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

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

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

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

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

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

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

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

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

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

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

DIPLOMACY

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

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

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

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

"We all ought to be working together."

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

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

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

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

DAMASCUS BATTLES

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Football: Wenger lucky to avoid sack, says Wright

LONDON: Arsenal legend Ian Wright claims Gunners manager Arsene Wenger is lucky to still have a job because any other boss would have been sacked for going so long without success.

Wright, one of the club's all-time greats, has added his voice to the growing criticism of Wenger in the aftermath of Tuesday's humiliating League Cup quarter-final defeat at Bradford.

Wenger, 63, has not delivered a trophy since the FA Cup in 2005 and the dismal display against League Two minnows Bradford, which ended with a penalty shoot-out loss, has only increased Wright's belief that the Frenchman is losing his fight to stop Arsenal sliding into obscurity.

Wright, who played under Wenger at the end of his seven-year spell with Arsenal, claims his former boss is now living off past glories that will take years to recapture.

"I wouldn't say 'surely he has to go', but it is a unique position he's in because I think any manager in any country in any world with a record like this and no prospect of light at the end of the tunnel, they would've been gone," Wright told Absolute Radio's RocknRoll Football show.

"People are holding onto the fact to what Arsene has done, and people are saying he is going to tarnish what he has done, but I don't think that will ever happen.

"However, it is a long way back. I feel there are a lot of deluded Arsenal fans who are out in the wilderness still saying 'in Arsene we trust' and stuff like that."

Wenger is rightly regarded as Arsenal's greatest ever manager after leading the club to three Premier League titles, four FA Cup and a Champions League final during his 16-year reign, as well introducing an eye-catching style of play that became the envy of the rest of Europe for several years.

But there has been a gradual disintegration of Wenger's squad in recent years, with the likes of Cesc Fabregas, Samir Nasri and Robin van Persie all making moves to more successful clubs.

Wright, who lost his status as Arsenal's record goalscorer to Thierry Henry, believes Wenger needs to be more honest about the state of his squad rather than continually defending the indefensible.

"You hear him doing interviews afterwards saying, 'I have got a great team with a great spirit', but we are not seeing that," Wright added.

"He does not tell the truth for me, he does not say what is happening.

"What is going on? Have you got any money to spend or haven't you? Is it the fact the board are giving you the money and you are not spending? Is that too hard a question to answer for Arsenal?"

-AFP/ac

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Sushil Kumar Shinde, Rehman Malik operationalise new visa regime

NEW DELHI: Travel between India and Pakistan will become easier with the operationalisation of a new visa regime on Friday that allows multi-city visas for up to five cities, visitor visas for two years for senior citizens and children below 12 years, visa on arrival for senior citizens, and group tourist visa, besides exempting specified categories of businessmen from police reporting.

The visa agreement was operationalised by home minister Sushil Kumar Shinde and visiting Pakistani interior minister Rehman Malik, both of whom agreed that it would promote people-to-people contact between the two countries. The visa agreement was signed by the two sides on September 8. Malik said the new visa agreement was not only historic but a step forward for peace.

Outlining the key features of the new visa regime, Shinde said visas can now be granted for five places as against the earlier restriction of three cities. Visitor visas can be issued for up to two years where the applicant is above 65 years of age, where a national of one country is married to a national of the other country and children below 12 years accompanying their parents.

Senior citizens (above 65 years of age) can now avail of visa on arrival, to be issued at Attari/Wagah post for 45 days with a single entry. This will, however, take effect only from January 15, 2013.

In a move aimed at promoting economic ties between the neighbours, business visa norms have been eased, with businessmen with income above 5 million Pakistani rupees or having an annual turnover above 30 million Pakistani rupees now exempt from police reporting.

Indians and Pakistanis can travel to each other's country in groups comprising 10-50 members. The groups, organized by approved tour operators and travel agents, will be issued group tourist visas for 30 days. Group visas will, however, be issued from March 15, 2013.

Entry and exit from different designated check-posts has been allowed, if indicated in the application, though a person can exit from Attari/Wagah on foot only if he had also made the entry on foot from the same check-post.

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Fewer health care options for illegal immigrants

ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.

The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.

To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.

But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.

When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.

And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.

In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."

The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.

Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.

Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.

A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.

California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.

The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.

And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.

If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.

Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.

The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.

"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."

Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.

There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.

Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.

For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.

"They always attended to me," she said, "even though it's slow."

___

Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .

Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .

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More Than 20, Mostly Kids, Killed at Grade School

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

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

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

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

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

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

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

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

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

Shannon Hicks/The Newtown Bee

Connecticut School Shooting: 3 Victims Hospitalized Watch Video

Connecticut School Shooting: 1 Gunman Confirmed Dead Watch Video

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

LIVE UPDATES: Newtown, Conn., School Shooting

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

The school is kindergarten through fourth grade.

CLICK HERE for more photos from the scene.

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

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

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

State police sent SWAT team units to Newtown.

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

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

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

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

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Russia says Syrian rebels might win

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

Moscow was "finally waking up to reality", the United States said and it called on Russia to withdraw all support for Assad, who NATO and the rebels' new political leader forecast was heading for collapse.

