfee told ABC television in Miami that he has "nothing now" beyond some clothes, shoes, and cash a friend dropped off for him.

McAfee, who says a book and a movie is in the works as he sells his life story, earlier told AFP his immediate focus was getting his girlfriend Sam and another friend, Amy, into the United States.

- AFP/jc

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Turban pride restores as Sikhs wins school turban ban case against France in UN

AMRITSAR: The UN Human Rights Committee (UNHRC) has ruled that France's ban on the wearing of "conspicuous" religious symbols in schools - introduced in a law adopted in March 2004 - violated a Sikh student's right to manifest his religion, protected by the International Covenant on Civil and Political Rights (ICCPR).

"The UNHRC has made our nine year wait for justice worthwhile, since the French law was passed against religious signs in public schools in 2004. The UNHRC has once again proved to be the beacon of light for the freedom of thought, conscience and religion by upholding that the Article 18 right under the ICCPR to manifest ones religion, cannot be overridden merely by pleading secularity without producing any evidence that the Sikh Turban would affect the right of other students or would affect order in the school," said Legal Director, United Sikhs, a Sikh NGO, Mejindarpal Kaur while talking to TOI over phone from Paris on Friday.

She said that in a decision that was sent out this week to the United Sikhs legal team, in relation to a complaint made by Bikramjit Singh in 2008, the Committee accepted that the wearing of a turban was regarded as a religious duty for a Sikh and was also tied in with his identity; and that France had not justified the prohibition on the wearing of the turban.

She further informed that the Committee accepted that the France was entitled to uphold the principle of secularism (laicite), a means by which a state party might seek to protect the religious freedom of all its population.

She informed that the Committee went on to express that France had "not furnished compelling evidence that by wearing his keski (small turban),Bikramjit would have posed a threat to the rights and freedoms of other pupils or to order at the school.Kaur informed that less than a year ago, the UNHRC had also concluded that France had violated the religious freedom of 76 year old Ranjit Singh when he was asked to remove his turban for his ID photograph. "A UN decision is still awaited for Shingara Singh, whose passport has not been renewed by France because he refused to remove his turban for his ID photograph" said she.

Quotes President of the Delhi Sikh Gurdwara Management Committee, Paramjit Singh Sarna said Bikramjit Singh is an Indian national and it should have been the responsibility of the Indian government to protect his religious freedom abroad so that he and other Sikhs were not banned from wearing the turban in French public schools:

"Religion and politics are two wheels that balance civil society. If one wheel comes off, society ceases to be stable. Laicite or secularity is the oil that ensures that the two wheels keep moving. Sikhs do not see laicite as the enemy. We see it as our friend to help us be good citizens. United Sikh's France Director Shingara Singh.

"Our stand for the turban will not only benefit France but the whole world Gurdial Singh of the Turban Action Committee of France, who has been defending campaign relentlessly.

The Turban is not a sign of oppression. It's a practice of freedom," said Mejinderpal Kaur quoting Bikramjit Singh, who after being expelled from school, completed his education privately and is now a project engineer with an engineering firm in Paris.

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APNewsBreak: Texas cancer probe draws NCI scrutiny

AUSTIN, Texas (AP) — The federal National Cancer Institute says it's taking a fresh look at a troubled $3 billion cancer-fighting effort already being scrutinized by prosecutors and lawmakers in Texas.

The U.S. government's cancer research agency confirmed Friday that upheaval within the Cancer Prevention and Research Institute of Texas caught its attention. NCI spokeswoman Aleea Farrakh Khan told The Associated Press that officials are "evaluating recent events" at CPRIT.

CPRIT is on an exclusive list of NCI-approved funding entities, which includes the American Cancer Society. The designation is a federal seal-of-approval that signals high peer review standards and conflict of interest policies.

Khan says NCI has made no decisions about CPRIT or contacted the agency directly.

Prosecutors are investigating CPRIT following an $11 million award to a private company that bypassed review.

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More Than 20, Mostly Kids, Killed at Grade School

More than two dozen people, mostly elementary school children, were shot and killed at a Newtown, Conn., elementary school this morning, federal and state sources tell ABC News.

The massacre involved two gunmen at a Connecticut school this morning, prompting the town of Newtown to lock down all of its schools and draw SWAT teams to the school, authorities said today.

State Police confirm that one shooter is dead. A second gunman is apparently at large. Car-to-car searches are underway.

It's unclear how many people have been shot, but 25 people, mostly children are dead, multiple federal and state sources tell ABC News. That number could rise, officials said.

