Egypt's Mursi back at palace after night of protests


CAIRO (Reuters) - Egyptian President Mohamed Mursi returned to work on Wednesday a day after slipping out of his palace when it came under siege from protesters furious at his drive to push through a new constitution after temporarily expanding his own powers.


The Health Ministry said 35 protesters were wounded and the Interior Ministry said 40 policemen were hurt in clashes around the presidential palace on Tuesday. While they fired tear gas when protesters breached barricades to reach the palace walls, riot police appeared to handle the disturbance with restraint.


A presidential source said Mursi was back in his office even though up to 200 demonstrators had camped out near one entrance to the palace in the northern Cairo district of Heliopolis overnight. Traffic was flowing normally in the area where thousands of people had protested the night before, and riot police had been withdrawn, a Reuters witness said.


The rest of the Egyptian capital Cairo was calm, despite the political furore over Mursi's November 22 decree handing himself wide powers and shielding his decisions from judicial oversight.


The Islamist leader says he acted to prevent courts from derailing a newly drafted constitution that will go to a referendum on December 15, after which Mursi's decree will lapse.


"Our demands from the president: retract the presidential decree and cancel the referendum on the constitution," read a placard hung by demonstrators on a palace gate.


The crowds had gathered in what organizers had dubbed a "last warning" to Mursi. "The people want the downfall of the regime!" they chanted, roaring the signature slogan of last year's uprising that ousted President Hosni Mubarak.


But the "last warning" may turn out to be one of the last gasps for a disparate opposition which has little chance of stopping next week's vote on a constitution drafted over six months and swiftly approved by an Islamist-dominated assembly.


Facing the gravest crisis of his six-month-old tenure, the Islamist president has shown no sign of buckling under pressure, confident that the Muslim Brotherhood and its Islamist allies can win the referendum and a parliamentary election to follow.


Many Egyptians yearn for an end to political upheaval that has scared off investors and tourists, worsening an economic crisis.


COURT PROTEST


Dozens of pro-Mursi demonstrators, watched by equal numbers of police, waved flags outside the Supreme Constitutional Court, whose rulings have complicated the Islamists' rise to power.


"You are not a political agency," read one banner held by the demonstrators, addressing a court that in June ordered the dissolution of the Islamist-led lower house of parliament.


Mursi issued his November 22 decree temporarily putting his actions above the law to forestall any court ruling to dissolve the upper house or the assembly that wrote the constitution.


Now that the document has been approved and preparations for the referendum are under way, it is not clear whether the president might roll back his decree as a sop to the opposition.


State institutions, with the partial exception of the judiciary, have mostly fallen in behind Mursi, who emerged from the Muslim Brotherhood to win a free election in June.


The army, which backed all Egypt's previous presidents in the republic's six-decade history, has gone back to barracks, having apparently lost its appetite to intervene in politics.


In a bold move, Mursi sacked Mohamed Hussein Tantawi, the Mubarak-era army commander and defense minister, in August and removed the sweeping powers that the military council which took over after Mubarak's fall had grabbed two months earlier.


The liberals, leftists, Christians, ex-Mubarak followers and others opposed to the president who was narrowly elected in June against a secular rival have yet to generate a mass movement or a grassroots political base to challenge the Brotherhood.


Protesters have scrawled "leave" over Mursi's palace walls, but the president has made clear he is not going anywhere.


"The crisis we have suffered for two weeks is on its way to an end, and very soon, God willing," Saad al-Katatni, head of the Brotherhood's Freedom and Justice Party, told Reuters on Tuesday, saying approval of the constitution in the forthcoming referendum would end the turmoil set off by Mursi's decree.


The Islamic Forces Coalition, which includes the Brotherhood, Salafis and other Islamic parties, condemned the "insulting" demonstrations outside the presidential palace.


"We remind (opposition figures) that the deciding factor in these differences is what the ballot boxes say, not what sabotage attempts create," it said in a statement.


Investors have seized on hopes that Egypt's turbulent transition, which has buffeted the economy for two years, may now be heading for calmer waters, sending stocks 1 per cent higher in early trading after a 3.5 percent rally on Tuesday.


