Asperger's dropped from revised diagnosis manual

CHICAGO (AP) — The now familiar term "Asperger's disorder" is being dropped. And abnormally bad and frequent temper tantrums will be given a scientific-sounding diagnosis called DMDD. But "dyslexia" and other learning disorders remain.

The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by the nation's psychiatrists. Changes were approved Saturday.

Full details of all the revisions will come next May when the American Psychiatric Association's new diagnostic manual is published, but the impact will be huge, affecting millions of children and adults worldwide. The manual also is important for the insurance industry in deciding what treatment to pay for, and it helps schools decide how to allot special education.

This diagnostic guide "defines what constellations of symptoms" doctors recognize as mental disorders, said Dr. Mark Olfson, a Columbia University psychiatry professor. More important, he said, it "shapes who will receive what treatment. Even seemingly subtle changes to the criteria can have substantial effects on patterns of care."

Olfson was not involved in the revision process. The changes were approved Saturday in suburban Washington, D.C., by the psychiatric association's board of trustees.

The aim is not to expand the number of people diagnosed with mental illness, but to ensure that affected children and adults are more accurately diagnosed so they can get the most appropriate treatment, said Dr. David Kupfer. He chaired the task force in charge of revising the manual and is a psychiatry professor at the University of Pittsburgh.

One of the most hotly argued changes was how to define the various ranges of autism. Some advocates opposed the idea of dropping the specific diagnosis for Asperger's disorder. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some who have the condition embrace their quirkiness and vow to continue to use the label.

And some Asperger's families opposed any change, fearing their kids would lose a diagnosis and no longer be eligible for special services.

But the revision will not affect their education services, experts say.

The new manual adds the term "autism spectrum disorder," which already is used by many experts in the field. Asperger's disorder will be dropped and incorporated under that umbrella diagnosis. The new category will include kids with severe autism, who often don't talk or interact, as well as those with milder forms.

Kelli Gibson of Battle Creek, Mich., who has four sons with various forms of autism, said Saturday she welcomes the change. Her boys all had different labels in the old diagnostic manual, including a 14-year-old with Asperger's.

"To give it separate names never made sense to me," Gibson said. "To me, my children all had autism."

Three of her boys receive special education services in public school; the fourth is enrolled in a school for disabled children. The new autism diagnosis won't affect those services, Gibson said. She also has a 3-year-old daughter without autism.

People with dyslexia also were closely watching for the new updated doctors' guide. Many with the reading disorder did not want their diagnosis to be dropped. And it won't be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognizing written words.

The trustees on Saturday made the final decision on what proposals made the cut; recommendations came from experts in several work groups assigned to evaluate different mental illnesses.

The revised guidebook "represents a significant step forward for the field. It will improve our ability to accurately diagnose psychiatric disorders," Dr. David Fassler, the group's treasurer and a University of Vermont psychiatry professor, said after the vote.

The shorthand name for the new edition, the organization's fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders said specifics won't be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.

Olfson said the manual "seeks to capture the current state of knowledge of psychiatric disorders. Since 2000 ... there have been important advances in our understanding of the nature of psychiatric disorders."

Catherine Lord, an autism expert at Weill Cornell Medical College in New York who was on the psychiatric group's autism task force, said anyone who met criteria for Asperger's in the old manual would be included in the new diagnosis.

One reason for the change is that some states and school systems don't provide services for children and adults with Asperger's, or provide fewer services than those given an autism diagnosis, she said.

Autism researcher Geraldine Dawson, chief science officer for the advocacy group Autism Speaks, said small studies have suggested the new criteria will be effective. But she said it will be crucial to monitor so that children don't lose services.

Other changes include:

—A new diagnosis for severe recurrent temper tantrums — disruptive mood dysregulation disorder. Critics say it will medicalize kids' who have normal tantrums. Supporters say it will address concerns about too many kids being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. Bipolar disorder involves sharp mood swings and affected children are sometimes very irritable or have explosive tantrums.

—Eliminating the term "gender identity disorder." It has been used for children or adults who strongly believe that they were born the wrong gender. But many activists believe the condition isn't a disorder and say calling it one is stigmatizing. The term would be replaced with "gender dysphoria," which means emotional distress over one's gender. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual, which happened decades ago.

