Clinton's blood clot an uncommon complication


The kind of blood clot in the skull that doctors say Hillary Rodham Clinton has is relatively uncommon but can occur after an injury like the fall and concussion the secretary of state was diagnosed with earlier this month.


Doctors said Monday that an MRI scan revealed a clot in a vein in the space between the brain and the skull behind Clinton's right ear.


The clot did not lead to a stroke or neurological damage and is being treated with blood thinners, and she will be released once the proper dose is worked out, her doctors said in a statement.


Clinton has been at New York-Presbyterian Hospital since Sunday, when the clot was diagnosed during what the doctors called a routine follow-up exam. At the time, her spokesman would not say where the clot was located, leading to speculation it was another leg clot like the one she suffered behind her right knee in 1998.


Clinton had been diagnosed with a concussion Dec. 13 after a fall in her home that was blamed on a stomach virus that left her weak and dehydrated.


The type of clot she developed, a sinus venous thrombosis, "certainly isn't the most common thing to happen after a concussion" and is one of the few types of blood clots in the skull or head that are treated with blood thinners, said neurologist Dr. Larry Goldstein. He is director of Duke University's stroke center and has no role in Clinton's care or personal knowledge of it.


The area where Clinton's clot developed is "a drainage channel, the equivalent of a big vein inside the skull — it's how the blood gets back to the heart," Goldstein explained.


It should have no long-term consequences if her doctors are saying she has suffered no neurological damage from it, he said.


Dr. Joseph Broderick, chairman of neurology at the University of Cincinnati College of Medicine, also called Clinton's problem "relatively uncommon" after a concussion.


He and Goldstein said the problem often is overdiagnosed. They said scans often show these large "draining pipes" on either side of the head are different sizes, which can mean blood has pooled or can be merely an anatomical difference.


"I'm sure she's got the best doctors in the world looking at her," and if they are saying she has no neurological damage, "I would think it would be a pretty optimistic long-term outcome," Broderick said.


A review article in the New England Journal of Medicine in 2005 describes the condition, which more often occurs in newborns or young people but can occur after a head injury. With modern treatment, more than 80 percent have a good neurologic outcome, the report says.


In the statement, Clinton's doctors said she "is making excellent progress and we are confident she will make a full recovery. She is in good spirits, engaging with her doctors, her family, and her staff."


___


Online:


Medical journal: http://dura.stanford.edu/Articles/Stam_NEJM05.pdf


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No end to Syria war if sides refuse to talk: envoy


AZAZ, Syria/CAIRO (Reuters) - The international peace negotiator for Syria pleaded with outside countries on Sunday to push the warring parties to the table for talks, warning that the country would become a failed state ruled by warlords unless diplomacy is given a chance.


Lakhdar Brahimi, who inherited the seemingly impossible task of bringing an end to the war after his predecessor Kofi Annan resigned in frustration in July, has launched an intensified diplomatic campaign to win backing for a peace plan.


He spent five days this week in Damascus, where he met President Bashar al-Assad. On Saturday he visited Assad's main international backers in Moscow, and on Sunday he travelled to Cairo, where President Mohamed Mursi has emerged as one of Assad's most vocal Arab opponents.


"The problem is that both sides aren't speaking to one another," he said. "This is where help is needed from outside."


Brahimi's peace plan - inherited from Annan and agreed to in principle in Geneva in June by countries that both oppose and support Assad - has the seemingly fatal flaw of making no mention of whether Assad would leave power.


The Syrian leader's opponents - who have seized much of the north and east of the country in the past six months - say they will not cease fire or join any talks unless Assad goes and have largely dismissed Brahimi's initiative.


But Brahimi says the plan is the only one on the table, and predicts "hell" if countries do not push both sides to talk.


"The situation in Syria is bad, very, very bad, and it is getting worse, and the pace of deterioration is increasing," Brahimi told reporters.


"People are talking about Syria being split into a number of small states ... This is not what will happen. What will happen is Somalization: warlords." Somalia has been without effective central government since civil war broke out there in 1991.


More than 45,000 people have been killed in Syria's 21-month war, the longest and deadliest of the revolts that began sweeping the Arab world two years ago.


