Rx OD Risks: Grapefruit-Meds Warning Expanded


Nov 26, 2012 5:48pm







gty grapefruit juice medication ll 121126 wblog Grapefruit, Medicine Interaction Warning Expanded

Image credit: Johner/Getty Images


ABC News’ Ben Maas reports:


It has long been known that grapefruit juice can pose dangerous — and even deadly — risks when taken along with certain medications. Now, experts warn the list of medications that can result in these interactions is longer than many may have believed.


Check below to see whether your medication appears on the list.


In a new report released Monday in the Canadian Medical Association Journal, researchers at the University of Western Ontario said that while 17 drugs were identified in 2008 as having the potential to cause serious problems when taken with grapefruit, this number has now grown to 43.


“The frequency of these reactions may be small, but the risks are not worth it, especially for drugs which could cause sudden death,” said lead study author David Bailey, a professor of pharmacology and one of the first to report the interactions between grapefruit juice and certain medications 20 years ago. “Physicians need to know that this affects a number of new drugs and apply this information to their practice and patients.”


So how does a common breakfast fruit cause these problems? Grapefruits contain chemicals called furanocoumarins that interfere with how your body breaks down drugs before they enter the bloodstream. By preventing this normal breakdown of a drug, these chemicals in grapefruit can effectively cause a drug overdose and more severe side-effects.


Among the side effects sometimes seen with grapefruit-induced overdoses are heart rhythm problems, kidney failure, muscle breakdown, difficulty with breathing and blood clots. Atorvastatin — commonly known by the brand name Lipitor and taken by millions of Americans — is one of the drugs that have been linked to serious cases of drug toxicity when combined with grapefruit products. Other common heart medications — including verapamil and amiodarone — have also led to serious interactions when consumed with grapefruit or grapefruit juice.


While there have been many reported cases of serious side effects attributable to this problem, the total number of Americans who have been affected is not known.


As little as one grapefruit or one 8-ounce glass of grapefruit juice can cause an effect that may last more than 24 hours.  Other fruits including Seville oranges, limes, and pomelos can have the same effect, although sweet orange varieties do not produce this interaction.



“People know that drugs react with drugs, but fewer are aware of drug-food interactions,” said Professor Paul Doering of the University of Florida Pharmacy Department. “Health professionals need to learn as much as they can about this.  Undetected there are very serious adverse effects.”


For consumers, the best advice may be to ask a doctor or pharmacist when they are prescribed a new drug whether there are foods or other medicines that they should avoid.



A-C
Alfentanil (oral)
Amiodarone
Apixaban
Atorvastatin
Buspirone
Clopidogrel
Crizotinib
Cyclosporine


D-F
Darifenacin
Dasatinib
Dextromethorphan
Domperidone
Dronedarone
Eplerenone
Erlotinib
Erythromycin
Everolimus
Felodipine
Fentanyl (oral)
Fesoterodine


H-P
Halofantrine
Ketamine (oral)
Latatinib
Lovastatin
Lurasidone
Maraviroc
Nifedipine
Nilotinib
Oxycodone


P-Z
Pazopanib
Pimozide
Primaquine
Quinine
Quetiapine
Quinidine
Rilpivirine
Rivaroxaban
Silodosin
Simvastatin
Sirolimus
Solifenacin
Sunitinib
Tacrolimus
Tamsulosin
Ticagrelor
Triazolam
Vandetanib
Venurafenib


Verapamil
Ziprasidone



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Euro zone, IMF secure deal on cutting long-term Greek debt

BRUSSELS (Reuters) - Euro zone finance ministers and the International Monetary Fund clinched agreement on reducing Greece's debt on Monday in a breakthrough to release urgently needed loans to keep the near-bankrupt economy afloat.


After 12 hours of talks at their third meeting in as many weeks, Greece's international lenders agreed on a package of measures to reduce Greek debt by 40 billion euros, cutting it to 124 percent of gross domestic product by 2020.


In a significant new pledge, ministers committed themselves to take further steps to lower Greece's debt to "significantly below 110 percent" in 2022 -- the most explicit recognition so far that some write-off of loans may be necessary from 2016, the point when Greece is forecast to reach a primary budget surplus.


"When Greece has achieved, or is about to achieve, a primary surplus and fulfilled all of its conditions, we will, if need be, consider further measures for the reduction of the total debt," German Finance Minister Wolfgang Schaeuble said.