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

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Wikileaks Case: Guards Deny Intimidating Manning

(Brendan Smialkowski/AFP/Getty Images)

Bradley Manning’s former guards testified today that they did not intimidate the man accused of leaking hundreds of thousands of classified cables to the anti-secrets website Wikileaks during  a Jan. 18, 2011 incident that resulted in Manning being placed on a temporary suicide risk watch.

Manning’s attorneys cite the event as a key reason why his pre-trial confinement at the Marine brig in Quantico, Va., was unlawful and warrants the dismissal of the charges against him.

Manning faces life imprisonment on charges that he leaked the classified military and diplomatic cables to Wikileaks.  Details of those charges will come at a trial scheduled for February and are not being discussed at this week’s hearing, which is focused on his nine-month confinement at Quantico from July 2010 to April 2011.

On Jan. 18, 2011 Manning was being moved to his daily “recreation call” in a room at the brig when he experienced an apparent anxiety attack.  Manning said Thursday the guards escorting him seemed to have an aggressive attitude that made him feel nervous and ultimately feel faint.

Manning testified Thursday that he “lost my demeanor” during a later discussion with brig officials about the incident that led them to place him on temporary suicide risk watch.

Former Marine guards Lance Corporal Joshua Tankersly and Lance Corporal Jonathan Cline testified today that Manning had been moving around while his hand and leg restraints were placed on him for the escort to the exercise room.  They said they reminded Manning that he should respond properly to their orders by referring to their ranks when he answered them.

When Manning entered the recreation room they described a situation in which Manning fell backwards and landed on his backside.

They then said that when out of his leg restraints Manning ran to a weightlifting machine, hid behind it and began to cry.  Both Cline and Tankersly said they could not explain Manning’s behavior.  Both guards were ordered to leave the room and were replaced by two other guards who escorted Manning back to his cell.

Cline said he was puzzled when a supervisor later told him “we intimidated him or something like that.”

Each guard said he could not recall if they sounded harsh when they talked to Manning on the way to the exercise room.

They both said that aside from the January incident, Manning was courteous and professional in his interactions with them.  Both described him as an average prisoner, though Tankersly acknowledged that Manning was a high profile detainee who had the attention of high-ranking officials at the base.

“It’s hard to put ‘average’ on such a high profile, when you have higher ups on base come and check through to that see all was OK,” Tankersly said.

Gunnery Sgt. William Fuller, one of the senior officers at the brig, also testified today about his participation in a Classification and Assessment board that routinely assessed whether Manning’s Maximum Custody and Prevention of Injury status should be downgraded. The board never reduced Manning’s status during his stay.

Fuller acknowledged that before the January incident he and another brig official had considered a downgrade because Manning was “doing pretty good.”

He said the Jan. 18incident “kind of reset things … we had to keep him on Prevention of Injury.”

Fuller also cited Manning’s quiet interactions with him as a reason for keeping Manning on that status.

According to Fuller “he wouldn’t communicate … it seemed like he didn’t really want to talk” and that concerned him, given training he had received that being withdrawn could be an indicator of suicidal behavior.

Fuller admitted that the conversations were really just quick interactions to see how Manning was doing..  When asked to provide examples of longer exchanges he had with other prisoners, Fuller provided brief sentences.  That led David Coombs, Manning’s defense attorney to say sarcastically, “so if he’d thrown in more words then he would have classified as a Chatty Patty?”

Manning’s attorneys claim that a protest on Jan. 17 by Manning supporters, at the entrance to the base, may have motivated an aggressive attitude towards the detainee.

Cline recalled other guards “were annoyed” by the protest” because it would close parts of the base and hinder or interrupt how they got home.”  But Tankersly said the protest had no impact on Manning’s treatment.

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Egyptians protest after draft constitution raced through

CAIRO (Reuters) - Tens of thousands of Egyptians protested against President Mohamed Mursi on Friday after an Islamist-led assembly raced through approval of a new constitution in a bid to end a crisis over the Islamist leader's newly expanded powers.

