Mistrust runs deep despite cease-fire

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)

Read More..

Chevy Chase is leaving NBC's sitcom 'Community'

LOS ANGELES (AP) — The NBC series "Community" will finish the season without Chevy Chase.

Sony Pictures Television said Wednesday that the actor is leaving the sitcom by mutual agreement with producers.

His immediate departure means he won't be included in the last episode or two of the show's 13-episode season, which is still in production.

Chase had a rocky tenure playing a bored and wealthy man who enrolls in community college. The actor publicly expressed unhappiness at working on a sitcom and feuded last year with the show's creator and former executive producer, Dan Harmon.

The fourth-season premiere of "Community" is Feb. 7, when it makes a delayed return to the 8 p.m. EST Thursday time slot. The show's ensemble cast includes Joel McHale and Donald Glover.

Read More..

India hangs gunman from 2008 Mumbai attack

MUMBAI, India (AP) — India executed the lone surviving gunman from the 2008 terror attack on Mumbai early Wednesday, India's home ministry said.

Ajmal Kasab, a Pakistani citizen, was one of 10 gunmen who rampaged through the streets of India's financial capital in November 2008, killing 166 people.

Kasab was hung at 7:30 a.m. Wednesday at a jail in Pune, a city near Mumbai, after India's president rejected his plea for mercy.

"This is a tribute to all innocent people and police officers who lost their lives in this heinous attack on our nation," said R.R. Patil, the home minister for the state of Maharashtra, where Mumbai is located.

Read More..

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

Read More..

Securing Gaza cease-fire proves elusive

JERUSALEM (AP) — Israel and the Hamas militant group edged closer to a cease-fire Tuesday to end a weeklong Israeli offensive in the Gaza Strip, but after a day of furious diplomatic efforts involving the U.S. secretary of state, U.N. chief and Egypt's president, a deal remained elusive and fighting raged on both sides of the border.

Israeli tanks and gunboats pummeled targets in Gaza in what appeared to be a last-minute burst of fire, while at least 200 rockets were fired into Israel. As talks dragged on near midnight, Israeli and Hamas officials, communicating through Egyptian mediators, expressed hope that a deal would soon be reached, but cautioned that it was far from certain.

"If there is a possibility of achieving a long-term solution to this problem by diplomatic means, we prefer that. But if not, then I am sure you will understand that Israel will have to take whatever actions are necessary to defend its people," Israeli Prime Minister Benjamin Netanyahu said at a late-night meeting with visiting Secretary of State Hillary Rodham Clinton.

Clinton was hastily dispatched to the region by President Barack Obama to join a high-profile group of world leaders working to halt the violence. Standing alongside the Israeli leader, Clinton indicated it could take some time to iron out an agreement.

"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," she said.

Clinton expressed sorrow for the heavy loss of life on both sides, but called for the Palestinian rocket attacks on Israel to end and stressed that the American commitment to Israel's security is "rock solid."

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

In Washington, State Department spokeswoman Victoria Nuland said Clinton met with Netanyahu and other Israeli officials for two hours.

"They discussed efforts to de-escalate the situation and bring about a sustainable outcome that protects Israel's security and improves the lives of civilians in Gaza," Nuland said. "They also consulted on her impending stops in Ramallah and Cairo, including Egyptian efforts to advance de-escalation."

Israel launched the offensive on Nov. 14 in a bid to end months of rocket attacks out of the Hamas-run territory, which lies on Israel's southern flank. After assassinating Hamas' military chief, it has carried out a blistering campaign of airstrikes, targeting rocket launchers, storage sites and wanted militants.

The campaign has killed more than 130 Palestinians, including dozens of civilians, and wounded hundreds of others. Five Israelis have been killed by rocket fire, including a soldier and a civilian contractor on Tuesday.

With Israel massing thousands of ground troops on the Gaza border, diplomats raced throughout the region in search of a formula to halt the fighting.

In a meeting with Netanyahu, U.N. chief Ban Ki-moon condemned Palestinian rocket attacks, but urged Israel to show "maximum restraint."

