OB/GYNs back over-the-counter birth control pills

WASHINGTON (AP) — No prescription or doctor's exam needed: The nation's largest group of obstetricians and gynecologists says birth control pills should be sold over the counter, like condoms.

Tuesday's surprise opinion from these gatekeepers of contraception could boost longtime efforts by women's advocates to make the pill more accessible.

But no one expects the pill to be sold without a prescription any time soon: A company would have to seek government permission first, and it's not clear if any are considering it. Plus there are big questions about what such a move would mean for many women's wallets if it were no longer covered by insurance.

Still, momentum may be building.

Already, anyone 17 or older doesn't need to see a doctor before buying the morning-after pill — a higher-dose version of regular birth control that can prevent pregnancy if taken shortly after unprotected sex. Earlier this year, the Food and Drug Administration held a meeting to gather ideas about how to sell regular oral contraceptives without a prescription, too.

Now the influential American College of Obstetricians and Gynecologists is declaring it's safe to sell the pill that way.

Wait, why would doctors who make money from women's yearly visits for a birth-control prescription advocate giving that up?

Half of the nation's pregnancies every year are unintended, a rate that hasn't changed in 20 years — and easier access to birth control pills could help, said Dr. Kavita Nanda, an OB/GYN who co-authored the opinion for the doctors group.

"It's unfortunate that in this country where we have all these contraceptive methods available, unintended pregnancy is still a major public health problem," said Nanda, a scientist with the North Carolina nonprofit FHI 360, formerly known as Family Health International.

Many women have trouble affording a doctor's visit, or getting an appointment in time when their pills are running low — which can lead to skipped doses, Nanda added.

If the pill didn't require a prescription, women could "pick it up in the middle of the night if they run out," she said. "It removes those types of barriers."

Tuesday, the FDA said it was willing to meet with any company interested in making the pill nonprescription, to discuss what if any studies would be needed.

Then there's the price question. The Obama administration's new health care law requires FDA-approved contraceptives to be available without copays for women enrolled in most workplace health plans.

If the pill were sold without a prescription, it wouldn't be covered under that provision, just as condoms aren't, said Health and Human Services spokesman Tait Sye.

ACOG's opinion, published in the journal Obstetrics & Gynecology, says any move toward making the pill nonprescription should address that cost issue. Not all women are eligible for the free birth control provision, it noted, citing a recent survey that found young women and the uninsured pay an average of $16 per month's supply.

The doctors group made clear that:

—Birth control pills are very safe. Blood clots, the main serious side effect, happen very rarely, and are a bigger threat during pregnancy and right after giving birth.

—Women can easily tell if they have risk factors, such as smoking or having a previous clot, and should avoid the pill.

—Other over-the-counter drugs are sold despite rare but serious side effects, such as stomach bleeding from aspirin and liver damage from acetaminophen.

—And there's no need for a Pap smear or pelvic exam before using birth control pills. But women should be told to continue getting check-ups as needed, or if they'd like to discuss other forms of birth control such as implantable contraceptives that do require a physician's involvement.

The group didn't address teen use of contraception. Despite protests from reproductive health specialists, current U.S. policy requires girls younger than 17 to produce a prescription for the morning-after pill, meaning pharmacists must check customers' ages. Presumably regular birth control pills would be treated the same way.

Prescription-only oral contraceptives have long been the rule in the U.S., Canada, Western Europe, Australia and a few other places, but many countries don't require a prescription.

Switching isn't a new idea. In Washington state a few years ago, a pilot project concluded that pharmacists successfully supplied women with a variety of hormonal contraceptives, including birth control pills, without a doctor's involvement. The question was how to pay for it.

Some pharmacies in parts of London have a similar project under way, and a recent report from that country's health officials concluded the program is working well enough that it should be expanded.

And in El Paso, Texas, researchers studied 500 women who regularly crossed the border into Mexico to buy birth control pills, where some U.S. brands sell over the counter for a few dollars a pack. Over nine months, the women who bought in Mexico stuck with their contraception better than another 500 women who received the pill from public clinics in El Paso, possibly because the clinic users had to wait for appointments, said Dr. Dan Grossman of the University of California, San Francisco, and the nonprofit research group Ibis Reproductive Health.

