France to stay in Mali until stability restored

BAMAKO/DUBAI (Reuters) - France pledged on Tuesday to keep troops in Mali until stability returned to the West African country, raising the specter of a long campaign against al Qaeda-linked rebels who held their ground despite a fifth day of air strikes.

Paris has poured hundreds of soldiers into Mali and carried out 50 bombing raids since Friday in the Islamist-controlled northern half of the country, which Western and regional states fear could become a base for terrorist attacks in Africa and Europe.

Defense Minister Jean-Yves Le Drian said that, despite French air support, Malian forces had not been able to dislodge Islamist fighters from the central Malian towns of Konna or Diabaly, just 350 km (220 miles) northeast of Bamako.

A column of French armored vehicles rolled northward from the dusty riverside capital of Bamako towards rebel lines on Tuesday, the first major northward deployment of ground troops. A military official declined to comment on their objective.

Thousands of African soldiers are due to take over the offensive. Regional armies are scrambling to accelerate an operation which was initially not expected until September and has been brought forward by France's surprise bombing campaign aimed at stopping a rebel advance on a strategic town last week.

President Francois Hollande, on a visit to the United Arab Emirates during which he sought Gulf states' financial backing for the African-led mission, suggested France would retain a major role in its former colony for months to come.

"We have one goal. To ensure that when we leave, when we end our intervention, Mali is safe, has legitimate authorities, an electoral process and there are no more terrorists threatening its territory," Hollande told a news conference.

Paris has said it plans to deploy 2,500 soldiers to bolster the Malian army and work with the intervention force provided by West African states.

AFRICAN TROOPS

West African Defense chiefs met in Bamako on Tuesday to approve plans for the swift deployment of 3,300 regional troops, foreseen in a United Nations-backed intervention plan. After failing to reach a final agreement, they adjourned their talks until Wednesday.

Nigeria pledged to deploy soldiers within 24 hours, and Belgium said it was sending transport planes and helicopters to help, but West Africa's armies need time to become operational.

Mali's north, a vast and inhospitable area of desert and rugged mountains the size of Texas, was seized last year by an Islamist alliance combining al Qaeda's north African wing AQIM with splinter group MUJWA and the home-grown Ansar Dine rebels.

Any delay in following up on the French air bombardments of Islamist bases and fuel depots with a ground offensive could allow the insurgents to slip away into the desert and mountains, regroup and counter-attack.

The rebels, who French officials say are mobile and well armed, have shown they can hit back, dislodging government forces from Diabaly on Monday.

Residents said the town was still under Islamist control on Tuesday despite a number of air strikes that shook houses.

An eye witness near Segou, to the south, told Reuters he had seen 20 French Special Forces soldiers driving toward Diabaly.

In Konna, whose seizure on Thursday sparked French involvement, residents said Islamist fighters were camped just outside town. Army troops had also withdrawn after entering the town on Saturday.

Malians have largely welcomed the French intervention, having seen their army suffer a series of defeats by the rebels.

"With the arrival of the French, we have started to see the situation on the front evolve in our favor," said Aba Sanare, a resident of Bamako.

QUESTIONS OVER READINESS

Aboudou Toure Cheaka, a senior regional official in Bamako, said the West African troops would be on the ground in a week.

The original timetable for the 3,300-strong U.N.-sanctioned African force - to be backed by western logistics, money and intelligence services - did not initially foresee full deployment before September due to logistical constraints.

Senegal, Burkina Faso, Niger, Nigeria and Guinea have all offered troops. Col. Mohammed Yerima, spokesman for Nigeria's Defense ministry, said the first 190 soldiers would be dispatched within 24 hours.

But Nigeria, which is due to lead the mission, has already cautioned that even if some troops arrive in Mali soon, their training and equipping will take more time.

Sub-Saharan Africa's top oil producer, which already has peacekeepers in Sudan's Darfur and is fighting a bloody and difficult insurgency at home against Islamist sect Boko Haram, could struggle to deliver on its troop commitment of 900 men.

One senior government adviser in Nigeria said the Mali deployment was stretching the country's military.

"The whole thing's a mess. We don't have any troops with experience of those extreme conditions, even of how to keep all that sand from ruining your equipment. And we're facing battle-hardened guys who live in those dunes," said the adviser, who asked not to be named.

FRENCH LINING UP SUPPORT

France, which has repeatedly said it has abandoned its role as policeman of its former African colonies, said on Monday that the U.S., Canada, Denmark and Germany had also offered logistical support.

