Algeria toll rises as attack claimed for al Qaeda

ALGIERS, Algeria (Reuters) - The death toll has risen to at least 48 hostages killed during a four-day siege at a gas plant deep in the Sahara as a veteran Islamist fighter claimed responsibility on behalf of al Qaeda for the attack.

Prime Minister Abdelmalek Sellal is expected to give details at a Monday news conference about one of the worst international hostage crises in decades, which left American, British, French, Japanese, Norwegian and Romanian workers dead or missing.

A security source said on Sunday Algerian troops had found the bodies of 25 hostages, raising the number of militants and their captives killed to at least 80. He said six militants were captured alive and troops were still searching for others.

One-eyed veteran Islamist fighter Mokhtar Belmokhtar claimed responsibility on Sunday for the attack on behalf of al Qaeda.

"We in al Qaeda announce this blessed operation," he said in a video, according to Sahara Media, a regional website. He said about 40 attackers participated in the raid, roughly matching the government's figures for fighters killed and captured.

The fighters swooped out of the desert and seized the base on Wednesday, capturing a plant that produces 10 percent of Algeria's natural gas exports, as well as a nearby residential barracks.

They demanded an end to French air strikes against Islamist fighters in neighboring Mali that had begun five days earlier. However, U.S. and European officials doubt such a complex raid could have been organized quickly enough to have been conceived as a direct response to the French military intervention.

The siege turned bloody on Thursday when the Algerian army opened fire saying fighters were trying to escape with their prisoners. Survivors said Algerian forces blasted several trucks in a convoy carrying both hostages and their captors.

Nearly 700 Algerian workers and more than 100 foreigners escaped, mainly on Thursday when the fighters were driven from the residential barracks. Some captors remained holed up in the industrial complex until Saturday when they were overrun.

The bloodshed has strained Algeria's relations with its Western allies, some of whom have complained about being left in the dark while the decision to storm the compound was being taken. Nevertheless, Britain and France both defended the Algerian military action.

"It's easy to say that this or that should have been done. The Algerian authorities took a decision and the toll is very high but I am a bit bothered ... when the impression is given that the Algerians are open to question," said French Foreign Minister Laurent Fabius. "They had to deal with terrorists."

British Prime Minister David Cameron said in a televised statement: "Of course people will ask questions about the Algerian response to these events, but I would just say that the responsibility for these deaths lies squarely with the terrorists who launched this vicious and cowardly attack.

"We should recognize all that the Algerians have done to work with us and to help and coordinate with us. I'd like to thank them for that. We should also recognize that the Algerians too have seen lives lost among their soldiers."

Algeria had given a preliminary death toll of 55 people killed - 23 hostages and 32 militants - on Saturday and said it would rise as more bodies were found.

The security source said that toll did not include the bodies of 25 hostages found on Sunday, which meant the total number of captives killed - foreign and local - was at least 48. The search was not over, and more could yet be found, he said.

Among foreigners confirmed dead by their home countries were three Britons, one American and two Romanians. The missing include at least 10 Japanese, five Norwegians, three other Britons, and a British resident. The security source said at least one Frenchman was also among the dead.

LAST WORDS?

Alan Wright, now safe at home in Scotland, said he had escaped with a group of Algerian and foreign workers after hiding for a day and a night. While hiding inside the compound, he managed to call his wife at home with their two daughters.

"She asked if I wanted to speak to Imogen and Esme, and I couldn't because I thought, I don't want my last ever words to be in a crackly satellite phone, telling a lie, saying you're OK when you're far from OK," he recalled to Sky News.

Despite the incident, Algeria is determined to press on with its energy industry. Oil Minister Youcef Yousfi visited the site and said physical damage was minor, state news service APS reported. The plant would start back up in two days, he said.

The Islamists' assault has tested Algeria's relations with the outside world and exposed the vulnerability of multinational oil operations in the Sahara.

Algeria, scarred by the civil war with Islamist insurgents in the 1990s which claimed 200,000 lives, insisted from the start of the crisis there would be no negotiation in the face of terrorism.

France especially needs close cooperation from Algeria to crush Islamist rebels in northern Mali.

(Additional reporting by Balazs Koranyi in Oslo, Estelle Shirbon and David Alexander in London, Brian Love in Paris and Daniel Flynn in Dakar; Writing by Peter Graff; Editing by Sophie Hares and Myra MacDonald)

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Golf: Brian Gay wins Humana Challenge in playoff

LA QUINTA, California: Brian Gay birdied the second hole of a three-man playoff to win the US PGA Tour's $5.6 million Humana Challenge.