"Further escalation benefits no one," he said.

Israel demands an end to rocket fire from Gaza and a halt to weapons smuggling into Gaza through tunnels under the border with Egypt. It also wants international guarantees that Hamas will not rearm or use Egypt's Sinai region, which abuts both Gaza and southern Israel, to attack Israelis.

Hamas wants Israel to halt all attacks on Gaza and lift tight restrictions on trade and movement in and out of the territory that have been in place since Hamas seized Gaza by force in 2007. Israel has rejected such demands in the past.

Egypt's new Islamist government is expected to play a key role in maintaining a deal.

The crisis has thrust Egypt's president, Mohammed Morsi, into the spotlight as he plays a difficult balancing act.

Morsi belongs to the Muslim Brotherhood, Hamas' parent movement, and clearly sympathizes with the Islamic militant group. At the same time, he relies heavily on U.S. aid and is trying to preserve a historic peace agreement with Israel.

Earlier, Morsi raised hopes that a cease-fire was near when he predicted the negotiations would yield "positive results" during the coming hours.

Netanyahu also said his country would be a "willing partner" in a cease-fire agreement.

But as the talks stretched into the evening, it became clear that a deal remained a ways off.

"Most likely the deal will be struck tomorrow. Israel has not responded to some demands, which delayed the deal," Hamas official Izzat Risheq said.

Hamas officials refused to discuss the remaining sticking points.

Israeli media quoted Defense Minister Ehud Barak as telling a closed meeting that Israel wanted a 24-hour test period of no rocket fire to see if Hamas could enforce a truce.

Palestinian officials briefed on the negotiations said Hamas wanted assurances of a comprehensive deal that included new border arrangements — and were resisting Israeli proposals for a phased agreement. The officials spoke on condition of anonymity because they were not authorized to talk to the media.

Although Israel claims it has inflicted heavy damage on militants' capabilities, its roughly 1,550 airstrikes and shelling attacks have failed to halt the rocket fire.

More than 1,400 rockets have been fired at Israel, including about 200 on Tuesday. A U.S.-financed Israeli rocket-defense system has knocked down roughly 400 of the incoming projectiles.

Violence raged on as the talks continued. An airstrike late Tuesday killed two journalists who work for the Hamas TV station, Al-Aqsa, according to a statement from the channel. A third journalist, from Al Quds Educational Radio, a private station, also was killed.

The Al-Aqsa TV cameramen were in a car hit by an airstrike, Gaza health official Ashraf al-Kidra said. Israel claims that many Hamas journalists are involved in militant activities. Earlier this week it targeted the station's offices, saying they served as a Hamas communications post.

Late Tuesday, a Palestinian rocket hit a house in the central Israeli city of Rishon Lezion, wounding two people and badly damaging the top two floors of the building, police spokesman Micky Rosenfeld said.

Minutes before Ban's arrival in Jerusalem from Egypt, Palestinian militants fired a rocket toward Jerusalem, just the second time it has targeted the city. The rocket fell in an open area southeast of the city.

Jerusalem had previously been considered beyond the range of Gaza rockets — and an unlikely target because it is home to the Al-Aqsa Mosque compound, Islam's third-holiest shrine.

Israeli warplanes dropped leaflets on several Gaza neighborhoods asking residents to evacuate and head toward the center of Gaza City along specific roads. The army "is not targeting any of you, and doesn't want to harm you or your families," the leaflets said. Palestinian militants urged residents to ignore the warnings, calling them "psychological warfare."

Israeli security officials acknowledge they rely on a network of Palestinian informants to identify targets. Masked gunmen publicly shot dead six suspected collaborators with Israel in a large Gaza City intersection Tuesday, witnesses said.

An Associated Press reporter saw a mob surrounding five of the bloodied corpses shortly after the killing, and one of the bodies was dragged through the streets by a motorcycle.

Hamas did not provide any evidence against the alleged collaborators.