Fabius has said Gulf Arab states would help the Mali campaign, while Belgium said on Tuesday it would send two C130 transport planes and two medical helicopters following a request from Paris.

A meeting of donors for the operation was expected to be held in Addis Ababa at the end of January.

Security experts have warned that the multinational intervention in Mali, couched in terms of a campaign by governments against "terrorism", could provoke a jihadist backlash against France and the West, and African allies.

U.S. officials have warned of links between AQIM, Boko Haram in Nigeria and al Shabaab Islamic militants fighting in Somalia.

Al Shabaab, which foiled a French effort at the weekend to rescue a French secret agent it was holding hostage, urged Muslims around the world to rise up against what it called "Christian" attacks against Islam.

"Our brothers in Mali, show patience and tolerance and you will win. War planes never liberate a land," Sheikh Ali Mohamud Rage, al Shabaab's spokesman, said on a rebel-run website.

U.S. officials said Washington was sharing information with French forces in Mali and considering providing logistics, surveillance and airlift capability.

"We have made a commitment that al Qaeda is not going to find any place to hide," U.S. Defense Secretary Leon Panetta told reporters as he began a visit to Europe. Panetta later said the U.S. had no plans to send troops to Mali.

One U.S. military source said the haphazard nature of French involvement reminded him of the U.S. entry into Afghanistan.

"I don't know what the French endgame is for this," the source said. "Air strikes are fine, but pretty soon you run out of easy targets. Then what do you do? What do you do when they head up into the mountains?"

(Additional reporting by Elizabeth Pineau and Raissa Kasolowsky in Abu Dhabi, Felix Onuah in Abuja and Tim Cocks in Lagos, Abdi Sheikh in Mogadishu, Michelle Nichols and Louis Charbonneau at the United Nations,; Richard Valdmanis in Dakar, Joe Bavier in Abidjan, Jan Vermeylen in Brussels; Writing by Pascal Fletcher, Daniel Flynn and David Lewis; editing by Richard Valdmanis, Giles Elgood and Will Waterman)

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SDA's Desmond Lim brands himself as dedicated & determined

SINGAPORE: The Singapore Democratic Alliance's (SDA) Desmond Lim has described himself as a dedicated local and determined leader.

Mr Lim is no stranger to the Punggol East ward, having contested there during the 2011 General Election.

It was a setback that Mr Lim said would have made others run away from politics.

The SDA's secretary-general forfeited his S$16,000 election deposit when he garnered around four per cent of votes in the 2011 General Election.

He said his loss in the Punggol East ward only emboldened him to make a comeback. "In life, we have a lot of hurdles. We have a lot of experiences that (have) no smooth rides. But that doesn't mean that we stop from there. Are we going to tell our children 'oh, you fail your examination, that's it, finish. It's the end of the world. Don't study further.' No, we'll encourage them. Never mind, try again."

Mr Lim's brush with elections began in 2001, when he contested in the then Jalan Besar Group Representation Constituency and was defeated.

He lost again in the 2006 General Election, when he contested in the Pasir Ris-Punggol Group Representation Constituency.

With three elections and 20 years in politics under his belt, Mr Lim thinks he has the necessary qualities to represent Punggol East.

"The Parliament must have a diversified voice. We must have more than one, two parties to counter-check and balance of each other."

Since the 2011 loss, Mr Lim said he has built up a grassroots movement comprising over 10 Punggol residents.

"The residents (themselves) should take up the ownership to advocating for what they really need, such as hawker centre, and because of that, safety - road safety, buses, increase the number of buses service."

Mr Lim plans to set aside a third of his allowance as a Member of Parliament to start a residents' insurance scheme, if elected.

- CNA/ck

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Narayan Rane-Nitin Gadkari bonhomie fuels speculation

NAGPUR: Maharashtra industries minister Narayan Rane agreeing to share the dais with BJP national president Nitin Gadkari at the inaugural function of a workers' housing scheme at Butibori stood out like an oxymoron. What was even more surprising was the senior Congress minister's visit to Gadkari's residence at Mahal before the function. The two leaders had a breakfast meeting before proceeding to the function venue.

They refused to elaborate on the meeting and said they had known each other for decades having worked as ministerial colleagues in the Shiv Sena-BJP government in the state in which Rane later became chief minister for a year. Nevertheless, the visit did send some disturbing signals in the Congress camp in the city. At Butibori, both leaders lauded each other for their work.

