WHO: Slight cancer risk after Japan nuke accident


LONDON (AP) — Two years after Japan's nuclear plant disaster, an international team of experts said Thursday that residents of areas hit by the highest doses of radiation face an increased cancer risk so small it probably won't be detectable.


In fact, experts calculated that increase at about 1 extra percentage point added to a Japanese infant's lifetime cancer risk.


"The additional risk is quite small and will probably be hidden by the noise of other (cancer) risks like people's lifestyle choices and statistical fluctuations," said Richard Wakeford of the University of Manchester, one of the authors of the report. "It's more important not to start smoking than having been in Fukushima."


The report was issued by the World Health Organization, which asked scientists to study the health effects of the disaster in Fukushima, a rural farming region.


On March 11, 2011, an earthquake and tsunami knocked out the Fukushima plant's power and cooling systems, causing meltdowns in three reactors and spewing radiation into the surrounding air, soil and water. The most exposed populations were directly under the plumes of radiation in the most affected communities in Fukushima, which is about 150 miles (240 kilometers) north of Tokyo.


In the report, the highest increases in risk are for people exposed as babies to radiation in the most heavily affected areas. Normally in Japan, the lifetime risk of developing cancer of an organ is about 41 percent for men and 29 percent for women. The new report said that for infants in the most heavily exposed areas, the radiation from Fukushima would add about 1 percentage point to those numbers.


Experts had been particularly worried about a spike in thyroid cancer, since radioactive iodine released in nuclear accidents is absorbed by the thyroid, especially in children. After the Chernobyl disaster, about 6,000 children exposed to radiation later developed thyroid cancer because many drank contaminated milk after the accident.


In Japan, dairy radiation levels were closely monitored, but children are not big milk drinkers there.


The WHO report estimated that women exposed as infants to the most radiation after the Fukushima accident would have a 70 percent higher chance of getting thyroid cancer in their lifetimes. But thyroid cancer is extremely rare and one of the most treatable cancers when caught early. A woman's normal lifetime risk of developing it is about 0.75 percent. That number would rise by 0.5 under the calculated increase for women who got the highest radiation doses as infants.


Wakeford said the increase may be so small it will probably not be observable.


For people beyond the most directly affected areas of Fukushima, Wakeford said the projected cancer risk from the radiation dropped dramatically. "The risks to everyone else were just infinitesimal."


David Brenner of Columbia University in New York, an expert on radiation-induced cancers, said that although the risk to individuals is tiny outside the most contaminated areas, some cancers might still result, at least in theory. But they'd be too rare to be detectable in overall cancer rates, he said.


Brenner said the numerical risk estimates in the WHO report were not surprising. He also said they should be considered imprecise because of the difficulty in determining risk from low doses of radiation. He was not connected with the WHO report.


Some experts said it was surprising that any increase in cancer was even predicted.


"On the basis of the radiation doses people have received, there is no reason to think there would be an increase in cancer in the next 50 years," said Wade Allison, an emeritus professor of physics at Oxford University, who also had no role in developing the new report. "The very small increase in cancers means that it's even less than the risk of crossing the road," he said.


WHO acknowledged in its report that it relied on some assumptions that may have resulted in an overestimate of the radiation dose in the general population.


Gerry Thomas, a professor of molecular pathology at Imperial College London, accused the United Nations health agency of hyping the cancer risk.


"It's understandable that WHO wants to err on the side of caution, but telling the Japanese about a barely significant personal risk may not be helpful," she said.


Thomas said the WHO report used inflated estimates of radiation doses and didn't properly take into account Japan's quick evacuation of people from Fukushima.


"This will fuel fears in Japan that could be more dangerous than the physical effects of radiation," she said, noting that people living under stress have higher rates of heart problems, suicide and mental illness.


In Japan, Norio Kanno, the chief of Iitate village, in one of the regions hardest hit by the disaster, harshly criticized the WHO report on Japanese public television channel NHK, describing it as "totally hypothetical."


Many people who remain in Fukushima still fear long-term health risks from the radiation, and some refuse to let their children play outside or eat locally grown food.


Some restrictions have been lifted on a 12-mile (20-kilometer) zone around the nuclear plant. But large sections of land in the area remain off-limits. Many residents aren't expected to be able to return to their homes for years.


Kanno accused the report's authors of exaggerating the cancer risk and stoking fear among residents.


"I'm enraged," he said.


___


Mari Yamaguchi in Tokyo and AP Science Writer Malcolm Ritter in New York contributed to this report.


__


Online:


WHO report: http://bit.ly/YDCXcb


Read More..