Clinton was also scheduled to meet with Palestinian President Mahmoud Abbas in the West Bank and Egyptian leaders in Cairo on Wednesday. Turkey's foreign minister and a delegation of Arab League foreign ministers traveled to Gaza on a separate truce mission. Airstrikes continued to hit Gaza even as they entered the territory.

"Turkey is standing by you," Turkish Foreign Minister Ahmet Davutoglu told the Hamas prime minister in Gaza, Ismail Haniyeh. "Our demand is clear. Israel should end its aggression immediately and lift the inhumane blockade imposed on Gaza."

The U.S. considers Hamas, which has killed hundreds of Israelis in suicide and other attacks, to be a terror group and does not meet with its officials. The Obama administration blames Hamas for the latest eruption of violence and says Israel has the right to defend itself. At the same time, it has warned against a ground invasion, saying it could send casualties spiraling.

___

Barzak reported from Gaza City, Gaza Strip. Associated Press writers Hamza Hendawi in Cairo, Karin Laub in Gaza City and Ian Deitch in Jerusalem contributed to this report.

Read More..

Ex-'Price is Right' model wins suit against show

LOS ANGELES (AP) — Jurors awarded nearly $777,000 Tuesday to a former "The Price is Right" model who claimed she was discriminated against by producers because of her pregnancy.

Brandi Cochran, 41, said she was rejected by the game show's producers when she tried to return to work in early 2010 after taking maternity leave.

The Superior Court jury determined her pregnancy was the reason she wasn't rehired and awarded Cochran $776,944 in the suit against producers FremantleMedia North America and The Price is Right Productions.

In their defense, producers said they were satisfied with the five models working on the show at the time Cochran sought to return.

A second phase of the trial will determine whether Cochran should be awarded punitive damages. Cochran's attorneys had asked for more than $8 million, City News Service reported.

Jurors began deliberations Thursday, telling Judge Kevin Brazile several times that they were deadlocked before reaching the verdict.

In a statement, FremantleMedia said it expects to be "fully vindicated" after an appeal, adding that it stands behind executive producer Mike Richards and the show's staff.

"We believe the verdict in this case was the result of a flawed process in which the court, among other things, refused to allow the jury to hear and consider that 40 percent of our models have been pregnant," and further "important" evidence, FremantleMedia said.

A call seeking comment from Cochran's attorney wasn't immediately returned Tuesday.

The verdict is a rare one for a program that has seen other lawsuits. Longtime host Bob Barker, who retired in 2007, was sued by some of the show's hostesses for sexual harassment and wrongful termination.

Most of the cases involving "Barker's Beauties" — the nickname given the gown-wearing women who presented prizes to contestants — ended with out-of-court settlements.

Comedian-actor Drew Carey followed Barker as the show's host.

Read More..

Aussie fake-bomb plotter sentenced to 13½ years

SYDNEY (AP) — An Australian investment banker who admitted chaining a fake bomb to a Sydney teenager as part of a bizarre extortion plot was sentenced to 13 years and six months in prison on Tuesday.

Madeleine Pulver, then 18, was studying at home alone in her family's mansion in August 2011 when Paul Douglas Peters walked in wearing a rainbow-striped ski mask and carrying a baseball bat. He tethered a bomb-like device to her neck along with a ransom note and then slipped away, leaving the panicked teen alone. It took a bomb squad 10 hours to remove the device, which contained no explosives.

Peters, 52, failed to convince the judge that his made-for-Hollywood crime was the result of a psychological meltdown sparked by the breakdown of his marriage and a failing career. Instead, the judge said, the once-successful businessman and father of three had shown no remorse, lied to police and was largely motivated by one thing: money.

"The offender intended to place the very young victim in fear that she would be killed," New South Wales state District Court Judge Peter Zahra said. "The terror instilled can only be described as unimaginable."

Pulver hugged relatives after the sentence was read. Her father, Bill Pulver, wiped away tears. Peters remained stone-faced and said nothing.