For one, hardly any senior Congress leader of the city called on Rane when he checked in at his favourite city hotel on Tuesday morning. In fact, there were more BJP leaders, including MLA Sudhakar Deshmukh, and half a dozen functionaries who called on Rane and escorted him to the Gadkariwada before the function. "There is nothing unusual. Rane had done a great deal to help Gadkari set up the housing scheme for poor workers. An obliged Gadkari wanted to thank Rane and invited him for breakfast. Please do not read more into it," Deshmukh later told TOI.

At the Butibori function, for a moment it seemed as if both leaders were from the same party, especially when Rane in one instance addressed Gadkari as the 'national president'. Gadkari too called Rane his 'param mitra' (close friend). Gadkari has been instrumental in building low cost houses for workers through a loan obtained from Vidarbha Premier.

Gadkari claimed these were the cheapest homes in the country and even, may be, in the world at Rs 400 or $8 a square-foot. BJP president said he owed it to Rane. "Had he not allotted the land at subsidized rates, the project could not have been completed," said Gadkari. Rane lauded Gadkari for his contribution to the region's development.

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Risk to all ages: 100 kids die of flu each year

NEW YORK (AP) — How bad is this flu season, exactly? Look to the children.

Twenty flu-related deaths have been reported in kids so far this winter, one of the worst tolls this early in the year since the government started keeping track in 2004.

But while such a tally is tragic, that does not mean this year will turn out to be unusually bad. Roughly 100 children die in an average flu season, and it's not yet clear the nation will reach that total.

The deaths this year have included a 6-year-old girl in Maine, a 15-year Michigan student who loved robotics, and 6-foot-4 Texas high school senior Max Schwolert, who grew sick in Wisconsin while visiting his grandparents for the holidays.

"He was kind of a gentle giant" whose death has had a huge impact on his hometown of Flower Mound, said Phil Schwolert, the Texas boy's uncle.

Health officials only started tracking pediatric flu deaths nine years ago, after media reports called attention to children's deaths. That was in 2003-04 when the primary flu germ was the same dangerous flu bug as the one dominating this year. It also was an earlier than normal flu season.

The government ultimately received reports of 153 flu-related deaths in children, from 40 states, and most of them had occurred by the beginning of January. But the reporting was scattershot. So in October 2004, the government started requiring all states to report flu-related deaths in kids.

Other things changed, most notably a broad expansion of who should get flu shots. During the terrible 2003-04 season, flu shots were only advised for children ages 6 months to 2 years.

That didn't help 4-year-old Amanda Kanowitz, who one day in late February 2004 came home from preschool with a cough and died less than three days later. Amanda was found dead in her bed that terrible Monday morning, by her mother.

"The worst day of our lives," said her father, Richard Kanowitz, a Manhattan attorney who went on to found a vaccine-promoting group called Families Fighting Flu.

The Centers for Disease Control and Prevention gradually expanded its flu shot guidance, and by 2008 all kids 6 months and older were urged to get the vaccine. As a result, the vaccination rate for kids grew from under 10 percent back then to around 40 percent today.

Flu vaccine is also much more plentiful. Roughly 130 million doses have been distributed this season, compared to 83 million back then. Public education seems to be better, too, Kanowitz observed.

The last unusually bad flu season for children, was 2009-10 — the year of the new swine flu, which hit young people especially hard. As of early January 2010, 236 flu-related deaths of kids had been reported since the previous August.

It's been difficult to compare the current flu season to those of other winters because this one started about a month earlier than usual.

Look at it this way: The nation is currently about five weeks into flu season, as measured by the first time flu case reports cross above a certain threshold. Two years ago, the nation wasn't five weeks into its flu season until early February, and at that point there were 30 pediatric flu deaths — or 10 more than have been reported at about the same point this year. That suggests that when the dust settles, this season may not be as bad as the one only two years ago.

But for some families, it will be remembered as the worst ever.

In Maine, 6-year-old Avery Lane — a first-grader in Benton who had recently received student-of-the-week honors — died in December following a case of the flu, according to press reports. She was Maine's first pediatric flu death in about two years, a Maine health official said.

In Michigan, 15-year-old Joshua Polehna died two weeks ago after suffering flu-like symptoms. The Lake Fenton High School student was the state's fourth pediatric flu death this year, according to published reports.

And in Texas, the town of Flower Mound mourned Schwolert, a healthy, lanky 17-year-old who loved to golf and taught Sunday school at the church where his father was a youth pastor.

Late last month, he and his family drove 16 hours to spend the holidays with his grandparents in Amery, Wis., a small town near the Minnesota state line. Max felt fluish on Christmas Eve, seemed better the next morning but grew worse that night. The family decided to postpone the drive home and took him to a local hospital. He was transferred to a medical center in St. Paul, Minn., where he died on Dec. 29.