"The people want to bring down the regime," they chanted in Tahrir Square, echoing the chants that rang out in the same place less than two years ago and brought down Hosni Mubarak.

Mursi said a decree halting court challenges to his decisions, which sparked eight days of protests and violence by Egyptians calling him a new dictator, was "for an exceptional stage" and aimed to speed up the democratic transition.

"It will end as soon as the people vote on a constitution," he told state television while the constituent assembly was still voting on a draft, which the Islamists say reflects Egypt's new freedoms. "There is no place for dictatorship."

But the opposition cried foul. Liberals, leftists, Christians, more moderate Muslims and others had withdrawn from the assembly, saying their voices were not being heard.

Even in the mosque where Mursi said Friday prayers some opponents chanted "Mursi: void" before sympathizers surrounded him shouting in support, journalists and a security source said.

Tens of thousands gathered across the country, filling Tahrir Square and hitting the streets in Alexandria and other cities, responding to opposition calls for a big turnout. Rival demonstrators clashed after dark in Alexandria and the Nile Delta town of Al-Mahala Al-Kobra, some hurling rocks in anger.

An opposition leaflet distributed on Tahrir urged protesters in Cairo to stay overnight before Saturday's rallies by Islamists; the Muslim Brotherhood and its allies said they would avoid the square during their demonstrations backing Mursi.

The disparate opposition, which has struggled to compete with well-organized Islamists, has been drawn together and reinvigorated by the crisis. Tens of thousands had also protested on Tuesday, showing the breadth of public anger.

POTENT MACHINE

But Islamists have a potent political machine and the United States has looked on warily at the rising power of a group it once kept at arms length now ruling a nation that has a peace treaty with Israel and is at the heart of the Arab Spring.

Protesters said they would push for a 'no' vote in a constitutional referendum, which could happen as early as mid-December. If the new basic law were approved, it would immediately cancel the president's decree.

"We fundamentally reject the referendum and constituent assembly because the assembly does not represent all sections of society," said Sayed el-Erian, 43, a protester in Tahrir and member of a party set up by opposition figure Mohamed ElBaradei.

ElBaradei said in a statement the constitution had "lost legitimacy" and called for ending the polarization of Egypt.

The plebiscite on the constitution is a gamble based on the Islamists' belief they can mobilize voters again after winning every election held since Mubarak was toppled in February 2011.

Despite the big numbers opposed to him, Mursi can count on backing from the disciplined Brotherhood and Islamist allies, as well as many Egyptians who are simply exhausted by the turmoil.

"He just wants us to move on and not waste time in conflicts," said 33-year-old Cairo shopkeeper Abdel Nasser Marie. "Give the man a chance and Egypt a break."

But Mursi needs the cooperation of judges to oversee the vote, and many have been angered by a decree from Mursi they said undermined the judiciary. Some judges are on strike.

The assembly concluded the vote after a 19-hour session, faster than many expected, approving all 234 articles of the draft, covering presidential powers, the status of Islam, the military's role and human rights.

It introduces a presidential term limit of eight years - Mubarak served for 30. It also bring in a degree of civilian oversight over the military - though not enough for critics.

An Egyptian official said Mursi was expected to approve the document on Saturday and then has 15 days to hold a referendum.

"This is a revolutionary constitution," said Hossam el-Gheriyani, head of the assembly, urging members to campaign for the new constitution across Egypt, after the all-night session.

DEEPENING DIVISIONS

Critics argue it is an attempt to rush through a draft they say has been hijacked by the Muslim Brotherhood, which backed Mursi for president in a June election, and its Islamist allies.

Two people have been killed and hundreds injured in protests since the decree was announced on November 22, deepening the divide between the newly empowered Islamists and their critics.

Seeking to placate opponents, Mursi welcomed criticism but said there was no place for violence. "I am very happy that Egypt has real political opposition," he told state television.

He said Egypt needed to attract investors and tourists. The crisis threatens to derail a fragile economic recovery after two years of turmoil. Egypt is waiting for the International Monetary Fund to finalize a $4.8 billion loan to help it out.

