Kasab hanged day after UN vote on penalty

NEW DELHI: As chance would have it, India hanged Ajmal Kasab a day after opposing a UN resolution on abolition of the death penalty.

On Tuesday, India joined 38 other countries to vote against a non-binding UN General Assembly resolution, calling for the removal of the death penalty, saying every nation had the "sovereign right" to determine its own legal system. The resolution called for a moratorium on executions before the abolition of the penalty. The resolution was carried through after 110 nations voted for it.

In its explanation of vote, New Delhi said it could not support the resolution in its present form. Other nations voting against were Bangladesh, China , Korea, Iran, Iraq, Japan, Kuwait, Libya, Pakistan and US.

India said the death penalty was imposed only in "rarest of rare" cases and Indian law provides for the suspension of the sentence for pregnant women.

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Study finds mammograms lead to unneeded treatment

Mammograms have done surprisingly little to catch deadly breast cancers before they spread, a big U.S. study finds. At the same time, more than a million women have been treated for cancers that never would have threatened their lives, researchers estimate.

Up to one-third of breast cancers, or 50,000 to 70,000 cases a year, don't need treatment, the study suggests.

It's the most detailed look yet at overtreatment of breast cancer, and it adds fresh evidence that screening is not as helpful as many women believe. Mammograms are still worthwhile, because they do catch some deadly cancers and save lives, doctors stress. And some of them disagree with conclusions the new study reached.

But it spotlights a reality that is tough for many Americans to accept: Some abnormalities that doctors call "cancer" are not a health threat or truly malignant. There is no good way to tell which ones are, so many women wind up getting treatments like surgery and chemotherapy that they don't really need.

Men have heard a similar message about PSA tests to screen for slow-growing prostate cancer, but it's relatively new to the debate over breast cancer screening.

"We're coming to learn that some cancers — many cancers, depending on the organ — weren't destined to cause death," said Dr. Barnett Kramer, a National Cancer Institute screening expert. However, "once a woman is diagnosed, it's hard to say treatment is not necessary."

He had no role in the study, which was led by Dr. H. Gilbert Welch of Dartmouth Medical School and Dr. Archie Bleyer of St. Charles Health System and Oregon Health & Science University. Results are in Thursday's New England Journal of Medicine.

Breast cancer is the leading type of cancer and cause of cancer deaths in women worldwide. Nearly 1.4 million new cases are diagnosed each year. Other countries screen less aggressively than the U.S. does. In Britain, for example, mammograms are usually offered only every three years and a recent review there found similar signs of overtreatment.

The dogma has been that screening finds cancer early, when it's most curable. But screening is only worthwhile if it finds cancers destined to cause death, and if treating them early improves survival versus treating when or if they cause symptoms.

Mammograms also are an imperfect screening tool — they often give false alarms, spurring biopsies and other tests that ultimately show no cancer was present. The new study looks at a different risk: Overdiagnosis, or finding cancer that is present but does not need treatment.

Researchers used federal surveys on mammography and cancer registry statistics from 1976 through 2008 to track how many cancers were found early, while still confined to the breast, versus later, when they had spread to lymph nodes or more widely.

The scientists assumed that the actual amount of disease — how many true cases exist — did not change or grew only a little during those three decades. Yet they found a big difference in the number and stage of cases discovered over time, as mammograms came into wide use.

Mammograms more than doubled the number of early-stage cancers detected — from 112 to 234 cases per 100,000 women. But late-stage cancers dropped just 8 percent, from 102 to 94 cases per 100,000 women.

The imbalance suggests a lot of overdiagnosis from mammograms, which now account for 60 percent of cases that are found, Bleyer said. If screening were working, there should be one less patient diagnosed with late-stage cancer for every additional patient whose cancer was found at an earlier stage, he explained.

"Instead, we're diagnosing a lot of something else — not cancer" in that early stage, Bleyer said. "And the worst cancer is still going on, just like it always was."

Researchers also looked at death rates for breast cancer, which declined 28 percent during that time in women 40 and older — the group targeted for screening. Mortality dropped even more — 41 percent — in women under 40, who presumably were not getting mammograms.