The most populous Arab nation has turned to the IMF for a $4.8 billion loan to help it out of a crisis that has depleted its foreign currency reserves.


The government said on Wednesday the process was on track and Egypt's request would go to the IMF board as expected.


(Additional reporting by Tom Perry; Writing by Alistair Lyon; Editing by Mark Heinrich)



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SingHealth, Australian firm explore new technology to treat cancer cells






SINGAPORE: Under a research collaboration with an Australian company called Sirtex Medical, Singapore will be the first in the world to try out a new treatment for cancer cells.

Sirtex Medical and SingHealth signed a new Master Research Collaboration Agreement where Singapore General Hospital and National Cancer Centre Singapore will explore the potential of a new technology called Carbon Cage Nanoparticles, targeting cancer cells which may be left behind after an operation.

The research will focus on abdominal cancers, starting with advanced ovarian cancer.

Ovarian cancer is the fifth most common cancer in Singapore. Researchers will also try the treatment on stomach and colorectal cancers, which are also quite common in Singapore.

When removing abdominal tumours, researchers say there is always a post-surgery risk that tumour cell residues may remain in the abdominal lining.

If these tumour cells aren't eliminated, they can continue to grow to a point where it is life-threatening.

To target these cells, the new technology developed by the Australian National University carries a high dose of radiation enclosed in a carbon casing.

When injected into the abdominal cavity, the new technology can potentially kill specific cancer cells not visible to the naked eye.

Besides carrying a high dose of radiation within the carbon shell, the technology can also carry chemotherapy agents.

Previous methods of removing remaining cancer cells usually involve chemotherapy treatments after operation.

Professor Soo Khee Chee, Deputy Group CEO of SingHealth and Director of National Cancer Centre Singapore, said: "The problem with giving chemotherapy is that if you just give it orally or intravenously, they are fairly non-specific, they circulate through all the whole body and you don't achieve the concentration that is necessary to eliminate tumour cells very effectively."

In five years' time, researchers will introduce the new therapy in human trials. If successful, they say it could be used to treat diseases beyond cancer, such as with patients with immunological disorders.

- CNA/de



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Lok Sabha disrupted over Lalu Prasad's remarks

NEW DELHI: The Lok Sabha was on Wednesday adjourned briefly following verbal clashes between Rashtriya Janata Dal (RLD) chief Lalu Prasad and Bharatiya Janata Party members.

As soon as Lalu Prasad stood up to participate in the debate on FDI in multi-brand retail, BJP members created a ruckus.

An agitated Lalu Prasad addressed BJP members as "jamhoore" (side-kicks), which led to protests by BJP members.

Lok Sabha deputy speaker Karia Munda, after failing to restore order, then adjourned the house briefly.

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Study: Drug coverage to vary under health law


WASHINGTON (AP) — A new study says basic prescription drug coverage could vary dramatically from state to state under President Barack Obama's health care overhaul.


That's because states get to set benefits for private health plans that will be offered starting in 2014 through new insurance exchanges.


The study out Tuesday from the market analysis firm Avalere Health found that some states will require coverage of virtually all FDA-approved drugs, while others will only require coverage of about half of medications.


Consumers will still have access to essential medications, but some may not have as much choice.


Connecticut, Virginia and Arizona will be among the states with the most generous coverage, while California, Minnesota and North Carolina will be among states with the most limited.


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Online:


Avalere Health: http://tinyurl.com/d3b3hfv


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Subway Push Murder Suspect Implicated Self: Police













A suspect believed to be responsible for throwing a man into the path of an oncoming New York City subway train who was taken into custody today has made statements implicating himself, police said.


According to Deputy Commissioner for Public Information Paul Browne, the suspect has been questioned by police since at least early afternoon and while the suspect is in police custody, he has not been officially charged.


Police are continuing to question the suspect and more lineups have been scheduled for tomorrow, Browne said.


Police have not released the suspect's name but began questioning him Tuesday afternoon about the death of Ki-Suck Han, 58, of Queens, N.Y.