"Being able to easily get the pill when you need it makes a difference," he said.

___

Online:

OB/GYN group: http://www.acog.org

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Bus Explodes in Tel Aviv Amid Truce Talks













A bomb exploded on an Israeli bus near the nation's military headquarters in Tel Aviv, wounding at least 10 people, Israeli officials said today.


The bus exploded about noon local time Wednesday in one of the city's busiest areas, near the Tel Aviv museum. Police spokesman Micky Rosenfeld said authorities were investigating whether the bomb had been planted and left on the bus or whether it was the work of a suicide bomber. This is the first terror attack in Israel since 2006.


Upon landing in Cairo to meet with Egyptian President Mohamed Morsi, Secretary of State Hillary Clinton released a statement condemning the attack.


"The United States strongly condemns this terrorist attack and our thoughts and prayers are with the victims and the people of Israel. As I arrive in Cairo, I am closely monitoring reports from Tel Aviv, and we will stay in close contact with Prime Minister Netanyahu's team. The United States stands ready to provide any assistance that Israel requires," she said.


Overnight, the violence between Israel and the neighboring Gaza Strip continued as Israeli aircraft pounded Gaza with dozens of strikes, hitting government ministries, underground tunnels, a banker's empty villa and a Hamas-linked media office. Gaza health officials said there were no deaths or injuries.










Clinton on Mideast Ceasefire: 'America's Commitment to Israel's Security Is Rock Solid' Watch Video







The Israeli Defense Force said they've now destroyed 50 underground rocket launching sites in Gaza. The IDF also said that two rockets were fired from Gaza toward densely populated areas in Israel, but were intercepted by the "Iron Dome" missile shield.


In Gaza at least four strikes within seconds of each other pulverized a complex of government ministries the size of a city block, rattling nearby buildings and shattering windows. Hours later, clouds of acrid dust still hung over the area and smoke still rose from the rubble.


In downtown Gaza City, another strike leveled the empty, two-story home of a well-known banker and buried a police car parked nearby in rubble.


Clinton met with Palestinian President Abbas in Ramallah early Wednesday to try to help broker a truce between Israel and Hamas in the Gaza Strip to end a week of tit-for-tat missile and rocket fire.


Israel and the Hamas militant group seemed to edge closer to a ceasefire Tuesday to end a weeklong Israeli offensive in the Gaza Strip, but after a day of furious diplomatic efforts, a deal remained elusive and fighting raged on both sides of the border.


Israeli officials told ABC News that a window of opportunity for a deal could close, if Hamas refuses to agree to a long-term ceasefire. That ceasefire would be measured in years, not months. Hamas is demanding that Israel loosen its iron grip on Gaza's borders and ease its maritime blockade.


On Tuesday, Clinton met with Israeli Prime Minister Benjamin Netanyahu for more than two hours behind closed doors, saying she sought to "de-escalate the situation in Gaza." Clinton hinted it would take some time to finally reach an agreement.


The meeting came amid statements from Hamas earlier in the day that a ceasefire would soon be announced.
Netanyahu said he would prefer to use "diplomatic means" to find a solution to the fighting, but that Israel would take "whatever actions necessary" to defend its people.


Clinton relayed a message from President Obama, reinforcing America's commitment to Israel's security and calling for an end to the rockets coming from "terrorist organizations in Gaza."






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Gaza shakes, bus explodes in Tel Aviv as Clinton seeks truce

GAZA/JERUSALEM (Reuters) - U.S. Secretary of State Hillary Clinton on Wednesday pursued a Gaza truce, with Israel and Hamas still at odds over key terms, as Israeli air strikes shook the enclave and a bomb exploded on a Tel Aviv bus.


After talks in Ramallah with Palestinian President Mahmoud Abbas, Clinton held a second meeting with Israeli Prime Minister Benjamin Netanyahu before travelling to Egypt for discussions with President Mohamed Mursi, whose country is the main broker in efforts to end eight days of fighting.


In Tel Aviv, targeted by rockets from Gaza that either did not hit the city or were shot down by Israel's Iron Dome interceptor system, 15 people were wounded when a commuter bus was blown up near the Defence Ministry and military headquarters.