He'd been accepted to Oklahoma State University before the Christmas trip. And an acceptance letter from the University of Minnesota arrived in Texas while Max was sick in Minnesota, his uncle said.

Nearly 1,400 people attended a memorial service for Max two weeks ago in Texas.

"He exuded care and love for other people," Phil Schwolert said.

"The bottom line is take care of your kids, be close to your kids," he said.

On average, an estimated 24,000 Americans die each flu season, according to the Centers for Disease Control and Prevention. People who are elderly and with certain chronic health conditions are generally at greatest risk from flu and its complications.

The current vaccine is about 60 percent effective, and is considered the best protection available. Max Schwolert had not been vaccinated, nor had the majority of the other pediatric deaths.

Even if kids are vaccinated, parents should be watchful for unusually severe symptoms, said Lyn Finelli of the CDC.

"If they have influenza-like illness and are lethargic, or not eating, or look punky — or if a parent's intuition is the kid doesn't look right and they're alarmed — they need to call the doctor and take them to the doctor," she advised.

___

CDC advice on kids: http://www.cdc.gov/flu/protect/children.htm

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NY Passes Nation's Toughest Gun Law

Today New York became the first state to pass a gun control law -- the toughest in the nation -- since the Sandy Hook Elementary School shooting massacre last month.

Acting one month and a day since the rampage killing that left 20 first-graders and six educators dead, Gov. Andrew Cuomo signed the bill into law shortly after 5 p.m.

Called the New York Safe Act, the law includes a tougher assault weapons ban that broadens the definition of what constitutes an assault weapon, and limits the capacity of magazines to seven bullets, down from 10. The law also requires background checks of ammunition and gun buyers, even in private sales, imposes tougher penalties for illegal gun use, a one-state check on all firearms purchases, and programs to cut gun violence in high-crime neighborhoods.

As he signed the bill into law, Cuomo said it was not only "the first bill" but the "best bill."

"I'm proud to be a New Yorker, because New York is doing something, because we are fighting back, because, yes, we've had tragedies, and yes, we've had too many innocent people lose their lives, and yes, it's unfortunate that it took those tragedies to get us to this point, but let's at least learn from what's happened, let's at least be able to say to people, yes, we went through terrible situations, but we saw, we learned, we responded, and we acted, and we are doing something about it," Cuomo said. "We are not victims.

'The View' on NRA Shooting App: Think It Out Watch Video

"You can overpower the extremists with intelligence and with reason and with commonsense," Cuomo continued, "and you can make this state a safer state."

New York's law also aims to keep guns out of the hands of those will mental illness. The law gives judges the power to require those who pose a threat to themselves or others get outpatient care. The law also requires that when a mental health professional determines a gun owner is likely to do harm, the risk must be reported and the gun removed by law enforcement.

The legislation also includes what is called a "Webster provision," named for the two firefighters ambushed on Christmas Eve in Webster, N.Y. The measure would mandate a life sentence with no chance of parole for anyone who kills a first responder.

The National Rifle Association issued a statement after the bill's signing, saying it was "outraged at the draconian gun control bill that was rushed through ... late Monday evening."

"Gov. Andrew Cuomo and the New York State Legislature orchestrated a secretive end-run around the legislative and democratic process and passed sweeping anti-gun measures with no committee hearings and no public input," the statement read. "These gun control schemes have failed in the past and will have no impact on public safety and crime. Sadly, the New York Legislature gave no consideration to that reality. While lawmakers could have taken a step toward strengthening mental health reporting and focusing on criminals, they opted for trampling the rights of law-abiding gun owners in New York, and they did it under a veil of secrecy in the dark of night. The legislature caved to the political demands of a governor and helped fuel his personal political aspirations."

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West African army chiefs to approve Mali troops plan

BAMAKO (Reuters) - West African defense chiefs will on Tuesday approve plans to speed up the deployment of African troops against Islamist rebels in northern Mali, with some regional soldiers seen arriving next week.

France has already poured hundreds of troops into Mali and carried out days of air strikes in a vast desert area seized last year by an Islamist alliance that combines al Qaeda's north African wing AQIM with Mali's home-grown MUJWA and Ansar Dine rebel groups.

Western and regional powers are concerned the insurgents will use Mali's north as a launchpad for international attacks.

"On January 15, the committee of Chiefs of Defense Staff will meet in Bamako to approve the contingency plan," the mission head of the ECOWAS grouping of West African states, Aboudou Toure Cheaka, told Reuters.