An alliance of opposition groups pledged to keep up protests and said broader civil disobedience was possible to fight what it described as an attempt to "kidnap Egypt from its people".

Several independent newspapers said they would not publish on Tuesday in protest. One of the papers also said three private satellite channels would halt broadcasts on Wednesday.

The draft injects new Islamic references into Egypt's system of government but keeps in place an article defining "the principles of sharia" as the main source of legislation - the same phrase found in the previous constitution.

The president can declare war with parliament's approval, but only after consulting a national defense council with a heavy military and security membership. That was not in the old constitution, used when Egypt was ruled by ex-military men.

Critics highlighted other flaws, such as articles pertaining to the rights of women and freedom of speech.

A new parliamentary election cannot be held until a new constitution is passed. Egypt has been without an elected legislature since a court ordered the dissolution of the Islamist-dominated lower house in June.

(Additional reporting by Yasmine Saleh and Marwa Awad; Writing by Edmund Blair; Editing by Philippa Fletcher and Alastair Macdonald)

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S'pore supports Palestinians' right to homeland: Masagos Zulkifli

SINGAPORE: Singapore has consistently supported the right of the Palestinian people to a homeland, said Senior Minister of State for Foreign Affairs and Home Affairs Masagos Zulkifli.

He made this point in an email reply to a member of the public who had asked about Singapore's decision to abstain from voting on the UN resolution to grant the Non-Member Observer State status to Palestine.

The text of the email was released by the Ministry of Foreign Affairs. It was also shared by Prime Minister Lee Hsien Loong in his Facebook post on Saturday.

The resolution was adopted with 138 voting in favour and nine against. Singapore was one of 41 countries that abstained.

Mr Masagos highlighted Singapore's voting record at the United Nations.

Singapore supported two General Assembly resolutions last November pertaining to the peaceful settlement of the question of Palestine and Jerusalem.

Singapore also voted in favour of another resolution on the right of the Palestinian people to self determination.

Of the 19 resolutions on various Palestinian-related issues tabled at the UNGA since 2008, Singapore has voted in favour of 18 while one was adopted by consensus.

Mr Masagos said it is therefore incorrect to say that Singapore does not support the Palestinian cause.

As to why Singapore abstained from voting on the latest resolution, Mr Masagos reiterated the point made in the explanation of the vote.

He said Singapore believes that only a negotiated settlement consistent with UN Security Council Resolution 242 can provide the basis for a viable, long-term solution.

Israel and Palestine have legitimate rights and shared responsibilities, and must be prepared to make compromises to achieve the larger good of a lasting peace.

Mr Masagos said because the rights and responsibilities of both sides are inextricably intertwined, no unilateral move can result in a just, peaceful and durable outcome.

He added that Singapore believes that Palestine's aspirations are not helped by this latest unilateral move as facts on the ground will not be changed.

But Singapore understands the desires of the Palestinians for an independent state and that of Israel for its security.

Singapore also shares the international community's concerns about the lack of progress in the Middle East Peace Process.

Mr Masagos said this is why Singapore chose not to vote against the resolution.

Singapore hopes that Israel and Palestine will resume negotiations as early as possible.

He said Singapore will continue to support all international efforts to facilitate a negotiated solution that will be in the long-term interests of Palestine, Israel and the region as a whole.

On the issue of violence or oppression, Mr Masagos said Singapore had publicly expressed concern at the loss of innocent lives on both the Palestinian and Israeli sides during the recent outbreak of hostilities.

Singapore called for an immediate ceasefire and access to humanitarian aid.

Singapore also hopes that both sides will continue to uphold the latest ceasefire brokered by the Egyptian government and United Nations.

- CNA/xq

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Anna Hazare to campaign only for Kejriwal's party

BHUBANESWAR: Social activist Anna Hazare on Saturday said he will campaign only for candidates put up by Arvind Kejriwal and ruled out the possibility of supporting people from other parties.

"I will campaign only for Kejriwal's candidates," Hazare told reporters here. "There may be good people in other parties but who has the control?"

Criticizing other political parties for indulging in politics in the name of caste and communities, the 75-year-old activist also accused them of practicing unfair means to collect donations.