Obama to visit Russia in September






WASHINGTON: US President Barack Obama will visit Saint Petersburg for September's G20 summit and will also hold a meeting with President Vladimir Putin at the G8 summit in Northern Ireland in June.

The White House made the announcement Friday after the leaders spoke by phone to discuss the Syria crisis amid testy relations between Russia and the United States, which have deteriorated since Obama's first term.

Russia had hoped that Obama would pay an official visit to the country last year, his first since Putin returned to the presidency, but Washington's ties with Moscow have been uneasy, and the visit never took place.

Obama's announcement means that he will also not travel to Russia before the G20 summit, in another disappointment to the Kremlin.

Washington and Moscow have been especially at odds over Syria, and Russia's role in vetoing UN Security Council action to censure President Bashar al-Assad for his crackdown on an opposition revolt that has killed 70,000 people.

"The two presidents agreed on the need to advance a political transition to end the violence as soon as possible," said a White House statement, referring to Syria.

US Secretary of State John Kerry and Russian Foreign Minister Sergei Lavrov will continue to work together on the issue following their meeting in Berlin on Tuesday, the White House said.

A statement issued earlier from the Kremlin said that Putin noted the need to end "military activities" in Syria as soon as possible.

Russia also denounced a new US pledge to provide direct aid, but no arms, to Syrian rebel fighters, saying it will fuel more violence in the nearly two-year war.

Despite the tensions, Obama vowed in his State of the Union address in February to work with the Kremlin to reduce both Russian and American stockpiles of nuclear weapons.

Relations between Moscow and Washington have been especially harmed by the Obama administration's criticism of Moscow's deteriorating human rights record under Putin.

There has also been tension over adoptions of Russian orphans by US nationals in recent weeks.

The spat started after the US Congress passed a bill last year targeting Russian officials with sanctions over the prison death of Russian lawyer Sergei Magnitsky.

Russia retaliated with a ban on all US adoptions, saying Russian children in the United States were abused and even murdered by their adoptive parents.

One of Obama's major foreign policy achievements of his first term was a "reset" of relations with Russia engineered with former president Dmitry Medvedev, but the return of Putin has soured the mood.

-AFP/ac



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Army to banish Bofors bogey, adopt indigenous, US routes

NEW DELHI: With defence minister AK Antony pushing for greater indigenization in the defence production sector to avoid scams, the Army is now pinning its hopes on two "prototypes" of artillery guns developed by the Ordnance Factory Board (OFB) to boost its long-range, high-volume firepower.

Even as the force eagerly awaits the "user-trials" of these 155mm/45-calibre field guns in June, it's also pushing for inking of the $647 million contract for acquisition of 145 M-777 ultra-light howitzers (ULH) from the US by April-May to "exorcise" its recurring Bofors ghost.

The series of scandals in the artillery arena — beginning with the Swedish Bofors one in the mid-1980s and followed by South African Denel, Israeli Soltam and Singapore Technology Kinetic's (STK) in later years — has left the Army grappling with huge operational gaps since not even a single new 155mm howitzer has been inducted for the past 27 years.

Interestingly, both the new projects on the horizon — part of the long-delayed over Rs 30,000 crore artillery modernization plan — have a strong "Bofors angle". While the ULH deal will be a direct government-to-government contract, which is said to preclude kickbacks, the 155mm/39-calibre M-777s are manufactured by BAE Systems, which now owns the original Bofors company.

The two OFB prototypes are also based on the designs obtained under the transfer of technology (ToT) provisions in the infamous Rs 1,437-crore Bofors contract for 410 155mm howitzers in 1986.

MoD sources said the "letter of acceptance" for the ULH deal should be ready by March-end or so. The air-mobile howitzers, capable of being swiftly deployed in forward areas by helicopters and aircraft, are primarily meant for the high-altitude areas of Arunachal Pradesh and Ladakh to counter China.

"An Indian `maintainability evaluation team' visited the US from February 8 to 25 to inspect the howitzers. The guns will be delivered to India within a year of the deal being closed," said a source.

On the other front, the OFB prototypes were "satisfactorily tested" in Pokhran on February 4. The Army wants to induct 414 of these field guns, which have a range of 38-km as compared to the 30-km of the original Bofors gun, in the first stage.

"The prototypes, one with 68% indigenous parts and the other with 46%, will undergo validation firing in March-April before the final user trials in June," said the source.

The other 155mm/52-calibre artillery projects include purchase of 100 self-propelled tracked guns from a foreign vendor and the development of 814 mounted gun systems through a joint venture with the private sector.