Eurogroup Chairman Jean-Claude Juncker said ministers would formally approve the release of a major aid installment needed to recapitalize Greece's teetering banks and enable the government to pay wages, pensions and suppliers on December 13.


Greece will receive up to 43.7 billion euros in stages as it fulfills the conditions. The December installment will comprise 23.8 billion for banks and 10.6 billion in budget assistance.


The IMF's share, less than a third of the total, will only be paid out once a buy-back of Greek debt has occurred in the coming weeks, but IMF Managing Director Christine Lagarde said the Fund had no intention of pulling out of the program.


To reduce Greece's debt pile, ministers agreed to cut the interest rate on official loans, extend their maturity by 15 years to 30 years, and grant Athens a 10-year interest repayment deferral.


They promised to hand back 11 billion euros in profits accruing to their national central banks from European Central Bank purchases of discounted Greek government bonds in the secondary market.


They also agreed to finance Greece to buy back its own bonds from private investors at what officials said was a target cost of around 35 cents in the euro.


European Central Bank President Mario Draghi said on leaving the talks: "I very much welcome the decisions taken by the ministers of finance. They will certainly reduce the uncertainty and strengthen confidence in Europe and in Greece."


BETTER FUTURE


The euro strengthened against the dollar after news of the deal was first reported by Reuters.


Juncker said the accord opened new hope for Greeks.


"This is not just about money. This is the promise of a better future for the Greek people and for the euro area as a whole, a break from the era of missed targets and loose implementation towards a new paradigm of steadfast reform momentum, declining debt ratios and a return to growth," he told a 2 a.m. news conference.


Greek Finance Minister Yannis Stournaras said earlier that Athens had fulfilled its part of the deal by enacting tough austerity measures and economic reforms, and it was now up to the lenders to do their part.


Greece, where the euro zone's debt crisis erupted in late 2009, is the currency area's most heavily indebted country, despite a big "haircut" this year on privately-held bonds. Its economy has shrunk by nearly 25 percent in five years.


Negotiations had been stalled over how Greece's debt, forecast to peak at 190-200 percent of GDP in the coming two years, could be cut to a more sustainable 120 percent by 2020.


The agreed figure fell slightly short of that goal, and the IMF was still insisting that euro zone ministers should make a firm commitment to further steps to reduce the debt stock if Athens implements its adjustment program faithfully.


The key question remains whether Greek debt can become sustainable without euro zone governments having to write off some of the loans they have made to Athens.


Germany and its northern European allies have hitherto rejected any idea of forgiving official loans to Athens, but EU officials believe that line may soften after next year's German general election.


DEBT RELIEF "NOT ON TABLE"


Schaeuble told reporters earlier that debt forgiveness was legally impossible, not just for Germany but for other euro zone countries, if it was linked to a new guarantee of loans.


"You cannot guarantee something if you're cutting debt at the same time," he said. That did not preclude possible debt relief at a later stage if Greece completed its adjustment program and no longer needs new loans.


At Germany's insistence, earmarked revenue and aid payments will go into a strengthened "segregated account" to ensure that Greece services its debts.


A source familiar with IMF thinking said a loan write-off once Greece has fulfilled its adjustment program would be the simplest way to make its debt viable, but other methods such as forgoing interest payments, or lending at below market rates and extending maturities could all help.


The German banking association (BDB) said a fresh "haircut" or forced reduction in the value of Greek sovereign debt, must only happen as a last resort.


The ministers agreed to reduce interest on already extended bilateral loans from the current 150 basis points above financing costs to 50 bps.


No figures were announced for the debt buy-back in an effort to avoid triggering a rise in market prices in anticipation of a buyer. But before the meetings, officials had spoken of a 10 billion euro buy-back, that would achieve a net reduction of about 20 billion euros in the debt stock.


German central bank governor Jens Weidmann has suggested that Greece could "earn" a reduction in debt it owes to euro zone governments in a few years if it diligently implements all the agreed reforms. The European Commission backs that view.


An opinion poll published on Monday showed Greece's anti-bailout SYRIZA party with a four-percent lead over the Conservatives who won election in June, adding to uncertainty over the future of reforms.


(Additional reporting by Robert-Jan Bartunek, Ethan Bilby, Luke Baker in Brussels, Reinhardt Becker in Berlin; Writing by Paul Taylor; Editing by Luke Baker)


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Oscars buzz for Bigelow's Osama bin Laden film






LOS ANGELES: Oscar-winning filmmaker Kathryn Bigelow's long-awaited movie about the hunt for and killing of Osama bin Laden is generating Academy Awards buzz, even before its release next month.