"We are left to conclude, as others have, that the good news in breast cancer — decreasing mortality — must largely be the result of improved treatment, not screening," the authors write.

The study was paid for by the study authors' universities.

"This study is important because what it really highlights is that the biology of the cancer is what we need to understand" in order to know which ones to treat and how, said Dr. Julia A. Smith, director of breast cancer screening at NYU Langone Medical Center in New York. Doctors already are debating whether DCIS, a type of early tumor confined to a milk duct, should even be called cancer, she said.

Another expert, Dr. Linda Vahdat, director of the breast cancer research program at Weill Cornell Medical College in New York, said the study's leaders made many assumptions to reach a conclusion about overdiagnosis that "may or may not be correct."

"I don't think it will change how we view screening mammography," she said.

A government-appointed task force that gives screening advice calls for mammograms every other year starting at age 50 and stopping at 75. The American Cancer Society recommends them every year starting at age 40.

Dr. Len Lichtenfeld, the cancer society's deputy chief medical officer, said the study should not be taken as "a referendum on mammography," and noted that other high-quality studies have affirmed its value. Still, he said overdiagnosis is a problem, and it's not possible to tell an individual woman whether her cancer needs treated.

"Our technology has brought us to the place where we can find a lot of cancer. Our science has to bring us to the point where we can define what treatment people really need," he said.

___

Online:

Study: http://www.nejm.org/doi/full/10.1056/NEJMoa1206809

Screening advice: http://www.uspreventiveservicestaskforce.org/uspstf/uspsbrca.htm

___

Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Cops: Murder Gun Found in 'John Doe's' Duffel Bag

The man known as "John Doe Duffel Bag" was arrested today in connection with the slayings of three shopkeepers of Middle Eastern descent in Brooklyn, N.Y. -- and police believe he likely would have struck again if he hadn't been caught.

Salvatore Perrone, 63, was arrested following a long night of questioning by detectives.

Officials told ABC News that Perrone is being charged with three counts of murder. He has made admissions to police in connection with committing two of the murders but stopped talking before any discussion of the third, law enforcement sources said.

The murders took place in July, August and last Friday, Nov. 16. All three slain men were killed by .22 caliber slugs and one was stabbed as well as shot.

Police Commissioner Ray Kelly told reporters Wednesday evening that ballistics, a fingerprint and statements by the suspect linked Perrone to the crimes.

"NYPD homicide detectives today arrested Salvatore E. Perrone of Staten Island in the shooting deaths of three Brooklyn merchants after he made statements implicating himself, and after the .22-caliber rifle he used in the slayings was recovered from his duffel bag and subjected to ballistic tests," Kelly said.

"Those tests indicated that shell casings found at all three crime scenes were fired from Perrone's rifle. Perrone's fingerprint also was lifted from the murder weapon," he added.

Brooklyn Shopkeeper Murders: Person of Interest Questioned Watch Video

NYPD Links Brooklyn Shopkeeper Murders to Same Gun Watch Video

Kelly added later that Perrone likely would have struck again.

Sources told ABC News that detectives canvassing the Brooklyn neighborhoods where the slayings took place discovered Perrone had approached at least one other shopkeeper.

In that instance, sources said, Perrone offered to sell the merchant a line of goods, complimented the man on his refurbishment of the store and asked if he worked alone. The man told Perrone he wasn't interested in his goods because he didn't carry the line Perrone was selling.

Perrone returned near closing time, according to sources, but customers appeared to have dissuaded him from carrying out any attack he might have intended.

Police later pegged Perrone as "John Doe Duffel Bag." That's the name they gave a then-unknown man carrying a duffel bag on video taken near some of the murder scenes. Now, police are pointing to the contents of that very bag as evidence Perrone committed the killings.

"When crime scene detectives searched the bag early this morning, they found the carbine with a sawed-off stock, and a combination laser-flashlight attached to its barrel with duct tape and two thick, pink rubber bands," Kelly said. "It had a single, live round in the chamber. They also recovered a box of 22-caliber long-rifle ammunition, an empty magazine and a 12-inch kitchen knife with dried blood on it. Detectives also found two Buck folding knives, each with seven-inch blades.