"I'm pleased at today's outcome and that I can now look to a future without Paul Peters' name being linked to mine," Madeleine Pulver said outside court. "For me, it was never about the sentencing, but to know that he will not reoffend. And it was good to hear the judge acknowledge the trauma he has put my family and me through."

Zahra gave Peters less than the maximum sentence of 20 years, acknowledging he'd pleaded guilty and was likely depressed at the time.

After attaching the device to the teen, Peters fled to the U.S., but police used an email address he left on the ransom note to track him down. Authorities arrested him two weeks later at his ex-wife's home in Louisville, Kentucky, and extradited him to Australia. He pleaded guilty in March to aggravated break and enter and committing a serious indictable offense.

Defense attorneys had argued that Peters was depressed, drinking heavily and exhibiting wild mood swings before committing the crime and had no memory of the attack. He had recently split from his wife, was separated from his children and had become obsessed with a book he was writing about a villain out for revenge, his lawyer Tim Game said during earlier sentencing hearings. A psychiatrist for the defense testified that Peters may have tried to become the evil protagonist in his book. Peters told the psychiatrist: "It's not about money, it's about revenge."

But prosecutors said it was exactly the opposite.

During an earlier hearing, prosecutor Margaret Cunneen said that Pulver was never the intended target of Peters' crime. The investment banker was having financial problems and originally traveled to Mosman — the wealthy Sydney suburb where the Pulvers live — to hunt down the beneficiary of a multimillion-dollar trust fund he had learned about, she said. When he arrived in Mosman, he bumped into a neighbor of the Pulvers whom he had met while doing business in Hong Kong. That man, who lived next door to the Pulvers, then became Peters' new target, Cunneen said.

But on the day of the attack, Peters walked into the wrong house. Madeleine Pulver was, in the end, just the unwitting victim of Peters' incompetence, the prosecutor said.

Embarrassed by his bungled extortion bid, Peters concocted a story about being delusional and not remembering the crime to save face, Cunneen said.

The judge largely agreed with the prosecution's version of events, saying the attack was precise and premeditated, and dismissed the defense's arguments that Peters was delusional and in a psychotic state during the crime. Zahra did accept that Peters was likely depressed, but said it did not explain or excuse his behavior.

Peters, who will be eligible for parole in 10 years, cried in court when the judge detailed the problems the banker had been facing with his marriage and his career. He showed no emotion when the judge described the trauma Madeleine endured as a result of the attack — a point which did not escape Bill Pulver's notice.

"Mr. Peters has actually, from our perspective, shown no clear remorse for this entire event," Pulver said outside court. "There has still been no apology nor any explanation for his behavior, which is disappointing. But the man was just told he was going to be in jail for 10 years, so he has reason to be upset."

Read More..

New push for most in US to get at least 1 HIV test

WASHINGTON (AP) — There's a new push to make testing for the AIDS virus as common as cholesterol checks.

Americans ages 15 to 64 should get an HIV test at least once — not just people considered at high risk for the virus, an independent panel that sets screening guidelines proposed Monday.

The draft guidelines from the U.S. Preventive Services Task Force are the latest recommendations that aim to make HIV screening simply a routine part of a check-up, something a doctor can order with as little fuss as a cholesterol test or a mammogram. Since 2006, the Centers for Disease Control and Prevention also has pushed for widespread, routine HIV screening.

Yet not nearly enough people have heeded that call: Of the more than 1.1 million Americans living with HIV, nearly 1 in 5 — almost 240,000 people — don't know it. Not only is their own health at risk without treatment, they could unwittingly be spreading the virus to others.

The updated guidelines will bring this long-simmering issue before doctors and their patients again — emphasizing that public health experts agree on how important it is to test even people who don't think they're at risk, because they could be.

"It allows you to say, 'This is a recommended test that we believe everybody should have. We're not singling you out in any way,'" said task force member Dr. Douglas Owens, of Stanford University and the Veterans Affairs Palo Alto Health Care System.