"I can tell you that in one week, the troops will effectively be on the ground," he said, adding their immediate mission would be to help stop the rebel advance while preparations for a full intervention plan continued.

He did not say how many soldiers would arrive.

The original timetable for the 3,300-strong U.N.-sanctioned African force - backed by western logistics, money and intelligence services - did not initially foresee full deployment before September due to logistical constraints.

Senegal, Burkina Faso, Niger, Nigeria and Guinea have all offered troops. But regional powerhouse Nigeria, which is due to lead the mission, has cautioned that even if some troops arrive in Mali soon, training will take more time.

The plan is being fast-tracked after France rushed to respond to a plea for help by Mali's government after mobile columns of Islamist fighters last week threatened the central garrison towns of Mopti and Sevare, with its key airport.

The French defense ministry said on Monday it aimed to deploy some 2,500 soldiers to Mali to bolster the Malian army and the eventual West African force.

"SAFEGUARD MALI"

French Prime Minister Jean-Marc Ayrault said France's goals were to stop the Islamist rebels, to "safeguard the existence of Mali" and pave the way for the African-led military operation.

U.S. officials said Washington was sharing information with French forces in Mali and considering providing logistics, surveillance and airlift capability.

"We have made a commitment that al Qaeda is not going to find anyplace to hide," U.S. Defense Secretary Leon Panetta told reporters as he began a visit to Europe.

As French aircraft bombarded mobile columns of Islamist fighters, other insurgents launched a counter-attack further to the south, dislodging government forces from the town of Diabaly, 350 km (220 miles) from Bamako.

French intervention has raised the threat for eight French hostages held by al Qaeda allies in the Sahara and for 30,000 French expatriates living in neighboring, mostly Muslim states. Concerned about reprisals at home, France has tightened security at public buildings and on public transport.

The U.N. said an estimated 30,000 people had fled the latest fighting in Mali, joining more than 200,000 already displaced.

U.N. Secretary-General Ban Ki-moon on Monday welcomed the French-led military intervention in Mali and voiced the hope that it would halt the Islamist assault.

Amnesty International said at least six civilians were killed in recent fighting in the town of Konna, where French aircraft had earlier bombarded rebel positions, and called on both sides to spare non-combatants.

France, which has repeatedly said it has abandoned its role as the policeman of its former African colonies, is among the toughest proponents of a speedier deployment of the African troops, and convened a U.N. Security Council meeting Monday to discuss the crisis.

French U.N. Ambassador Gerard Araud told reporters after the meeting that the U.S., Canada, Belgium, Denmark and Germany had also offered logistical support for France's Mali operation.

"I felt that all the members of the Security Council were expressing their support (for) and understanding of the French decision," Araud told reporters.

No Europeans or other African Union members will be allowed in the defense chiefs meeting in Bamako on Tuesday, a western diplomat told Reuters, requesting not to be named.

"They don't want any French pressure at the meeting," the diplomat said.

(Reporting by Bate Felix; Additional reporting by Michelle Nichols and Louis Charbonneau at the United Nations Richard Valdmanis in Dakar, Brian Love in Paris and David Alexander in Lisbon; Editing by Richard Valdmanis and Giles Elgood)

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Islamists guerrillas flee French air strikes in Mali

BAMAKO: French air strikes forced Islamist guerrillas to flee towns in northern Mali and Paris secured new international support for military action as the militants struck back, seizing a small western town.

The Islamists said they had made a "tactical retreat" from Timbuktu and other key towns where they have imposed a brutal version of Islamic law for nearly 10 months.

But they struck back in western Mali where they took the small town of Diabaly from the country's weakened army, highlighting the daunting campaign ahead to restore order in the West African nation.

French jets on Monday hit Douentza, 800 kilometres (500 miles) from Bamako, which the Islamists have held since September. But residents said the fighters had left before the warplanes arrived.

In Timbuktu, where inhabitants have been executed or had limbs cut off in some of the worst abuses, the Islamists reportedly fled in anticipation of an attack.

"The mujahideen have left. They are really scared," said one resident in the historic city, where the militants have destroyed centuries-old Muslim monuments.

In Gao, another northern city held by the Islamists, the jihadists were nowhere to be seen after bombing by Rafale warplanes on Sunday, residents there said.

At least 60 insurgents were killed in Sunday's assault, according to residents and a security source.

Mali's Foreign Minister Tieman Hubert Coulibaly said in Paris that he believed more than 100 Islamists had been killed in the four days since France launched operations to stem a guerrilla advance towards Bamako.

A spokesman for the Ansar Dine (Defenders of the Faith) group, Senda Ould Boumama, said the withdrawal was a "tactical retreat" to reduce civilian casualties, in comments published on Mauritanian news website Alakhbar.

