Clinton Arrives in Middle East as Egypt Says Truce in Gaza Is Close

JERUSALEM — Diplomatic efforts accelerated on Tuesday to end the lethal confrontation between Israel and Palestinian militants in Gaza on one of the most violent days yet in the conflict, as the United States sent Secretary of State Hillary Rodham Clinton to the Middle East and Egypt’s president and his senior aides expressed confidence that a cease-fire was close.

But by late evening there was no announcement, and Mrs. Clinton said she would be working in coming days to complete an agreement. Appearing beside Prime Minister Benjamin Netanyahu of Israel to speak briefly to the press, Mrs. Clinton said she hoped to achieve an end to the hostilities with a deal that moves “toward a comprehensive peace for all people in the region.”

The diplomatic moves to end the nearly week-old crisis came as the antagonists on both sides intensified their attacks before any cease-fire takes effect.

Israeli aerial and naval forces assaulted several Gaza targets in multiple strikes, including a suspected rocket-launching site near Al Shifa hospital, which killed more than a dozen people. Those deaths brought the total number of fatalities in Gaza so far to more than 130 — roughly half of them civilians, the Gaza Health Ministry said.

A delegation visiting from the Arab League canceled a news conference at the hospital because of the Israeli aerial assaults as wailing ambulances brought victims in, some of them decapitated.

Militants in Gaza fired a barrage of at least 200 rockets into Israel, killing an Israeli soldier — the first military casualty on the Israeli side since the hostilities broke out last week. The Israel Defense Forces said the soldier, identified as Yosef Fartuk, 18, died from a rocket strike that hit an area near Gaza. Israeli officials said a civilian military contractor working near the Gaza border was also killed, bringing the total number of fatalities in Israel from the past week of rocket mayhem to five.

Other Palestinian rockets hit the southern Israeli cities of Beersheba and Ashdod, and longer-range rockets were fired at Tel Aviv and Jerusalem, but neither main city was struck and no casualties were reported. One Gaza rocket hit a building in the Israeli city of Rishon Lezion, just south of Tel Aviv, injuring one person and wrecking the top three floors.

Senior Egyptian officials in Cairo said Israel and Hamas, the militant Islamist group that governs Gaza, were “very close” to a cease-fire agreement that could be announced within hours. “We have not received final approval but I hope to receive it any moment,” said Essam el-Haddad, President Mohamed Morsi’s top foreign affairs adviser.

Foreign diplomats who were briefed on the outlines of a tentative agreement said it had been structured in stages — first, an announcement of a cease-fire, followed by its implementation for 48 hours. That would allow time for Mrs. Clinton to involve herself in the process on the ground here and create a window for negotiators to agree on conditions for a longer-term cessation of hostilities.

By late evening, however, there was no word on an announcement, and Israeli television was saying the talks needed more time. In Cairo, Egyptian news reports quoted Hamas officials as blaming Israel for delaying a deal and an announcement was unlikely before Wednesday.

The announcement of Mrs. Clinton’s active role in efforts to defuse the crisis added a strong new dimension to the multinational push to avert a new Middle East war. Israel has amassed thousands of soldiers on the border with Gaza and has threatened to invade the crowded Palestinian enclave for the second time in four years to stop the persistent rockets that have been lobbed at Israel.

Mrs. Clinton, who accompanied President Obama on his three-country Asia trip, left Cambodia on her own plane immediately for the Israel, and upon arrival in the late evening went into immediate talks with Israeli leaders.

She was scheduled to visit the West Bank later to meet with Palestinian leaders and then go to Cairo to consult with Egyptian officials.

Mr. Obama made a number of late-night phone calls from his Asian tour to the Middle East on Monday night that contributed to his conclusion that he had to become more engaged and that Mrs. Clinton might be able to accomplish something.

Isabel Kershner reported from Jerusalem; Peter Baker from Phnom Penh, Cambodia; and Rick Gladstone from New York. Reporting was contributed by Jodi Rudoren and Fares Akram from Gaza City, David D. Kirkpatrick from Cairo, Ethan Bronner from Jerusalem and David E. Sanger from Washington.