Scott Stallings, who took a five-shot lead into the final round, hit his second shot at the par-five 18th into the water and didn't make the playoff that included Gay, Sweden's David Lingmerth and Charles Howell.

The trio finished 72 holes on 25-under 263. US tour rookie Lingmerth had 10 birdies in his 10-under 62 on the Palmer course, where the final round was played after the first three rounds were played over three courses in the southern California desert.

Gay had nine birdies in his nine-under 63, and Howell countered two bogeys with 10 birdies in his eight-under 64 on Sunday.

Gay had a birdie chance at the last which would have given him the outright lead, but missed his eight-footer.

Howell had an 88-foot eagle putt at 18 but three-putted while Lingmerth birdied the last hole of regulation.

All three were in the fairway off the tee at the first playoff hole, the 18th. Gay then found the greenside rough, Howell was on the green and Lingmerth was in the water and couldn't match the pars of the other two.

They headed to the par-four 10th for the second playoff hole. Gay found the fairway and hit his approach to five feet while Howell was in the right rough and from there into a bunker behind the green.

After Howell missed his par attempt, Gay made his birdie putt to claim the fourth US PGA Tour title of his career and his first in four years.

Stallings had five birdies but also three bogeys, his two-under effort giving him a 24-under total of 264. He was tied with James Hahn, who had two eagles in a 62 on another day of ideal scoring conditions.

- AFP/al

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Yannick's mother wants to visit son, but has no money

PATIALA: After treatment for about six months in a private hospital here, there is slight improvement in the health of Burundi student, Yannick Nihangaza, who was brutally attacked in Jalandhar in April, but the long stay of his father in Patiala has badly affected the financial health of the family.

Yannick's mother and younger brother want to come to Patiala to see their recovering family member, but don't have money left to pay for travel expenses.

"My wife Jotisean and younger son Landri want to come here. They need $3000 for this. But since I am staying here after quitting my job last April, my wife and son don't have money to pay for their travel expenses," said Nestor, father of Yannick.

On April 22 last year, the 23-year-old BSc computer science student of a private university had gone to attend a party in Jalandhar when some unidentified persons attacked him, severely beat him up and threw him on roadside. Yannick was hit on the head and had slipped into coma and was taken to a hospital by some unidentified persons. Later, in view of his serious condition, he was referred to a private hospital in Patiala, where he remained in coma till the end of November. He regained consciousness in the last week of November.

Getting information about the serious condition of his son, Nestor reached Patiala on April 24 and since then, he has been staying here in a room in the hospital to take care of his son.

Nestor worked with an NGO in Burundi and had to quit his job as the condition of his son worsened.

The mother of Yannick had come to Patiala in August 2012 and stayed here for 20 days. In the absence of her husband and any other financial support from anyone, all the family burden has now fallen on her younger son Jotisean, who has been working in a private company.

"She has been calling me almost everyday to get the latest news about Yannick's health. Sometimes, she starts crying over phone. She stayed here for 20 days in last August, but Yannick did not open his eyes even for once. As he has now started opening eyes, she wants to see him," said Nestor, while sitting with his daughter Fiona, who had come to Patiala some days back.

"I am waiting for the day when my son will get well and I will be able to take him back to unite him with his mother and younger brother," said Nestor.

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Flu season fuels debate over paid sick time laws

NEW YORK (AP) — Sniffling, groggy and afraid she had caught the flu, Diana Zavala dragged herself in to work anyway for a day she felt she couldn't afford to miss.

A school speech therapist who works as an independent contractor, she doesn't have paid sick days. So the mother of two reported to work and hoped for the best — and was aching, shivering and coughing by the end of the day. She stayed home the next day, then loaded up on medicine and returned to work.

"It's a balancing act" between physical health and financial well-being, she said.

An unusually early and vigorous flu season is drawing attention to a cause that has scored victories but also hit roadblocks in recent years: mandatory paid sick leave for a third of civilian workers — more than 40 million people — who don't have it.

Supporters and opponents are particularly watching New York City, where lawmakers are weighing a sick leave proposal amid a competitive mayoral race.