Israel and the United States branded it a terrorist attack, and a White House statement reaffirmed Washington's "unshakeable commitment to Israel's security".


The explosion, which police said was caused by a bomb placed on the vehicle, touched off celebratory gunfire from militants in Gaza and threatened to complicate truce efforts.


Israel's best-selling Yedioth Ahronoth newspaper said an emerging outline of a ceasefire agreement called for Egypt to announce a 72-hour ceasefire followed by further talks on long-term understandings.


Under the proposed document, which the newspaper said neither party would be required to sign, Israel would hold its fire, end attacks against top militants and promise to examine ways to ease its blockade of Gaza, controlled by Hamas Islamists who do not recognize the Jewish state's right to exist.


Hamas, the report said, would pledge not to strike any Israeli target and ensure other Palestinian factions in the Gaza Strip also stop their attacks.


GAZA BLOCKADE


An Israeli political source said differences holding up a deal centered on a Hamas demand to lift the Gaza blockade completely and the kind of activity that would be allowed along the frontier, where Israeli troops often fire into the enclave to keep Palestinians away from an area near a border fence.


Hamas official Ezzat al-Rishq said the main stumbling block was "the temporary timeframe for a ceasefire that the Israelis want us to agree to".


While diplomatic efforts continued, Israel struck more than 100 targets in Gaza, including a cluster of Hamas government buildings, in attacks that medical officials said killed 10 people, among them a 2-year-old boy.


Palestinians militants fired more than 30 rockets at Israel, causing no casualties, and the Iron Dome interceptor system shot down 14 of them, police said.


Israel has carried out more than 1,500 strikes since the offensive began with the killing of a top Hamas commander and with declared aim of deterring Hamas from launching rocket attacks that have long disrupted life in its southern towns.


Medical officials in Gaza said 144 Palestinians, more than half of them civilians, including 36 children, have been killed in Israel's offensive. Nearly 1,400 rockets have been fired into Israel, killing four civilians and a soldier, the military said.


"GOOD INTENTIONS"


The London-based Al Hayat newspaper, citing sources in Hamas and Islamic Jihad, said Israel wanted a 90-day period to determine "good intentions" before discussing Palestinian demands, a position the report said the groups have rejected.


Rishq said a short-term truce, whose proposed duration he did not disclose, "would only buy (Israel) time" until a general election in January and "we would have accomplished nothing in the way of a long-term truce".


Hamas sources said the group was also demanding control over Gaza's Rafah borders with Egypt, so that Palestinians could cross easily, and Israeli guarantees to stop assassinating Hamas leaders.


Israel, one of the Hamas sources said, wanted a commitment from the group to stop smuggling through tunnels that run into Gaza under the Egyptian border. The tunnel network is a conduit for weapons and commercial goods.


News of the Tel Aviv bus bombing, the first serious blast in Israel's commercial capital since 2006, caused oil prices to rise by more than $1 per barrel on concerns the Gaza crisis could lead to wider regional conflict that would disrupt oil flows.


Clinton, who flew to the region from an Asian summit, said after Tuesday's meeting with Netanyahu that it was "essential to de-escalate the situation".


"The rocket attacks from terrorist organizations inside Gaza on Israeli cities and towns must end and a broader calm restored," she said.


Clinton earlier assured Netanyahu of "rock-solid" U.S. support for Israel's security, and praised Mursi's "personal leadership and Egypt's efforts thus far" to end the Gaza conflict and promote regional stability.


"As a regional leader and neighbor, Egypt has the opportunity and responsibility to continue playing a crucial and constructive role in this process. I will carry this message to Cairo tomorrow (Wednesday)," she said, pledging to work for a truce "in the days ahead".


"LONG-TERM" SOLUTION


Netanyahu told Clinton he wanted a "long-term" solution. Failing that, Netanyahu made clear, that he stood ready to step up the military campaign to silence Hamas' rockets.


"A band-aid solution will only cause another round of violence," said Ofir Gendelman, a Netanyahu spokesman.