This article has been revised to reflect the following correction:

Correction: November 20, 2012

Because of an editing error, an earlier version of this article misspelled the family name of the Israeli soldier who was killed in a Palestinian rocket attack on Tuesday. He is Yosef Fartuk, not Yosef Faruk. 

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Tablets, discounters top U.S. holiday shopping lists: Reuters/Ipsos

(Reuters) – Move over computers, your sleek siblings are the prized gift of the holidays.

One-third of U.S. consumers are thinking about buying an electronic tablet this holiday season, according to a new Ipsos poll conducted for Thomson Reuters. And 22 percent of those who want one of the hot devices said they plan to cut back on other holiday purchases in order to afford them.

But the new, smaller tablet from industry leader Apple Inc – the iPad mini – is not taking the world by storm. Only 8 percent named the iPad mini as their first choice, the same percentage that said they would like to buy a Microsoft Corp Surface tablet.

“There has been a lot of controversy about the fact that the iPad mini is $ 329, that the price might not be right,” said Jharonne Martis, director of consumer research for Thomson Reuters.

Still, Apple’s full-size iPad remains the leader, with 25 percent picking it as the tablet of choice while 15 percent want to buy Amazon.com Inc’s Kindle Fire, and another 15 percent want a Samsung Galaxy device.

Apple sold about 11 million iPads during the 2011 holiday quarter, and this year analysts expect it to sell about 16 million iPads and 8 million iPad mini tablets, Martis said.

Retailers have prepared for a big tablet season. Walmart, for example, doubled its orders for iPads and other tablets and will offer an iPad 2 with a $ 75 gift card for $ 399 as one of its specials on Thanksgiving night.

Laptops are still on the wish lists for 32 percent of respondents, while 18 percent would like to buy desktop computers and only 13 percent are looking for ultrabooks.

SPENDING LESS OR STILL UNSURE

Meanwhile, retailers may want shoppers to believe the holiday shopping season begins sometime in September. But the poll shows that most consumers still are waiting until around Thanksgiving to start their holiday shopping.

Walmart, Toys R Us and others started promoting their layaway plans in September as a way to reserve hot items.

While 11 percent said they were using layaway more this year than last year, 71 percent said they were not.

Seventy-two percent have done no shopping yet or less than a quarter of it, the poll found.

“The fact that 72 percent haven’t really started yet reinforces why Black Friday is coined the official beginning of the holiday season because that’s truly when shoppers start to open their wallets,” Martis said.

Most of that shopping will still take place in stores, despite the rise of online shopping and fears of shoppers using physical stores as showrooms for products they will buy online using their mobile devices.

“It is still growing, but it is still a very small portion of retail sales,” Martis said of mobile shopping.

Going to a mix of different types of stores is the plan for 42 percent of the respondents planning to go to stores, while 31 percent plan to do most of their holiday shopping at a discount chain such as Walmart, Target or Kmart, which will all be open for at least some of Thanksgiving Day to court shoppers.

The U.S. economy and possible tax hikes continue to be a concern for some, with 28 percent saying that they are spending less this year because of the fiscal cliff, though 58 percent said the fiscal cliff was not affecting their holiday spending plans.

Two-thirds of shoppers said they were planning to spend the same amount as last year or were unsure about their spending plans, while 21 percent plan to spend less and 11 percent plan to spend more. Also, 60 percent said are choosing to shop closer to home to save on gas.

Contrary to the cry of some traditional retailers, “show rooming” is not the norm for most people.

When asked how, if at all, they use a mobile device while in stores, 63 percent said they do not even pull out their smartphones while shopping. Fifteen percent compare prices online and 14 percent said they research products.

Amazon is the top online retailer shoppers plan to visit more than they did last year, with 42 percent picking it, 38 percent choosing Walmart, 23 percent selecting Target and 14 percent picking EBay.

Physical stores remain the top destination, with 26 percent planning to shop primarily at stores and only 14 percent planning to shop primarily online.

The poll is the first in a series that Ipsos will conduct during the holiday season.