It is the worst shooting in a U.S. elementary school in recent memory.

The shooting comes just three days after masked gunman Jacob Roberts opened fire in a busy Portland, Ore., mall killing two before turning the gun on himself.

Today's shooting occurred at the Sandy Hook Elementary School in Newtown, about 12 miles east of Danbury.

Watch State Police News Conference Live at 1 p.m. at ABCNews.com

State Police received the first 911 call at 9:41a.m. and immediately began sending emergency units from the western part of the state. Initial 911 calls stated that multiple students were trapped in a classroom, possibly with a gunman, according to a Connecticut State Police source.

Shannon Hicks/The Newtown Bee

Connecticut School Shooting: 3 Victims Hospitalized Watch Video

Connecticut School Shooting: 1 Gunman Confirmed Dead Watch Video

A photo from the scene shows a line of distressed children being led out of the school.

LIVE UPDATES: Newtown, Conn., School Shooting

While some students have been reunited with their parents on the school's perimeter, one group of students remains unaccounted for, according to a source with a child in the school.

The school is kindergarten through fourth grade.

CLICK HERE for more photos from the scene.

Three patients have been taken to Danbury Hospital, which is also on lockdown, according to the hospital's Facebook page.

"Out of abundance of caution and not because of any direct threat Danbury Hospital is under lockdown," the statement said. "This allows us simply to focus on the important work at hand."

Newtown Public School District secretary of superintendent Kathy June said in a statement that the district's school were locked down because of the report of a shooting. "The district is taking preventive measures by putting all schools in lockdown until we ensure the safety of all students and staff."

State police sent SWAT team units to Newtown.

All public and private schools in the town are on lockdown.

"We have increased our police presence at all Danbury Public Schools due to the events in Newtown. Pray for the victims," Newtown Mayor Boughton tweeted.

State emergency management officials said ambulances and other units were also en route and staging near the school.

A message on the school district website says that all afternoon kindergarten is cancelled today and there will be no mid-day bus runs.

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Russia says Syrian rebels might win

MOSCOW/BEIRUT (Reuters) - Syrian rebels are gaining ground and might win, Russia's Middle East envoy said on Thursday, in the starkest such admission from a major ally of President Bashar al-Assad in 20 months of conflict.

"One must look the facts in the face," Russia's state-run RIA quoted Mikhail Bogdanov as saying. "Unfortunately, the victory of the Syrian opposition cannot be ruled out."

Bogdanov, a deputy foreign minister and the Kremlin's special envoy for Middle East affairs, said the Syrian government was "losing control of more and more territory" and Moscow was preparing to evacuate Russian citizens if necessary.

Syria has relied on war planes and helicopters to bombard rebel districts but Damascus denied accusations by U.S. and NATO officials that it had fired Scud missiles in recent days.

The foreign ministry said the long-range missiles were not used against "terrorist groups," a term it uses for the rebels, who now hold an almost continuous arc of territory from the east to the southwest of Damascus.

The head of NATO said he thought Assad's government was nearing collapse and the new leader of Syria's opposition told Reuters the people of Syria no longer needed international forces to protect them.

"The horrific conditions which the Syrian people endured prompted them to call on the international community for military intervention at various times," said Mouaz al-Khatib, a preacher who heads Syria's National Coalition.

"Now the Syrian people have nothing to lose. They handled their problems by themselves. They no longer need international forces to protect them," he added in the interview on Wednesday night, accusing the international community of slumbering while Syrians were killed.

He did not specify whether by intervention he meant a no-fly zone that rebels have been demanding for month, a ground invasion - which the opposition has warned against - or arms.

He said the opposition would consider any proposal from Assad to surrender power and leave the country, but would not give any assurances until it saw a firm proposal.

In the latest blow to the government, a car bomb killed at least 16 men, women and children in Qatana, a town about 25 km (15 miles) southwest of Damascus where many soldiers live, activists and state media said.

The explosion occurred in a residential area for soldiers in Qatana, which is near several army bases, said Rami Abdelrahman, head of the pro-opposition Syrian Observatory for Human Rights.

He put the death toll as 17, including seven children and two women. State news agency SANA said 16 people had died.

State television showed soldiers walking by a partly collapsed building, with rubble and twisted metal on the road.

The pro-government Al-Ikhbariya TV said a second car bomb in the Damascus suburb of al-Jadideh killed eight, most of them women and children.