The director, who won Academy Awards in 2010 for Iraq war drama "The Hurt Locker", had extensive access to classified material in the making of "Zero Dark Thirty", a process that began long before bin Laden's death in May 2011.

The movie centres on a female CIA analyst - played by Jessica Chastain - credited as a key force in the hunt for the Al Qaeda chief, killed by US Navy SEALs in an audacious dead-of-night raid on his hiding place in Pakistan.

"'Zero Dark Thirty' could well be the most impressive film Bigelow has made, as well as possibly her most personal," commented the Hollywood Reporter, after initial screenings of the movie.

"The film's power steadily and relentlessly builds over its long course, to a point that is terrifically imposing and unshakable," it added.

Variety said the movie was "far more ambitious than 'The Hurt Locker', yet nowhere near so tripwire-tense", hailing it for "rejecting nearly every cliché one might expect from a Hollywood treatment of the subject."

The Los Angeles Times said "Zero Dark Thirty" - military-speak for half past midnight, when the bin Laden raid was scheduled for - entered its Oscar best picture league table at number five.

Entertainment Weekly tipped it as a possible nominee for best film, best director, best screenplay and best leading actress for Chastain, who was Oscar nominated for her supporting role in last year's civil rights drama "The Help".

The two-and-a-half-hour long docudrama follows the CIA analyst over her decade-long quest to track down bin Laden after the September 11, 2001 attacks on New York and Washington.

It includes graphic torture scenes, including depictions of waterboarding and sexual humiliation, used to obtain information from detainees which ultimately help pinpoint bin Laden's compound in Abbottabad, Pakistan.

"I wish that it wasn't a part of history, but it is and was," Bigelow was cited as saying after a weekend screening in Los Angeles, adding that the torture scenes were the most difficult for her to film.

The film's screenplay was written by reporter-turned-screenwriter Mark Boal, who also worked with Bigelow on "The Hurt Locker", which starred Jeremy Renner as a soldier defusing bombs in war-scarred Iraq.

"Zero Dark Thirty" opens in limited release in the United States from December 19, qualifying it for next February's Academy Awards show even though its general release is not until January.

-AFP/fl



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Green tax on diesel cars: Auto sector slams cess proposal

NEW DELHI: The automobile industry has come out against any proposal to impose an additional tax on diesel cars over environmental issues.

"Diesel is not as polluting as it is made out to be. How can you tax a technology that is very clean and more fuel efficient?" said Vishnu Mathur, DG of industry lobby group, Society of Indian Automobile Manufacturers. While diesel is not a big polluter, there are other industries that need to be checked into, he said, adding, "What about power producers, the industry and gensets?" P Balendran, VP at General Motors India, also countered the stand that diesel is more polluting. "It is energy saving and is more fuel efficient than petrol," he said.

Mayank Parek, COO at Maruti Suzuki, said that while pollution levels certainly need to be controlled, taxing diesel cars is not an answer. "It is not only cars that pollute. In fact, their contribution to pollution is very low when compared to other industries."

Read More..

Bounce houses a party hit but kids' injuries soar

CHICAGO (AP) — They may be a big hit at kids' birthday parties, but inflatable bounce houses can be dangerous, with the number of injuries soaring in recent years, a nationwide study found.

Kids often crowd into bounce houses, and jumping up and down can send other children flying into the air, too.

The numbers suggest 30 U.S. children a day are treated in emergency rooms for broken bones, sprains, cuts and concussions from bounce house accidents. Most involve children falling inside or out of the inflated playthings, and many children get hurt when they collide with other bouncing kids.

The number of children aged 17 and younger who got emergency-room treatment for bounce house injuries has climbed along with the popularity of bounce houses — from fewer than 1,000 in 1995 to nearly 11,000 in 2010. That's a 15-fold increase, and a doubling just since 2008.

"I was surprised by the number, especially by the rapid increase in the number of injuries," said lead author Dr. Gary Smith, director of the Center for Injury Research and Policy at Nationwide Children's Hospital in Columbus, Ohio.

Amusement parks and fairs have bounce houses, and the playthings can also be rented or purchased for home use.

Smith and colleagues analyzed national surveillance data on ER treatment for nonfatal injuries linked with bounce houses, maintained by the U.S. Consumer Product Safety Commission. Their study was published online Monday in the journal Pediatrics.

Only about 3 percent of children were hospitalized, mostly for broken bones.