Along the Gaza border, Israeli tanks, artillery and infantry remained poised for a possible ground offensive in the densely populated enclave of 1.7 million Palestinians.


But an invasion, likely to entail heavy casualties, would be a major political risk for Netanyahu, who is currently favored to win the upcoming Israeli election. More than 1,400 Palestinians were killed in Israel's three-week war in the Gaza Strip in 2008-9, prompting international criticism of Israel.


In the West Bank city of Ramallah, Clinton held talks with Palestinian President Abbas, reiterating U.S. opposition to his bid to upgrade the Palestinians' status at the United Nations. State Department spokeswoman Victoria Nuland said Washington believed "the best way to achieve statehood is through direct bilateral negotiations". Those talks collapsed in 2010 in a dispute over Israeli settlement building in the West Bank.


"Secretary Clinton informed the president that the U.S. administration is exerting every possible effort to reach an immediate ceasefire and the president expressed his full support for this endeavor," said Palestinian chief negotiator Saeb Erekat.


"Once the Israelis accept to stop their bombardments, their assassinations, there will be a comprehensive ceasefire sustained from all parties," Erekat said.


A Palestinian official with knowledge of Cairo's mediation told Reuters that Egyptian intelligence officials would hold further discussions on Wednesday with leaders of Hamas and the Islamic Jihad group.


(Additional reporting by Ari Rabinovitch in Jerusalem and Cairo bureau; Writing by Jeffrey Heller; Editing by Giles Elgood)

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S'pore named most business-friendly for seven consecutive years






SINGAPORE: Singapore has been named the most business-friendly economy for the seventh consecutive year.

Meanwhile, the country was ranked fifth out of 185 economies surveyed where paying taxes is easy, according to a report by the World Bank, the International Financial Corporation (IFC) and PricewaterhouseCoopers (PwC).

A medium-sized firm in Singapore is subject to an average total tax rate of 27.6 percent.

This is significantly lower than the total tax rate of 36.4 percent for the Asia Pacific region and the world average of 44.7 percent.

Released in Singapore on Wednesday, Paying Taxes 2013 is an annual study measuring all mandatory taxes and contributions that a medium-sized firm must pay in a given year.

Singapore has a stable and simple tax system, with a low number of compliance hours and few tax payments a year.

Ms Josephine Teo, Minister of State for Transport and Finance said: "Singapore sees this as a source of competitive advantage, not only to keep our tax rates low but at the same time, make tax administration efficient for businesses operating here."

Meanwhile, the Singapore government has put in place initiatives to reduce compliance costs and improve productivity.

These include a co-funding scheme to help companies review their Goods and Service Tax (GST) control framework, which is estimated that a company can potentially save up to S$150,000 under this programme, as well as a simplified tax return form to reduce the time to comply for smaller businesses.

But experts said Singapore's range of tax incentives may increase tax administration burdens, particularly for smaller firms.

David Sandison, tax partner at PwC Singapore said: "We see this particularly in areas in productivity and the innovation credit scheme where some local businesses are finding it difficult to comply and understand and therefore, they're not taking advantage of things that are on offer."

The authorities will need to keep an eye on the compliance burden of companies when implementing tax reforms.

According to the study, Singapore's current ranking may drop in future rankings as other economies are making broader-based tax policy changes.

- CNA/lp



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Expedite decision on Afzal Guru: Digvijaya Singh

NEW DELHI/AHMEDABAD: Calls for speedy hanging of 2001 Parliament attack death row convict Afzal Guru grow louder after the execution of Ajmal Kasab today with opposition BJP leading the charge. Congress general secretary Digvijaya Singh also wanted the government to "expedite" the decision on the issue of Afzal Guru, who was sentenced to death in 2004.

President Pranab Mukherjee, meanwhile, returned seven mercy petitions, including that of Guru, for consideration of the Union home ministry. Official sources said it was a normal procedure for the President to refer all pending mercy petitions for consideration to a new home mMinister after he takes charge. Since Sushilkumar Shinde took charge as a home minister on August 1, the seven mercy petitions, including that of Guru, were sent to him for consideration, they said. Shinde himself refused to say anything on when a decision on Guru would be taken, hours after the operation to execute the lone surviving Pakistani gunman in the Mumbai attack was carried out in secrecy.