Apart from gaining territory in the outskirts of Damascus in recent weeks, rebels have also made hit-and-run attacks or set off bombs within the capital, often targeting state security buildings or areas seen as loyal to Assad, such as Jaramana, where twin bombs killed 34 people in November.

The Pakistani Foreign Office said security concerns had prompted it to withdraw the ambassador and all Pakistani staff from the embassy in the central suburb of East Mezzeh, a couple miles from the Interior Ministry.

BACK TO THE WALL

With his back to the wall, Assad was reported to be turning ever deadlier weapons on his adversaries.

"I think the regime in Damascus is approaching collapse," NATO Secretary-General Anders Fogh Rasmussen said on Thursday.

Human Rights Watch said some populated areas had been hit by incendiary bombs, containing flammable materials such as napalm, thermite or white phosphorous, which can set fire to buildings or cause severe burns and respiratory damage.

The British-based Syrian Observatory said war planes were bombing rebel-held eastern suburbs of Damascus on Thursday and artillery was hitting Daraya and Moadamiyeh, southwestern areas near the centre where rebels have been fighting for a foothold.

At least 40,000 people have been killed in Syria's uprising, which started in March 2011 with street protests which were met with gunfire by Assad's security forces, and which spiraled into the most enduring and destructive of the Arab revolts.

The United States, European powers and Arab states bestowed their official blessing on Syria's newly-formed opposition coalition on Wednesday, despite increasing signs of Western unease at the rise of militant Islamists in the rebel ranks.

Western nations at "Friends of Syria" talks in Marrakech, Morocco rallied around a new opposition National Coalition formed last month under moderate Islamist cleric al-khatib.

Russia, which along with China has blocked any U.N. Security Council measures against Assad, criticized Washington's decision to grant the coalition formal recognition, saying it appeared to have abandoned any effort to reach a political solution.

Bogdanov's remarks were the clearest sign yet that Russia is preparing for the possible defeat of Assad's government.

"We are dealing with issues of preparations for an evacuation. We have mobilization plans and are clarifying where our citizens are located," Bogdanov said.

A British Foreign Office spokesperson said the Russian position remained largely unchanged but the situation on the ground gave Moscow an interest in finding an agreed solution, even if the chances of such a solution remained slim.

"If Russia's position on Syria had been a brick wall, it is now a brick wall with a crack in it," the spokesperson said.

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Golf: US 2014 Ryder Cup captain Watson wants Tiger on team

NEW YORK: Eight-time major golf champion Tom Watson, named on Thursday to be captain of the 2014 US Ryder Cup squad by the PGA of America, said that he sees Tiger Woods being on that team.

Citing the 14-time major champion's hunger for victory, Watson said a healthy Woods would be a certainty on the 12-man US lineup by virtue of a captain's selection even if he is unable to qualify on points.

"I want him on my team," Watson said. "Tiger is maybe the best player in history. If he's not on the team, he's going to be number one in my picks."

Watson, who at 63 is the oldest captain in US Ryder Cup history, had been critical of Woods in the aftermath of his infamous sex scandal.

But Watson said he admires Woods for his determination to win and Woods was among the first to applaud Watson's appointment.

"I would like to congratulate Tom Watson on his selection as Ryder Cup captain," Woods said in a statement. "I think he's a really good choice. Tom knows what it takes to win and that's our ultimate goal.

"I hope I have the privilege of joining him on the 2014 United States team."

Watson, a five-time British Open champion, was selected in hopes of ending an American slump in the biennial golf showdown. Europeans have won five of the past six Ryder Cup matches, including at Medinah near Chicago last September.

"It's going to be a great journey. I hope that we will change the tide," Watson said.

The prior US Ryder Cup captain age mark belonged to Sam Snead, who was 57 when he guided the Americans in 1969.

Watson called the tension of the Ryder Cup as huge as any golf event.

"The pressure is incredibly strong," he said. "The pressure of playing in the Ryder Cup is greater or as great as in any event. My job is to help them deal with that pressure.

"I've lived for that pressure and lived underneath that pressure all my career."

Watson will be 65 when the next Ryder Cup is contested in 2014 at Gleneagles in Scotland. Having won his first major title in Scotland at Carnoustie in 1975 and taken four major crowns on Scottish soil, Watson said he knew he wouldn't have the crowd in 2014.

"They are going to be cheering against me," he said.

Watson first served as the US captain in 1993, the last time a US squad won a Ryder Cup on European soil.

"I really wanted the challenge to do it again," Watson said. "I was waiting for about 20 years to get the call.