The findings are from an Ipsos poll conducted for Thomson Reuters from November 15-19, 2012, with 1,169 American adults interviewed online. Results are within the poll’s credibility intervals, a tool used to account for statistical variation in Internet-based polling. The credibility interval was plus or minus 3.3 percentage points.

(Additional reporting by Brad Dorfman; Editing by Edward Tobin and Leslie Gevirtz)

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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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1 in 7 California drivers had drugs in their systems, survey finds

By Wesley Lowery, Los Angeles Times

November 20, 2012

California officials are warning against "drugged driving" after a statewide survey found drugs that can affect driving in one of every seven weekend nighttime motorists — nearly twice the number of those with alcohol in their system.

The survey results, announced Monday by the California Office of Traffic Safety, found that 14% of drivers surveyed tested positive for driving under the influence of impairing drugs — both illegal and prescription — and 7.3% of drivers tested positive for driving with alcohol in their system.

"These results reinforce our belief that driving after consuming potentially impairing drugs is a serious and growing problem," Christopher J. Murphy, director of the Office of Traffic Safety, said in a statement.

The impaired driving survey included more than 1,300 drivers who voluntarily provided breath and/or saliva samples at roadside locations set up in nine California cities between 10 p.m. and 3 a.m. Friday and Saturday nights.

Samples were tested for alcohol, THC and major illegal drugs, as well as prescription and over-the-counter medications that may adversely affect driving.

Of the drugs found in the system of surveyed drivers, marijuana was most prevalent, with 7.4% of drivers testing positive.

"Drugged driving poses a serious threat to public safety," Gil Kerlikowske, director of the Office of National Drug Control Policy, said in a statement. "We look forward to working with California and other states to raise awareness about this important issue, and continue to take action to make our roadways safer."

wesley.lowery@latimes.com

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Obama Receives Warm Welcome in Myanmar

YANGON, MYANMAR — The generals predicted that the Americans would come — but not like this.

In the paranoid decades of military rule, members of Myanmar’s junta told diplomats that they feared an American invasion and regime change.

On Monday, there was a large American deployment to Myanmar, but of an entirely different kind. Two jumbo jets carrying President Barack Obama, Secretary of State Hillary Rodham Clinton and their substantial entourage arrived for a six-hour visit. They were greeted by hundreds of people along Yangon’s streets, many of them waving U.S. flags.

“I saw Obama and nearly fainted,” said U Sein Hla Maung, an accounting teacher, who was perched on a hill overlooking the airport. “I’m very excited.”

Across the city there were symbols of how much mistrust has dissolved between the two governments and how much Myanmar has changed over the past two years as it moves from a dictatorship and toward a democracy. There were graffiti tributes to Mr. Obama, and shops sold T-shirts with his image.

“You are the legend hero of our world,” read a large sign in English held by a group of women standing along the road where Mr. Obama’s motorcade passed.

The warm greeting that Mr. Obama received here was partly government pomp and protocol. Hundreds of students in uniform were bused to the airport to line the roads and chanted in unison a rehearsed greeting: “President Obama is warmly welcomed to Myanmar!”

But the hundreds of others who came to greet the president’s motorcade on their own said they were deeply moved by Mr. Obama’s presence.

“We’ve been waiting 50 years for this visit,” said Kyaw Soe Moe, a restaurateur who had stood along the road with two large American flags. “There is justice and law in the United States. I want our country to be like that.”

During Myanmar’s military rule, American flags were taboo and symbols of defiance. On Monday, well-wishers said it was a measure of new freedoms in the country that they could greet Mr. Obama holding the Stars and Stripes.

“America always meant support for democracy for us,” Win Min, a former student activist who was one of two interpreters of a speech Mr. Obama delivered during his visit. “It was the country that had the strongest criticism of the military regime. We looked up to America.”

In 1988, when students and striking workers rose up against military rule, they marched almost daily to the U.S. Embassy. The military put down the uprising in a crackdown that killed many. It has only been 20 months since the junta in Myanmar ceded power to the civilian government of President Thein Sein. Therefore, American flags strewn across the capital, and Air Force One parked at the airport in Yangon, were a novel and somewhat jarring sight.