He said other political parties collected huge donations from vested interests and corporates but break them into amounts less than Rs 20,000 to hide the identities of the donors.

He also accused political parties of being controlled by individuals.

"I know Kejriwal. He has not done anything for himself. He is doing everything for the country," Hazare said, reiterating that he will however examine the candidates and back them only the deserving ones.

"I will check them. If they are found to be good, if they are proper candidates, I will campaign for those candidates," he said.

The India Against Corruption founder is on a three-day Odisha visit since Thursday. He addressed students, farmers and others.

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Kenya village pairs AIDS orphans with grandparents

NYUMBANI, Kenya (AP) — There are no middle-aged people in Nyumbani. They all died years ago, before this village of hope in Kenya began. Only the young and old live here.

Nyumbani was born of the AIDS crisis. The 938 children here all saw their parents die. The 97 grandparents — eight grandfathers among them — saw their middle-aged children die. But put together, the bookend generations take care of one another.

Saturday is World AIDS Day, but the executive director of the aid group Nyumbani, which oversees the village of the same name, hates the name which is given to the day because for her the word AIDS is so freighted with doom and death. These days, it doesn't necessarily mean a death sentence. Millions live with the virus with the help of anti-retroviral drugs, or ARVs. And the village she runs is an example of that.

"AIDS is not a word that we should be using. At the beginning when we came up against HIV, it was a terminal disease and people were presenting at the last phase, which we call AIDS," said Sister Mary Owens. "There is no known limit to the lifespan now so that word AIDS should not be used. So I hate World AIDS Day, follow? Because we have moved beyond talking about AIDS, the terminal stage. None of our children are in the terminal stage."

In the village, each grandparent is charged with caring for about a dozen "grandchildren," one or two of whom will be biological family. That responsibility has been a life-changer for Janet Kitheka, who lost one daughter to AIDS in 2003. Another daughter died from cancer in 2004. A son died in a tree-cutting accident in 2006 and the 63-year-old lost two grandchildren in 2007, including one from AIDS.

"When I came here I was released from the grief because I am always busy instead of thinking about the dead," said Kitheka. "Now I am thinking about building a new house with 12 children. They are orphans. I said to myself, 'Think about the living ones now.' I'm very happy because of the children."

As she walks around Nyumbani, which is three hours' drive east of Nairobi, 73-year-old Sister Mary is greeted like a rock star by little girls in matching colorful school uniforms. Children run and play, and sleep in bunk beds inside mud-brick homes. High schoolers study carpentry or tailoring. But before 2006, this village did not exist, not until a Catholic charity petitioned the Kenyan government for land on which to house orphans.

Everyone here has been touched by HIV or AIDS. But only 80 children have HIV and thanks to anti-retroviral drugs, none of them has AIDS.

"They can dream their dreams and live a long life," Owens said.

Nyumbani relies heavily on U.S. funds but it is aiming to be self-sustaining.

The kids' bunk beds are made in the technical school's shop. A small aquaponics project is trying to grow edible fish. The mud bricks are made on site. Each grandparent has a plot of land for farming.

The biggest chunk of aid comes from the United States President's Emergency Plan for AIDS Relief (PEPFAR), which has given the village $2.5 million since 2006. A British couple gives $50,000 a year. A tree-growing project in the village begun by an American, John Noel, now stands six years from its first harvest. Some 120,000 trees have already been planted and thousands more were being planted last week.

"My wife and I got married as teenagers and started out being very poor. Lived in a trailer. And we found out what it was like to be in a situation where you can't support yourself," he said. "As an entrepreneur I looked to my enterprise skills to see what we could do to sustain the village forever, because we are in our 60s and we wanted to make sure that the thousand babies and children, all the little ones, were taken care of."

He hopes that after a decade the timber profits from the trees will make the village totally self-sustaining.

But while the future is looking brighter, the losses the orphans' suffered can resurface, particularly when class lessons are about family or medicine, said Winnie Joseph, the deputy headmaster at the village's elementary school. Kitheka says she tries to teach the kids how to love one another and how to cook and clean. But older kids sometimes will threaten to hit her after accusing her of favoring her biological grandchildren, she said.