"What about Afzal Guru, who attacked Parliament, our temple of democracy, in 2001? That offence predates Kasab's heinous act by many years," BJP leader and Gujarat Chief Minister Narendra Modi tweeted. On Kasab's hanging, BJP president Nitin Gadkari said it had been delayed and asked why Guru had not been sent to the gallows yet. "Kasab has been hanged. But it has taken a lot of time. I want to ask the UPA government why Parliament attack accused Afzal Guru has not been hanged even 10 years after the incident ... Will this government implement the Supreme Court verdict on Afzal Guru. This government should clarify," Gadkari said at a rally in Delhi.

He also accused Congress of doing vote bank politics. Welcoming the execution of Kasab, Congress general secretary Digvijaya Singh hoped the government would now pursue the case against the handlers in Pakistan as also expedite the decision on Guru.

"I welcome it. Now the government of India should pursue the case against the handlers in Pakistan. They should expedite the decision on Afzal Guru," Singh said. Seven people were killed in the Parliament attack during which five militants were also eliminated.

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New push for most in US to get at least 1 HIV test

WASHINGTON (AP) — There's a new push to make testing for the AIDS virus as common as cholesterol checks.

Americans ages 15 to 64 should get an HIV test at least once — not just people considered at high risk for the virus, an independent panel that sets screening guidelines proposed Monday.

The draft guidelines from the U.S. Preventive Services Task Force are the latest recommendations that aim to make HIV screening simply a routine part of a check-up, something a doctor can order with as little fuss as a cholesterol test or a mammogram. Since 2006, the Centers for Disease Control and Prevention also has pushed for widespread, routine HIV screening.

Yet not nearly enough people have heeded that call: Of the more than 1.1 million Americans living with HIV, nearly 1 in 5 — almost 240,000 people — don't know it. Not only is their own health at risk without treatment, they could unwittingly be spreading the virus to others.

The updated guidelines will bring this long-simmering issue before doctors and their patients again — emphasizing that public health experts agree on how important it is to test even people who don't think they're at risk, because they could be.

"It allows you to say, 'This is a recommended test that we believe everybody should have. We're not singling you out in any way,'" said task force member Dr. Douglas Owens of Stanford University and the Veterans Affairs Palo Alto Health Care System.

And if finalized, the task force guidelines could extend the number of people eligible for an HIV screening without a copay in their doctor's office, as part of free preventive care under the Obama administration's health care law. Under the task force's previous guidelines, only people at increased risk for HIV — which includes gay and bisexual men and injecting drug users — were eligible for that no-copay screening.

There are a number of ways to get tested. If you're having blood drawn for other exams, the doctor can merely add HIV to the list, no extra pokes or swabs needed. Today's rapid tests can cost less than $20 and require just rubbing a swab over the gums, with results ready in as little as 20 minutes. Last summer, the government approved a do-it-yourself at-home version that's selling for about $40.

Free testing is available through various community programs around the country, including a CDC pilot program in drugstores in 24 cities and rural sites.

Monday's proposal also recommends:

—Testing people older and younger than 15-64 if they are at increased risk of HIV infection,

—People at very high risk for HIV infection should be tested at least annually.

—It's not clear how often to retest people at somewhat increased risk, but perhaps every three to five years.

—Women should be tested during each pregnancy, something the task force has long recommended.

The draft guidelines are open for public comment through Dec. 17.

Most of the 50,000 new HIV infections in the U.S. every year are among gay and bisexual men, followed by heterosexual black women.

"We are not doing as well in America with HIV testing as we would like," Dr. Jonathan Mermin, CDC's HIV prevention chief, said Monday.

The CDC recommends at least one routine test for everyone ages 13 to 64, starting two years younger than the task force recommended. That small difference aside, CDC data suggests fewer than half of adults under 65 have been tested.

"It can sometimes be awkward to ask your doctor for an HIV test," Mermin said — the reason that making it routine during any health care encounter could help.