“There were people in the old regime and there are probably some people in the new government who still fear America,” said U Thant Myint-U, a historian who was in the audience for Mr. Obama’s speech. “They are afraid of what American influence could unleash here.”

Mr. Obama’s visit suggests that the Myanmar government “now has gained a level of confidence,” Mr. Thant Myint-U said.

Some members of the governing party, which is led by former generals of the junta, sought to play down the visit.

“I want to say that America is not the only friend of our nation — China and India are our friends too,” said U Khin Maung Htoo, a member of Parliament with the Union Solidarity and Development Party.

Mr. Khin Maung Htoo also said it was inappropriate for Mr. Obama to have met Myanmar’s president in Yangon instead of Naypyidaw, the capital built and conceived by the military.

The timing of the visit was awkward for Mr. Thein Sein, who flew from a regional meeting of the Association of Southeast Asian Nations in Cambodia to meet Mr. Obama and then flew back to Cambodia immediately afterward.

In his speech at the University of Yangon, Mr. Obama spoke about the changes to the country and offered a “hand of friendship” between two countries that had become “strangers.” The speech was carried live on Myanmar television, but without explanation the announcers stopped simultaneous interpretation in Burmese after several minutes.

Mr. Obama spoke about Myanmar’s continuing ethnic strife and said the country should harness the “power of diversity.” He said that people with his skin color were once denied the right to vote in the United States.

“And so that should give you some sense that if our country can transcend its differences,” Mr. Obama said, “then yours can too.”

On the street outside the university was U Ko Ni, a former political prisoner, who held up a sign: “Welcome Americans. No other nation has full human rights and democracy. We need and want democracy. Do help.”

Wai Moe contributed reporting from Yangon.

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Woman hits ‘like’ on Facebook, gets arrested in India

The police in Mumbai arrested Monday a 21-year-old college student Shaheen Dhada for a Facebook status update and her friend Renu Srinivasan for clicking “Like” on the update. The case is the latest in a string of recent crackdowns on Internet speech in India.

The update had criticized a general strike called by a political party, the right-wing Shiv Sena, to mourn the death Saturday of its elderly founder and patriarch, Bal Thackeray. The controversial leader has been hailed by Hindu nationalists but also criticized by liberals for leaving behind a legacy of political violence in India’s financial capital. The party has been accused of anti-Muslim violence in Mumbai in 1992, and Mr. Thackeray frequently made statements against Muslims.

In her Facebook post, Ms. Dhada wrote, “Respect is earned, not given and definitely not forced. Today Mumbai shuts down due to fear and not due to respect.” She also said that politicians like Thackeray are “born and die daily” and the city need not shut down for it, and that people should remember the martyrs of the Indian independence movement.

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Dhada and Ms. Srinivasan were arrested under section 505(2) of the Indian Penal Code that seeks to punish statements that amount to “creating or promoting enmity, hatred or ill-will between classes.” Additionally the two students have also been charged with Section 66A of the Information Technology Act that criminalizes online speech that is “grossly offensive or of menacing character.” Another law they have been charged with is Indian Penal Code 295A, which makes insulting or outraging religious feelings an offense. The punishment for each count is three years imprisonment each.

The arrests come in the wake of many such in India this year, a result of controversial new information technology laws. The other cases have included arrest of a resident of Chandigarh who complained on the Facebook page of Chandigarh police that they were not doing enough to find her stolen car; a cartoonist who posted work online protesting corruption scandals by the central government; and a professor in Kolkata who merely forwarded an email with a cartoon that was critical of West Bengal chief minister Mamata Banerjee.

While the women in the Thackeray case have been granted bail, the arrest has led to outrage on social media, with even right-wingers condemning the arrest as an assault on free speech.

Pranesh Prakash of the Center for Internet and Society in Bangalore says that the entire Information Technology Act needs a review by the government, civil society, and other stake-holders. “The current law does not have sufficient safeguards for privacy and freedom of speech and the law is being used as a tool of harassment,” Mr. Prakash says.