Han was tossed onto the subway track at 49th Street and Seventh Avenue around 12:30 p.m. Monday after Han confronted a mumbling man who was alarming other passengers on the train platform. Han tried to scramble back onto the platform, but was crushed by an oncoming train.


The suspect fled the station, prompting a police dragnet for a man described by witnesses and see on surveillance video as a 6-foot-tall, 200-pound black man wearing dreadlocks in his hair.


Witnesses tried to revive the victim after he was hit and provided descriptions of the suspect to police.


Dr. Laura Kaplan, medical resident at Beth Israel Medical Center who was standing on the platform during the incident rushed to give Han aid after he was hit, she said in a statement released by her medical practice today.






New York Police Department













Bystanders Pull Mom, Son From Subway Tracks Watch Video







"A security guard and I performed 3-4 minutes of chest compressions. I hope the family may find some comfort in knowing about the kindness of these good Samaritans, as they endure this terrible loss," Kaplan said.


"I would like the family to know that many people in the station tried to help Mr. Han by alerting the subway personnel," she said.


Kaplan said she wanted to console the family of Han, who she called "a brave man trying to protect other passengers that he did not know."


The suspect had reportedly been mumbling to himself and disturbing other passengers, according to ABC News affiliate WABC. Police told WABC that the suspect could be mentally disturbed.


The suspect could be heard arguing with Han just moments before he hurled Han onto the track bed, according to surveillance video released by the police. The suspect is heard telling the victim to stand in line and "wait for the R train."


A freelance photographer for the New York Post was on the platform and said he ran towards the train flashing his camera hoping to alert the train to stop in time, but the train caught Han against the shoulder deep platform wall.


The photographer, R. Umar Abbasi, caught an eerie photo of Han with his head and arms above the platform and staring at the oncoming train.


Han was treated by EMS workers on the platform for traumatic arrest and rushed to Roosevelt Hospital, where he was pronounced dead, according to the Fire Department of New York.


"I just heard people yelling. The train came to an abrupt stop about three-quarters into the station and that's when I heard a man was hit by a train," Patrick Gomez told ABC News affiliate WABC.


Police set up a command post outside the train station Monday night searching nearby surveillance cameras to try and get a clear image of the suspect, reports WABC. They said Tuesday that the investigation is ongoing.


Anyone with information is asked to call Crime Stoppers at 1-800-577-TIPS (8477). The public can also submit tips by logging onto the Crime Stoppers website at www.nypdcrimestoppers.com or by texting their tips to 274637 (CRIMES) then enter TIP577. All calls are strictly confidential.



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Israel says will stick with settlement plan despite condemnation


JERUSALEM (Reuters) - Israel rejected concerted criticism from the United States and Europe on Monday over Prime Minister Benjamin Netanyahu's decision to expand settlement building after the United Nations' de facto recognition of Palestinian statehood.


Washington urged Israel to reconsider its plan to erect 3,000 more homes in the occupied West Bank and East Jerusalem, saying the move hindered peace efforts with the Palestinians.


Britain, France, Spain, Sweden and Denmark summoned the Israeli ambassadors in their capitals to give similar messages.


An official in Netanyahu's office said Israel would not bend. "Israel will continue to stand by its vital interests, even in the face of international pressure, and there will be no change in the decision that was made," the official said.


Angered by the U.N. General Assembly's upgrading on Thursday of the Palestinians' status in the world body from "observer entity" to "non-member state", Israel said the next day it would build the new dwellings for settlers.


Such projects, on land Israel captured in a 1967 war, are considered illegal by most world powers and have routinely drawn condemnation from them. Approximately 500,000 Israelis and 2.5 million Palestinians live in the two areas.


In a shift that raised the alarm among Palestinians and in world capitals, Netanyahu's pro-settler government also ordered "preliminary zoning and planning work" for thousands of housing units in areas including the "E1" zone east of Jerusalem.


Such construction in the barren hills of E1 has never been put into motion in the face of opposition from Israel's main ally, the United States. Building in the area could bisect the West Bank, cut off Palestinians from Jerusalem and further dim their hopes for a contiguous state.


Israeli television stations reported Jerusalem's district planning commission would soon approve plans for several thousand more housing units, including more than 1,000 Israel had shelved two years ago after angering Washington by publishing the plans before a visit by Vice President Joe Biden.


