Women have caught up to men on lung cancer risk

Smoke like a man, die like a man.

U.S. women who smoke today have a much greater risk of dying from lung cancer than they did decades ago, partly because they are starting younger and smoking more — that is, they are lighting up like men, new research shows.

Women also have caught up with men in their risk of dying from smoking-related illnesses. Lung cancer risk leveled off in the 1980s for men but is still rising for women.

"It's a massive failure in prevention," said one study leader, Dr. Michael Thun of the American Cancer Society. And it's likely to repeat itself in places like China and Indonesia where smoking is growing, he said. About 1.3 billion people worldwide smoke.

The research is in Thursday's New England Journal of Medicine. It is one of the most comprehensive looks ever at long-term trends in the effects of smoking and includes the first generation of U.S. women who started early in life and continued for decades, long enough for health effects to show up.

The U.S. has more than 35 million smokers — about 20 percent of men and 18 percent of women. The percentage of people who smoke is far lower than it used to be; rates peaked around 1960 in men and two decades later in women.

Researchers wanted to know if smoking is still as deadly as it was in the 1980s, given that cigarettes have changed (less tar), many smokers have quit, and treatments for many smoking-related diseases have improved.

They also wanted to know more about smoking and women. The famous surgeon general's report in 1964 said smoking could cause lung cancer in men, but evidence was lacking in women at the time since relatively few of them had smoked long enough.

One study, led by Dr. Prabhat Jha of the Center for Global Health Research in Toronto, looked at about 217,000 Americans in federal health surveys between 1997 and 2004.

A second study, led by Thun, tracked smoking-related deaths through three periods — 1959-65, 1982-88 and 2000-10 — using seven large population health surveys covering more than 2.2 million people.

Among the findings:

— The risk of dying of lung cancer was more than 25 times higher for female smokers in recent years than for women who never smoked. In the 1960s, it was only three times higher. One reason: After World War II, women started taking up the habit at a younger age and began smoking more.

—A person who never smoked was about twice as likely as a current smoker to live to age 80. For women, the chances of surviving that long were 70 percent for those who never smoked and 38 percent for smokers. In men, the numbers were 61 percent and 26 percent.

—Smokers in the U.S. are three times more likely to die between ages 25 and 79 than non-smokers are. About 60 percent of those deaths are attributable to smoking.

—Women are far less likely to quit smoking than men are. Among people 65 to 69, the ratio of former to current smokers is 4-to-1 for men and 2-to-1 for women.

—Smoking shaves more than 10 years off the average life span, but quitting at any age buys time. Quitting by age 40 avoids nearly all the excess risk of death from smoking. Men and women who quit when they were 25 to 34 years old gained 10 years; stopping at ages 35 to 44 gained 9 years; at ages 45 to 54, six years; at ages 55 to 64, four years.

—The risk of dying from other lung diseases such as emphysema and chronic bronchitis is rising in men and women, and the rise in men is a surprise because their lung cancer risk leveled off in 1980s.

Changes in cigarettes since the 1960s are a "plausible explanation" for the rise in non-cancer lung deaths, researchers write. Most smokers switched to cigarettes that were lower in tar and nicotine as measured by tests with machines, "but smokers inhaled more deeply to get the nicotine they were used to," Thun said. Deeper inhalation is consistent with the kind of lung damage seen in the illnesses that are rising, he said.

Scientists have made scant progress against lung cancer compared with other forms of the disease, and it remains the leading cause of cancer deaths worldwide. More than 160,000 people die of it in the U.S. each year.

The federal government, the Canadian Institutes of Health Research, the Bill and Melinda Gates Foundation, the cancer society and several universities paid for the new studies. Thun testified against tobacco companies in class-action lawsuits challenging the supposed benefits of cigarettes with reduced tar and nicotine, but he donated his payment to the cancer society.

Smoking needs more attention as a health hazard, Dr. Steven A. Schroeder of the University of California, San Francisco, wrote in a commentary in the journal.

"More women die of lung cancer than of breast cancer. But there is no 'race for the cure' for lung cancer, no brown ribbon" or high-profile advocacy groups for lung cancer, he wrote.

Kathy DeJoseph, 62, of suburban Atlanta, finally quit smoking after 40 years — to qualify for lung cancer surgery last year.

"I tried everything that came along, I just never could do it," even while having chemotherapy, she said.