In a letter to the Maharashtra state government, Press Council of India chief Markandey Katju urged chief minister Prithviraj Chavan to take action against police officials who misused the laws to arrest the girls. Mr. Katju, a retired Supreme Court judge, wrote in his letter, “We are living in a democracy, not a fascist dictatorship. In fact this arrest itself appears to be a criminal act since… it is a crime to wrongfully arrest or wrongfully confine someone who has committed no crime.”

On top of the legal action against the women, street thugs exacted further punishment. A mob of Shiv Sena activists vandalized the clinic of Ms. Dhada’s uncle, Dr. Abdullah Ghaffar Dhada. Speaking on the phone from Mumbai, Dr. Dhadha says he incurred losses of two million Indian Rupees (nearly $ 36,500).

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Who Received Oprah's 'Favorite Things' This Year?

Stylewatch
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11/19/2012 at 04:00 PM ET

Courtesy O, The Oprah Magazine

Last year we were slightly sad, feeling deprived of the wild screams and uncontrollable tears usually seen during Oprah Winfrey‘s “Favorite Things” episode. Her daytime talk show had just ended, and we were left with a magazine spread that, while beautiful, didn’t give us the same effect.

But Sunday night the show was back on Winfrey’s OWN Network, honoring hardworking military spouses and gifting them with the goodies the media maven just loved.

“There’s nobody in the world more deserving of a day like you’re about to have,” Winfrey told the group before the gifting began. She honored them for “the work and the sacrifice and the love and the care and the vision that you hold … for every life you touch.”

So what were the goods? See the entire list of 50-plus finds on oprah.com, but highlights included the Octane Fitness Q37ci Elliptical Trainer (introduced to Winfrey by her trainer, Bob Greene), the Tory Burch “Michelle” tote (it “started calling to me,” Winfrey said of the first time she saw it), a $5,000 Bose HD TV, a Tempur-Cloud Supreme Mattress Winfrey swears by, slick Michael Kors Glam Studded High Tops, a Nespresso Lattissima machine and much, much more.

“There’s nothing that I love more than sharing what I love with other people,” Winfrey said. “It’s just so darn fun for me.”

But the most fun moment of the episode came at the end, of course, when Winfrey surprised each of the spouses with a five-night, all-expenses paid trip for two to Fiji’s Namale Resort & Spa. Winfrey was working on the premise that “many people here never had a honeymoon,” she explained, and wanted to give them the rest and relaxation they deserved. Catch the memorable moment here.

For a chance to score all of the swag seen on the “Favorite Things” special (re-airing this Friday, Nov. 23 at 9 p.m. ET on OWN), grab the December issue of O, The Oprah Magazine and visit oprah.com/12days.

–Kate Hogan

PHOTOS: SHOP HOLLYWOOD’S HOTTEST SHOES — FOR LESS!

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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 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."

___

Online:

Task force recommendation: http://www.uspreventiveservicestaskforce.org

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Boy, 14, sexually assaults 65-year-old woman at store, authorities say

A 14-year-old California boy was arrested Thursday night in connection with the attempted murder, kidnapping and sexual assault of a 65-year-old woman.

Officers found the woman bound by duct tape in a ditch near Hiddenbrooke Parkway and Interstate Highway 80 around 6 p.m. Thursday, according to the Bay City News Service.

Police said the victim was kidnapped at gunpoint in front of a retail store and was forced to drive to a location five miles away where she was physically and sexually assaulted.

The suspect then fled in the victim's minivan and called one of her family members, demanding money for her safe return.

Detectives located the suspect after he returned to the area. He was found with a replica handgun and the victim's minivan, police said.

The teen has been booked into Solano County Juvenile Hall.

ALSO:

Only 31% of California students are physically fit

Laguna Beach to punish parents for teen drinking

L.A. deputy charged in slaying, faces 75-year term if convicted

-- Wesley Lowery

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Gaza Violence Is Unabating as Outsiders Push for a Truce

GAZA CITY — Israeli forces killed at least 11 people, including several children, in a single airstrike that destroyed a home here on Sunday, as Israel pressed its bombardment of the Gaza Strip for a fifth day, deploying warplanes and naval vessels to pummel the coastal enclave.