Pointing to a flu outbreak that the governor has called a public health emergency, dozens of doctors, nurses, lawmakers and activists — some in surgical masks — rallied Friday on the City Hall steps to call for passage of the measure, which has awaited a City Council vote for nearly three years. Two likely mayoral contenders have also pressed the point.

The flu spike is making people more aware of the argument for sick pay, said Ellen Bravo, executive director of Family Values at Work, which promotes paid sick time initiatives around the country. "There's people who say, 'OK, I get it — you don't want your server coughing on your food,'" she said.

Advocates have cast paid sick time as both a workforce issue akin to parental leave and "living wage" laws, and a public health priority.

But to some business owners, paid sick leave is an impractical and unfair burden for small operations. Critics also say the timing is bad, given the choppy economy and the hardships inflicted by Superstorm Sandy.

Michael Sinensky, an owner of seven bars and restaurants around the city, was against the sick time proposal before Sandy. And after the storm shut down four of his restaurants for days or weeks, costing hundreds of thousands of dollars that his insurers have yet to pay, "we're in survival mode."

"We're at the point, right now, where we cannot afford additional social initiatives," said Sinensky, whose roughly 500 employees switch shifts if they can't work, an arrangement that some restaurateurs say benefits workers because paid sick time wouldn't include tips.

Employees without sick days are more likely to go to work with a contagious illness, send an ill child to school or day care and use hospital emergency rooms for care, according to a 2010 survey by the University of Chicago's National Opinion Research Center. A 2011 study in the American Journal of Public Health estimated that a lack of sick time helped spread 5 million cases of flu-like illness during the 2009 swine flu outbreak.

To be sure, many employees entitled to sick time go to work ill anyway, out of dedication or at least a desire to project it. But the work-through-it ethic is shifting somewhat amid growing awareness about spreading sickness.

"Right now, where companies' incentives lie is butting right up against this concern over people coming into the workplace, infecting others and bringing productivity of a whole company down," said John A. Challenger, CEO of employer consulting firm Challenger, Gray & Christmas.

Paid sick day requirements are often popular in polls, but only four places have them: San Francisco, Seattle, Washington, D.C., and the state of Connecticut. The specific provisions vary.

Milwaukee voters approved a sick time requirement in 2008, but the state Legislature passed a law blocking it. Philadelphia's mayor vetoed a sick leave measure in 2011; lawmakers have since instituted a sick time requirement for businesses with city contracts. Voters rejected a paid sick day measure in Denver in 2011.

In New York, City Councilwoman Gale Brewer's proposal would require up to five paid sick days a year at businesses with at least five employees. It wouldn't include independent contractors, such as Zavala, who supports the idea nonetheless.

The idea boasts such supporters as feminist Gloria Steinem and "Sex and the City" actress Cynthia Nixon, as well as a majority of City Council members and a coalition of unions, women's groups and public health advocates. But it also faces influential opponents, including business groups, Mayor Michael Bloomberg and City Council Speaker Christine Quinn, who has virtually complete control over what matters come to a vote.

Quinn, who is expected to run for mayor, said she considers paid sick leave a worthy goal but doesn't think it would be wise to implement it in a sluggish economy. Two of her likely opponents, Public Advocate Bill de Blasio and Comptroller John Liu, have reiterated calls for paid sick leave in light of the flu season.

While the debate plays out, Emilio Palaguachi is recovering from the flu and looking for a job. The father of four was abruptly fired without explanation earlier this month from his job at a deli after taking a day off to go to a doctor, he said. His former employer couldn't be reached by telephone.

"I needed work," Palaguachi said after Friday's City Hall rally, but "I needed to see the doctor because I'm sick."

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Associated Press writer Susan Haigh in Hartford, Conn., contributed to this report.

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Follow Jennifer Peltz at http://twitter.com/jennpeltz

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Sasha's View: 'Good Job, Daddy. You Didn't Mess Up'

President Barack Obama and Vice President Joe Biden today officially embarked on their second term, taking the Constitutionally mandated oath of office in two separate private ceremonies inside their homes.

Shortly before noon in the Blue Room of the White House, Obama raised his right hand, with his left on a family Bible, reciting the oath administrated by Chief Justice John Roberts. He was surrounded by immediate family members, including first lady Michelle Obama and daughters, Malia and Sasha.

As he hugged his wife and daughters, Sasha said, "Good job, Daddy."

"I did it," he said.

"You didn't mess up," she answered.