"Perrone was recognized yesterday [Tuesday] at a pharmacy in Bay Ridge, [Brooklyn], and voluntarily agreed to accompany responding officers to the station house," he said. "Detectives obtained a warrant to search Perrone's duffel bag, which was found at his girlfriend's apartment. It was the same bag that Perrone was seen carrying in videotaped images of him in the vicinity of the most recent homicide."

Perrone, a Staten Island resident and native of Bensonhurst, Brooklyn, has a rap sheet that includes stalking a former girlfriend and kicking in her door, burglary and driving while intoxicated on Staten Island.

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Hamas-Israel ceasefire takes hold but mistrust runs deep

CAIRO/GAZA (Reuters) - A ceasefire between Israel and Gaza's Hamas rulers took hold on Thursday after eight days of conflict, although deep mistrust on both sides cast doubt on how long the Egyptian-sponsored deal can last.

Even after the ceasefire came into force late on Wednesday, a dozen rockets from the Gaza Strip landed in Israel, all in open areas, a police spokesman said. In Gaza, witnesses reported an explosion shortly after the truce took effect at 9 p.m (14:00 EDT), but there were no casualties and the cause was unclear.

The deal prevented, at least for the moment, an Israeli ground invasion of the Palestinian enclave following bombing and rocket fire which killed five Israelis and 162 Gazans, including 37 children.

But trust was in short supply. The exiled leader of Hamas, Khaled Meshaal, said his Islamist movement would respect the truce if Israel did, but would respond to any violations. "If Israel complies, we are compliant. If it does not comply, our hands are on the trigger," he told a news conference in Cairo.

Israeli Prime Minister Benjamin Netanyahu said he had agreed to "exhaust this opportunity for an extended truce", but told his people a tougher approach might be required in the future.

Both sides quickly began offering differing interpretations of the ceasefire, brokered by Egypt's new Islamist government and backed by the United States, highlighting the many actual or potential areas of discord.

If it holds, the truce will give 1.7 million Gazans respite from days of ferocious air strikes and halt rocket salvoes from militants that unnerved a million people in southern Israel and reached Tel Aviv and Jerusalem for the first time.

"Allahu akbar, (God is greatest), dear people of Gaza you won," blared mosque loudspeakers in Gaza as the truce took effect. "You have broken the arrogance of the Jews."

Fifteen minutes later, wild celebratory gunfire echoed across the darkened streets, which gradually filled with crowds waving Palestinian flags. Ululating women leaned out of windows and fireworks lit up the sky.

Meshaal thanked Egypt for mediating and praised Iran for providing Gazans with financing and arms. "We have come out of this battle with our heads up high," he said, adding that Israel had been defeated and failed in its "adventure".

Some Israelis staged protests against the deal, notably in the southern town of Kiryat Malachi, where three people were killed by a Gaza rocket during the conflict, army radio said.

Netanyahu said he was willing to give the truce a chance but held open the possibility of reopening the conflict. "I know there are citizens expecting a more severe military action, and perhaps we shall need to do so," he said.

The Israeli leader, who faces a parliamentary election in January, delivered a similar message earlier in a telephone call with U.S. President Barack Obama, his office said.

"AN OPEN PRISON"

According to a text of the agreement seen by Reuters, both sides should halt all hostilities, with Israel desisting from incursions and targeting of individuals, while all Palestinian factions should cease rocket fire and cross-border attacks.

The deal also provides for easing Israeli restrictions on Gaza's residents, who live in what British Prime Minister David Cameron has called an "open prison".

The text said procedures for implementing this would be "dealt with after 24 hours from the start of the ceasefire".

Israeli sources said Israel would not lift a blockade of the enclave it enforced after Hamas, which rejects the Jewish state's right to exist, won a Palestinian election in 2006.

However, Meshaal said the deal covered the opening of all of the territory's border crossings. "The document stipulates the opening of the crossings, all the crossings, and not just Rafah," he said. Israel controls all of Gaza's crossings apart from the Rafah post with Egypt.

Hamas lost its top military commander to an Israeli strike in the conflict and suffered serious hits to its infrastructure and weaponry, but has emerged with its reputation both in the Arab world and at home stronger.