For the most part, though, the children in Nyumbani appear to know how lucky they are, having landed in a village where they are cared for. An estimated 23.5 million people in sub-Saharan Africa have HIV as of 2011, representing 69 percent of the global HIV population, according to UNAIDS. Eastern and southern Africa are the hardest-hit regions. Millions of people — many of them parents — have died.

Kitheka noted that children just outside the village frequently go to bed hungry. And ARVs are harder to come by outside the village. The World Health Organization says about 61 percent of Kenyans with HIV are covered by ARVs across the country.

Paul Lgina, 14, contrasted the difference between life in Nyumbani, which in Swahili means simply "home," and his earlier life.

"In the village I get support. At my mother's home I did not have enough food, and I had to go to the river to fetch water," said Lina, who, like all the children in the village, has neither a mother or a father.

When Sister Mary first began caring for AIDS orphans in the early 1990s, she said her group was often told not to bother.

"At the beginning nobody knew what to do with them. In 1992 we were told these children are going to die anyway," she said. "But that wasn't our spirit. Today, kids we were told would die have graduated from high school."

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On the Internet:

http://www.trees4children.org/

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Could Outgoing Republicans Hold Keys to 'Cliff' Deal?

Nov 30, 2012 1:45pm

AP Photo/Carolyn Kaster

The outlook for reaching some sort of bipartisan agreement on the so-called “fiscal cliff” before the Dec. 31 deadline is looking increasingly grim. Shortly after noon today, House Speaker John Boehner, R-Ohio, appeared before the cameras to say the talks had reached a “stalemate.”

But there may be a glimmer of hope. There are currently 33 outgoing members of Congress — they’re either retiring or were defeated last month — who have signed the Grover Norquist pledge stating that they will not raise taxes. Those members, particularly the ones who have traditionally been somewhat moderate, could hold the key to that stance softening.

“You have 33 people who do not have to worry about the future political consequences of their vote,” said ABC political director Amy Walter. “These are people who theoretically can vote based purely on the issue rather than on how it will impact their political future.”

One outgoing member has publicly indicated a willingness to join with Obama and the Democrats on a partial deal.

“I have to say that if you’re going to sign me up with a camp, I like what Tom Cole has to say,” California Republican Rep. Mary Bono Mack said on CNN on Thursday. Cole is the Republican who suggested that his party vote to extend the Bush tax-rates for everyone but the highest income earners and leave the rest of the debate for later. Mack’s husband, Connie, however, also an outgoing Republican member of Congress, said he disagreed with his wife.

But in general, among the outgoing Republican representatives with whom ABC News has made contact, the majority have been vague as to whether or not they still feel bound by the pledge, and whether they would be willing to raise tax rates.

“[Congressman Jerry Lewis] has always been willing to listen to any proposals, but there isn’t,” a spokesman for Rep. Lewis, Calif., told ABC News. “He’s said the pledge was easy because it goes along with his philosophy that increasing tax doesn’t solve any problems. However, he’s always been willing to listen to proposals.”

“Congressman Burton has said that he does not vote for tax increases,” a spokesman for Dan Burton, Ind., said to ABC.

“With Representative Herger retiring, we are leaving this debate to returning members and members-elect,” an aide for Wally Herger, Calif., told ABC News.

The majority of Congress members will likely wait until a deal is on the table to show their hand either way. However, it stands to reason that if any members of Congress are going to give in and agree to raise taxes, these would be the likely candidates.

An agreement will require both sides to make some concessions: Republicans will need to agree to some tax increases, Democrats will need to agree to some spending cuts. With Republicans and Democrats appearing to be digging further into their own, very separate territories, the big question is, which side will soften first?

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Palestinians win de facto U.N. recognition of sovereign state

UNITED NATIONS (Reuters) - The 193-nation U.N. General Assembly on Thursday overwhelmingly approved the de facto recognition of the sovereign state of Palestine after Palestinian President Mahmoud Abbas called on the world body to issue its long overdue "birth certificate."