The settlement plan, U.N. Secretary-General Ban Ki-moon said, would deal "an almost fatal blow" to a two-state solution to the Israeli-Palestinian conflict.


French President Francois Hollande said he was "extremely concerned" and Washington made clear it would not back such Israeli retaliation over the U.N. vote, sought by Palestinians after peace talks collapsed in 2010 over settlement building.


"We urge Israeli leaders to reconsider these unilateral decisions and exercise restraint as these actions are counterproductive and make it harder to resume direct negotiations to achieve a two state solution," White House spokesman Jay Carney told a briefing.


Ahead of a Netanyahu visit this week, Germany, considered Israel's closest ally in Europe, urged it to refrain from expanding settlements, and Russia said it viewed the Israeli moves with serious concern.


RETALIATION


Israeli Finance Minister Yuval Steinitz said Israel could not have remained indifferent to the Palestinians' unilateral move at the United Nations.


"I want to tell you that those same Europeans and Americans who are now telling us 'naughty, naughty' over our response, understand full-well that we have to respond, and they themselves warned the Palestinian Authority," he said.


Palestinian chief negotiator Saeb Erekat said building in E1 "destroys the two-state solution, (establishing) East Jerusalem as the capital of Palestine and practically ends the peace process and any opportunity to talk about negotiations in the future".


The United States, one of the eight countries to vote alongside Israel against the Palestinian resolution at the General Assembly, has said both were counterproductive to the resumption of direct peace talks.


In Europe, only the Czech Republic voted against the status upgrade while many countries, including France, backed it. Netanyahu plans to visit Prague this week to express his thanks.


In the Gaza Strip, Sami Abu Zuhri, spokesman for the governing Hamas Islamist movement, called the settlements "an insult to the international community, which should bear responsibility for Israeli violations and attacks on Palestinians".


Israeli police arrested three Jewish settlers on Monday whom they suspect of arson and other crimes against Palestinian property in the West Bank, including the torching of a car.


Attackers have often proclaimed they are exacting a "price tag" for steps taken against the settler movement by Palestinians, or by the Israeli government.


Alongside the settlement plans, Israel announced it would withhold about $100 million in Palestinian tax revenues from the Palestinian Authority, which exercises limited self-rule in the West Bank, saying Palestinians owed $200 million to Israeli firms.


"These are not steps towards peace, these are steps towards the extension of the conflict," Spanish Foreign Minister Jose Manuel Garcia-Margallo said.


Only three weeks ago, Netanyahu won strong European and U.S. support for a Gaza offensive that Israel said was aimed at curbing persistent cross-border rocket fire.


Favored by opinion polls to win a January 22 national election, he brushed off the condemnation and complaints at home that he is deepening Israel's diplomatic isolation.


Netanyahu told his cabinet on Sunday that his government "will carry on building in Jerusalem and in all the places on the map of Israel's strategic interests".


But while his housing minister has said the government would soon invite bids from contractors to build 1,000 homes for Israelis in East Jerusalem and more than 1,000 in West Bank settlement blocs, the E1 plan is still in its planning stages.


"No one will build until it is clear what will be done there," the minister, Ariel Attias, said on Sunday.


Israel froze much of its activities in E1 under pressure from former U.S. President George W. Bush, and the area has been under the scrutiny of his successor, Barack Obama.


Israel cites historical and Biblical links to the West Bank and Jerusalem and regards all of the holy city as its capital, a claim that is not recognized internationally.


(Additional reporting by Crispian Balmer, Dan Williams, Nidal al-Mughrabi in Gaza, Jihan Abdalla in Ramallah, Steve Gutterman in Moscow, Gareth Jones in Berlin, John Irish and Elizabeth Pineau in Paris and Tim Castle in London; writing by Jeffrey Heller; editing by Philippa Fletcher)



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Congratulations pour in for William and Kate's pregnancy






LONDON: Messages of congratulations poured in from around the world on Tuesday on news that Prince William's wife Kate is pregnant, as she spent a second day in hospital suffering from acute morning sickness.