The rebels are mainly from the Sunni Muslim majority, fighting against Assad, a member of the Shi'ite-derived Alawite minority sect, giving the war a dangerous sectarian dimension.


The rebels increasingly believe that their military successes of the past half year are bringing victory within reach. But Assad's forces still hold the densely-populated southwest of the country, the main north-south highway and the Mediterranean coast in the northwest.


The government also holds airbases scattered throughout the country, and has an arsenal including jets, helicopters, missiles and artillery that the fighters cannot match.


ASSAD FORCES SEIZE HOMS DISTRICT


Government troops scored a victory on Saturday after several days of fighting, seizing a Sunni district in Homs, a central town that controls the vital road linking Damascus to the coast.


Opposition activists said on Sunday that many people had been killed in the Deir Baalbeh district after it was captured, although it was not immediately possible to verify claims that a "massacre" had taken place. The opposition Syrian Network for Human Rights said it documented the summary execution of 17 men.


"They were young and old, mostly refugees who had fled to Deir Baalbeh from central parts of Homs," it said in a statement. Footage taken by activists showed the bodies of eight men with what appeared to be bullet wounds in the face and head.


With severe restrictions by Syrian authorities on independent media in place since the revolt broke out in March last year, the footage could not be confirmed.


Najati Tayyara, a veteran opposition campaigner from Homs in contact with the city, told Reuters residents believed the death toll was as high as 260, although the area was sealed off by government forces and allied militia.


"I am afraid that we have seen a massacre in Deir Baalbeh and a military setback for the rebels because of their lack of organization. They have been in need of ammunition for a long time and it finally ran out," he said.


"Communications are difficult and we are trying to piece together what happened in Deir Baalbeh. We so far know that regime forces went in after the rebels retreated and summarily executed dozens of people, including civilians."


Tayyara said the fall of Deir Baalbeh undermined supply lines to rebel held areas inside the city.


Bilal al-Homsi, an opposition activist in Old Homs, said MiG warplanes bombarded the area overnight and medium range rockets and hit the area of al-Khalidiya, a rebel-held Sunni district.


In the north, opposition activists said fighters had surrounded an air defense base near Aleppo airport, south of the contested city. Fighting raged in the area and warplanes bombed rebel positions near the base to try and break the siege.


In the northern city of Azaz, where activists said 11 people were killed when air strikes destroyed six homes, gravediggers were already digging graves for whichever victims will be next.


"We know the plane is coming to hit us, so we're being prepared," said Abu Sulaiman, one of a few men digging at the Sheikh Saad cemetery.


"Massacres are happening. We're putting every two or three bodies together. We've been working and digging since 6 in the morning. We're going to dig 10 new graves today," he said.


"We're preparing them. Maybe we'll be buried in them."


Fida, a 15-year-old girl in a green scarf and purple coat looked on as her father shoveled dirt from the gravesite. The dead from the previous day's attacks included friends she recognized when their shrouds were pulled back.


"Yesterday was the first time I uncovered blankets to discover that my friends had died," she said, as young children near the cemetery played hopscotch on the streets and kicked stones about.


"I was just about to go visit them about a half hour before the strike hit," she said. "In the end I visited them when they were dead."


(Adiditional reporting by Khaled Yacoub Oweis in Amman, Ayman Samir and Tom Perry in Cairo and Peter Graff in Beirut; Writing by Peter Graff; Editing by Rosalind Russell)



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Brazil, Mexico have most Latin American billionaires






MEXICO CITY: Brazil and Mexico have the most billionaires in Latin America but earn the least from estate taxes, according to a new study from a regional economic group.

Brazil tops the billionaires list with 30, followed by Mexico, with 11, said this month's report from the Economic Commission for Latin America and the Caribbean.

Mexico's Carlos Slim is the richest in the world according to the annual Forbes magazine ranking.

Yet between 2005 and 2007, Mexico earned just 0.18 per cent of its GDP from estate taxes, and Brazil only 0.44 per cent, according to the report on economic elites, inequality and taxation.

That put them behind several other Latin American countries with far fewer billionaires, such as Colombia, which has three billionaires and earned 0.54 per cent from estate taxes.