The U.N. victory for the Palestinians was a diplomatic setback for the United States and Israel, which were joined by only a handful of countries in voting against the move to upgrade the Palestinian Authority's observer status at the United Nations to "non-member state" from "entity," like the Vatican.

Britain called on the United States to use its influence to help break the long impasse in Israeli-Palestinian peace talks. Washington also called for a revival of direct negotiations.

There were 138 votes in favor, nine against and 41 abstentions. Three countries did not take part in the vote, held on the 65th anniversary of the adoption of U.N. resolution 181 that partitioned Palestine into separate Jewish and Arab states.

Thousands of flag-waving Palestinians in the West Bank and the Gaza Strip set off fireworks and danced in the streets to celebrate the vote.

The assembly approved the upgrade despite threats by the United States and Israel to punish the Palestinians by withholding funds for the West Bank government. U.N. envoys said Israel might not retaliate harshly against the Palestinians over the vote as long as they do not seek to join the International Criminal Court.

If the Palestinians were to join the ICC, they could file complaints with the court accusing Israel of war crimes, crimes against humanity and other serious crimes.

U.S. Secretary of State Hillary Clinton called the vote "unfortunate and counterproductive," while the Vatican praised the move and called for an internationally guaranteed special status for Jerusalem, something bound to irritate Israel.

The much-anticipated vote came after Abbas denounced Israel from the U.N. podium for its "aggressive policies and the perpetration of war crimes," remarks that elicited a furious response from the Jewish state.

"Sixty-five years ago on this day, the United Nations General Assembly adopted resolution 181, which partitioned the land of historic Palestine into two states and became the birth certificate for Israel," Abbas told the assembly after receiving a standing ovation.

"The General Assembly is called upon today to issue a birth certificate of the reality of the State of Palestine," he said.

Israeli Prime Minister Benjamin Netanyahu responded quickly, condemning Abbas' critique of Israel as "hostile and poisonous," and full of "false propaganda.

"These are not the words of a man who wants peace," Netanyahu said in a statement released by his office. He reiterated Israeli calls for direct talks with the Palestinians, dismissing Thursday's resolution as "meaningless."

ICC THREAT

A number of Western delegations noted that Thursday's vote should not be interpreted as formal legal recognition of a Palestinian state. Formal recognition of statehood is something that is done bilaterally, not by the United Nations.

Granting Palestinians the title of "non-member observer state" falls short of full U.N. membership - something the Palestinians failed to achieve last year. But it does have important legal implications - it would allow them access to the ICC and other international bodies, should they choose to join.

Abbas did not mention the ICC in his speech. But Palestinian Foreign Minister Riyad al-Maliki told reporters after the vote that if Israel continued to build illegal settlements, the Palestinians might pursue the ICC route.

"As long as the Israelis are not committing atrocities, are not building settlements, are not violating international law, then we don't see any reason to go anywhere," he said.

"If the Israelis continue with such policy - aggression, settlements, assassinations, attacks, confiscations, building walls - violating international law, then we have no other remedy but really to knock those to other places," Maliki said.

In Washington, a group of four Republican and Democratic senators announced legislation that would close the Palestinian office in Washington unless the Palestinians enter "meaningful negotiations" with Israel, and eliminate all U.S. assistance to the Palestinian Authority if it turns to the ICC.

"I fear the Palestinian Authority will now be able to use the United Nations as a political club against Israel," said Republican Senator Lindsey Graham, one of the sponsors.

Abbas led the campaign to win support for the resolution, which followed an eight-day conflict this month between Israel and Islamists in the Gaza Strip, who are pledged to Israel's destruction and oppose a negotiated peace.

The vote highlighted how deeply divided Europe is on the Israeli-Palestinian conflict.

At least 17 European nations voted in favor of the Palestinian resolution, including Austria, France, Italy, Norway and Spain. Abbas had focused his lobbying efforts on Europe, which supplies much of the aid the Palestinian Authority relies on. Britain, Germany and many others chose to abstain.

The traditionally pro-Israel Czech Republic was unique in Europe, joining the United States, Israel, Canada, Panama and the tiny Pacific Island states Nauru, Palau, Marshall Islands and Micronesia in voting against the move.