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

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

In Washington, State Department spokeswoman Victoria Nuland said: "We want to commend the Russian government for finally waking up to the reality and acknowledging that the regime's days are numbered.

"The question now is, will the Russian government join those of us in the international community who are working with the opposition to try to have a smooth democratic transition?"

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

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

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

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

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

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

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

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

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

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

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

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

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

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

BACK TO THE WALL

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

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

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

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

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

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

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

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

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

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

The fall of Damascus to the rebels was not a prospect Moscow relished: "The fighting will become even more intense and (Syria) will lose tens of thousands and, perhaps, hundreds of thousands of civilians," Bogdanov told Russia Today television.

"If such a price for the removal of the president seems acceptable to you, what can we do? We, of course, consider it absolutely unacceptable."

Nuland said Russia should now back away from Assad: "They can withdraw any residual support for the Assad regime, whether it is material support (or) financial support," she said.

"They can also help us to identify people who might be willing inside of Syria to work on a transitional structure."

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

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

(Additional reporting by Dominic Evans in Beirut, Samia Nakhoul and Khaled Yacoub Oweis in Marrakech, Andrew Quinn in Washington and Mohammed Abbas in London; Editing by Philippa Fletcher and Alastair Macdonald)

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Swimming: Le Clos strikes double blow, Seto in rookie win

ISTANBUL: South Africa's Olympic 100m butterfly champion Chad Le Clos added the world short course crown to his collection on Thursday with a commanding victory in the final.

Le Clos won in 48.82sec, ahead of American duo Thomas Shields, in 49.54sec, with Ryan Lochte, who captured gold in the 200m freestyle and 4x100m freestyle relay on Wednesday, taking bronze in 49.59sec.

"I was a little nervous before the final. Lochte was a bit of an unknown. But I had him and Shields in the lanes next to mine, so it was a good set-up on both sides," said the 20-year-old Le Clos, whose time was a championship record.

Japanese teenager Daiya Seto won his first international title with victory in the 400m medley.

The 18-year-old's 3min 59.15sec pushed the great Hungarian Laszlo Cseh, who clocked 4:00.50, into second place.

Cseh, a seven-time European champion, has still to claim a world title.

"I did not feel good in the butterfly leg, but I tried to fight. In the backstroke leg I could relax and finish well," said Seto.

"Even though this is short course, these are still world championships and I am very excited. This victory is going to give me confidence for the long course competitions."

Seto wasn't the youngest winner on the night.

That honour went to 15-year-old Lithuanian Ruta Meilutyte who won the women's 50m breaststroke, having taken a long spell out of the sport following her 100m gold at the Olympics.

The teenager won in a time of 29.44sec ahead of Jamaica's Alia Atkinson, in 29.67, and Sarah Katsoulis of Australia in 29.94sec.

"I really didn't expect it," said Meilutyte. "At the moment it feels just like I have swum a normal race, but it will start sinking in. It's crazy."

America's Olympic 100m backstroke champion Matt Grevers won his first individual world title over the same distance, dethroning favourite Stanislav Donets of Russia.

Grevers touched in 49.89sec with Donets in 49.91sec.

"Stanislav is without doubt the king of the short course and I am the king of the long course," said Grevers.

"I considered myself pretty good, but he was as well. I am glad I beat him on this one."

- AFP/ac

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Govt seeks Trai's opinion on cable monopolies

NEW DELHI: The government has sought broadcast regulator Trai's views to prevent monopolistic operations by cable operators and multi-system operators, expressing concern that it might have serious implications in terms of competition, pricing and healthy growth of the cable TV sector in the market.

In a statement, the information and broadcasting (I&B) ministry said, "It has been observed that cable TV distribution is virtually monopolized in some states as operation of the entire cable TV network is dominated by a single entity. At present, there are no restrictions on the issue of accumulation of interest in terms of market share in a city, district, state or country by individual MSOs and LCOs in the cable sector."

MSOs and cable operators are free to operate in any area of their choice after obtaining registration from the ministry. "It is felt that such monopolies may not be in the interest of consumers and may have serious implications in terms of competition, pricing and healthy growth of cable TV sector in that market," the ministry said.

The ministry has requested Trai to provide its recommendations on whether "in order to ensure fair competition, improved quality of service, and equity, should any restriction be imposed on MSOs/LCOs to prevent monopolies/accumulation of interest? If yes, what restrictions should be imposed and what should be the form, nature and scope of such restrictions?" The regulator will also explore the necessity of amending the Cable Television Networks (Regulation) Act, 1995.

MSOs and cable operators are required to be registered with local post offices to be able to operate in the permitted areas of registration. However, as per recent amendments in the Cable Television Networks (Regulation) Amendment Rules 2012, it has become mandatory for MSOs to register with the I&B ministry to operate.

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Study: People worldwide living longer, but sicker

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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Online:

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http://healthmetricsandevaluation.org

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Fiscal Cliff Talks' Latest Victim? Sandy Relief

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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