But even though nearly three-fourths of gay and bisexual men with undiagnosed HIV had visited some sort of health provider in the previous year, 48 percent weren't tested for HIV, a recent CDC survey found. Emergency rooms are considered a good spot to catch the undiagnosed, after their illnesses and injuries have been treated, but Mermin said only about 2 percent of ER patients known to be at increased risk were tested while there.

Mermin calls that "a tragedy. It's a missed opportunity."

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Clinton Heading to Middle East to Meet With Leaders













Secretary of State Hillary Clinton is headed to the Middle East with the hope that she can help bring an end to the escalating violence that has gripped the region for the last week.


Clinton is scheduled to arrive in Jerusalem later tonight to meet with Israel Prime Minister Benjamin Netanyahu, according to Deputy National Security Advisor Ben Rhodes. Clinton will also meet with Palestinian officials in Ramallah before heading to Cairo to meet with leaders in Egypt.


A senior Israeli government official told ABC News that Netanyahu has decided to hold off on a ground invasion for a "limited time" in favor of a diplomatic solution.


Overnight, Israeli jets hit more than 100 targets, killing five people. Gaza militants blasted more than 60 rockets in retaliation, with one of them hitting a bus in southern Israel.


Click HERE for Photos from Airstrikes and Rocket Attacks in the Middle East


An Israeli man armed with an axe and knife stabbed a guard at the U.S. Embassy in Tel Aviv. The guard was wounded in the attack, but expected to live. Police apprehended the man at the scene, police said.


The man, in his early 40s, attacked the guard outside the embassy gates, police spokesman Micky Rosenfeld told The Associated Press. He said the man's motive was unknown, but political motives were not suspected and the incident had nothing to do with Israel's battle with Hamas militants in the Gaza Strip.








Israeli-Palestinian Conflict: Families Pray for Ceasefire Watch Video









Middle East on the Brink: Israel Prepared to Invade Gaza Watch Video









Gaza Violence: More Missiles Fired, Death Toll Rises Watch Video





"It's in nobody's interest to see this escalate," Rhodes said at a press conference in Phnom Penh, Cambodia, where President Obama is attending the East Asia Summit.


Clinton, who was with Obama on his trip to Southeast Asia, hastily departed from Cambodia for the Middle East following the announcement.


A State Department official tells ABC News that Clinton's visit "will build on American engagement with regional leaders over the past days."


A White House official said they believe face-to-face diplomacy could help, but no concrete details were offered.


President Obama was on the phone until 2:30 a.m. local time with leaders in the region trying to de-escalate the violence, Rhodes told reporters. The president spoke with Netanyahu and Egyptian President Morsi on Monday as well.


"To date, we're encouraged by the cooperation and the consultation we've had with the Egyptian leadership. We want to see that, again, support a process that can de-escalate the situation," Rhodes said. "But again, the bottom line still remains that Hamas has to stop this rocket fire."


Rhodes insisted that Palestinian officials need to be a part of the discussions to end the violence and rocket fire coming out of the Hamas-ruled territory.


"The Palestinian Authority, as the elected leaders of the Palestinian people, need to be a part of this discussion," Rhodes said. "And they're clearly going to play a role in the future of the Palestinian people—a leading role."


With the death toll rising, Egypt accelerated efforts to broker a cease-fire Monday. Anger boiled over in Gaza as the death toll passed 100 and the civilian casualties mounted. Volleys of Palestinian militant rockets flew into Israel as Israeli drones buzzed endlessly overhead and warplanes streaked through the air to unleash missile strikes.


An Israeli strike on a Gaza City high-rise Monday killed Ramez Harb, one of the top militant leaders of Islamic Jihad, the Palestinian militant group said.


It is also the second high profile commander taken out in the Israeli offensive, which began seven days ago with a missile strike that killed Ahmed Jibari, Hamas' top military commander.


ABC News' Reena Ninan, Dana Hughes, Mary Bruce and Matt Gutman contributed to this report.



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Truce mediator Egypt sees imminent end to Gaza conflict

GAZA/JERUSALEM (Reuters) - Egypt's president predicted on Tuesday that Israel's Gaza offensive would end later in the day, Egyptian state media said, as U.S. Secretary of State Hillary Clinton headed to the region to try to calm the conflict.