Israel can take comfort from the fact it dealt painful blows to its enemy, which will take many months to recover, and showed that it can defend itself from a barrage of missiles.

"No one is under the illusion that this is going to be an everlasting ceasefire. It is clear to everyone it will only be temporary," said Michael Herzog, a former chief of staff at the Israeli ministry of defence.

"But there is a chance that it could hold for a significant period of time, if all goes well," he told Reuters.

Egypt, an important U.S. ally now under Islamist leadership, took centre stage in diplomacy to halt the bloodshed. Cairo has walked a fine line between its sympathies for Hamas, an offshoot of the Muslim Brotherhood to which President Mohamed Mursi belongs, and its need to preserve its 1979 peace treaty with Israel and its ties with Washington, its main aid donor.

Announcing the agreement in Cairo, Egyptian Foreign Minister Mohamed Kamel Amr said mediation had "resulted in understandings to cease fire, restore calm and halt the bloodshed".

U.S. Secretary of State Hillary Clinton, standing beside Amr, thanked Mursi for peace efforts that showed "responsibility, leadership" in the region.

The Gaza conflict erupted in a Middle East already shaken by last year's Arab uprisings that toppled several veteran U.S.-backed leaders, including Egypt's Hosni Mubarak, and by a civil war in Syria, where President Bashar al-Assad is fighting for survival.

In his call with Netanyahu, Obama in turn repeated U.S. commitment to Israel's security and promised to seek funds for a joint missile defence program, the White House said.

BUS BOMBING

The ceasefire was forged despite a bus bomb explosion that wounded 15 Israelis in Tel Aviv earlier in the day and despite more Israeli air strikes that killed 10 Gazans. It was the first serious bombing in Israel's commercial capital since 2006.

Israel, the United States and the European Union all classify Hamas as a terrorist organization. It seized the Gaza Strip from the Western-backed Palestinian President Mahmoud Abbas in 2007 in a brief but bloody war with his Fatah movement.

"This is a critical moment for the region," Clinton said. "Egypt's new government is assuming the responsibility and leadership that has long made this country a cornerstone for regional stability and peace."

In Amman, U.N. chief Ban Ki-moon urged both sides to stick to their ceasefire pledges. "There may be challenges implementing this agreement," he said, urging "maximum restraint".

(Additional reporting by Noah Browning in Gaza, Ori Lewis, Allyn Fisher-Ilan and Crispian Balmer in Jerusalem, Yasmine Saleh, Shaimaa Fayed and Tom Perry in Cairo, Suleiman al-Khalidi in Amman and Margaret Chadbourn in Washington; Writing by Alistair Lyon and David Stamp; Editing by Louise Ireland)

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Australia returns 100 Sri Lankan asylum-seekers

SYDNEY: Australia on Wednesday sent 100 Sri Lankan men deemed not to be refugees back to their homeland, bringing to 426 the number involuntarily returned to Colombo in the past three months.

The latest planeload is the ninth and largest this month as Canberra deals with an influx of more than 15,500 asylum-seekers who have arrived on boats since the beginning of this year.

"Our humanitarian programme is for people who are at risk of persecution, not for people seeking to undertake economic migration," Immigration Minister Chris Bowen told reporters.

"We will continue these returns for as as long as it takes."

A further 99 Sri Lankans have returned home voluntarily rather than face the prospect of spending years on a remote Pacific island waiting for their refugee claims to be processed.

Australia has pledged to crack down on asylum-seekers arriving by boat after a spate of drownings en route and is sending boat people to the island of Nauru and Manus Island in Papua New Guinea as a deterrent.

"We will continue to return people to Sri Lanka, we will continue to transfer people to Nauru, and now to Manus Island as well," Bowen said.

More than 7,800 boat people have arrived in Australia since the policy was announced in August, and officials have noted a rise in Sri Lankans making the treacherous journey.

"The message here is very clear: people who pay smugglers are risking their lives and throwing their money away," Bowen said.

"They are being told lies. There is no visa on arrival, there is no speedy outcome, and there is no special treatment."

Sri Lankan authorities have arrested more than 1,200 people trying to leave the island illegally this year.

Many who depart Sri Lanka for Australia pay up to US$3,000 for a place on fishing boats run by people-smugglers.