The airstrike, which the Israeli military said was meant to kill a Palestinian militant involved in the recent rocket attacks, was the deadliest operation to date and would no doubt weigh on negotiations for a possible cease-fire. Among the dead were five women and four small children, The Associated Press reported, citing a Palestinian health official.

Two media offices were also hit on Sunday, and Prime Minister Benjamin Netanyahu of Israel warned of a “significant” expansion in the onslaught, which has already killed over 50 people, many of them civilians.

Speaking on Sunday from Bangkok, President Obama condemned missile attacks by Palestinian fighters in Gaza and defended Israel’s right to protect itself.

“There’s no country on earth that would tolerate missiles raining down on its citizens from outside its borders,” Mr. Obama said in his first public comments since the violence broke out. “We are fully supportive of Israel’s right to defend itself.”

The president also said that efforts were under way to address Israel’s security concerns and end the violence. “We’re going to have to see what kind of progress we can make in the next 24, 36, 48 hours,” Mr. Obama said.

Even as the diplomacy intensified on Sunday, the attacks continued in Gaza and Israel.

Mr. Netanyahu made his warning as militants in Gaza aimed at least one rocket at Tel Aviv, a day after Israeli forces broadened the attack beyond military targets, bombing centers of government infrastructure in Gaza, including the four-story headquarters of the Hamas prime minister.

“We are exacting a heavy price from Hamas and the terrorist organizations, and the Israel Defense Forces are prepared for a significant expansion of the operation,” Mr. Netanyahu told his cabinet at its routine Sunday meeting, referring directly to the of thousands of reservists who have been called up and the massing of armor on the Gaza border that many analysts have interpreted as preparations for a possible invasion.

“I appreciate the rapid and impressive mobilization of the reservists who have come from all over the country and turned out for the mission at hand,” Mr. Netanyahu said. “Reservist and conscript soldiers are ready for any order they might receive.”

His remarks were reported shortly after a battery of Israel’s Iron Dome defense shield, hastily deployed near Tel Aviv on Saturday in response to the threat of longer-range rockets, intercepted at least one aimed at the city on Sunday, Israeli officials said. It was the latest of several salvos that have illustrated Hamas’s ability to extend the reach of its rocket attacks.

Since Wednesday, when the escalation of the conflict began, Iron Dome has knocked 245 rockets out of the sky, the military said Saturday, while 500 have struck Israel.

The American-financed system is designed to intercept only rockets streaking toward towns and cities and to ignore those likely to strike open ground. But on Sunday a rocket fired from Gaza plowed through the roof of an apartment building in the southern Israeli city of Ashkelon. There were no immediate reports of casualties there.

In Gaza City, the crash of explosions pierced the quiet several times throughout the early morning.

Before the latest deadly strike involving civilians on Sunday, Hamas health officials had said the Palestinian death toll had risen to 53. One of the latest victims was a 52-year-old woman whose house in the eastern part of Gaza City was bombed around lunchtime.

A few hours earlier, a Hamas militant was killed and seven people were wounded in an attack on the Beach Refugee Camp, where Ismail Haniya, the Hamas prime minister, has a home. Those killed on Sunday included three children ages 1 through 5, the health officials said.

In Israel, 3 civilians have died and 63 have been injured. Four soldiers were wounded on Saturday.

The onslaught continued despite talks in Cairo that President Mohamed Morsi of Egypt said Saturday night could soon result in a cease-fire. Mr. Netanyahu said he would consider a comprehensive cease-fire if the launchings from Gaza stopped.

The attack on Mr. Haniya’s office, one of several on government installations, came a day after he hosted his Egyptian counterpart in the same building, a sign of Hamas’s new legitimacy in a radically redrawn Arab world.

Jodi Rudoren and Fares Akram reported from Gaza City. Reporting was contributed by Isabel Kershner, Carol Sutherland and Iritz Pazner Garshowitz from Jerusalem; Tyler Hicks from Gaza, Peter Baker from Bangkok, Alan Cowell from London, Michael Schwirtz from New York and David D. Kirkpatrick and Mayy El Sheikh from Cairo.

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