"President Mohamed Mursi announced that the farce of Israeli aggression against the Gaza Strip will end on Tuesday," the MENA news agency and state TV reported, quoting public remarks he made after the funeral of his sister.


Egypt, led by an Islamist government allied with Gaza's ruling Hamas movement and at peace with Israel, has been trying to broker a ceasefire in hostilities now in their seventh day.


MENA quoted Mursi as saying "the efforts to conclude a truce between the Palestinian and Israeli sides will produce positive results in the next few hours".


While efforts mounted to stop the fighting and avert a possible Israeli ground invasion of the densely populated Gaza Strip, Israel pressed on with air strikes and Palestinian rockets flashed across the border.


Jerusalem was targeted for the second time since Israel launched the air offensive with the declared aim of deterring Palestinian militants from carrying out cross-border attacks that have plagued its south for years.


The rocket, which fell harmlessly in the occupied West Bank, triggered warning sirens in the holy city about the time U.N. Secretary-General Ban Ki-moon arrived in Jerusalem from talks in Cairo, where he had held discussions on a truce.


Israel's military on Tuesday targeted about 100 sites in Gaza, including ammunition stores and the Gaza headquarters of the National Islamic Bank. Gaza's Hamas-run Health Ministry said six Palestinians were killed.


Israeli police said more than 150 rockets were fired from Gaza by late afternoon, many of them intercepted by Israel's Iron Dome system. Ten people were wounded in Israel, the military and an ambulance service said.


Some 115 Palestinians have died in a week of fighting, the majority of them civilians, including 27 children, hospital officials said. Three Israelis died last week when a rocket from Gaza struck their house.


Israel's leaders weighed the benefits and risks of sending tanks and infantry into the Gaza Strip two months before an Israeli election, and indicated they would prefer a diplomatic path backed by world powers, including U.S. President Barack Obama, the European Union and Russia.


Clinton was going to the Middle East for talks in Jerusalem, Ramallah and Cairo. An Israeli source said she was expected to meet Netanyahu on Wednesday.


"Her visits will build on American engagement with regional leaders over the past days - including intensive engagement by President Obama with Prime Minister Netanyahu and President Mursi - to support de-escalation of violence and a durable outcome that ends the rocket attacks on Israeli cities and towns and restores a broader calm," a State Department official said.


In Cairo, Ban called for an immediate ceasefire and said an Israeli ground operation in Gaza would be a "dangerous escalation" that must be avoided.


He met in Cairo with Arab League chief Nabil Elaraby and Egyptian Prime Minister Hisham Kandil before travelling to Israel for discussions with Netanyahu. Ban planned to return to Egypt on Wednesday to see Mursi.


NEXT MOVES


Netanyahu and his top ministers debated their next moves in a meeting that lasted into the early hours of Tuesday.


"Before deciding on a ground invasion, the prime minister intends to exhaust the diplomatic move in order to see if a long-term ceasefire can be achieved," a senior Israeli official, speaking on condition of anonymity, said after the meeting.


Hamas leader Khaled Meshaal said on Monday that Israel must halt what he described as its attack on the Gaza Strip and lift the blockade of the Palestinian territory in exchange for a truce.


In the Gaza Strip on Tuesday, Hamas executed six alleged collaborators, whom a security source quoted by the Hamas Aqsa radio "were caught red-handed" with "filming equipment to take footage of positions". The radio said they were shot.


A delegation of nine Arab ministers, led by the Egyptian foreign minister, visited Gaza in a further signal of heightened Arab solidarity with the Palestinians.


Fortified by the ascendancy of fellow Islamists in Egypt and elsewhere, and courted by Sunni Arab leaders in the Gulf keen to draw the Palestinian group away from old ties to Shi'ite Iran, Hamas has tested its room for maneuver, as well as longer-range rockets that have also reached the Tel Aviv metropolis.


Egypt, Gaza's other neighbor and the biggest Arab nation, has been a key player in efforts to end the most serious fighting between Israel and Palestinian militants since a three-week Israeli invasion of the enclave in the winter of 2008-9.