But the biggest one is the over Rs 12,000-crore project to buy 400 155mm/52-calibre towed artillery guns, followed by indigenous manufacture of another 1,180 such guns after transfer of technology from the foreign vendor. This project has been derailed at least a couple of times in the past, the last time after STK was blacklisted due to the corruption scandal against former OFB chairman Sudipto Ghosh.

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Sequester Could Cut Blue Angels, Medicare Payments


Mar 1, 2013 2:28pm


gty navy blue angels kb 130301 wblog Sequester at Home: Florida Could Lose Blue Angels Shows, Medicare Payments

(Image Credit: Justin Sullivan/Getty Images)


Starting today, The Note will track how automatic budget cuts associated with the so-called sequester are hurting Americans at home. This story of the effects on one community is part of that series.


If nothing is done to avert “sequester” cuts, air-show fans can wave bye-bye to the Blue Angels.


The Navy’s demonstration air team plans to cancel the 28 performances it has scheduled between April 1 and Sept. 30 if the cuts go into effect as planned at midnight tonight and revenue is not somehow supplemented.


Read more: Sequester to Cut $85 Billion from Federal Agencies


It’s just one of the many sacrifices the Defense Department plans to make if its budget suffers the across-the-board cuts prescribed in the sequestration bill signed into law in August 2011.


Florida State Sen. Don Gaetz, R-Niceville, said the cancelled shows would mean the loss of what he called his constituents’ “civic religion.”


“If someone you don’t know gets furloughed from a job at a military base, that’s something you read about in the newspaper. But if the Blue Angels are grounded, that’s a highly visible symbol of government dysfunction,” Gaetz said today.


A performance in Indiana slated for June has already been cut, thanks to the sequester, but that was the choice of the organizers, not the Navy, according to Blue Angels Public Affairs Officer Lt. Kathryn Kelly.


The next show on the chopping block would be the April 6-7 Airfest performance at MacDill Air Force Base in Tampa, Fla.


Terry Montrose, deputy chief of public affairs for Macdill Air Force Base, said if that performance is cancelled, the whole air show will be shut down, a true disappointment for the Tampa community.


“I’m sure it would be a big blow to [Tampa residents], because it’s one of the largest events in Tampa every year or every other year,” Montrose said.


Read More: What Is Sequestration?


Montrose said the base is “hoping for a Hail Mary” to save the show.


But Kelly of the Blue Angels said the squadron’s fate is not sealed just yet. If Congress passes a full budget, another continuing resolution or an increase to the Navy’s transfer authority, more shows could be restored.


Sen. Gaetz pointed out that losing the Blue Angels wouldn’t be the worst of the sequester’s effects in the Sunshine State.


“As important as they are and as symbolic as they are, [the Blue Angels] aren’t as important as making sure that someone in a nursing home gets care or someone in aerospace gets a paycheck,” he said. “But, obviously, sometimes it’s the symbols that resonate with people and bring the issue home.”


The tourism, higher education, civilian defense contractor and hospital industries in Florida would all take hits as the cuts filter down, according to Chris McCarty, director of the Bureau of Economic and Business Research at the University of Florida in Gainesville.


Read more: Government Shutdown Looks Unlikely


In 2011, 17.6 percent of Florida’s population was eligible for Medicare, 4.3 points higher than the national average. That means scaling back Medicare payments to hospitals will disproportionately affect the health care industry in that state, according to Gaetz.


“When Medicare catches a cold,” he said,  “Florida hospitals get pneumonia.”


Read More..

WHO: Slight cancer risk after Japan nuke accident


LONDON (AP) — Two years after Japan's nuclear plant disaster, an international team of experts said Thursday that residents of areas hit by the highest doses of radiation face an increased cancer risk so small it probably won't be detectable.


In fact, experts calculated that increase at about 1 extra percentage point added to a Japanese infant's lifetime cancer risk.


"The additional risk is quite small and will probably be hidden by the noise of other (cancer) risks like people's lifestyle choices and statistical fluctuations," said Richard Wakeford of the University of Manchester, one of the authors of the report. "It's more important not to start smoking than having been in Fukushima."


The report was issued by the World Health Organization, which asked scientists to study the health effects of the disaster in Fukushima, a rural farming region.


On March 11, 2011, an earthquake and tsunami knocked out the Fukushima plant's power and cooling systems, causing meltdowns in three reactors and spewing radiation into the surrounding air, soil and water. The most exposed populations were directly under the plumes of radiation in the most affected communities in Fukushima, which is about 150 miles (240 kilometers) north of Tokyo.


In the report, the highest increases in risk are for people exposed as babies to radiation in the most heavily affected areas. Normally in Japan, the lifetime risk of developing cancer of an organ is about 41 percent for men and 29 percent for women. The new report said that for infants in the most heavily exposed areas, the radiation from Fukushima would add about 1 percentage point to those numbers.