More than one-third of the injuries were in children aged 5 and younger. The safety commission recommends against letting children younger than 6 use full-size trampolines, and Smith said barring kids that young from even smaller, home-use bounce houses would make sense.

"There is no evidence that the size or location of an inflatable bouncer affects the injury risk," he said.

Other recommendations, often listed in manufacturers' instruction pamphlets, include not overloading bounce houses with too many kids and not allowing young children to bounce with much older, heavier kids or adults, said Laura Woodburn, a spokeswoman for the National Association of Amusement Ride Safety Officials.

The study didn't include deaths, but some accidents are fatal. Separate data from the product safety commission show four bounce house deaths from 2003 to 2007, all involving children striking their heads on a hard surface.

Several nonfatal accidents occurred last year when bounce houses collapsed or were lifted by high winds.

A group that issues voluntary industry standards says bounce houses should be supervised by trained operators and recommends that bouncers be prohibited from doing flips and purposefully colliding with others, the study authors noted.

Bounce house injuries are similar to those linked with trampolines, and the American Academy of Pediatrics has recommended against using trampolines at home. Policymakers should consider whether bounce houses warrant similar precautions, the authors said.

___

Online:

Pediatrics: http://www.pediatrics.org

Trade group: http://www.naarso.com

___

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

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Fire Kills 112 Workers Making Clothes for US Brands













The 100-plus workers who died in a fire late Saturday at a high-rise garment factory in Bangladesh were working overtime making clothes for major American retailers, including Wal-Mart, according to workers' rights groups.


Officials in Bangladesh said the flames at the Tazreen Fashions factory outside Dhaka spread rapidly on the ground floor, trapping those on the higher floors of the nine-story building. There were no exterior fire escapes, according to officials, and many died after jumping from upper floors to escape the flames.


As firemen continued to remove bodies Sunday, officials said at least 112 people had died but that the number of fatalities could go higher.


The Tazreen fire is the latest in a series of deadly blazes at garment factories in Bangladesh, where more than 700 workers, many making clothes for U.S. consumers, have died in factory fires in the past five years. As previously reported by ABC News, Bangladesh has some of the cheapest labor in the world and some of the most deplorable working conditions.


READ the original ABC News report.








More Than 100 Dead in Bangladesh Garment Factory Fire Watch Video











Worker Deaths at Factory for Hilfiger Clothes Watch Video





"The industry and parent brands in the U.S. have been warned again and again about the extreme danger to workers in Bangladesh and they have not taken action," said Scott Nova, executive director of the Worker Rights Consortium, an American group working to improve conditions at factories abroad that make clothes for U.S. companies. Nova said the fire was the most deadly in the history of the Bangladesh apparel industry, and "one of the worst in any country."


WATCH the 'Nightline' report on deadly factories.


Workers' activists went into the burned-out remains today to document which major retailers were using the Tazreen factory.


They say they found labels for Faded Glory, a Wal-Mart private label, along with labels they said traced back to Sears and a clothing company owned by music impresario Sean "Diddy" Combs.


"There's no question that Wal-Mart and the other customers at this factory bear some blame for what happened in this factory," Nova said.


Nova also said that Wal-Mart "knew exactly what's going on at these facilities. They have staff on site in Bangladesh."


Wal-Mart actually warned of dangerous conditions at the Tazreen factory last year, in a letter posted online by the factory owner.


Wal-Mart told ABC News that the company has not yet been able to confirm that it was still making clothes at the factory.


In a statement, Wal-Mart told ABC News, "Our thoughts are with the families of the victims of this tragedy. ... [F]ire safety is a critically important area of Wal-Mart's factory audit program and we have been working across the apparel industry to improve fire safety education and training in Bangladesh.


"As part of this effort, we partnered with several independent organizations to develop and roll out fire safety training tools for factory management and workers. Continued engagement is critical to ensure that reliable, proactive measures are in place to reduce the chance of factory fires. "


Spokespeople for Combs and Sears did not immediately respond to requests for comment.



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Egypt's Mursi to meet judges over power grab

CAIRO (Reuters) - Egyptian President Mohamed Mursi will meet senior judges on Monday to try to ease a crisis over his seizure of new powers which has set off violent protests reminiscent of last year's revolution which brought him to power.


Egypt's stock market plunged on Sunday in its first day open since Mursi issued a decree late on Thursday temporarily widening his powers and shielding his decisions from judicial review, drawing accusations he was behaving like a new dictator.