'HOPE SOME REASON WILL PREVAIL'

Peace talks have been stalled for two years, mainly over Israeli settlements in the West Bank, which have expanded despite being deemed illegal by most of the world. There are 4.3 million Palestinians in the West Bank and Gaza.

After the vote, U.S. Ambassador to the United Nations Susan Rice called for the immediate resumption of peace talks.

"The Palestinian people will wake up tomorrow and find that little about their lives has changed save that the prospects of a durable peace have only receded," she said.

She added that both parties should "avoid any further provocative actions in the region, in New York or elsewhere."

Palestinian Prime Minister Salam Fayyad said he hoped all sides would use the vote to push for new breakthroughs in the peace process.

"I hope there will be no punitive measures," Fayyad told Reuters in Washington, where he was attending a conference.

"I hope that some reason will prevail and the opportunity will be taken to take advantage of what happened today in favor of getting a political process moving," he said.

Britain's U.N. ambassador, Mark Lyall Grant, told reporters it was time for recently re-elected U.S. President Barack Obama to make a new push for peace.

"We believe the window for the two-state solution is closing," he said. "That is why we are encouraging the United States and other key international actors to grasp this opportunity and use the next 12 months as a way to really break through this impasse."

(Additional reporting by Andrew Quinn in Washington, Noah Browning in Ramallah, Jeffrey Heller in Jerusalem, Robert Mueller in Prague, Gabriela Baczynska and Reuters bureaux in Europe and elsewhere; Editing by Eric Beech and Peter Cooney)

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Putin's "health issue" sees Japan PM cancel visit

TOKYO: Japanese Prime Minister Yoshihiko Noda has cancelled a planned visit to Russia next month due to a "health issue" affecting President Vladimir Putin, media reports and a government source said on Friday.

The mayor of a northern Japanese city said Noda had explained the reasons for the cancellation to him during a meeting in Tokyo Friday, Jiji Press and Kyodo news agencies reported.

Kyodo said the mayor quoted Noda as saying "President Putin's health condition is bad".

Noda, who is facing a December election widely expected to see him lose his job, met with Nemuro City mayor Shunsuke Hasegawa to talk about the Russian-controlled Kuril islands, the source of a long-standing territorial dispute between Moscow and Tokyo.

A Japanese government source told AFP that Russian officials had informed their Japanese counterparts the leaders' planned meeting would have to be cancelled due to Putin's unspecified health problem.

A spokesman for Noda on Friday declined to confirm the prime minister's reported remarks to the mayor or that health reasons were behind the cancelled trip, which had been scheduled in September.

According to Russian media reports, Putin has recently postponed a number of foreign trips and largely stayed at his suburban Moscow government retreat after aggravating a sports injury.

The Kremlin had insisted there had been no change to his schedule.

Russia said Wednesday Putin would visit Turkey next week after postponing the trip last month.

- AFP/ir

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Anna Hazare alleges arrested Maharashtra MLA getting 'five-star' treatment

AHMEDNAGAR: Anna Hazare has alleged that MLA Suresh Jain, who was arrested in connection with the Jalgaon Housing scam, was getting "five-star" treatment and demanded an inquiry against jail authorities.

Hazare wrote a letter to this effect to additional commissioner of police Meera Borwankar, before leaving for Odisha tour on Wednesday, Anna's close aide advocate Shyam Asawa said here on Friday.

Hazare said in the letter that Jain was denied bail by the high court. After being arrested on March 12, 2012, Jain has been trying to spend maximum time in hospitals and not in prison.

Jain was brought to Arthur Road jail in Mumbai on November 3, but was immediately admitted to Saint George Hospital where he is getting five-star treatment. Some jail authorities are managing these comforts for Jain, Hazare alleged in the letter and demanded an inquiry against them.

Asawa said the Bhrashtachar Virodhi Jan Andolan, of which he is a trustee, will seek legal action against the special treatment being provided to the accused.

Jain, who was a minister for housing during the Shiv Sena-BJP rule in the 1990s, had been arrested for allegedly favouring a builder and indulging in irregularities to the tune of Rs 29 crore.

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