Biden was sworn in earlier today by Justice Sonia Sotomayor, the first Hispanic to administer a presidential oath, in a ceremony at his official residence at the U.S. Naval Observatory. He was joined by more than 120 guests, including cabinet members, extended family and his wife, Dr. Jill Biden.

Because Jan. 20 -- the official date for a new presidential term -- falls on a Sunday this year, organizers delayed by one day the traditional public inauguration ceremony and parade down Pennsylvania Avenue.

Vice President Joe Biden Sworn in for 2nd Term Watch Video

Obama Sworn In for Second Term, Kicks off Inaugural Festivities Watch Video

Obama and Biden will each repeat the oath on Monday on the west front of the Capitol, surrounded by hundreds of dignitaries and members of Congress. An estimated 800,000 people are expected to gather on the National Mall to witness the moment and inaugural parade to follow.

The dual ceremonies in 2013 means Obama will become the second president in U.S. history to take the presidential oath four times. He was sworn in twice in 2008 out of an abundance of caution after Roberts flubbed the oath of office during the public administration. This year Roberts read from a script.

Franklin Roosevelt was also sworn in four times but, unlike Obama, he was elected four times.

This year will mark the seventh time a president has taken the oath on a Sunday and then again on Monday for ceremonial purposes. Reagan last took the oath on a Sunday in 1985.

Both Obama and Biden took the oath using a special family Bible. Obama used a text that belonged to Michelle Obama's grandmother LaVaughn Delores Robinson. Biden placed his hand on a 120-year-old book with a Celtic cross on the cover that has been passed down through Biden clan.

The official inaugural activities today also included moments of prayer and remembrance that marked the solemnity of the day.

Obama and Biden met at Arlington National Cemetery for a brief morning ceremony to place a wreath on the Tomb of the Unknowns, honoring military service members who served and sacrificed. The men stood shoulder to shoulder, bowing their heads as a bugler played "Taps."

Biden, who is Catholic, began the day with a private family mass at his residence. The president and first family attended church services at Metropolitan African Methodist Episcopal Church, a historically black church and site of two pre-inaugural prayer services for former President Bill Clinton and Vice President Al Gore and their families.

The Obamas and Bidens plan to participate in a church service on Monday morning at St. John's Episcopal, across Lafayette Park from the White House. They will also attend a National Prayer Service on Tuesday at the National Cathedral.

Later on Sunday evening, the newly-inaugurated leaders will attend a candlelight reception at the National Building Museum. The president and vice president are expected to deliver brief remarks to their supporters.

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Algeria ends desert siege with 23 hostages dead

ALGIERS/IN AMENAS, Algeria (Reuters) - Algerian troops ended a siege by Islamist militants at a gas plant in the Sahara desert where 23 hostages died, with a final assault which killed all the remaining hostage-takers.

Believed to be among the 32 dead militants was their leader, Abdul Rahman al-Nigeri, a Nigerien close to al Qaeda-linked commander Mokhtar Belmokhtar, presumed mastermind of the raid.

An Algerian interior ministry statement on the death toll gave no breakdown of the number of foreigners among hostages killed since the plant was seized before dawn on Wednesday.

Details are only slowly emerging on what happened during the siege, which marked a serious escalation of unrest in northwestern Africa, where French forces are ratcheting up a war against Islamist militants in neighboring Mali.

Algeria's interior ministry said on Saturday that 107 foreign hostages and 685 Algerian hostages had survived, but did not give a detailed breakdown of those who died.

"We feel a deep and growing unease ... we fear that over the next few days we will receive bad news," said Helge Lund, Chief Executive of Norway's Statoil, which ran the plant along with Britain's BP and Algeria's state oil company.

"People we have spoken to describe unbelievable, horrible experiences," he said.

British Prime Minister David Cameron said he feared for the lives of five British citizens unaccounted for at the gas plant near the town of In Amenas, which was also home to expatriate workers from Japanese engineering firm JGC Corp and others.

One American and one British citizen have been confirmed dead. Statoil said five of its workers, all Norwegian nationals, were still missing. Japanese and American workers are also unaccounted for.

The Islamists' attack has tested Algeria's relations with the outside world, exposed the vulnerability of multinational oil operations in the Sahara and pushed Islamist radicalism in northern Africa to center stage.

Some Western governments expressed frustration at not being informed of the Algerian authorities' plans to storm the complex. Algeria, scarred by a civil war with Islamist insurgents in the 1990s which claimed 200,000 lives, had insisted there would be no negotiation in the face of terrorism.