And income disparities are vast.

More than two billion people live on less than US$2 a day worldwide, "revealing the extreme disparities in the global economy," wrote study authors Andres Solimano and Juan Pablo Jimenez.

The sharp concentration of income and wealth in the hands of a few "reduces the legitimacy of capitalism," they said.

The wide gap between the haves and the have-nots also undermines democracy, the authors added, because "winning an election requires financing, giving an advantage to those who have resources."

Earlier this year, the United Nations called for a "billionaires tax" of 1.0 per cent that could raise more than US$40 billion a year, as part of a package of global taxes that could help raise hundreds of billions of dollars for development.

- AFP/jc



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Two minors raped in UP in last 2 days

LUCKNOW: Two days after the Delhi bus gang rape victim breathed her last, crime against women continued unabated in Uttar Pradesh. Two minors were held hostages and raped in Sultanpur and Bareilly districts of the state. Elsewhere, miscreants threw acid on two women in Muzaffarnagar, a doctor tried to rape a patient in Bijnore, a housewife was allegedly molested by her neighbor in Bhadohi while an eight-month pregnant housewife was murdered allegedly by her husband in Bijnore. All incidents have been reported to the police over the past 48 hours on Sunday evening.

A teenaged minor girl was allegedly kidnapped on December 14, by miscreants from Dharauli village in Sultanpur district of Uttar Pradesh while she was on her way to school. She reached home after escaping from the clutches of the abductors on Saturday and narrated the events that happened during the fortnight as she was held hostage. The family lodged an FIR against three persons in connection with the incident.

Though police were suspicious the victim may have consented to accompany any or all the accused initially and later been held captive and raped, the girl was a minor and her consent had no significance in the eyes of law. Police have registered a rape case against one Raju while his aides Basantlal and Shahabuddin have been charged for criminal conspiracy to rape. The accused were yet to be arrested as they were said to be absconding since the incident came to light.

In a somewhat similar sequence of events reported from Cantonment police circle of Bareilly early Sunday morning, an 11-year-old student of class of class VI at a local school went missing after she left home for school on December 27. After she failed to reach home by evening, her family launched a search. After two days of extensive search, the family came to know that she was last spotted with a youth in the farm field besides the road in the vicinity of the village. After six hours of extensively searching the area, the girl was found gagged and her hands and legs were tied up. The girl was rescued after which she told her family that after she reached school in the morning on December 27, 2012 she came to know that the school has closed because of the sudden drop in temperature.

Usually she returned home with a batch of their students who live in the neighborhood but since the school closure was announced in the morning itself, she was returning all alone when a youth kidnapped her. Apart from being repeatedly raped, the girl was left behind bushes in the farm for two days and two nights under the open winter sky before she was rescued.

On the basis of description of the accused provided by the victim and locals of the area where she was held hostage, her family managed to nab one of the accused identified as Prem Singh of Babhiya village under Cantonment police station of Bareilly. The village is situated close to the hamlet where the girl lives.

In Muzaffarnagar, two women suffered severe burn injuries as masked motorcycle-borne youths threw acid on them in the middle of a busy market place under Kotwali police station of the district. The women, identified later as Usha and Gopi, were rushed to the district hospital where the doctors attending them referred Usha to Meerut after her condition began to deteriorate. The condition of the other girl was stable. Usha had reportedly suffered 60% burns on her face, neck shoulders and upper abdomen while Gopi suffered 45% burns mainly on her neck, face and shoulder.

Police said initial investigations revealed the accused were being followed by two other youths on another motorcycle and their informer network provided them clues that could lead to the arrest of the other duo.

In Bhadohi, a 21-year-old dalit woman was molested by her neighbor in Gopiganj locality. On her complaint, police arrested Ram Sajeevan (25) alias Baba. In Jhansi, a case was lodged with the Bardagaon police station against the doctor of a private clinic in which he was accused of a rape attempt. The complainant, a housewife, said she had visited the doctor for treatment along with two of her family members which the doctor tried to outrage her modesty. Police said investigations were underway into the complaint and action will be initiated against the accused on the basis of the inquiry findings.