The ousting of U.S. ally Hosni Mubarak and the election of Mursi is part of a dramatic reshaping of the Middle East wrought by Arab uprisings and now affecting the Israeli-Palestinian conflict.


Mursi, whose Muslim Brotherhood was mentor to the founders of Hamas, on Monday took a call from Obama, who told him Hamas must stop rocket fire into Israel - effectively endorsing Israel's stated aim in launching the offensive last week. Obama also said he regretted civilian deaths - which have been predominantly among the Palestinians.


Mursi has warned Netanyahu of serious consequences from an invasion of the kind that killed more than 1,400 people in Gaza four years ago. But he has been careful not to alienate Israel, with whom Egypt's former military rulers signed a peace treaty in 1979, or Washington, a major aid donor to Egypt.


Addressing troops training in southern Israel, Defence Minister Ehud Barak said: "Hamas will not disappear but the memory of this experience will remain with it for a very long time and this is what will restore deterrence."


But he said: "Quiet has not yet been achieved and so we are continuing (the offensive) ... there are also diplomatic contacts -- ignore that, you are here so that if the order for action must be given - you will act."


Hamas said four-year-old twin boys had died with their father when their house in the town of Beit Lahiya was struck from the air during the night. The children's mother was critically wounded, and neighbors said the occupants were not involved with militant groups.


Israel had no immediate comment on that attack. It says it takes extreme care to avoid civilians and accuses Hamas and other militant groups of deliberately placing Gaza's 1.7 million people in harm's way by placing rocket launchers among them.


Nonetheless, fighting Israel, whose right to exist Hamas refuses to recognize, is popular with many Palestinians and has kept the movement competitive with the secular Fatah movement of Palestinian President Mahmoud Abbas, who remains in the West Bank after losing Gaza to Hamas in a civil war five years ago.


"Hamas and the others, they're our sons and our brothers, we're fingers on the same hand," said 55-year-old Faraj al-Sawafir, whose home was blasted by Israeli forces. "They fight for us and are martyred, they take losses and we sacrifice too."


Along Israel's sandy, fenced-off border with the Gaza Strip, tanks, artillery and infantry massed in field encampments awaiting any orders to go in. Some 45,000 reserve troops have been called up since the offensive was launched.


Israel's shekel rose on Tuesday for a second straight session while Tel Aviv shares gained for a third day in a row on what dealers attributed to investor expectations that a ceasefire deal was imminent.


(Additional reporting by Marwa Awad in Cairo, Writing by Jeffrey Heller; Editing by Giles Elgood)


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Renault recalls more than 6,000 Twizy electric cars






PARIS: French automaker Renault said on Tuesday it was recalling three quarters of its Twizy electric cars sold in Europe to rectify potential problems with brake fluid leaks.

A Renault spokesman said 6,247 Twizy vehicles, made between January 27 and May 1 of this year, were affected by the recall.

Most of the vehicles were sold in France and Germany, as well as in Switzerland.

"This is a preemptive recall," the spokesman said, adding that a single case of a brake fluid leak had been detected, without incident.

- AFP/lp



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SC pulls up Jayalalithaa for filing 4 nominations in 2001

NEW DELHI: The Supreme Court today pulled up Tamil Nadu Chief Minister Jayalalithaa for filing four nominations during the 2001 Assembly polls.

"You had held top post in the state and held post only below to his excellency. You are a public figure in the state and you run a party. How can you do this?" a Bench of Justices H L Dattu and C K Prasad said while hearing a plea of the AIADMK chief seeking quashing of criminal proceedings against her for filing four nominations.

She had approached the apex court challenging Madras High Court's order directing the Election Commission to register a case against her in a magistrate court but the proceedings were stayed by the Supreme Court in July 2007.

The apex court also criticised the Returning Officer (RO) of the Election Commission for not initiating proceedings against her after she filed multiple nomination papers.

"Here is the Returning Officer who wanted to tow the line of this lady," the bench observed.

The bench also said that the High Court was not right in directing the Election Commission to register the case and it should have just directed the RO to re-examine the issue.

Senior advocate U U Lalit, appearing for the Chief Minister, submitted there was no suppression of facts on her part and she had revealed all informations in her nomination paper.

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