The announcement on Monday that the Duke and Duchess of Cambridge, both 30, are expecting their first child ended feverish speculation about a new royal heir that began immediately after their lavish wedding in April 2011.

The child, to be born next summer, will be third in line to the throne regardless of whether it is a girl or a boy, after a historic agreement among Commonwealth countries last year to end the practice of male primogeniture.

St James' Palace said Kate was still at the "very early stages" of pregnancy -- she is believed to be less than 12 weeks -- but it is thought the news was released because her admission to hospital would have made her condition public.

Kate has hyperemesis gravidarum, a very acute form of morning sickness which affects 3.5 in every 1,000 pregnant women.

Although it is not dangerous for the baby, it can be highly unpleasant for the mother as it causes severe vomiting and carries a danger of dehydration and nutritional deficiencies.

William, the second in line to the throne after his father Prince Charles, was at his wife's bedside at the private King Edward VII hospital in central London on Monday.

He left without a comment or even a smile for the banks of waiting cameras, although his wife is expected to remain in hospital for several days.

There was reportedly a rush to inform members of the royal family of the news before the public announcement on Monday.

Queen Elizabeth II, her husband Prince Philip, Prince Charles -- for whom this is his first grandchild -- and his wife Camilla were said by the palace to be "delighted with the news", as were Kate's parents, Carole and Michael Middleton.

William's brother Prince Harry, 28, who will be bumped down a place in the line of succession by the new arrival, was reportedly informed by email in Afghanistan, where he is deployed as an Apache helicopter pilot.

The palace said the couple only "recently" became aware that Kate was pregnant although there has been speculation for months, fuelled by images of the duchess sipping water instead of wine at official dinners.

She showed no sign of being ill at a public engagement on Friday, however, when she showed off her hockey skills at her old primary school in high-heeled boots and an Alexander McQueen tartan coat.

All her public engagements for the coming weeks have been cancelled.

News of the pregnancy sparked huge excitement in the British press, although it was tempered with concern about Kate's condition, as well as messages of goodwill from around the world.

Prime Minister David Cameron, a father of four who was informed a short time before the public announcement, led the congratulations by saying the royal couple would make "wonderful parents".

US President Barack Obama and his wife Michelle, who met William and Kate during a state visit to Britain last year, sent their congratulations on the "welcome news", the White House said.

Australian Prime Minister Julia Gillard said the news "is going to bring joy to many around the world", while her New Zealand counterpart John Key said the news was "fabulous".

New Zealand had led a push for Commonwealth nations to scrap centuries-old laws barring first-born daughters from inheriting the throne and the grouping agreed to the reform last year at a meeting in the Australian city of Perth.

British Deputy Prime Minister Nick Clegg confirmed on Monday that the government was putting "the finishing touches" to legislation enshrining the new rules of succession, something he said was a "big, big change".

The Sun celebrated the news on Tuesday with the headline "Kate Expectations" while The Daily Telegraph said the news was cause for national celebration.

"Who would not be delighted at the prospect of a mother's first child, especially a mother who has won affection with her natural beauty and straightforward character?" said its editorial.

Kate, a "commoner" whose parents are self-made millionaires from a party supplies business, met William at St Andrews University in Scotland in 2001.

- AFP/jc



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FDI debate: BJP says government gone back on promise

NEW DELHI: The government had promised a decision on foreign investment in retail after consensus but had gone back on its promise, Bharatiya Janata Party (BJP) leader Sushma Swaraj said on Tuesday while initiating the debate on the issue in the Lok Sabha.

The leader of opposition said the government claims that foreign direct investment (FDI) in multi-brand retail would benefit farmers but this was not proven by international experience.

"The government has gone back on its promise of holding consultation with all stakeholders before allowing FDI in retail. It is sad that no effort was made to make a political consensus and no meeting or any consultation was held with even the main opposition party," she said.

"International experience shows that retailers do predatory pricing and they will reduce the prices so that the other shops get shut and when the market is over, they will increase the prices and then consumers will have no choice but to buy at high prices," she said.

Sushma Swaraj quoted the European Union declaration against supermarkets and said they pay farmers poor prices the world over.