On top of the use of Rafale fighters and helicopter attacks, about 650 French troops are in Mali to halt the Islamist advance, according to the French defence ministry.

While jolted by France's arrival, the insurgents remained on the offensive in areas where French troops were not yet operating. The militants seized Diabaly, some 400 kilometres (250 miles) north of Bamako.

"We knew there would be a counter-offensive towards the west," French Defence Minister Jean-Yves Le Drian told BFM Television.

"They have taken Diabaly, which is a small town, after heavy fighting and resistance from the Malian army, which was insufficiently equipped at that exact point."

Le Drian acknowledged that French forces were facing a "difficult" situation in the west, where he said the rebels are well armed.

France's Foreign Minister Laurent Fabius hailed the "quasi-unanimous" international backing for the offensive, strongly supported by Mali.

"We cannot simply push them back, we have to chase them away," Coulibaly told French television after meeting Fabius, "We simply now cannot allow a timeout for these forces to reorganise."

A meeting of the 15-nation UN Security Council on Mali also expressed unanimous "understanding and support" for the military intervention, France's UN ambassador Gerard Araud told reporters.

France and other council countries want to speed up the deployment of a UN-mandated 3,300-strong West African intervention force in Mali.

Nigeria, which will lead the force, plans to have 600 troops on the ground "before next week," President Goodluck Jonathan said. Benin, Ghana, Niger, Senegal, Burkina Faso and Togo have also pledged troops.

Britain and Canada have offered military transporters to the French military and the United States said it will share intelligence and provide logistical support.

"I commend France for taking the steps that it has," US Defense Secretary Leon Panetta said.

Algeria said it had closed its 2,000 km (1,250 mile) desert border with northern Mali to stop Islamists crossing into the country.

The Islamists seized upon the chaos of a military coup in Bamako in March to seize northern Mali, sparking widespread international fears that they could set up a terrorist safe haven.

The UN Security Council had given approval for a military offensive that UN officials had said could not be launched until September.

But the Islamist offensive and France's military intervention has led to predictions by diplomats that the plans will be reviewed.

-AFP/fl

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National Conference may induct Congress MLAs in J&K Cabinet

NEW DELHI: Jammu and Kashmir chief minister Omar Abdullah can expand and reshuffle his ministry on Tuesday following a prod from AICC president Sonia Gandhi on Sunday evening. Congress leaders like Saifuddin Soz have been asking for more representation from their party in the Omar-led National Conference coalition government.

Abdullah had dropped two Congress ministers, G A Saroori and Peerzada Mohammad Sayeed, on charges of corruption. Saroori, a Congress MLA from Kishtwar, was charged for an impersonation fraud in the medical entrance test that his daughter gave and Peerzada was accused of helping his step-son copy in Class X exams. They were exonerated by the CBI and a state-level investigation team.

Sonia asked for the inclusion of more Congress legislators in the J&K House. State governor NN Vohra rushed to Jammu from New Delhi to make arrangements for the oath ceremony of new ministers at 4pm on Tuesday. Soz and Ghulam Nabi Azad had briefed Sonia about the unrest in the Congress camp after berths meant for them were not filled.

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Hospitals crack down on workers refusing flu shots

CHICAGO (AP) — Patients can refuse a flu shot. Should doctors and nurses have that right, too? That is the thorny question surfacing as U.S. hospitals increasingly crack down on employees who won't get flu shots, with some workers losing their jobs over their refusal.

"Where does it say that I am no longer a patient if I'm a nurse," wondered Carrie Calhoun, a longtime critical care nurse in suburban Chicago who was fired last month after she refused a flu shot.

Hospitals' get-tougher measures coincide with an earlier-than-usual flu season hitting harder than in recent mild seasons. Flu is widespread in most states, and at least 20 children have died.

Most doctors and nurses do get flu shots. But in the past two months, at least 15 nurses and other hospital staffers in four states have been fired for refusing, and several others have resigned, according to affected workers, hospital authorities and published reports.

In Rhode Island, one of three states with tough penalties behind a mandatory vaccine policy for health care workers, more than 1,000 workers recently signed a petition opposing the policy, according to a labor union that has filed suit to end the regulation.

Why would people whose job is to protect sick patients refuse a flu shot? The reasons vary: allergies to flu vaccine, which are rare; religious objections; and skepticism about whether vaccinating health workers will prevent flu in patients.

