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By Paul Taylor
CAIRO (Reuters) - Egypt is close to an agreement with the International Monetary Fund on a $4.8 billion loan that would help it fight a deepening economic crisis but is still bristling at the conditions, diplomats said.
An IMF programme could help stabilise Egypt's economy in the rocky transition to democracy since the 2011 overthrow of former President Hosni Mubarak, unlocking up to $15 billion in aid and investment to improve a dismal business climate.
But diplomats and politicians say Islamist President Mohamed Mursi had still to approve required tax increases and subsidy cuts that prompted him to halt implementation of an earlier IMF deal in December, two weeks after it was agreed in principle.
"The mission said it is waiting until now for the government to present some of the roadmap related to reforming the economic system, and it is still in dialogue with the government to get acquainted with this map," Abdullah Badran of the hardline Islamist Nour party told Reuters after meeting IMF negotiators.
Egypt's economy has deteriorated significantly since then. Tourism and investment have shrivelled due to political turmoil in the Arab world's most populous nation, where 40 percent of the 84 million citizens live on less than $2 a day.
The projected budget deficit has risen to around 11 percent in the fiscal year ending in June, foreign currency reserves have shrunk to less than needed to cover three months' imports, and the country is suffering fuel shortages.
An IMF delegation has been holding talks in Cairo since April 4 on a revised economic programme that includes a gradual reform of costly fuel subsidies that swallow 21 percent of the budget or 12 percent of gross domestic product, and an extension of sales tax to fewer items than previously planned.
The country's finance minister and central bank governor have told local media the talks are going well, and diplomats said they are due to conclude, one way or another, before the IMF mission returns to Washington on Tuesday.
"We're waiting for clarity from the presidency," a diplomat briefed on the negotiations said.
A spokesman for the president's office declined comment on whether Mursi had given the green light for an agreement.
UNPOPULAR
Diplomats said the ruling Muslim Brotherhood was reluctant to impose unpopular tax and fuel price increases before parliamentary elections provisionally due to start in October.
Nevertheless the Brotherhood's Freedom and Justice Party is pushing through parliament new tax laws apparently linked to the IMF deal. Opposition politicians accuse the government of trying to impose its will without dialogue.
While the IMF team has been in town, the government has picked up $5 billion in apparently unconditional support from Arab allies Qatar and Libya to help it over the coming months.
But Planning Minister Ashraf El-Araby warned last week that Egyptians would face worse austerity without an IMF deal. Ministers fear a long, hot summer of power cuts, and possible fuel and food shortages that could spark unrest.
The state-owned Al Gomhuria daily quoted an economic source as saying the IMF deal had reached the final stages for signing.
An Egyptian ministerial delegation including the central bank governor and the planning minister would go to Washington this week for the annual Spring meeting to seek agreement on the final phrasing of the loan deal, it said.
Central bank chief Hisham Ramez was quoted by independent al-Shorouk newspaper as saying Egypt had not requested an increase in the loan, but the amount could be raised by up to $1 billion if the maturity were extended beyond 30 months instead of the 22 months forseen in last November's accord.
The IMF mission, headed by Andreas Mauer, has spent the last few days meeting government and opposition political leaders to seek broad backing for implementation of the reform programme.
Politicians who have participated in those sessions said there was wide acceptance of the need for an IMF loan but less willingness to accept even relatively mild conditions attached.
"We heard the IMF's view, and it became clear to us that they are asking for some reforms to the tax system, and their view is that there must be a review of subsidies," said Badran, the Nour party's parliamentary floor leader. "This, in our view, will increase the burdens on the poor."
Leftist Popular Current party leader Hamdeen Sabahi said his group would support any unconditional loan that supported the Egyptian economy, but it must not be on terms that put extra burdens on the poor, farmers, workers and the middle class, or that dictate how the government spends the money.
"The Popular Current cannot agree to a loan with conditions that include lifting subsidies from basic commodities," Sabahi, who came third in last year's presidential election, said on his Facebook page.
Diplomats said the IMF had softened its conditions compared with many other adjustment programmes, partly because the United States and European Union countries that are the Fund's biggest shareholders were determined to support Egypt.
"There is a sense that Egypt is too big to fail," one senior diplomat said. "The trouble is that the Egyptians know this, and think they can use it to escape the conditionality."
IMF and World Bank studies show that most fuel subsidies benefit wealthier Egyptians rather than the poor, few of whom have cars.
"Estimates show that the richest 20 percent of the population in Egypt receives more than half of the spending on fuel subsidies," said Caroline Freund, the World Bank's chief economist for the Middle East and North Africa.