"They give low prices to farmers, low wages to employees, but keep high profits. All over world large supermarkets do this," she added.

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Fossil fuel subsidies in focus at climate talks


DOHA, Qatar (AP) — Hassan al-Kubaisi considers it a gift from above that drivers in oil- and gas-rich Qatar only have to pay $1 per gallon at the pump.


"Thank God that our country is an oil producer and the price of gasoline is one of the lowest," al-Kubaisi said, filling up his Toyota Land Cruiser at a gas station in Doha. "God has given us a blessing."


To those looking for a global response to climate change, it's more like a curse.


Qatar — the host of U.N. climate talks that entered their final week Monday — is among dozens of countries that keep gas prices artificially low through subsidies that exceeded $500 billion globally last year. Renewable energy worldwide received six times less support — an imbalance that is just starting to earn attention in the divisive negotiations on curbing the carbon emissions blamed for heating the planet.


"We need to stop funding the problem, and start funding the solution," said Steve Kretzmann, of Oil Change International, an advocacy group for clean energy.


His group presented research Monday showing that in addition to the fuel subsidies in developing countries, rich nations in 2011 gave more than $58 billion in tax breaks and other production subsidies to the fossil fuel industry. The U.S. figure was $13 billion.


The Paris-based Organization for Economic Cooperation and Development has calculated that removing fossil fuel subsidies could reduce carbon emissions by more than 10 percent by 2050.


Yet the argument is just recently gaining traction in climate negotiations, which in two decades have failed to halt the rising temperatures that are melting Arctic ice, raising sea levels and shifting weather patterns with impacts on droughts and floods.


In Doha, the talks have been slowed by wrangling over financial aid to help poor countries cope with global warming and how to divide carbon emissions rights until 2020 when a new planned climate treaty is supposed to enter force. Calls are now intensifying to include fossil fuel subsidies as a key part of the discussion.


"I think it is manifestly clear ... that this is a massive missing piece of the climate change jigsaw puzzle," said Tim Groser, New Zealand's minister for climate change.


He is spearheading an initiative backed by Scandinavian countries and some developing countries to put fuel subsidies on the agenda in various forums, citing the U.N. talks as a "natural home" for the debate.


The G-20 called for their elimination in 2009, and the issue also came up at the U.N. earth summit in Rio de Janeiro earlier this year. Frustrated that not much has happened since, European Union climate commissioner Connie Hedegaard said Monday she planned to raise the issue with environment ministers on the sidelines of the talks in Doha.


Many developing countries are positive toward phasing out fossil fuel subsidies, not just to protect the climate but to balance budgets. Subsidies introduced as a form of welfare benefit decades ago have become an increasing burden to many countries as oil prices soar.


"We are reviewing the subsidy periodically in the context of the total economy for Qatar," the tiny Persian gulf country's energy minister, Mohammed bin Saleh al-Sada, told reporters Monday.


Qatar's National Development Strategy 2011-2016 states it more bluntly, saying fuel subsides are "at odds with the aspirations" and sustainability objectives of the wealthy emirate.


The problem is that getting rid of them comes with a heavy political price.


When Jordan raised fuel prices last month, angry crowds poured into the streets, torching police cars, government offices and private banks in the most sustained protests to hit the country since the start of the Arab unrest. One person was killed and 75 others were injured in the violence.


Nigeria, Indonesia, India and Sudan have also seen violent protests this year as governments tried to bring fuel prices closer to market rates.


Iran has used a phased approach to lift fuel subsidies over the past several years, but its pump prices remain among the cheapest in the world.


"People perceive it as something that the government is taking away from them," said Kretzmann. "The trick is we need to do it in a way that doesn't harm the poor."


The International Energy Agency found in 2010 that fuel subsidies are not an effective measure against poverty because only 8 percent of such subsidies reached the bottom 20 percent of income earners.


The IEA, which only looked at consumption subsidies, this year said they "remain most prevalent in the Middle East and North Africa, where momentum toward their reform appears to have been lost."


In the U.S., environmental groups say fossil fuel subsidies include tax breaks, the foreign tax credit and the credit for production of nonconventional fuels.