More than 500 people have been injured in clashes between police and protesters worried Mursi's Muslim Brotherhood aims to dominate the post-Hosni Mubarak era after winning Egypt's first democratic parliamentary and presidential elections this year.


One Muslim Brotherhood member was killed and 60 people were hurt on Sunday in an attack on the main office of the Brotherhood in the Egyptian Nile Delta town of Damanhour, the website of the Brotherhood's Freedom and Justice Party said.


Egypt's highest judicial authority hinted at compromise to avert a further escalation, though Mursi's opponents want nothing less than the complete cancellation of a decree they see as a danger to democracy.


The Supreme Judicial Council said Mursi's decree should apply only to "sovereign matters", suggesting it did not reject the declaration outright, and called on judges and prosecutors, some of whom began a strike on Sunday, to return to work.


Mursi would meet the council on Monday, state media said.


Mursi's office repeated assurances that the measures would be temporary, and said he wanted dialogue with political groups to find "common ground" over what should go in Egypt's constitution, one of the issues at the heart of the crisis.


Hassan Nafaa, a professor of political science at Cairo University, saw an effort by the presidency and judiciary to resolve the crisis, but added their statements were "vague". "The situation is heading towards more trouble," he said.


Sunday's stock market fall of nearly 10 percent - halted only by automatic curbs - was the worst since the uprising that toppled Mubarak in February, 2011.


Images of protesters clashing with riot police and tear gas wafting through Cairo's Tahrir Square were an unsettling reminder of that uprising. Activists were camped in the square for a third day, blocking traffic with makeshift barricades. Nearby, riot police and protesters clashed intermittently.


"BACK TO SQUARE ONE"


Mursi's supporters and opponents plan big demonstrations on Tuesday that could be a trigger for more street violence.


"We are back to square one, politically, socially," said Mohamed Radwan of Pharos Securities, an Egyptian brokerage firm.


Mursi's decree marks an effort to consolidate his influence after he successfully sidelined Mubarak-era generals in August. It reflects his suspicions of a judiciary little reformed since the Mubarak era.


Issued just a day after Mursi received glowing tributes from Washington for his work brokering a deal to end eight days of violence between Israel and Hamas, the decree drew warnings from the West to uphold democracy. Washington has leverage because of billions of dollars it sends in annual military aid.


"The United States should be saying this is unacceptable," former presidential nominee John McCain, leading Republican on the Senate Armed Services Committee, said on Fox News.


"We thank Mr. Mursi for his efforts in brokering the ceasefire with Hamas ... But this is not what the United States of America's taxpayers expect. Our dollars will be directly related to progress toward democracy."


The Mursi administration has defended his decree as an effort to speed up reforms that will complete Egypt's democratic transformation. Yet leftists, liberals, socialists and others say it has exposed the autocratic impulses of a man once jailed by Mubarak.


"There is no room for dialogue when a dictator imposes the most oppressive, abhorrent measures and then says 'let us split the difference'," prominent opposition leader Mohamed ElBaradei said on Saturday.


WARNINGS FROM WEST


Investors had grown more confident in recent months that a legitimately elected government would help Egypt put its economic and political problems behind it. The stock market's main index had risen 35 percent since Mursi's victory. It closed on Sunday at its lowest level since July 31.


Political turmoil also raised the cost of government borrowing at a treasury bill auction on Sunday.


"Investors know that Mursi's decisions will not be accepted and that there will be clashes on the street," said Osama Mourad of Arab Financial Brokerage.


Just last week, investor confidence was helped by a preliminary agreement with the International Monetary Fund over a $4.8 billion loan needed to shore up state finances.


Mursi's decree removes judicial review of decisions he takes until a new parliament is elected, expected early next year.


It also shields the Islamist-dominated assembly writing Egypt's new constitution from a raft of legal challenges that have threatened it with dissolution, and offers the same protection to the Islamist-controlled upper house of parliament.


"I am really afraid that the two camps are paving the way for violence," said Nafaa. "Mursi has misjudged this, very much so. But forcing him again to relinquish what he has done will appear a defeat."


Many of Mursi's political opponents share the view that Egypt's judiciary needs reform, though they disagree with his methods. Mursi's new powers allowed him to sack the prosecutor general who took his job during the Mubarak era and is unpopular among reformists of all stripes.


(Additional reporting by Yasmine Saleh and Marwa Awad in Cairo and Philip Barbara in Washington; Editing by Peter Graff and Philippa Fletcher)


Read More..