In Bijnore, a pregnant woman was allegedly murdered on Saturday evening. Police have detained the woman's husband who was in the car with the victim when the incident took place. The victim had suffered sharp-edged injury wounds on her neck which resulted in her death.

Her husband initially claimed he was driving his wife Hemlata (23) to her parent's house on Nurpur Marg in the city when they were attacked by miscreants, but police were not convinced and suspected that her husband Arvind murdered her. During sustained interrogation Arvind broke down and confessed to his crime. He told police he had married Hemlata in February but was fed-up with the routine marital disputes.

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Kenya hospital imprisons new mothers with no money


NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.


Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.


Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.


"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."


"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."


The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.


Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.


"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.


She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.


A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.


"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.


Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.


One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.


Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.


___


Associated Press reporter Tom Odula contributed to this report.


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Fiscal Cliff-Hanger: No Vote Tonight, Reid Says













With less than two days remaining for Congress to reach a budget agreement that would avoid the so-called "fiscal cliff," a senior White House official tells ABC News that President Obama is still "modestly optimistic" that a deal can be struck to prevent middle class taxes from increasing on New Year's Day.


But a resolution to the ordeal won't come tonight.


Senate Majority Leader Harry Reid adjourned his chamber just before 6 p.m., ensuring a potential deal could not be voted on before senators return to business Monday morning.


The Nevada lawmaker vowed despite the recess, the parties' leadership would continue negotiations throughout the night.


Vice President Biden has now re-emerged as a key player, back in Washington and playing "a direct role" in trying to make a deal with Senate Republicans. Biden has been tapped because of his long-standing relationship with Senate Republican Leader Mitch McConnell.


A Democratic source says that McConnell seems to be genuinely interested in getting an agreement. The news dovetails with reports that the GOP has backed off a key Social Security measure that had stalled negotiations.


According to sources, the row was sparked when the GOP offered a proposal that included a new method of calculating entitlement benefits with inflation. Called the "chained consumer price index," or Chained CPI, the strategy has been criticized by some Democrats because it would lower cost of living increases for Social Security recipients.


"We thought it was mutually understood that it was off the table for a scaled-back deal," a Democratic aide said. "It's basically a poison pill."


Obama has floated chained CPI in the past as part of a grand bargain, despite opposition from the AARP and within his own party.


Also in the Republican plan brought today: An extension of the current estate tax and no increase in the debt ceiling. Higher income earners would see their taxes increase, but at levels "well above $250,000," the sources said.


That "major setback" in the talks was evident on the floor of the Senate this afternoon.


"I'm concerned about the lack of urgency here, I think we all know we are running out of time," McConnell said, "I want everyone to know I am willing to get this done, but I need a dance partner."


McConnell, R-Ky., said he submitted the Republican's latest offer to Reid, D-Nev., at 7:10 p.m. Saturday and was willing to work through the night. Reid promised to get back to him at 10 this morning, but has yet to do so.


Why have the Democrats not come up with a counteroffer? Reid admitted it himself moments later.


"At this stage we're not able to make a counteroffer," Reid said noting that he's had numerous conversations with Obama, but the two parties are still far apart on some big issues, "I don't have a counteroffer to make. Perhaps as the day wears on I will be able to."


McConnell said he believes there is no major issue that is the sticking point but rather, "the sticking point appears to be a willingness, an interest, or frankly the courage to close the deal."






J. Scott Applewhite/AP Photo











Sens. Charles Schumer and Jon Kyl on 'This Week' Watch Video











Fiscal Cliff Negotiations: Could Economy Slip Back into Recession? Watch Video





Reid said late this afternoon that the fiscal cliff negotiations were getting "real close" to falling apart completely.


"At some point in the negotiating process, it appears that there are things that stop us from moving forward," he said. "I hope we're not there but we're getting real close and that's why I still hold out hope that we can get something done. But I'm not overly optimistic but I am cautiously optimistic that we can get something done."


Reid said there were serious difference between the two sides, starting with Social Security. He said Democrats are not willing to cut Social Security benefits as part of a smaller, short-term agreement, as was proposed in the latest Republican proposal.


"We're not going to have any Social Security cuts. At this stage it just doesn't seem appropriate," he said. "We're open to discussion about entitlement reforms, but we're going to have to take a different direction. The present status will not work."