That may explain why the subsidies are so hard to reform, with powerful interest groups keen to preserve their advantages. (Additional reporting by Tom Perry and Asma Alsharif; Writing by Paul Taylor; Editing by Will Waterman)
Source: http://news.yahoo.com/no-egypt-request-bigger-imf-loan-central-banker-103221283--business.html
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BEIRUT (Reuters) - A woman and two children were killed and 16 people injured in the northern Syrian city of Aleppo on Saturday in what an anti-government violence monitoring group said was a gas attack by Syrian government forces.
Rami Abdelrahman, head of the Syrian Observatory for Human Rights, cited witnesses as saying that two gas bombs had been dropped from an army helicopter.
Doctors in the town of Afrin, where the injured were taken, told the Observatory that victims had "hallucinated, vomited, had excess mucus and felt their eyes were burning".
Reuters cannot verify such reports from Syria due to severe reporting and security restrictions.
A team of United Nations-led experts is waiting in Cyprus for the go-ahead to investigate three previous allegations of chemical weapons attacks in Syria, including one the government said was a poison attack by rebels in Aleppo last month.
The government of President Bashar al-Assad has rejected demands by the opposition that the inspectors be sent to investigate cases in Homs and Damascus where rebels say government forces used chemical munitions.
Aleppo's Sheikh Maqsoud district, where the two bombs were dropped on Saturday, is controlled by rebels. The Observatory distributed photos taken by opposition activists of remnants of what it said were the bombs.
It also sent photos of a dead woman and two children, who it said were both under two years old. None of the three had any visible injuries.
About 70,000 people have been killed in an uprising against four decades of Assad family rule that turned into a civil war after Assad's forces suppressed protests and opposition members took up arms. Both sides have been accused by rights groups of war crimes.
(Reporting by Oliver Holmes; Editing by Kevin Liffey)
Source: http://news.yahoo.com/three-killed-syrian-army-gas-attack-monitoring-group-114916953.html
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Last month monarch butterflies began an annual northward journey from their overwintering habitat in Mexico. Monarch expert Lincoln Brower discusses the dwindling monarch populations, and explains how habitat loss in Mexico and a decline in milkweed plant numbers in the U.S. may be harming the familiar orange and black fliers.
Source: http://www.npr.org/2013/04/12/177029257/monitoring-the-monarchs?ft=1&f=1007
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Contact: Samantha Schmidt
sschmidt@arrs.org
703-858-4316
American Roentgen Ray Society
Radiologists are a step closer to implementing a program in an underserved region of Uganda for diagnosing and treating women with palpable breast masses.
The program combines a unique diagnostic algorithm along with targeted community outreach, said medical student Chris Duncan working with the organization Imaging the World. Imaging the World, a non-profit organization dedicated to bringing diagnostic imaging to underserved areas around the world, has multiple obstetrical imaging programs currently operating in Uganda and plans to expand both the obstetric imaging and breast imaging programs.
"We just returned from a trip to Kamuli, Uganda where we laid the groundwork for implementation of the diagnostic algorithm," said Mr. Duncan, a fourth year medical student at University of Vermont. "Our team met with local stakeholders, determined available treatments and identified potential barriers," he said. "The meetings helped ensure that we can create appropriate local resources prior to our program roll-out this summer," he said.
The diagnostic algorithm is designed to be simpler and more effective than the current course of breast cancer diagnosis and treatment for women in Uganda, a region where most breast cancer patients are diagnosed with late stage breast cancer, said Mr. Duncan.
The algorithm focuses on breast ultrasound as an initial diagnostic tool for evaluating palpable breast masses. The breast ultrasound exam is done by minimally trained personnel who follow a standardized scanning methodology. The ultrasound images are then compressed, uploaded to a server through a cellular network, and interpreted at another location by an imaging expert. (Research continues in the U.S. to evaluate the quality of the images obtained using the algorithm, with preliminary results suggesting that the images are more than adequate for evaluating breast masses, said Mr. Duncan)
After the images are interpreted, the results are sent back to the clinic where the ultrasound was performed. If the results indicate the need for a biopsy, the patient is referred to the district referral hospital. "We have trained local surgeons to perform both fine-needle and core biopsies using ultrasound guidance," said Mr. Duncan. If the biopsy is positive for cancer, the patient is referred to the major tertiary referral hospital in the capital city for treatment. "We are hiring a patient care navigator to assist women in the complicated and daunting process of receiving breast cancer care," said Mr. Duncan. "We are also working on obtaining funding for a lodging area where the women can stay during their treatment period in the capital city," he said.
The recent trip also emphasized the need for patient education. There are some in the community that believe that cancer is contagious, that surgery spreads cancer throughout the body or that cancer is due to curses, evil spirits and various other supernatural etiologies. "We hope that our education campaign will help to eradicate these myths, opening the path to early diagnosis and effective care for these women," said Mr. Duncan.
The Uganda breast imaging program is being described in an electronic exhibit featured at the ARRS Annual Meeting in Washington, DC.