Dr. Carolyn Bridges, associate director for adult immunization at the federal Centers for Disease Control and Prevention, says the strongest evidence is from studies in nursing homes, linking flu vaccination among health care workers with fewer patient deaths from all causes.

"We would all like to see stronger data," she said. But other evidence shows flu vaccination "significantly decreases" flu cases, she said. "It should work the same in a health care worker versus somebody out in the community."

Cancer nurse Joyce Gingerich is among the skeptics and says her decision to avoid the shot is mostly "a personal thing." She's among seven employees at IU Health Goshen Hospital in northern Indiana who were recently fired for refusing flu shots. Gingerich said she gets other vaccinations but thinks it should be a choice. She opposes "the injustice of being forced to put something in my body."

Medical ethicist Art Caplan says health care workers' ethical obligation to protect patients trumps their individual rights.

"If you don't want to do it, you shouldn't work in that environment," said Caplan, medical ethics chief at New York University's Langone Medical Center. "Patients should demand that their health care provider gets flu shots — and they should ask them."

For some people, flu causes only mild symptoms. But it can also lead to pneumonia, and there are thousands of hospitalizations and deaths each year. The number of deaths has varied in recent decades from about 3,000 to 49,000.

A survey by CDC researchers found that in 2011, more than 400 U.S. hospitals required flu vaccinations for their employees and 29 hospitals fired unvaccinated employees.

At Calhoun's hospital, Alexian Brothers Medical Center in Elk Grove Village, Ill., unvaccinated workers granted exemptions must wear masks and tell patients, "I'm wearing the mask for your safety," Calhoun says. She says that's discriminatory and may make patients want to avoid "the dirty nurse" with the mask.

The hospital justified its vaccination policy in an email, citing the CDC's warning that this year's flu outbreak was "expected to be among the worst in a decade" and noted that Illinois has already been hit especially hard. The mandatory vaccine policy "is consistent with our health system's mission to provide the safest environment possible."

The government recommends flu shots for nearly everyone, starting at age 6 months. Vaccination rates among the general public are generally lower than among health care workers.

According to the most recent federal data, about 63 percent of U.S. health care workers had flu shots as of November. That's up from previous years, but the government wants 90 percent coverage of health care workers by 2020.

The highest rate, about 88 percent, was among pharmacists, followed by doctors at 84 percent, and nurses, 82 percent. Fewer than half of nursing assistants and aides are vaccinated, Bridges said.

Some hospitals have achieved 90 percent but many fall short. A government health advisory panel has urged those below 90 percent to consider a mandatory program.

Also, the accreditation body over hospitals requires them to offer flu vaccines to workers, and those failing to do that and improve vaccination rates could lose accreditation.

Starting this year, the government's Centers for Medicare & Medicaid Services is requiring hospitals to report employees' flu vaccination rates as a means to boost the rates, the CDC's Bridges said. Eventually the data will be posted on the agency's "Hospital Compare" website.

Several leading doctor groups support mandatory flu shots for workers. And the American Medical Association in November endorsed mandatory shots for those with direct patient contact in nursing homes; elderly patients are particularly vulnerable to flu-related complications. The American Nurses Association supports mandates if they're adopted at the state level and affect all hospitals, but also says exceptions should be allowed for medical or religious reasons.

Mandates for vaccinating health care workers against other diseases, including measles, mumps and hepatitis, are widely accepted. But some workers have less faith that flu shots work — partly because there are several types of flu virus that often differ each season and manufacturers must reformulate vaccines to try and match the circulating strains.

While not 100 percent effective, this year's vaccine is a good match, the CDC's Bridges said.

Several states have laws or regulations requiring flu vaccination for health care workers but only three — Arkansas, Maine and Rhode Island — spell out penalties for those who refuse, according to Alexandra Stewart, a George Washington University expert in immunization policy and co-author of a study appearing this month in the journal Vaccine.

Rhode Island's regulation, enacted in December, may be the toughest and is being challenged in court by a health workers union. The rule allows exemptions for religious or medical reasons, but requires unvaccinated workers in contact with patients to wear face masks during flu season. Employees who refuse the masks can be fined $100 and may face a complaint or reprimand for unprofessional conduct that could result in losing their professional license.

Some Rhode Island hospitals post signs announcing that workers wearing masks have not received flu shots. Opponents say the masks violate their health privacy.

"We really strongly support the goal of increasing vaccination rates among health care workers and among the population as a whole," but it should be voluntary, said SEIU Healthcare Employees Union spokesman Chas Walker.

Supporters of health care worker mandates note that to protect public health, courts have endorsed forced vaccination laws affecting the general population during disease outbreaks, and have upheld vaccination requirements for schoolchildren.