Reid said that even 36 hours before the country could go over the cliff, he remains "hopeful" but "realistic," about the prospects of reaching an agreement.


"The other side is intentionally demanding concessions they know we are not willing to make," he said.


The two parties were met separately at 3 p.m., and before going in Reid said he hoped there would be an announcement to make on a way forward afterwards. But as of this evening there was no agreement and no counterproposal.


McConnell said earlier today he placed a call to Vice President Biden to see if he could "jump start the negotiations on his side."


In an interview aired this morning -- well before the breakdown -- Obama suggested that a smaller deal remained the best hope to avoid the perilous package of spending cuts and tax increases.


On NBC's "Meet the Press" the president said if Republicans agreed to raising taxes on top income earners it should be enough to avoid the triggers that would execute the $607 billion measure. Economists agree that going over the cliff would likely put the country back in recession.


"If we have raised some revenue by the wealthy paying a little bit more, that would be sufficient to turn off what's called the sequester, these automatic spending cuts, and that also would have a better outcome for our economy long-term," he said.


Saying the "pressure is on Congress to produce," the president did not specify what income level his party would deem acceptable as the cutoff for those who would see their tax rates remain at current levels.


The president has called for expiration of the "Bush-era" tax cuts to affect household earnings over $250,000 since the campaign, but has reportedly floated a $400,000 figure in past negotiations.


House Speaker John Boehner once offered a $1 million cut-off in his failed "Plan B" proposal, which failed to garner enough support among the House Republicans.


"It's been very hard for Speaker Boehner and Republican Leader McConnell to accept the fact that taxes on the wealthiest Americans should go up a little bit as part of an overall deficit reduction package," the president said.


Domestic programs would lose $55 billion in funding should sequestration pass, including $2 billion to Medicare and unemployment benefits. The Pentagon would take a $55 billion loss as well, or 9 percent of its budget.


Repeating remarks he made Friday after a meeting with congressional leaders,
Obama said that should negotiations fail he has asked Reid to introduce a stripped-down proposal to Congress for a straight up-or-down vote -- if it isn't blocked.


"If all else fails, if Republicans do in fact decide to block so that taxes on the middle class do in fact go up on Jan. 1, then we'll come back with a new Congress on Jan. 4, and the first bill that will be introduced on the floor will be to cut taxes on middle-class families," he said of the worst-case scenario. "I don't think the average person is going to say, 'Gosh, you know, that's a really partisan agenda.'"


The interview with the president was taped Saturday while Reid and McConnell scrambled to their offices for a solution behind closed doors. Press staking out Capitol Hill reported little public activity from the leaders or their surrogates. If negotiations are successful, the lawmakers could introduce a bill for vote this afternoon.


The Republican leaders immediately bit back at the president's remarks. In a written statement Boehner said casting blame was "ironic, as a recurring theme of our negotiations was his unwillingness to agree to anything that would require him to stand up to his own party. "






Read More..

Yen rebounds slightly against dollar






NEW YORK: The yen edged higher against the dollar Friday after days of declines on expectations Japan would implement more monetary easing under its new prime minister.

The dollar stood at 85.98 yen around 2200 GMT, down from 86.09 late Thursday.

In Asian trade earlier in the day, the yen sat at more than two-year lows against the greenback.

Investors have been selling the yen on expectations newly-elected Prime Minister Shinzo Abe will carry out his promises of more aggressive monetary easing and big government spending to lift inflation and kickstart the economy.

While noting that Abe and members of his government have "made it abundantly clear" that they won't back away from their promises, BK Asset Management noted that "dollar/yen appears to be nearing exhaustion and a move down to 85 is likely."

"After climbing to a fresh 2-year high overnight, dollar/yen staged a sharp intraday reversal that left the pair near the day's lows," they said.

The euro also slipped slightly against the yen around 2200 GMT, reaching 113.62 yen around 2200 GMT, compared to 113.97 yen a day earlier.

The common European currency lost a little ground to the dollar, standing at $1.3217 after hitting $1.3235 late Thursday.

In other currencies, the dollar inched up to 0.9134 Swiss francs, while the pound rose to $1.6167.