And if finalized, the task force guidelines could extend the number of people eligible for an HIV screening without a copay in their doctor's office, as part of free preventive care under the Obama administration's health care law. Under the task force's previous guidelines, only people at increased risk for HIV — which includes gay and bisexual men and injecting drug users — were eligible for that no-copay screening.

There are a number of ways to get tested. If you're having blood drawn for other exams, the doctor can merely add HIV to the list, no extra pokes or swabs needed. Today's rapid tests can cost less than $20 and require just rubbing a swab over the gums, with results ready in as little as 20 minutes. Last summer, the government approved a do-it-yourself at-home version that's selling for about $40.

Free testing is available through various community programs around the country, including a CDC pilot program in drugstores in 24 cities and rural sites.

Monday's proposal also recommends:

—Testing people older and younger than 15-64 if they are at increased risk of HIV infection,

—People at very high risk for HIV infection should be tested at least annually.

—It's not clear how often to retest people at somewhat increased risk, but perhaps every three to five years.

—Women should be tested during each pregnancy, something the task force has long recommended.

The draft guidelines are open for public comment through Dec. 17.

Most of the 50,000 new HIV infections in the U.S. every year are among gay and bisexual men, followed by heterosexual black women.

"We are not doing as well in America with HIV testing as we would like," Dr. Jonathan Mermin, CDC's HIV prevention chief, said Monday.

The CDC recommends at least one routine test for everyone ages 13 to 64, starting two years younger than the task force recommended. That small difference aside, CDC data suggests fewer than half of adults under 65 have been tested.

"It can sometimes be awkward to ask your doctor for an HIV test," Mermin said — the reason making it routine during any health care encounter could help.

But even though nearly three-fourths of gay and bisexual men with undiagnosed HIV had visited some sort of health provider in the previous year, 48 percent weren't tested for HIV, a recent CDC survey found. Emergency rooms are considered a good spot to catch the undiagnosed, after their illnesses and injuries have been treated, but Mermin said only about 2 percent of ER patients known to be at increased risk were tested while there.

Mermin calls that "a tragedy. It's a missed opportunity."

___

Online:

Task force recommendation: http://www.uspreventiveservicestaskforce.org

Read More..

Gaza offensive was years in the making

JERUSALEM (AP) — With little notice, Israel has launched a blistering air offensive against the Gaza Strip's ruling Hamas militant group. Here's a look at why the violence erupted, the goals of the warring sides and how it may end:

LIGHTNING STRIKE

Israel opened its offensive with a surprise airstrike on Nov. 14 that killed the shadowy leader of Hamas' military wing. Since then, it has carried out hundreds of airstrikes in what it says is a systematic campaign to halt years of rocket attacks launched from Gaza. While Israel claims to have inflicted heavy damage, dozens of rockets have continued to fly out of Gaza each day.

WHY NOW?

Israel launched the operation in response to days of rocket attacks out of Gaza, highlighted by a rare missile strike on an Israeli military jeep that wounded four soldiers. But the operation was actually years in the making. Since a previous Israeli offensive four years ago, Hamas has restocked its arsenal with more sophisticated and powerful weapons smuggled in from Egypt through underground tunnels. After a lull following Israel's previous offensive, rocket fire has steadily climbed the past two years. The Israeli military says more than 700 rockets were launched into Israel this year before it launched the offensive last week. In this environment, Israeli officials have said it was only a matter of time before a new round of fighting broke out.

THE BATTELFIELD

Hamas seized control of Gaza, a densely populated strip of land sandwiched between southern Israel and Egypt's Sinai desert, five years ago from the rival Fatah movement of Palestinian President Mahmoud Abbas. Hamas, a militant group sworn to Israel's destruction, has developed is rocket arsenal to the point where nearly half of Israel's population is in range.

WHY FIRE ROCKETS?