Australia also completed the first involuntary return of a man to Afghanistan on Tuesday under Canberra's return agreement with Kabul.

- AFP/xq

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Kasab hanged: Timeline of events

PUNE: Nearly four years after the 26/11 Mumbai carnage, Pakistani terrorist Mohammed Ajmal Amir Kasab was today hanged in Yerawada Jail here. Following is the chronology of events leading to his hanging.

Nov 26, 2008: Kasab and 9 terrorists launch commando raid in Mumbai.

Nov 27, 2008: At 1.30am, Kasab caught and placed under arrest, admitted to Nair Hospital.

Nov 29, 2008: All places under siege secured, 9 terrorists killed.

Nov 30, 2008: Kasab confesses before police.

Dec 27/28, 2008: Identification parade held.

Jan 13, 2009: M L Tahaliyani appointed 26/11 judge.

Jan 16, 2009: Arthur Road Jail selected for Kasab's trial.

Feb 5, 2009: Kasab's DNA samples match with articles found in Kuber.

Feb 20/21, 2009: Kasab makes confession before magistrate.

Feb 22, 2009: Ujjwal Nikam appointed Special Public Prosecutor.

Feb 25, 2009: Charge sheet against Kasab, two others filed in court.

Apr 1, 2009: Anjali Waghmare appointed Kasab's lawyer.

Apr 15, 2009: Anjali Waghmare removed as Kasab's lawyer.

Apr 16, 2009: Abbas Kazmi appointed as Kasab's lawyer.

Apr 17, 2009: Kasab's confession opened in court, he retracts.

Apr 20, 2009: Prosecution charges Kasab on 312 counts.

Apr 29, 2009: Kasab is major: experts' opinion.

May 6, 2009: Charges framed, Kasab charged on 86 counts, but denies charges.

May 8, 2009: First eyewitness deposes, identifies Kasab.

June 23, 2009: Non-bailable warrants issued against 22 including Hafeez Saeed, Zaki-ur-Rehman Lakhvi.

Nov 30, 2009: Abbas Kazmi removed as Kasab's lawyer.

Dec 1, 2009: K P Pawar takes place of Kazmi.

Dec 16, 2009: Prosecution completes its case in 26/11.

Dec 18, 2009: Kasab denies all charges.

March 31, 2010: Arguments in the case end. Special Judge M L Tahaliyani reserves judgement for May 3, 2010.

May 3, 2010: Kasab convicted, Sabauddin Ahmed and Faheem Ansari acquitted of all charges.

May 6, 2010: Kasab was sentenced to death by the trial court.

Feb 21, 2011: Bombay high court upholds death sentence to Kasab.

March 2011: Kasab writes letter to SC challenging HC order.

Oct 10, 2011: SC stays execution of the death sentence awarded to Pakistani terrorist Kasab.

Oct 10, 2011: Kasab tells SC that he was brainwashed like a "robot" into committing the heinous crime in the name of "God" and that he does not deserve capital punishment owing to his young age.

Oct 18, 2011: The Supreme Court admits Maharashtra government's appeal challenging the acquittal of Faheem Ansari and Sabauddin Ahmed, co-accused of Ajmal Kasab, in the 26/11 Mumbai terror attack.

Jan 31, 2012: Kasab tells SC that he was not given a free and fair trial in the case.

Feb 23, 2012: SC hears intercepted conversations between the perpetrators of 26/11 Mumbai terror attack and their Pakistani handlers and watched the CCTV footage of the carnage.

Apr 25, 2012: SC reserves its verdict after a marathon hearing, spanning over two and a half month.

Aug 29, 2012: SC upholds death sentence of Kasab and acquittal of two alleged Indian co-conspirators in the case.

Oct 16,2012: Union Home Ministry recommends to President for rejection of Kasab's mercy plea.

Nov 5,2012: President rejects Kasab's mercy petition.

Nov 8,2012: Maharashtra government informed about President's decision.

Nov 21,2012: Kasab hanged in Yerwada Jail in Pune.

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

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

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

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

Still, momentum may be building.