"I loved it the first time. It's just a great honor to be able to do it again.

"This time we need 14 1/2 points."

Watson becomes the first repeat US Ryder Cup captain since 1987, when Jack Nicklaus guided the Americans at his Muirfield Village home course but the Americans suffered their first defeat on US soil.

Brandt Snedeker, like Woods a member of this year's losing squad, backed Watson as well.

"Obviously they were looking outside the box, given our recent failures," Snedeker said in a posting on the tour website.

"They wanted to get a guy who has had success and commands respect. I think that's why they went this way: to get the US to rally around him as a way to rejuvenate the American side.

"Tom is one of the best competitors of all time. He's going to bring that fire and unwillingness to lose and mental strength that has defined his career."

Saying he hoped to bring the "Watson luck" to the US side, Watson said his role was inspirational and informational more than motivational.

"They don't need to be motivated. My job is to maybe inspire a little bit," Watson said. "The most important thing is to be there to help them out."

Among the lessons Watson cited was arriving early to allow bodies time to adjust to time changes before tinkering with stroke mechanics.

PGA of America president Ted Bishop said there was no problem selecting Watson despite him not having played full-time on the PGA circuit in 14 years.

"We're just tired of losing Ryder Cups," Bishop said, explaining that Watson's appointment was in large part due to that "weariness".

Watson, who won 39 PGA titles - the last at the 1998 Colonial, had no worries about age differences, citing contact with several top players and his playing in a few events alongside many of today's stars, including the Masters and British Open.

"I deflect that very simply by saying we play the same game," Watson said.

-AFP/ac

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Killing of fishermen: Italy summons Indian ambassador

ROME: Italy has summoned India's ambassador to insist that India's Supreme Court issue a decision soon concerning two Italian naval guards detained since February for the deaths of two Indian fishermen mistaken for pirates.

Italy maintains the shooting occurred in international waters and that as a result, Rome should have jurisdiction.

India claims the ship was in Indian territorial waters. The Indian Supreme Court is to decide on Italy's petition to try the sailors at home.

In a statement Thursday, the foreign ministry said it was "profoundly bewildered" why the court hasn't ruled even though arguments ended three months ago. It asked for a decision before Christmas.

The sailors were providing security on a cargo ship when they allegedly shot the fishermen. The dispute has strained diplomatic relations.

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Study: People worldwide living longer, but sicker

LONDON (AP) — Nearly everywhere around the world, people are living longer and fewer children are dying. But increasingly, people are grappling with the diseases and disabilities of modern life, according to the most expansive global look so far at life expectancy and the biggest health threats.

The last comprehensive study was in 1990 and the top health problem then was the death of children under 5 — more than 10 million each year. Since then, campaigns to vaccinate kids against diseases like polio and measles have reduced the number of children dying to about 7 million.

Malnutrition was once the main health threat for children. Now, everywhere except Africa, they are much more likely to overeat than to starve.

With more children surviving, chronic illnesses and disabilities that strike later in life are taking a bigger toll, the research said. High blood pressure has become the leading health risk worldwide, followed by smoking and alcohol.

"The biggest contributor to the global health burden isn't premature (deaths), but chronic diseases, injuries, mental health conditions and all the bone and joint diseases," said one of the study leaders, Christopher Murray, director of the Institute of Health Metrics and Evaluation at the University of Washington.

In developed countries, such conditions now account for more than half of the health problems, fueled by an aging population. While life expectancy is climbing nearly everywhere, so too are the number of years people will live with things like vision or hearing loss and mental health issues like depression.

The research appears in seven papers published online Thursday by the journal Lancet. More than 480 researchers in 50 countries gathered data up to 2010 from surveys, censuses and past studies. They used statistical modeling to fill in the gaps for countries with little information. The series was mainly paid for by the Bill & Melinda Gates Foundation.

As in 1990, Japan topped the life expectancy list in 2010, with 79 for men and 86 for women. In the U.S. that year, life expectancy for men was 76 and for women, 81.

The research found wide variations in what's killing people around the world. Some of the most striking findings highlighted by the researchers: — Homicide is the No. 3 killer of men in Latin America; it ranks 20th worldwide. In the U.S., it is the 21st cause of death in men, and in Western Europe, 57th.

— While suicide ranks globally as the 21st leading killer, it is as high as the ninth top cause of death in women across Asia's "suicide belt," from India to China. Suicide ranks 14th in North America and 15th in Western Europe.