It's a powerful addiction, she said: "I still every day have to resist wanting to go buy a pack."

___

Online:

American Cancer Society: http://www.cancer.org

National Cancer Institute: http://www.cancer.gov/cancertopics/tobacco/smoking and http://www.cancer.gov/cancertopics/types/lung

Medical journal: http://www.nejm.org

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Teen Planned to Attack Walmart After Killing Family

The New Mexico teenager who used an assault rifle to kill his mother, father and younger siblings told police he hoped to shoot up a Walmart after the family rampage and cause "mass destruction."

Police said they are also considering charging the shooter's 12-year-old girlfriend.

According to new information released by police today, Nehemiah Griego, the 15-year-old son of an Albuquerque pastor, had plans to kill his family, his girlfriend's family, and local Walmart shoppers for weeks before he acted on the impulse on Sunday.

"Nehemiah said after killing five of his family members he reloaded the weapons so that he could drive to a populated area to murder more people," a police report from the incident stated.

"Nehemiah stated he wanted to shoot people at random and eventually be killed while exchanging gunfire with law enforcement," the report said.

The shooting spree began shortly around 1 a.m. on Sunday, when Griego snuck into his parents' bedroom while his mother, Sara Griego, was asleep. There he raided the closet where the family kept their guns, and immediately used a .22 rifle to kill her, according to the Bernalillo County Sheriff's Department.

Griego's 9-year-old brother was sleeping with his mother at the time and woke up. When Griego told the boy his mother was dead, the youngster didn't believe him, according to a police report.

"So Nehemiah picked up his mother's head to show his brother her bloody face," the report states. "Nehemiah stated his brother became so upset so he shot his brother in the head."

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He then went into his sisters' bedroom. "Nehemiah stated when he entered he noticed that his sisters were crying and he shot them in the head," the police report states. The girls were 5 and 2 years old.

The teenager waited for his father to come from his overnight shift working at a nearby rescue mission. When his father, Greg Griego, walked into the home around 5 a.m., unaware of what had taken place, Griego shot him multiple times with the AR-15 rifle, Sheriff Dan Houston said today.

Greg Griego was a former church pastor at Calvary Church in Albuquerque, and worked as a chaplain at a local jail where he counseled convicts. The family was very involved in the church, according to its website.

The complaint said Griego took a photo of his dead mother and "sent it to his girlfriend."

Griego then packed up the guns, including two shotguns, as well as ammunition for the rifles, and planned to drive to a Walmart to shoot additional people.

Houston said today that Griego called his 12-year-old girlfriend Sunday and ended up spending the entire day with her rather than going to the Walmart. Around 8 p.m. on Sunday, the pair drove to Calvary Church, and Griego said his family had died in a car crash. Someone on the church's staff then called 911, Houston said.

"At this time, Nehemiah had been contemplating this for some time. The information that Nehemiah had contemplated going to the local Walmart and participating in a shooting in there is accurate," Houston said. "There is no information at all that he went to church to cause anyone bodily harm there. The suspect also contemplated killing his girlfriend's parents."

The girlfriend's name was not released, but police are investigating whether to press any charges against her, Houston said. Houston said she had some knowledge about the deaths during the day Sunday.

Griego told cops he sent a picture of his dead mother to his girlfriend after the murder.

Sheriff's deputies were dispatched to the Griego home around 9:15 p.m. on Sunday and arrived 10 minutes later, where they found the five bodies.

Griego lied to investigators about the attack, telling them he came home around 5 a.m. that morning and found his family dead. He said he then took the guns to protect himself.

Griego quickly admitted to the crime when pressed by police, telling investigators he was "frustrated" with his mother. Deputies said he was "unemotional" and "very stern" during the confession.

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Veteran BBC presenter Stuart Hall charged with rape

LONDON: British police on Tuesday charged veteran BBC broadcaster Stuart Hall with one offence of rape and 14 of indecent assault committed between 1967 and 1986.

The assaults involve 10 girls aged between nine and 16-years-old and the rape charge concerns a woman aged 22 when the alleged offence took place in 1976.

Lancashire Police arrested Hall earlier Tuesday after he attended a police station by appointment. He was bailed to appear before magistrates in Preston, northwest England, on February 7.

"Following consultation with the Crown Prosecution Service an 83-year-old man has this evening been charged with one offence of rape and 14 offences of indecent assault," a Lancashire Police statement said.