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

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

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

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

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

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

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

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

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

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

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

The doctors group made clear that:

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

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

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

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

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

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

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

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

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

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

___

Online:

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

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Ceasefire or 'De-Escalation'? Words Chosen Carefully

Nov 20, 2012 7:27pm

AP Photo/Hatem Moussa

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

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

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

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

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

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

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

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

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

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

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

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

SHOWS: World News

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Gaza shakes, Israelis killed as Clinton seeks truce

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

Hamas, the Islamist movement controlling Gaza, and Egypt, whose new, Islamist government is trying to broker a truce, had floated hopes for a ceasefire by late Tuesday; but by the time Clinton met Israeli Prime Minister Benjamin Netanyahu it was clear there would be more argument, and more violence, first.

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

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

As she arrived in Israel after nightfall, Israel was stepping up its bombardment. Artillery shells and missiles fired from naval gunboats offshore slammed into the territory and air strikes came at a frequency of about one every 10 minutes.

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

ELECTION

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

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

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

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

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

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

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

"The goal must be a durable outcome that promotes regional stability and advances the security and legitimate aspirations of Israelis and Palestinians alike."

"SELF-DEFENCE"

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

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

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

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

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

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

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

AMMUNITION STORES

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

Israel's military on Tuesday targeted more than 130 sites in Gaza, including ammunition stores and the Gaza headquarters of the National Islamic Bank. Israeli police said more than 150 rockets had been fired from Gaza by the evening.

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

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

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

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

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

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

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

(Additional reporting by Cairo bureau; Writing by Alastair Macdonald)

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ASEAN, US leaders discuss need to peacefully manage South China Sea disputes

SINGAPORE: US President Barack Obama and leaders from ASEAN have discussed the importance of putting mechanisms and processes in place to peacefully manage disputes over the competing claims in the South China Sea.

Following the 4th ASEAN-US leaders meeting on Monday night, the White House issued a statement on its government website.

President Obama's press secretary said that both the US and ASEAN leaders expressed support for the ASEAN Foreign Ministers' Statement on "Six-Point Principles on the South China Sea" and called for an "early conclusion" of a regional code of conduct.

The United States also announced the creation of the Expanded ASEAN Seafarer's Training (EAST) programme to improve counter-piracy training and education in the region.

President Obama noted that the ASEAN region was home to over half of the world's seafaring workers and the programme, administered by the US Department of Transportation's Maritime Administration, will be expanded from its current pilot phase working with the Philippines.

Meanwhile, to further enhance cooperation when confronting the challenge of piracy, the United States announced its intention to join the Regional Cooperation Agreement on Combating Piracy and Armed Robbery against ships in Asia (ReCAAP).

ReCAAP is a regional multilateral agreement between 18 countries to facilitate the dissemination of piracy-related information.

Tuesday is the final day of the ASEAN Summit in Phnom Penh and the focus of the leaders will be the East Asia Summit, which will see ASEAN and its dialogue partners discuss political, economic and security issues affecting the Asia-Pacific region.

ASEAN leaders will also be launching the discussions for the Regional Comprehensive Economic Partnership (RCEP), which is a 16-party Free Trade Agreement between the 10-member ASEAN grouping and its current FTA Partners of Australia, China, India, Japan, Korea and New Zealand.

The negotiations for the RCEP are expected to start in 2013 and conclude by end-2015.

ASEAN's leaders believe that the RCEP would lead to greater economic integration, support equitable economic development and strengthen economic co-operation among the countries involved, especially when it has a potential to transform the region into an integrated market of more than three billion people, with a combined GDP of about US$17.23 trillion.

Singapore is taking part in the RCEP as it enhances access to a huge potential market that will bring benefits to both businesses and consumers in the participating countries. Singapore is also a strong proponent of free trade and the RCEP involves many of the Republic's biggest trading partners.

Also taking pace as part of the summit is the ASEAN Global Dialogue, an initiative by Cambodia. It brings together leaders from several global agencies to discuss the role of multilateral institutions, ASEAN and East Asia in addressing economic and financial disorder.

Institutions involved in the dialogue include the International Monetary Fund (IMF), the Asian Development Bank (ADB), the World Trade Organization (WTO), and the World Bank.

-CNA/ac

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