— In people aged 15-49, diabetes is a bigger killer in Africa than in Western Europe (8.8 deaths versus 1 death per 100,000).

— Central and Southeast Asia have the highest rates of fatal stroke in young adults at about 15 cases per 100,000 deaths. In North America, the rate is about 3 per 100,000.

Globally, heart disease and stroke remain the top killers. Reflecting an older population, lung cancer moved to the 5th cause of death globally, while other cancers including those of the liver, stomach and colon are also in the top 20. AIDS jumped from the 35th cause of death in 1990 to the sixth leading cause two decades later.

While chronic diseases are killing more people nearly everywhere, the overall trend is the opposite in Africa, where illnesses like AIDS, malaria and tuberculosis are still major threats. And experts warn again shifting too much of the focus away from those ailments.

"It's the nature of infectious disease epidemics that if you turn away from them, they will crop right back up," said Jennifer Cohn, a medical coordinator at Doctors Without Borders.

Still, she acknowledged the need to address the surge of other health problems across Africa. Cohn said the agency was considering ways to treat things like heart disease and diabetes. "The way we treat HIV could be a good model for chronic care," she said.

Others said more concrete information is needed before making any big changes to public health policies.

"We have to take this data with some grains of salt," said Sandy Cairncross, an epidemiologist at the London School of Hygiene and Tropical Medicine.

He said the information in some of the Lancet research was too thin and didn't fully consider all the relevant health risk factors.

"We're getting a better picture, but it's still incomplete," he said.

___

Online:

www.lancet.com

http://healthmetricsandevaluation.org

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Fiscal Cliff Talks' Latest Victim? Sandy Relief

President Obama and House Speaker John Boehner just can't seem to break through an impasse in their "fiscal cliff" talks, increasing pessimism about a deal by Christmas and now threatening to sidetrack billions in federal aid for victims of superstorm Sandy.

After weeks of public posturing and private negotiations, both sides remain firmly dug in with their opposing positions on tax hikes and spending cuts for deficit reduction.

"The president wants to pretend spending isn't the problem," Boehner told reporters today. "That's why we don't have an agreement."

House Republicans are demanding significant changes to entitlement programs to curb spending, which Democrats flatly oppose. The White House, invoking the president's re-election and public opinion polls on its side, still insists there will be no deal without a tax-rate increase on the top 2 percent of U.S. income-earners.

"Until the Republicans realize this, are willing to do what is right, we are going nowhere," Senate Majority Leader Harry Reid said.

The gridlock on how to best reduce the deficits and debt threatens to derail another pressing piece of business at hand: the White House's $60 billion emergency-relief request for states devastated by Sandy.

Carolyn Kaster/AP Photo; Pablo Martinez Monsivais/AP Photo

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Some Republicans are balking at the size of the request -- which was endorsed by the governors of the affected states, including New Jersey Republican Gov. Chris Christie -- noting that its price tag would nearly wipeout any deficit savings Democrats are seeking next year by raising tax rates on the rich.

Other lawmakers have said the aid package should be offset with a fresh batch of spending cuts, which could be hashed out in committee hearings early next year. FEMA still has $5 billion in its Disaster Relief Fund, they say, enough to last until March.

Congressional leaders on both sides warned members Wednesday to prepare for a working Christmas in Washington unless a compromise can be reached soon. The "fiscal cliff" hits in 19 days, triggering a cascade of automatic tax hikes and deep spending cuts that could thrust the economy back into recession.

Obama and Boehner have traded a series of proposals over the past few days, speaking at least once by phone this week. The president lowered his desired target for new tax revenue from $1.6 trillion to $1.4 trillion; Boehner has indicated his willingness to raise more than the $800 billion he put on the table.

But the Ohio Republican said today that the two sides are nowhere near a deal.

"More than five weeks ago, Republicans signaled our willingness to avert the 'fiscal cliff' with a bipartisan agreement that is truly balanced and begins to solve our spending problem," Boehner said. "The president still has not made an offer that meets these two standards."

Obama predicted Monday that Republicans will ultimately accept tax hikes for the wealthy and signaled new willingness to make "tough" spending cuts. But he did not offer specifics.

"If the Republicans can move on that [taxes], then we are prepared to do some tough things on the spending side," Obama told ABC's Barbara Walters this week. "Taxes are going to go up one way or another. And I think the key is that taxes go up on high-end individuals."

In the event both sides cannot reach a broad deal, there is still some optimism about a last-ditch effort by both parties to prevent an income tax hike on 98 percent of earners.

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