-AFP/ac



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Centre won’t encroach upon states' rights on water, PM says

NEW DELHI: The National Water Resources Council (NWRC) on Friday approved the new National Water Policy in its meeting here after Prime Minister Manmohan Singh assured states that the Centre did not intend to encroach upon the constitutional rights or to centralize the regulation over water resources.

The new policy envisages a National Framework law for water resources that will set general principles of water management under which the Centre, states and local authorities would be required to regulate both surface and groundwater.

The policy sets the tone for creating a tariff mechanism for all kind of water uses in the country, a politically-sensitive move if it is implemented. It also requires a change in existing laws to turn groundwater into a community resource, and not a private right as it currently exists.

"The central government, I repeat, does not wish to encroach, in any manner, upon the constitutionally guaranteed rights of states or to centralize water management," the PM said.

The strong statements, demands and sentiments expressed at the meeting made it abundant that an issue that has most often remained on political backburners — save perhaps when it comes to riparian rights of states — is set to boil over into a serious governance concern.

The policy was adopted by the Council meeting attended by several CMs and state water resource ministers who also put forth their concerns. The policy pushes for differential pricing of water — the need for which was flagged earlier in the day by Union water resources minister Harish Rawat.

He also warned that India would need around 450 billion cubic metres (BCM) of water storage in the country by 2050 to meet the requirements of various sectors. Now, India has only 253 BCM storage capacity.

The Centre will amend the policy, tweaking it to address the worries expressed by state governments. "The policy will not be re-drafted. Some modifications will be made to address the states' concerns," Rawat said after the meeting.

The policy requires the state governments to set up a Water Regulatory Authority (WRA), which aided by technical experts, would subsequently impose and regulate water tariff charges.

The policy could lead to dramatic changes in the way groundwater resources are controlled. TOI had reported earlier on the move to change existing norms and do away with private ownership of groundwater which allows individuals to dig a well almost at will and draw out unregulated levels of water. The new policy seeks for these laws and regulations to be altered suitably.

Times View

It is about time we had a water policy that takes a comprehensive view of how to utilise this precious natural resource. The importance of efficiently using water has been repeatedly underscored by several global experts who have predicted that if ever there is another World War it is likely to be a fight over water resources. For far too long, we have treated it as if it were a limitless resource. That has to stop. The policy must, therefore, focus on how ensure maximum efficiency in water utilisation. At the same time, it must ensure that there is an equitable distribution of water. Meeting both goals would require a combination of market and non-market driven incentives. Getting that combination right is the key.

Read More..

Kenya hospital imprisons new mothers with no money


NAIROBI, Kenya (AP) — The director of the Pumwani Maternity Hospital, located in a hardscrabble neighborhood of downtown Nairobi, freely acknowledges what he's accused of: detaining mothers who can't pay their bills. Lazarus Omondi says it's the only way he can keep his medical center running.


Two mothers who live in a mud-wall and tin-roof slum a short walk from the maternity hospital, which is affiliated with the Nairobi City Council, told The Associated Press that Pumwani wouldn't let them leave after delivering their babies. The bills the mothers couldn't afford were $60 and $160. Guards would beat mothers with sticks who tried to leave without paying, one of the women said.


Now, a New York-based group has filed a lawsuit on the women's behalf in hopes of forcing Pumwani to stop the practice, a practice Omondi is candid about.


"We hold you and squeeze you until we get what we can get. We must be self-sufficient," Omondi said in an interview in his hospital office. "The hospital must get money to pay electricity, to pay water. We must pay our doctors and our workers."


"They stay there until they pay. They must pay," he said of the 350 mothers who give birth each week on average. "If you don't pay the hospital will collapse."


The Center for Reproductive Rights, which filed the suit this month in the High Court of Kenya, says detaining women for not paying is illegal. Pumwani is associated with the Nairobi City Council, one reason it might be able to get away with such practices, and the patients are among Nairobi's poorest with hardly anyone to stand up for them.