New eurozone talks to save Greece from financial collapse






BRUSSELS: Eurozone finance ministers meet in Brussels Monday for the third time in two weeks for talks on unlocking the next slice of aid to debt-crippled Greece, which is in danger of running out of money.

Greece has been waiting since June for a loan instalment of 31.2 billion euros (US$40 billion), part of a 130-billion-euro financial assistance package initially granted early this year.

By the end of the year, Athens is also due to receive two more aid payments, worth 5.0 and 8.3 billion euros, in exchange for which it has pledged to implement a series of unpopular austerity measures.

"For once, it would seem, Greece can take none of the blame," said Carsten Brzeski, an analyst at ING bank.

The Greek government, led by Prime Minister Antonis Samaras pushed through a fresh wave of deeply unpopular cuts through parliament earlier this month.

The Eurogroup statement issued after failed talks last Wednesday acknowledged that Greece had done everything that had been asked of it.

Samaras made much the same point in a statement issued hours after Wednesday's failed talks ended, in which his mounting frustration was clear.

"Greece did what it had to do, and what it had pledged to do," he wrote in a statement last Wednesday.

"Whatever technical difficulties in finding a technical solution do not justify any negligence or delay."

Eurogroup ministers exchanged ideas over the weekend in an effort to clear the way to an agreement Monday.

On Sunday, French Finance Minister Pierre Moscovici insisted that the eurozone was very close to agreement on the issue, echoing remarks he made just after last week's meeting broke up.

"I think that in effect we are very close to a solution," he told BFM Television. "I don't know if there will be an agreement tomorrow, I know it is possible and I want one."

Failing this time around would be "irresponsible" he added, "given the efforts everyone has made".

He provided few details about how a deal could be reached, but said it could involve a combination of decreases in interest earned by lenders and profits made by central banks on Greek debt.

As well as the eurozone finance ministers, also in attendance will be International Monetary Fund chief Christine Lagarde and Mario Draghi, president of the European Central Bank.

The IMF and the ECB, with the European Union, make up the troika of creditors that have insisted on it adopting the controversial austerity plan.

They have decided to give Greece an extra two years, until 2016 in other words, to balance its books. But that means Greece's international creditors would have to find another 32.6 billion euros to cover the cost of granting this two-year respite.

The meeting also needs to agree on the timetable regarding bringing down the country's massive debt levels. Lagarde wants Greece to get its debt down to 120 per cent of GDP by 2020. Head of the Eurogroup Jean-Claude Juncker would rather put that deadline back to 2022.

The simplest solution would be for the creditors to agree to write off some of the Greek debt, and indeed a "haircut" was raised as a possiblity in German press reports Sunday.

The banks swallowed this bitter pill at the beginning of the year, and the IMF has urged the ECB to accept this solution, but both the central bank and Germany have so far held out against it.

German Chancellor Angela Merkel knows such a move would be unlikely to go down well with the voters.

"I'm against this debt write-off and I want to find another solution," she said Friday.

But she nevertheless remained upbeat. "I have high hopes that we can resolve the question of the tranches of aid to Greece" at Monday's meeting, she said, while acknowledging that there is still work to be done.

One source close to the talks said that progress had been made during Saturday's round of telephone consultations.

Ministers agreed to cut interest rates on loans which Athens had already signed up to, though they have yet to agree on the revised rates, said the source.

They -- and the ECB -- have also agreed to lend Greece at least some of the gains they have made on the Greek bonds they hold.

And they agreed in principle on a buyout of Greek debt using the eurozone bailout fund, said the source.

It remains to be seen however, if the IMF will go along with this: the problem is that these measures would not bring Greek debt back to 120 per cent of GDP by 2020, as Lagarde wants.

But according to one Greek ministerial source, the IMF might finally agree to move on this point, settling for a figure equal to 124 per cent of GDP.

- AFP/ck



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26/11 anniversary: Experts doubt netas’ claim of safe Mumbai

MUMBAI: Senior police officers and politicians declared on Sunday that Mumbai is prepared to repel any attack of the magnitude of 26/11 but their words were met with disbelief and scepticism.

On the eve of the fourth anniversary of the bloody assault, home minister R R Patil admitted that law-enforcement agencies were unequipped to fend off the 10 Pakistani terrorists who landed in Mumbai by sea on November 26, 2008, and wreaked terror on the city.

"We have learnt our lessons. In the past four years, we have stepped up security not only in Mumbai but also in entire Maharashtra. We now have state-of-the-art weapons and adequate manpower. I am confident that we are prepared to take on terror attacks of any magnitude," claimed the home minister.