President Barack Obama said on Saturday the United States was seeking from Algerian authorities a fuller understanding of what took place, but said "the blame for this tragedy rests with the terrorists who carried it out."

Official sources had no immediate confirmation of newspaper reports suggesting some of the hostages may have been executed by their captors as the Algerian army closed in for the final assault on Saturday.

One source close to the crisis said 16 foreign hostages were freed, including two Americans and one Portuguese.

BP's chief executive Bob Dudley said on Saturday four of its 18 workers at the site were missing. The remaining 14 were safe.

PLANNED BEFORE FRENCH LANDED IN MALI

The attack on the heavily fortified gas compound was one of the most audacious in recent years and almost certainly planned long before French troops launched a military operation in Mali this month to stem an advance by Islamist fighters.

Hundreds of hostages escaped on Thursday when the army launched a rescue operation, but many hostages were killed.

Before the interior ministry released its provisional death toll, an Algerian security source said eight Algerians and at least seven foreigners were among the victims, including two Japanese, two Britons and a French national. One British citizen was killed when the gunmen seized the hostages on Wednesday.

The U.S. State Department said on Friday one American, Frederick Buttaccio, had died but gave no further details.

U.S. Defense Secretary Leon Panetta said nobody was going to attack the United States and get away with it.

"We have made a commitment that we're going to go after al Qaeda wherever they are and wherever they try to hide," he said during a visit to London. "We have done that obviously in Afghanistan, Pakistan, we've done it in Somalia, in Yemen and we will do it in North Africa as well."

Earlier on Saturday, Algerian special forces found 15 unidentified burned bodies at the plant, a source told Reuters.

Mauritanian news agencies identified the field commander of the group that attacked the plant as Nigeri, a fighter from one of the Arab tribes in Niger who had joined the Algerian Salafist Group for Preaching and Combat (GSPC) in early-2005.

That group eventually joined up with al Qaeda to become Al Qaeda in the Islamic Maghreb (AQIM). It and allied groups are the targets of the French military operation in Mali.

The news agencies described him as "one of the closest people" to Belmokhtar, who fought in Afghanistan and then in Algeria's civil war of the 1990s. Nigeri was known as a man for "difficult missions", having carried out attacks in Mauritania, Mali and Niger.

NO NEGOTIATION

Britain, Japan and other countries have expressed irritation that the Algerian army assault was ordered without consultation.

But French President Francois Hollande said the Algerian military's response seemed to have been the best option given that negotiation was not possible.

"When you have people taken hostage in such large number by terrorists with such cold determination and ready to kill those hostages - as they did - Algeria has an approach which to me, as I see it, is the most appropriate because there could be no negotiation," Hollande said.

The apparent ease with which the fighters swooped in from the dunes to take control of an important energy facility, which produces some 10 percent of the natural gas on which Algeria depends for its export income, has raised questions over the country's outwardly tough security measures.

Algerian officials said the attackers may have had inside help from among the hundreds of Algerians employed at the site.

Security in the half-dozen countries around the Sahara desert has long been a preoccupation of the West. Smugglers and militants have earned millions in ransom from kidnappings.

The most powerful Islamist groups operating in the Sahara were severely weakened by Algeria's secularist military in the civil war in the 1990s. But in the past two years the regional wing of al Qaeda gained fighters and arms as a result of the civil war in Libya, when arsenals were looted from Muammar Gaddafi's army.

(Additional reporting by Balazs Koranyi in Oslo, Estelle Shirbon and David Alexander in London, Brian Love in Paris; Writing by Giles Elgood and Myra MacDonald)

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Obama to take first of two oaths of office Sunday

WASHINGTON: Barack Obama will Sunday be sworn in to shoulder the power and burden of the US presidency for a second term, launching two days of inaugural rituals darkened by domestic discord and crises abroad.

Democrat Obama, 51, will swear to faithfully execute the office of president at a low-key ceremony in the Blue Room of the White House, to comply with the US Constitution, which dictates his first term ends at noon on January 20.

In a tradition honored when that date falls on a Sunday, Obama will repeat the oath in a time-honored public ceremony on Monday, and deliver his inaugural address to Americans, and the watching world, outside at a chilly US Capitol.

Obama's second inauguration, which comes courtesy of an election win over Republican Mitt Romney in November, lacks the hope and history which pulsated through his swearing in as the first black American president in 2009.