Industry groups, like the Independent Petroleum Association of America, are against removing such support, saying that would harm smaller companies, rather than the big oil giants.


In Doha, Mohammed Adow, a climate activist with Christian Aid, called all fuel subsidies "reckless and dangerous," but described removing subsidies on the production side as "low-hanging fruit" for governments if they are serious about dealing with climate change.


"It's going to oil and coal companies that don't need it in the first place," he said.


___


Associated Press writers Abdullah Rebhy in Doha, Qatar, and Brian Murphy in Dubai, United Arab Emirates, contributed to this report


____


Karl Ritter can be reached at www.twitter.com/karl_ritter


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Kate's Illness Sometimes Linked to Twins













Hyperemesis gravidarum, the reason newly pregnant Kate Middleton is in the hospital, is a rare but acute morning sickness that results in weight loss and accounts for about 2 percent of all morning sickness, doctors say.


The condition is sometimes associated with women having twins, experts said.


Women diagnosed with hyperemesis gravidarum have lost 5 percent of their pre-pregnancy weight, or 10 pounds, said Dr. Ashley Roman, a professor and OB/GYN at New York University Langone Medical Center.


It poses little danger to the tiny heir, doctors said.


"It's traditionally thought that nausea and vomiting is a sign of a healthy pregnancy," Roman said


Dr. Nancy Cossler, an OB/GYN at University Hospitals in Ohio said the condition does not cause loss of pregnancy or birth defects, but it can be a torture to endure.


"The biggest problem with this is how it interferes with your life," Cossler said. "Constantly feeling sick and puking is difficult."


Click here to read about other women with hyperemesis gravidarum.


Hyperemesis gravidarum is thought to be caused by higher levels of the pregnancy hormone, hCG, or human chorionic gonadotropin, Cossler said. Extra hCG can often be brought on by carrying more than one fetus, she said.






Chris Jackson/AFP/Getty Images











Kate Middleton Pregnant, Admitted to Hospital Watch Video









Kate Middleton, Prince William Expecting Their First Child Watch Video









Prince William and Kate Middleton's Big News Watch Video





In other words, it could be a sign that Middleton is carrying twins. Although there's very little data on twins and hyperemesis gravidarum, one study showed that women carrying twins had a 7.5 percent higher risk of experiencing the acute morning sickness, Roman said.


The extreme morning sickness is usually diagnosed about nine weeks into the pregnancy, and in most cases resolves itself by 16 or 20 weeks, Roman said. In rare cases, it can last the whole pregnancy.


"As the pregnancy is in its very early stages, Her Royal Highness is expected to stay in hospital for several days and will require a period of rest thereafter," a statement from St. James Palace said. Prince William is at the hospital with Middleton, according to the Britain's Press Association.


Click here for photos of Kate through the years.


Roman said doctors prescribe vitamins and ginger capsules at first. If that doesn't stop the vomiting, they will prescribe antihistamines and stronger anti-nausea medications.


Women with hyperemesis gravidarum are also treated with fluids, said Dr. Jessica Young, an OB/GYN at Vanderbilt University. But if left untreated, a pregnant woman who is severely dehydrated for a long period of time could die, "just like any person," Young said.


In extreme cases in which the woman is losing weight and unable to eat, doctors will treat her with intravenous nutrition, Young said.


Hospital stays can vary, and women will often have to be admitted more than once before the condition passes, doctors said.


Hyperemesis gravidarum is somewhat mysterious because some expectant mothers have acute morning sickness during only one of their pregnancies, but have no morning sickness for subsequent pregnancies.


There is a chance that higher levels of hCG, which likely caused Middleton's nausea, could be a sign of a molar pregnancy instead of twins, Cossler said. This would mean Middleton is carrying only a benign growth in her uterus instead of a fetus, or she is carrying a fetus with abnormal DNA and a benign growth. Neither is considered a viable pregnancy.


However, Cossler said molar pregnancies become apparent early on, and doctors would already know whether Middleton had one.


"They would not have released this information," Cossler said of the birth announcement. "I'm certain that they have already eliminated both of those [types of molar pregnancies]."



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