Palestinian militants, led by Hamas, say the rocket fire is a legitimate response to continued Israeli attacks. They also claim they are resisting Israeli occupation of the territory. Israel withdrew from Gaza in 2005, ending a 38-year military occupation. But it has maintained a blockade of the territory in a step it says is needed to prevent arms smuggling. In the murky world of Gaza politics, the attacks also stem from internal rivalries between groups eager to prove their militant credentials. Israeli Prime Minister Benjamin Netanyahu says no country would tolerate repeated missile attacks on its civilians.

RISKY BUSINESS

Prolonged fighting carries great risks for both sides. As Israel presses forward, the number of Palestinian civilian casualties is likely to rise — a scenario that could quickly turn international opinion against it. Israel's previous offensive left hundreds of civilians dead, drawing international condemnation and war crimes accusations. By continuing to fire rockets, Hamas raises the risk of tougher Israeli attacks, including a possible ground offensive. Well aware of these risks, both sides are working through mediators to arrange a cease-fire.

TERMS OF THE DEAL

Israel wants a halt to the rocket attacks and an end to arms smuggling into Gaza, most likely in a deal that is guaranteed by Egypt or other international parties. Hamas wants a halt to Israeli assassinations of its leaders and a lifting of the Israeli blockade. While gaps remain wide, both sides have strong interests in a deal. Bringing quiet to Israel's embattled south will make Netanyahu a national hero, weeks before parliamentary elections. Hamas, branded a terrorist group by Israel and the West, has seen its influence grow as the Arab Spring brings Islamists to power across the region. A cease-fire, particularly an arrangement guaranteed with international partners, would cement Hamas' control of Gaza and give it more of the international recognition it covets so much.

BY THE NUMBERS

—More than 100 Palestinians, half of them civilians, have been killed, according to Palestinian medical officials. Three Israeli civilians have died from rocket fire.

—Israel has attacked more than 1,350 targets in the current offensive, according to the Israeli army. Hamas and smaller armed groups have responded with nearly 600 rockets, the army says.

—Israel says its new "Iron Dome" rocket-defense system has shot down more than 300 incoming projectiles.

Read More..

Ariel Winter's dad opposes actress's guardianship

LOS ANGELES (AP) — The father of "Modern Family" star Ariel Winter said Monday he is willing to care for his daughter and does not believe she should be placed in a guardianship after allegations that her mother has been physically and emotionally abusive.

One day before a hearing in the case was scheduled to convene, Glenn Workman filed an objection to a petition that would strip his estranged wife, Chrisoula, of custody of the 14-year-old.

Winter has been living with her adult sister, Shanelle Gray, since Oct. 3 when a judge created a temporary guardianship for the actress. Court filings described Chrisoula Workman as abusive to her daughter, including slapping her and calling her derogatory names. The judge ordered her to stay away and not contact the actress until at least Tuesday, when the guardianship will be re-evaluated.

Glenn Workman's objects to the contention in Gray's initial court filing that he is not in a position to care for the teen actress.

His filing does not address the abuse allegations against his wife, although he previously signed a handwritten declaration stating that the allegations were false and his daughter hadn't been beaten.

Glenn Workman acknowledges in the filing that problems with his wife have stymied his relationship with Winter at times, but he said he has been a caring father who is willing to care for her. He states that he does not need Winter's money to care for her.

"I want to provide for her a calm loving home environment that is a retreat from the glitz and glamour of Hollywood; a place where she can think and relax without any distractions," Workman's filing says.

Gray's attorney, Michael Kretzmer, declined to comment on the filing.

Glenn Workman wrote that he objects to Winter remaining in the care of Gray, who he claims has alienated the actress from her parents. "This whole situation has turned into a circus and places Ariel in a position she should not have to be in," he wrote.

"I ask this court to allow me the chance to function as a healthy parent and help Ariel through this ordeal," he wrote.

Winter has been acting since age 7, appearing in several TV series, including "ER" and "Phineas and Ferb," and movies such as "Kiss Kiss Bang Bang," ''Ice Age: The Meltdown" and "ParaNorman." She plays middle child Alex Dunphy on ABC's "Modern Family."

___

Anthony McCartney can be reached at http://twitter.com/mccartneyAP .

Read More..