Patil argued that the Democratic Front government had implemented in letter and spirit the recommendations of the Ram Pradhan committee, which was set up in the wake of the 26/11 attack to examine the preparedness of Mumbai police.

Anti-terrorism squad chief Rakesh Maria echoed Patil: "In November 2008, we were taken aback owing to the magnitude of the attack. We were not prepared at all. In the last four years, we have redrafted our strategy. We now have a standard operation procedure in place. Everyone from a constable to the DG today knows his task in the event of an attack."

Mumbai police commissioner Satyapal Singh too said the force had learnt from the past. "I do not say that there is no threat. But the force is prepared and confident," added Singh.

The contentions were, however, decried by a former DGP who asserted that Mumbai police was still grossly unprepared. "A large number of the Pradhan committee recommendations, particularly on manpower deployment, weapons and coordination, have not been implemented," he told TOI on condition of anonymity. "Even today, police personnel do not have adequate ammunition for training and practice." The former DGP's declaration, other ex-policemen said, was borne out by evidence on the ground.

The state government's ambitious Rs 800-crore plan to install 6,000 CCTV cameras around Mumbai was still in tendering stage after a sputtering start. The city's coastal security was still wanting: patrol boats and amphibian vehicles were either out of order or without fuel; policemen required to protect the coastline did not even know how to swim.

Furthermore, the state's elite Force One, which was created along the lines of the National Security Guard, did not have a home of its own in the city for training.

Still, Patil said the only matter of concern was the delay in the installation of the CCTV camera network. "We were in the final stages of allotting the contract but it had to be cancelled after a member of the chosen consortium was found to have been blacklisted earlier. As a result, we initiated the entire process afresh. I am sure that in the next one year, we will have a CCTV network for the metropolis," Patil said.

(With inputs from V Narayan)

26/11 CLAIMS AND THE REALITY

While the ATS chief and home minister claim the city is prepared for another terror attack, the evidence on the ground suggests otherwise. For example, the plan to install CCTV cameras is yet to be implemented, coastal security is in tatters and disaster management is beset by poor cooperation.

INTELLIGENCE SHARING AND COORDINATION

As Ajmal Kasab and his cohorts went on the rampage, several security agencies came together and worked as a team to terminate the carnage . The result was the death of nine terrorists and Kasab's arrest . But that was in 2008. Since then, ignoring national interest, most security agencies have scrapped with each other to bag credit for passing victories against terror groups. The dearth of intelligence-sharing and coordination was evidenced by the escape of terror principal Yasin Bhatkal earlier this year. Although Delhi police's Special Cell was on his tail, it did not inform Maharashtra ATS, which was working on the same case. In the confusion, Bhatkal slipped away. Similarly, reports said, Special Cell did not keep the ATS in the loop when getting 26/11 co-conspirator Abu Jundal extradited from Saudi Arabia. Meanwhile, efforts to bolster intelligence gathering too have only just edged forward. The Maharashtra government set up an intelligence academy to recruit and train specialists. But, of the 200 recruits, 75 soon left for better opportunities in the private sector.

BULLETPROOF JACKETS

Joint police commissioner Hemant Karkare's death in 26/11 raised alarming questions about the quality of the bulletproof jacket he wore during the attack. It was said that the jackets the state had acquired were of poor standard . Had Karkare's jacket been better, many argued, perhaps his life could have been saved. The widespread ire aimed at the state prompted it to begin the process of procuring high-quality bulletproof jackets a week after the attack. However, because of technical reservations, no company was awarded the contract for three years. Finally, the state got the right jackets from the agencies that supply such protective wear to the NSG and CRPF. In the last one year, it has procured over 3,000 bulletproof jackets.

COASTAL SECURITY

The ease with which 26/11 gunmen landed by sea in Mumbai exposed a glaring chink in the city's armour. Eager to be seen as rectifying the fault, the state vowed to beef up coastal security. Yet, its promises scarcely translated into lasting work. Set up to protect the coastline, Sagari police station even today operates from rooms in governmental quarters at Mahim. It still cannot register an FIR, for which it has to depend on the Yellow Gate police station. Together, the two stations are reportedly short of 1,180 policemen. Five of their 14 amphibian vehicles and 13 of their 27 patrol boats are in repair yards. Lacking a jetty, Sagari police park boats at Malad or near the Gateway of India. Worst of all, most personnel at the two stations neither have the expertise to run the patrol boats nor basic swimming skills.