Since then, a graying Obama has been battered by a weak economic recovery, failed to meet hugely elevated expectations for his presidency and waged a political war of attrition Republicans, which often slides into the gutter.

He begins anew with several fierce budget battles looming in Congress, and with his "Yes we Can" rhetoric soured by sarcasm over the blocking tactics of Republicans in the partisan brouhaha paralyzing government in Washington.

While polls show Obama's approval ratings above 50 per cent -- far higher than the reviled Congress, they also indicate that many Americans, wearied by a stop-start recovery, doubt their country is headed in the right direction.

Abroad, the US confrontation with Iran is fast headed to a critical point with the specter of military action becoming ever more real, the longer diplomacy over Tehran's nuclear program is stuck in neutral.

Recent terror strikes which killed Americans in Benghazi and Algeria meanwhile call into question Obama's election year soundbite that "Al-Qaeda is on the run" despite the killing of Osama bin Laden in Pakistan.

Increasing muscle flexing by China and rising tensions in contested waters with its neighbors, as well as North Korea's nuclear belligerence, will meanwhile test the president's signature pivot of US diplomacy to Asia.

As he raises his right hand, 224 years after George Washington took the first oath of office to lead a new nation, Obama also knows that for second term presidents, power quickly wanes and political potholes await.

The second term "curse" often strikes: Richard Nixon resigned, Bill Clinton was impeached, George W. Bush's image was shattered by Iraq and Hurricane Katrina and Ronald Reagan's legacy was marred by the Iran-Contra scandal.

Obama has already said that he will root his second term on the crusade to build a more equitable economy which powered his triumph over multi-millionaire Romney.

"I intend to carry out the agenda that I campaigned on, an agenda for new jobs, new opportunity and new security for the middle class," Obama said last week.

After being sworn in surrounded by close family, Obama will put the finishing touches on his inaugural address.

Aides have offered few previews of what he will say on Monday, though such occasions offer the chance for presidents to stress national unity, and to bind wounds of the kind of acrimonious elections like the one Obama won in 2012.

Obama has been seen with yellow legal pads full of ideas for his speech, which will likely be high on poetry but low on policy: his State of the Union Address on February 12 will flesh out his agenda.

But the president will have a message for allies and enemies abroad, and could shape the political ground for top agenda priorities including immigration and energy reform and new gun control laws.

After Monday's solemn ceremony will come celebration, as Obama returns to the White House down a parade route lined with crowds, before a night of glittering inaugural balls -- though the festivities have been trimmed in recognition of the tough times many Americans are still enduring.

On Saturday, Obama and his wife Michelle grabbed paintbrushes for an inaugural day of service at a Washington DC school.

The president, wearing khaki trousers and a button down shirt, and the first lady, in a purple shirt and black leggings, helped stain a bookshelf along with two members of a group that works to keep children in school.

Obama later joked that "Michelle said I did a fine job."

There has been an immense security build-up ahead of the inauguration, with cameras and barricades covering much of the route leading up to the Capitol. Thousands of police will also fan the area on Monday: several at each street corner.

- AFP/ck

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TOI Social Impact Awards: An ambulance in time saves lives

MUMBAI: Its 868 ambulances have helped save almost 20 lakh Indians in five states over the last seven years. But these numbers don't quite capture how a small company started by five friends has brought about big changes in India's healthscape.

Before Ziqitza Health Care started its 'Dial 1298 for an Ambulance' service in Mumbai in 2005, it was difficult to imagine a self-sustaining revenue model in emergency medical services (EMS). As the number of EMS providers multiplied , Ziqitza moved the courts to bring transparency into the sector. When they found a southern state offering its emergency medical services to a firm without calling for tenders, they took the matter to the Supreme Court. "Now every state follows the rules," says Shaffi Mather who, along with Ravi Krishna, Sweta Mangal, Naresh Jain and Manish Sacheti, returned from the US to start the company.

They also changed the peculiar Indian habit of using ambulances as hearse vehicles. "In India, ambulances were used to carry dead bodies . We refused to allow that. Ambulances are meant to help lives," says Krishna. Ziqitza's ambulances have often doubled as labour rooms, given the poor state of healthcare in remote areas. More than 6,000 babies have been delivered in their ambulances."Recently, our paramedics in Rajasthan delivered a breech baby in their ambulance," says Sweta Mangal.