The presenter pleaded not guilty to three other charges of indecent assault when he appeared in court earlier this month, and will now answer those charges in crown court.

Hall has been a familiar face and voice in British broadcasting for half a century and was last year awarded an Order of the British Empire (OBE).

His eccentric and distinctive football match summaries have made him a cult figure on BBC radio.

Police have stressed that the charges against him are not part of the investigation into allegations of sexual abuse of children against the late BBC star Jimmy Savile.

-AFP/fl

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ADR empowers public with financial and criminal data on candidates

NEW DELHI: How many candidates from your constituency were history sheeters in the last election? How many had rape or murder charges against them? Were any of them crorepatis and did any make it to college? If voters today have the answers to these questions, it can be attributed to the work of the Association for Democratic Reforms.

This organization is behind the event that's now routine before every parliamentary and assembly election in India: the criminal past and financial assets of all contesting candidates are made public, igniting a national debate and allowing voters to make an informed choice.

A PIL filed by ADR in 1999 resulted in the landmark Supreme Court order of 2002, making it mandatory for all contesting candidates to file an affidavit with the Election Commission disclosing their criminal, financial and educational background before the election.

After the then government passed legislation undoing the order, ADR went back to the SC, which struck down the Act as unconstitutional and restored its order. ADR began to track the affidavits. Since 2002, its National Election Watch (NEW) programme has covered two Lok Sabha polls, and all state assemblies, as well as Delhi Municipal Corporation.

"We put out this information out in three ways: through a helpline that people can call, through SMA and through the media," says Anil Bairwal, ADR's national coordinator. A small organisation that employs less than 30, ADR works out of a small office in Delhi's Hauz Khas, its phones buzzing continuously and several young heads hunched over Excel spreadsheets.

Set up by a group of IIM professors in 1999, ADR aims to bring about greater transparency and accountability in the electoral process. It relies on a big network of partner organizations (almost 1,200) whose volunteers work for its NEW programme. Bairwal believes ADR has helped make issues of criminalization of politics and the growing power of money part of the national debate. Now it is trying to work with political parties to ensure better intra-party democracy. "All grassroots political workers support this. We need to build public pressure to get the people heading the parties to change their minds," says Bairwal.

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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."

___

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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Obama's 2nd Term: Whose Time Is 'Our Time'?

Jan 21, 2013 12:50pm

Jewel Samad/AFP/Getty Images

ANALYSIS By RICK KLEIN

President Obama used a brief pause in the partisan warfare that’s scarred his time in office to return to the ideals of the Declaration of Independence, with his own declaration of urgency and a call to action that reflects shared sacrifice and responsibility.

This was no centrist conciliator. It was the speech of a committed, unapologetic progressive, an Obama doctrine for domestic policy that included concrete commitments in areas he made little progress on over his first four years. Above all, he was speaking to a changing America – the nation that propelled him to a second term, and whose voices he will need to channel to be effective over the next four years.

“My fellow Americans, we are made for this moment, and we will seize it – so long as we seize it together,” the president declared.

That word “together” appeared seven times in the president’s speech. He used the phrase, “we, the people” five times. Notably, the president said “our time” five times. It was a clear signal that Obama is not satisfied with the frustrations that marked his first term, and that he is cognizant of his opportunity at this moment.

And he sees those opportunities mainly to his left. Obama made a firm commitment to pursue climate-change legislation, in addition to immigration reform and gun control. In an era of budget-cutting, he delivered a rousing endorsement of the social safety net, including Medicare and Social Security.

Obama cited the civil-rights movement and listed Stonewall – the 1960s demonstrations over a police raid of a New York City gay bar that galvanized the gay-rights movement – alongside Seneca Falls and Selma. He also promised equality for “our gay brothers and sisters,” apparently becoming the first president to use the word “gay” in an inaugural address.

Obama’s defining challenge as president has been to deliver on the hope and promise he rode into office on in 2008. He may never hope to fulfill the expectations that surrounded his elevation. But speaking to the largest crowd he’s likely to ever appear before again, the president sounded both more optimistic and more committed to progress on his priorities than anything in our current political system would suggest is warranted.

“Progress does not compel us to settle centuries-long debates about the role of government for all time, but it does require us to act in our time,” the president said.