MEDICAL CARE

Every time a disaster rocks Mumbai, causing mass casualties, the inadequacies of trauma care facilities at public hospitals get highlighted. During 26/11, most victims were rushed to the state-run St George and GT hospitals but soon they had to be shifted to bigger centres like JJ Hospital. Four years on, no lessons have been learnt. Sion Hospital till date is the only civic-run facility to have a dedicated trauma care centre. Hospitals such as JJ and KEM have the capacity to care for 500 casualty patients, but, as JJ Hospital dean Dr T P Lahane points out, it is not the same as having a hub where doctors from neurosurgery, orthopaedics, surgery and anaesthesia are available round-the-clock .

STATE OF SURVEILLANCE

The state's ambitious Rs 800 crore plan to install 6,000 CCTV cameras around Mumbai has sputtered forward ever since 26/11. To give the plan a boost, home minister R R Patil set up a high-level committee and led a delegation to the UK to study the CCTV surveillance grid there. But just as the contract was to be granted, it turned out that one of the firms in the chosen consortium had been blacklisted earlier . As a result, a fresh tendering process was initiated. Till now, only Raj Bhavan, CM residence Varsha and Patil's residence Chitrakut are guarded by CCTV networks. The city will likely have to wait for at least another year for its surveillance system.

ARMS & AMMO

Mumbai police received sophisticated arms, ammunition and communication gadgets in the wake of the 2008 attack. While rifles are still used for local policing, police now have AK-47 s and MP5 submachine guns to ward off an assault as big as 26/11. In addition, each office of regional police commissioner is equipped with a bulletproof vehicle.

BOMB SUITS

In the last four years, there has been no dearth of alert citizens calling the bomb detection and disposal squad, alerting it of suspicious objects on the city's streets. What has been lacking is bomb-disposal suits and sniffer dogs. The squad urgently needs more suits, but the procedure has been held up on account of an alleged scam. The economic offences wing this August arrested a businessman for allegedly cheating the state out of Rs 6.25 crore by providing low-quality bomb disposal suits.

RAILWAY SECURITY

Post-26 /11, electronic surveillance was made a priority for securing railway stations. According to the Government Railway Police, there are about 1,500 closed-circuit television cameras at 90 of the 136 stations on the suburban network. The Integrated Security System—to be implemented on CR—will bring in advanced CCTVs, vehicle scanners and baggage scanners. The GRP has also stepped up visibility on stations and introduced random checking of passengers and baggage on platforms, foot overbridges and subways. Armed riot control policemen are deployed at stations like CST and Dadar to handle any situation. Furthermore, city police are frequently roped in for anti-sabotage checks. More AK47s and SLRs with ammunition have been procured.

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AP PHOTOS: Simple surgery heals blind Indonesians

PADANG SIDEMPUAN, Indonesia (AP) — They came from the remotest parts of Indonesia, taking crowded overnight ferries and riding for hours in cars or buses — all in the hope that a simple, and free, surgical procedure would restore their eyesight.

Many patients were elderly and needed help to reach two hospitals in Sumatra where mass eye camps were held earlier this month by Nepalese surgeon Dr. Sanduk Ruit. During eight days, more than 1,400 cataracts were removed.

The patients camped out, sleeping side-by-side on military cots, eating donated food while fire trucks supplied water for showers and toilets. Many who had given up hope of seeing again left smiling after their bandages were removed.

"I've been blind for three years, and it's really bad," said Arlita Tobing, 65, whose sight was restored after the surgery. "I worked on someone's farm, but I couldn't work anymore."

Indonesia has one of the highest rates of blindness in the world, making it a target country for Ruit who travels throughout the developing world holding free mass eye camps while training doctors to perform the simple, stitch-free procedure he pioneered. He often visits hard-to-reach remote areas where health care is scarce and patients are poor. He believes that by teaching doctors how to perform his method of cataract removal, the rate of blindness can be reduced worldwide.

Cataracts are the leading cause of blindness globally, affecting about 20 million people who mostly live in poor countries, according to the World Health Organization.

"We get only one life, and that life is very short. I am blessed by God to have this opportunity," said Ruit, who runs the Tilganga Eye Center in Katmandu, Nepal. "The most important of that is training, taking the idea to other people."

During the recent camps, Ruit trained six doctors from Indonesia, Thailand and Singapore.

Here, in images, are scenes from the mobile eye camps:

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