Cases involving flu vaccine mandates for health workers have had less success. A 2009 New York state regulation mandating health care worker vaccinations for swine flu and seasonal flu was challenged in court but was later rescinded because of a vaccine shortage. And labor unions have challenged individual hospital mandates enacted without collective bargaining; an appeals court upheld that argument in 2007 in a widely cited case involving Virginia Mason Hospital in Seattle.

Calhoun, the Illinois nurse, says she is unsure of her options.

"Most of the hospitals in my area are all implementing these policies," she said. "This conflict could end the career I have dedicated myself to."

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Online:

R.I. union lawsuit against mandatory vaccines: http://www.seiu1199ne.org/files/2013/01/FluLawsuitRI.pdf

CDC: http://www.cdc.gov

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

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Arias Denied Guilt Despite Sex Photos, DNA

A defiant Jodi Arias insisted she was innocent of killing her ex-boyfriend Travis Alexander even after a detective told her that he had nude photos of them together on the day he died.

"Are you sure it's me? Because I was not there," Arias is heard saying in the police interrogation tape played for the Arizona jury today.

When Detective Esteban Flores tells Arias she is seen in pigtails in the photos, she asks with a tone of incredulity, "Pigtails?"

As Flores laid out more incriminating evidence, including that investigators found DNA of their blood mixed together, her hair stuck with blood and her palm print in blood, Arias was insistent.

"I would not hurt Travis. I would not hurt Travis. I would not do that to him," she told Flores.

At another point Arias said, "If I hurt Travis I would beg for the death penalty."

"Jodi, this is over. … you have to tell me the truth," Flores says. The detective suggests a motive for the killing to be jealousy, and cites the opinion of Alexander's friends.

"They don't just say you were jealous. You were absolutely obsessed… a fatal attraction," Flores in heard on the tape.

Arias, now 32, has since admitted to killing Alexanderfollowing their tryst in 2008, but has claimed it was self-defense. She is accused of stabbing Alexander 27 times in the chest, back, and head, slashing his throat from ear to ear, and shooting him the head with a .25 caliber handgun.

Arias is charged with murdering her ex-boyfriend in a "heinous and depraved" way and could face the death penalty if convicted.

The interrogation tape was played after the jury was shown sexually graphic photos that police recovered from Alexander's digital camera. Among the pictures were shots of Arias and Alexander posing naked on Alexander's bed, as well as pictures of Alexander in the shower.

Those photos were the last pictures of Alexander while he was alive.

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The final photos in the series show a body partly covered in blood on the bathroom floor.

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Arias looked away from the screen in the courtroom where the sexual photos were shown, as her mother watched from the gallery. Alexander's sisters, also seated in the gallery, looked away from the photos of their brother.

Computer analysts for the city of Mesa, Ariz., where Alexander lived, went over the photos in detail during the sixth day of testimony in the trial. The photos were time stamped June 4, 2008, beginning around 1:45 p.m.

Prosecutors have said that Arias drove from her California home to Alexander's house, arriving early in the morning on June 4. The pair had sex in the afternoon, took photos of one another, and then Arias killed Alexander, age 30, around 5:30 p.m., they said.

The photos on the bed occurred around 1:45 p.m., according to the data on the camera. The shower photos and the pictures of a bloody body part occurred around 5:30 p.m.

In earlier testimony today, the jury watched video taped interrogations of Arias as she repeatedly denied to police stealing and using the handgun that killed Alexander.

Arias told police that she had never seen a .25 caliber handgun and had no idea her grandparents owned one until they reported it stolen a week before Alexander's killing, according to the police interrogation tapes played in court today.

Police from Yreka, Calif., where Arias lived with her grandparents, described the scene of the home when Arias's grandparents reported a break-in. The door was pushed in, breaking the door jamb, and many drawers were opened in Arias' bedroom and her grandparents' room.

The only things reported taken were the handgun, a DVD player, and $30, while other valuable items, including a large pile of quarters and three other guns, were left untouched. Arias told police that her laptop computer was not taken because she had hidden it in a laundry basket covered with clothes.

Officer Kevin Friedman of the Yreka police department told the court today that burglary struck him as odd.

"I believed it was unusual that small items worth money or money, for instance, that the change was not taken," said Officer Kevin Friedman, of the Yreka police department, who investigated the alleged robbery. "I also thought it was strange that only one of the firearms was stolen from the cabinet."

In the police videos, Arias is seen calmly denying stealing the gun from her grandparents' home and using it when she killed Alexander in June 2008, a week after the burglary.

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