The firm has carved out three business models to meet the growing requirement for ambulances. The first is Dial 1298, Ziqitza's private enterprise that charges people for the ambulance (BPL card holders can pay 50% of the fee). The second is Dial 108 in states where the government provides ambulances and money for the service. The third is an outsourcing model for hospitals.

Ziqitza — a combination of jigyasa (quest for knowledge) and chikitsa (medical aid) — was born out of personal crises. Mather didn't know whom to call in Kochi when his mother started choking in her sleep at midnight over seven years back. A few days later, Krishna's mother collapsed in the US but she was taken to hospital within a few minutes. "This contrast made us realize we needed to do something about ambulances back in India," recalls Krishna. Instead of taking the NGO route, they opted for a self-sustaining business model. It has been appreciated, with INSEAD and Harvard Business School writing about them.

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Lilly drug chosen for Alzheimer's prevention study

Researchers have chosen an experimental drug by Eli Lilly & Co. for a large federally funded study testing whether it's possible to prevent Alzheimer's disease in older people at high risk of developing it.

The drug, called solanezumab (sol-ah-NAYZ-uh-mab), is designed to bind to and help clear the sticky deposits that clog patients' brains.

Earlier studies found it did not help people with moderate to severe Alzheimer's but it showed some promise against milder disease. Researchers think it might work better if given before symptoms start.

"The hope is we can catch people before they decline," which can come 10 years or more after plaques first show up in the brain, said Dr. Reisa Sperling, director of the Alzheimer's center at Brigham and Women's Hospital in Boston.

She will help lead the new study, which will involve 1,000 people ages 70 to 85 whose brain scans show plaque buildup but who do not yet have any symptoms of dementia. They will get monthly infusions of solanezumab or a dummy drug for three years. The main goal will be slowing the rate of cognitive decline. The study will be done at 50 sites in the U.S. and possibly more in Canada, Australia and Europe, Sperling said.

In October, researchers said combined results from two studies of solanezumab suggested it might modestly slow mental decline, especially in patients with mild disease. Taken separately, the studies missed their main goals of significantly slowing the mind-robbing disease or improving activities of daily living.

Those results were not considered good enough to win the drug approval. So in December, Lilly said it would start another large study of it this year to try to confirm the hopeful results seen patients with mild disease. That is separate from the federal study Sperling will head.

About 35 million people worldwide have dementia, and Alzheimer's is the most common type. In the U.S., about 5 million have Alzheimer's. Current medicines such as Aricept and Namenda just temporarily ease symptoms. There is no known cure.

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Online:

Alzheimer's info: http://www.alzheimers.gov

Alzheimer's Association: http://www.alz.org

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Follow Marilynn Marchione's coverage at http://twitter.com/MMarchioneAP

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Algeria Hostage Crisis Over, One American Dead

After the Algerian military's final assault on terrorists holding hostages at a gas complex, the four-day hostage crisis is over, but apparently with additional loss of life among the foreign hostages.

One American, Fred Buttaccio of Texas, has been confirmed dead by the U.S. State Department. Two more U.S. hostages remain unaccounted for, with growing concern among U.S. officials that they did not survive.

But another American, Mark Cobb of Corpus Christi, Texas is now confirmed as safe. Sources close to his family say Cobb, who is a senior manager of the facility, is safe and reportedly sent a text message " I'm alive."

Inside Algerian Hostage Crisis, One American Dead Watch Video

American Hostages Escape From Algeria Terrorists Watch Video

In a statement, President Obama said, "Today, the thoughts and prayers of the American people are with the families of all those who were killed and injured in the terrorist attack in Algeria. The blame for this tragedy rests with the terrorists who carried it out, and the United States condemns their actions in the strongest possible terms. ... This attack is another reminder of the threat posed by al Qaeda and other violent extremist groups in North Africa."

According to Algerian state media, 32 militants are dead and a total of 23 hostages perished during the four-day siege of the In Amenas facility in the Sahara. The Algerian Interior Ministry also says 107 foreign nationals who worked at the facility for BP and other firms were rescued or escaped from the al Qaeda-linked terrorists who took over the BP joint venture facility on Wednesday.

The Japanese government says it fears "very grave" news, with multiple casualties among the 10 Japanese citizens working at the In Amenas gas plant.

Five British nationals and one U.K. resident are either deceased or unaccounted for in the country, according to British Foreign Minister William Hague. Hague also said that the Algerians have reported that they are still trying to clear boobytraps from the site.

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