For a president whose very inauguration speaks to the promise of America, but whose first term ended with so much frustration, it was a return to his roots. President Obama is cognizant of his role in history, though clearly not content with leaving it at that.

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Algeria vows to fight Qaeda after 38 workers killed

ALGIERS (Reuters) - Algeria's prime minister accused a Canadian of coordinating last week's raid on a desert gas plant and, praising the storming of the complex where 38 mostly foreign hostages were killed, he pledged to resist the rise of Islamists in the Sahara.

Algeria will never succumb to terrorism or allow al Qaeda to establish "Sahelistan", an Afghan-style power base in arid northwest Africa, Abdelmalek Sellal told a news conference in Algiers where he also said at least 37 foreign hostages died.

"There is clear political will," the prime minister said.

Claimed by an Algerian al Qaeda leader as a riposte to France's attack on his allies in neighboring Mali the previous week, the four-day siege drew global attention to Islamists in the Sahara and Sahel regions and brought promises of support to African governments from Western powers whose toppling of Libya's Muammar Gaddafi helped flood the region with weapons.

The attack on a valuable part of its vital energy industry raised questions about the security capacity of an establishment that took power from French colonists 50 years ago, held off a bloody Islamist insurgency in the 1990s and has avoided the democratic upheavals the Arab Spring brought to North Africa.

Sellal said a Canadian citizen whom he named only as Chedad, a surname found among Arabs in the region, was among 29 gunmen killed and added that he had "coordinated" the attack. Another three militants were taken alive and were in custody.

Among hostages confirmed dead by their own governments were three Americans, seven Japanese, six Filipinos and three Britons; others from Britain, Norway and elsewhere were listed as unaccounted for. Sellal said seven of the 37 foreign dead were unidentified, while a further five foreigners were missing.

Nearly 700 Algerians and 100 other foreigners survived.

An Algerian security source said investigators pursuing the possibility that the attackers had inside help to map the complex and gain entry were questioning at least two employees.

Prime Minister David Cameron told parliament in London that Britain would increase its help to Algeria's intelligence and security forces and might do more for France in Mali, though he ruled out sending many of its stretched armed forces to Africa.

Noting a shift in the source of threats to British interests from Afghanistan to Africa, he also noted Sellal's rundown of a multinational group of gunmen from across north and west Africa and said the region was becoming "a magnet for jihadists".

Alongside a "strong security response", however, he called for efforts to address long-standing grievances, such as poverty and political exclusion, which foster support for violence. Some militants in Algeria want autonomy for the south and complain of domination by an unchanging establishment in Algiers.

DEATH AND SURVIVAL

As Algerian forces combed the Tigantourine plant near the town of In Amenas for explosives and the missing, survivors and the bereaved told tales of terror, narrow escapes and of death.

"The terrorists lined up four hostages and assassinated them ... shot them in the head," a brother of Kenneth Whiteside told Sky News, in an account of the Briton's death given to the family by an Algerian colleague who witnessed it. "Kenny just smiled the whole way through. He'd accepted his fate."

Filipino survivor Joseph Balmaceda said gunmen used him for cover: "Whenever government troops tried to use a helicopter to shoot at the enemy, we were used as human shields."

Another Briton, Garry Barlow, called his wife from within the site before he was killed and said: "I'm sat here at my desk with Semtex strapped to my chest."

Several hostages died on Thursday when Algerian helicopters blasted jeeps in which the militants were trying to move them.

An Algerian security source had earlier told Reuters that documents found on the bodies of two militants had identified them as Canadians: "A Canadian was among the militants. He was coordinating the attack," Sellal said.

In Ottawa, Canada's foreign affairs department said it was seeking information. Security experts noted that some Canadian citizens had been involved with international militants before.

Officials have also named other militants in recent days as having leadership roles among the attackers. Veteran Islamist Mokhtar Belmokhtar claimed responsibility on behalf of al Qaeda.

In a video distributed on the Internet, the one-eyed veteran of Afghan wars of the 1980s, of Algeria's civil war and of the lucrative trans-Sahara cigarette smuggling trade, said: "We in al Qaeda announce this blessed operation."

Dressed in combat fatigues, Belmokhtar demanded an end to French attacks on Islamist fighters in Mali.