Maimouna Awuor was an impoverished mother of four when she was to give birth to her fifth in October 2010. Like many who live in Nairobi's slums, Awuor performs odd jobs in the hopes of earning enough money to feed her kids that day. Awuor, who is named in the lawsuit, says she had saved $12 and hoped to go to a lower-cost clinic but was turned away and sent to Pumwani. After giving birth, she couldn't pay the $60 bill, and was held with what she believes was about 60 other women and their infants.


"We were sleeping three to a bed, sometimes four," she said. "They abuse you, they call you names," she said of the hospital staff.


She said saw some women tried to flee but they were beaten by the guards and turned back. While her husband worked at a faraway refugee camp, Awuor's 9-year-old daughter took care of her siblings. A friend helped feed them, she said, while the children stayed in the family's 50-square-foot shack, where rent is $18 a month. She says she was released after 20 days after Nairobi's mayor paid her bill. Politicians in Kenya in general are expected to give out money and get a budget to do so.


A second mother named in the lawsuit, Margaret Anyoso, says she was locked up in Pumwani for six days in 2010 because she could not pay her $160 bill. Her pregnancy was complicated by a punctured bladder and heavy bleeding.


"I did not see my child until the sixth day after the surgery. The hospital staff were keeping her away from me and it was only when I caused a scene that they brought her to me," said Anyoso, a vegetable seller and a single mother with five children who makes $5 on a good day.


Anyoso said she didn't have clothes for her child so she wrapped her in a blood-stained blouse. She was released after relatives paid the bill.


One woman says she was detained for nine months and was released only after going on a hunger strike. The Center for Reproductive Rights says other hospitals also detain non-paying patients.


Judy Okal, the acting Africa director for the Center for Reproductive Rights, said her group filed the lawsuit so all Kenyan women, regardless of socio-economic status, are able to receive health care without fear of imprisonment. The hospital, the attorney general, the City Council of Nairobi and two government ministries are named in the suit.


___


Associated Press reporter Tom Odula contributed to this report.


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'Cliff' Summit Brings Hope for a Deal













Washington brinkmanship appears to have created a last minute chance for the White House and Congress to agree on a plan to avoid sending the country over the fiscal cliff.


President Obama emerged from a White House summit this evening to say "we had a constructive meeting today" and that he was "optimistic" that they could devise a proposal ahead of a Jan. 1 deadline that would otherwise automatically trigger a wide range of higher taxes and steep budget cuts. Economists fear that such a combination could throw the country into a recession.


The president lamented that a deal is coming down to the final hours.


"The American people are watching what we do... (their) patience is already thin," the president said. "It's deja vu all over again."


He added later that for Americans the repeated last second efforts to dodge economic crises "is mind boggling to them. It has to stop."


After leaving the summit, the Senate Democratic and Republican leaders announced on the Senate floor that they're aiming to have a proposal on the fiscal cliff drawn up by Sunday, with the potential to put it on the Senate floor that afternoon.






Mandel Ngan/AFP/Getty Images











Sen. Harry Reid Says 'US Headed Over Fiscal Cliff' Watch Video









Fiscal Cliff: Congressional Leaders Squabble at the Last Minute Watch Video







"We had a good meeting down at the White House," Sen. Mitch McConnell, R-Ky., said. "We are engaged in discussions, the majority leader, myself and the White House in the hopes that we can come forward as early as Sunday and have a recommendation that I can make to my conference and the majority leader can make to his conference."


McConnell said that he is "hopeful and optimistic" and they'll be "working hard" over the next 24 hours "to see if we can get there."


Majority Leader Harry Reid, D-Nev., echoed those sentiments.


"We certainly hope something will come from that," Reid said of today's White House meeting. "The Republican leader and I and our staffs are working to see what we can come up with. We shouldn't take a long time to do that."


The Senate will come in at 1 p.m. on Sunday. There will be a caucus meeting in the afternoon. Reid says he hopes by that time on Sunday there will be a determination if a proposal can be brought to the floor.


"There was not a lot of hilarity in the meeting. Everyone knows how important it is, it was a very serious meeting," Reid said on today's White House meeting.


Reid warned that whatever they come up with it will be "imperfect."


"Some people aren't going to like it," Reid said. "Some people will like it less but that's where we are. And I feel confident that we have an obligation to do the best we can, and that was made very clear at the White House."



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