###
?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
Contact: Samantha Schmidt
sschmidt@arrs.org
703-858-4316
American Roentgen Ray Society
Radiologists are a step closer to implementing a program in an underserved region of Uganda for diagnosing and treating women with palpable breast masses.
The program combines a unique diagnostic algorithm along with targeted community outreach, said medical student Chris Duncan working with the organization Imaging the World. Imaging the World, a non-profit organization dedicated to bringing diagnostic imaging to underserved areas around the world, has multiple obstetrical imaging programs currently operating in Uganda and plans to expand both the obstetric imaging and breast imaging programs.
"We just returned from a trip to Kamuli, Uganda where we laid the groundwork for implementation of the diagnostic algorithm," said Mr. Duncan, a fourth year medical student at University of Vermont. "Our team met with local stakeholders, determined available treatments and identified potential barriers," he said. "The meetings helped ensure that we can create appropriate local resources prior to our program roll-out this summer," he said.
The diagnostic algorithm is designed to be simpler and more effective than the current course of breast cancer diagnosis and treatment for women in Uganda, a region where most breast cancer patients are diagnosed with late stage breast cancer, said Mr. Duncan.
The algorithm focuses on breast ultrasound as an initial diagnostic tool for evaluating palpable breast masses. The breast ultrasound exam is done by minimally trained personnel who follow a standardized scanning methodology. The ultrasound images are then compressed, uploaded to a server through a cellular network, and interpreted at another location by an imaging expert. (Research continues in the U.S. to evaluate the quality of the images obtained using the algorithm, with preliminary results suggesting that the images are more than adequate for evaluating breast masses, said Mr. Duncan)
After the images are interpreted, the results are sent back to the clinic where the ultrasound was performed. If the results indicate the need for a biopsy, the patient is referred to the district referral hospital. "We have trained local surgeons to perform both fine-needle and core biopsies using ultrasound guidance," said Mr. Duncan. If the biopsy is positive for cancer, the patient is referred to the major tertiary referral hospital in the capital city for treatment. "We are hiring a patient care navigator to assist women in the complicated and daunting process of receiving breast cancer care," said Mr. Duncan. "We are also working on obtaining funding for a lodging area where the women can stay during their treatment period in the capital city," he said.
The recent trip also emphasized the need for patient education. There are some in the community that believe that cancer is contagious, that surgery spreads cancer throughout the body or that cancer is due to curses, evil spirits and various other supernatural etiologies. "We hope that our education campaign will help to eradicate these myths, opening the path to early diagnosis and effective care for these women," said Mr. Duncan.
The Uganda breast imaging program is being described in an electronic exhibit featured at the ARRS Annual Meeting in Washington, DC.
###
?
AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert! system.
Source: http://www.eurekalert.org/pub_releases/2013-04/arrs-nbi041013.php
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A familiar question for the US secretary of State following the death of US diplomat Anne?Smedinghoff.
By Ben Arnoldy,?Staff writer / April 7, 2013
Anne Smedinghoff, 25, was killed Saturday, in southern Afghanistan, the first American diplomat to die on the job since last year's attack on the U.S. diplomatic installation in Benghazi, Libya.
Courtesy of Tom Smedinghoff/AP
EnlargeOnce again, history thrust John Kerry today in front of microphones to speak about American youths who are cut down in the waning days of an unpopular war.
Skip to next paragraph Ben ArnoldyDeputy International Editor
Ben Arnoldy is the Deputy International Editor at The Christian Science Monitor. He has served as the Monitor's bureau chief in India and Northern California.?
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Mr. Kerry, now US secretary of State, urged Americans to ?forge on? against terrorism in the wake of yesterday?s killing of Anne Smedinghoff, a 25-year-old US diplomat serving in Afghanistan. In 1971, a younger Kerry challenged Congress to stop elongating a fruitless war. He asked, ?How do you ask a man to be the last man to die in Vietnam??
Kerry?s famous question, posed?in testimony before the Senate Foreign Relations Committee,?came on behalf of fellow soldiers he had recently served with in Vietnam. Today?s remarks also came from a personal place: He had just met Ms. Smedinghoff when she assisted him on his visit to Afghanistan two weeks ago.
An explosion killed the Chicago native while on a mission to deliver textbooks to students in a wartorn part of southeastern Afghanistan. ?Three US soldiers, a civilian Defense Department employee, and an Afghan doctor also died in the attack, which may have been aimed at the governor of the province. The Taliban claimed responsibility for the attack, according to the Associated Press. ?
Kerry, speaking in Turkey, described Anne as ?a selfless, idealistic young woman who woke up yesterday morning and set out to bring textbooks to schoolchildren, to bring them knowledge, children she had never met, to help them to be able to build a future.?
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