The jihadists had planned the attack two months ago in neighboring Mali, Sellal added. They had traveled from there through Niger and Libya, hence evading Algeria's strong security services, until close to In Amenas. Their aim, he said, had been to take foreign hostages to Mali, and they made a first attempt to take captives from a bus near the site early on Wednesday.

Normally producing 10 percent of Algeria's natural gas, the facility was shut down during the incident. The government said it aimed to reopen it this week, although officials at Britain's BP and Norway's Statoil, which operate the plant with Algeria's state energy firm, said the plans were not clear.

MALI CONFLICT

An Algerian newspaper said the jihadists had arrived in cars painted in the colors of Algerian state energy firm Sonatrach but registered in Libya, a country awash with weaponry since Western powers backed a revolt to oust Gaddafi in 2011.

Using his oil wealth, the Libyan dictator exercised a degree of influence in the region and the consequences of his death are still unfolding.

In a sign of the complexities wrought by the Arab Spring revolts, Egypt, a former military dictatorship now led by one of the generals' Islamist foes, criticized France's intervention in Mali on Monday. President Mohamed Mursi called instead for more spending to address rebels' grievances and warned that the military moves would "inflame the conflict in this region".

The bloodshed also increased the strains in Algeria's long fraught relations with Western powers, where some complained about being left in the dark while the decision to storm the compound was being taken.

But this week, Britain and France both defended the military action by Algeria, the strongest military power in the Sahara and an ally the West needs in combating the militants.

Chafik Mesbah, a former Algerian presidential security adviser, said: "The West did not criticize Algeria because it knows an assault was inevitable in the circumstances ... The victims were a minimum price to pay to solve the crisis."

(Writing by Alastair Macdonald; Editing by Mark Heinrich)

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DPM Teo urges Punggol East voters to do comparisons

SINGAPORE: Deputy Prime Minister Teo Chee Hean has urged voters of Punggol East to compare what the People's Action Party's (PAP's) candidate has to offer against what the other candidates in the by-election have for the ward.

Mr Teo said PAP's Dr Koh Poh Koon will work hard for residents and deliver the plans he has in mind to make Punggol East a better place.

Mr Teo, who was speaking to reporters after meeting parents and children at a kindergarten in Block 124, Rivervale, on Tuesday morning, was also asked for his views on how the campaign is shaping up.

He described it as a keenly-contested campaign, which Dr Koh and the PAP are taking very seriously.

Mr Teo said the party will reach out to every voter and wants to ensure that it serves residents well.

- CNA/al

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Tasar spins new work for tribals

PATNA: From soil to silk, tribals engaged in tasar sericulture now tread the full spectrum towards building sustainable livelihoods in Bihar's Banka and Jamui districts, hotbeds of naxal activity. The Central Silk Board (CSB) has been working with marginalized communities in these regions to draw women and young people into silk production, helping them make a better life for themselves.

Non-profit Pradhan was the agency that rolled out the programme, Swaranajayanti Gram Swarozgar Yojana (SGSY). CSB, set up in 1948, promotes tasar silk and works through micro-entrepreneurial models. Tasar silk is produced in Bihar, Jharkhand, Chhattisgarh, Madhya Pradesh, Orissa, Andhra and Maharashtra, and supports 2.5 lakh families in rural and semi-urban areas.

CSB's idea was to increase tribals' income, improve their lives and thereby help check migration to urban areas. CSB mooted the use of private wastelands to raise the plants that host silkworms. The project covered all stages of making silk: pre-cocoon, seed and post-cocoon. Kisan nurseries were set up to raise the host plants. Then block plantations of host plants were raised on 987 ha of private wastelands.

Rearer groups within Tasar Vikas Samitis then formed district-level cooperatives. Women reeler-spinners were grouped into Masuta Producers Company, an all-women tasar-yarn producers' collective. In the process, 3,526 people formed 57 activity groups, 24 producer organizations, one cooperative with 2,000 stakeholders and a producer company. Today, CSB's project has supported 11,000 beneficiaries since it began in 2003-04.

CSB also pitched in with technology to boost production. Traditionally, women used earthen pots (matka yarn) and wooden charkha to spin cocoons, a tedious process. Motored reeling-cum-twisting and spinning machines were distributed. But there was a problem. The CSB's machine ran on a 75-watt motor and most of the villages in Bihar's Banka district are power-starved. So, a 'modified' charkha was used to spin the tasar yarn and solar-powered reeling machines were developed.

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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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