Experts had been particularly worried about a spike in thyroid cancer, since radioactive iodine released in nuclear accidents is absorbed by the thyroid, especially in children. After the Chernobyl disaster, about 6,000 children exposed to radiation later developed thyroid cancer because many drank contaminated milk after the accident.


In Japan, dairy radiation levels were closely monitored, but children are not big milk drinkers there.


The WHO report estimated that women exposed as infants to the most radiation after the Fukushima accident would have a 70 percent higher chance of getting thyroid cancer in their lifetimes. But thyroid cancer is extremely rare and one of the most treatable cancers when caught early. A woman's normal lifetime risk of developing it is about 0.75 percent. That number would rise by 0.5 under the calculated increase for women who got the highest radiation doses as infants.


Wakeford said the increase may be so small it will probably not be observable.


For people beyond the most directly affected areas of Fukushima, Wakeford said the projected cancer risk from the radiation dropped dramatically. "The risks to everyone else were just infinitesimal."


David Brenner of Columbia University in New York, an expert on radiation-induced cancers, said that although the risk to individuals is tiny outside the most contaminated areas, some cancers might still result, at least in theory. But they'd be too rare to be detectable in overall cancer rates, he said.


Brenner said the numerical risk estimates in the WHO report were not surprising. He also said they should be considered imprecise because of the difficulty in determining risk from low doses of radiation. He was not connected with the WHO report.


Some experts said it was surprising that any increase in cancer was even predicted.


"On the basis of the radiation doses people have received, there is no reason to think there would be an increase in cancer in the next 50 years," said Wade Allison, an emeritus professor of physics at Oxford University, who also had no role in developing the new report. "The very small increase in cancers means that it's even less than the risk of crossing the road," he said.


WHO acknowledged in its report that it relied on some assumptions that may have resulted in an overestimate of the radiation dose in the general population.


Gerry Thomas, a professor of molecular pathology at Imperial College London, accused the United Nations health agency of hyping the cancer risk.


"It's understandable that WHO wants to err on the side of caution, but telling the Japanese about a barely significant personal risk may not be helpful," she said.


Thomas said the WHO report used inflated estimates of radiation doses and didn't properly take into account Japan's quick evacuation of people from Fukushima.


"This will fuel fears in Japan that could be more dangerous than the physical effects of radiation," she said, noting that people living under stress have higher rates of heart problems, suicide and mental illness.


In Japan, Norio Kanno, the chief of Iitate village, in one of the regions hardest hit by the disaster, harshly criticized the WHO report on Japanese public television channel NHK, describing it as "totally hypothetical."


Many people who remain in Fukushima still fear long-term health risks from the radiation, and some refuse to let their children play outside or eat locally grown food.


Some restrictions have been lifted on a 12-mile (20-kilometer) zone around the nuclear plant. But large sections of land in the area remain off-limits. Many residents aren't expected to be able to return to their homes for years.


Kanno accused the report's authors of exaggerating the cancer risk and stoking fear among residents.


"I'm enraged," he said.


___


Mari Yamaguchi in Tokyo and AP Science Writer Malcolm Ritter in New York contributed to this report.


__


Online:


WHO report: http://bit.ly/YDCXcb


Read More..

Polls close in crucial British by-election






LONDON: Polls closed in the southern English town of Eastleigh on Thursday in a by-election for a new member of parliament in a tight contest that threatens serious repercussions for Britain's main parties.

The election pits Prime Minister David Cameron's Conservative Party against its junior coalition partner, the Liberal Democrats, while the anti-EU UK Independence Party (UKIP) is hoping to capitalise on voter disillusionment. First results are expected around 0200 GMT.

The election was sparked by the resignation of disgraced former energy minister Chris Huhne, a Liberal Democrat who has pleaded guilty to trying to avoid a speeding fine.

Nick Clegg, the embattled deputy prime minister and Lib Dem leader, has called it a "two-horse race" between his party and the Conservatives, while UKIP leader Nigel Farage predicted a "big" swing to his party.

The Lib Dems have been damaged by an ongoing sex scandal surrounding the party's former chief executive Chris Rennard, and the vote looks set to cause ructions within an already strained coalition, whatever the result.

On the eve of polling, Cameron urged Conservatives to back candidate Maria Hutchings, who vowed to help "get the country back on its feet" if she won.

But senior Conservative David Davis warned that a loss for the party would place serious doubt over Cameron's leadership of the party.

"If we came third it would be a crisis," Davis told BBC television. "And if it's a close second with UKIP on our tail it will also be uncomfortable."

More than 79,000 people were eligible to vote for one of the 14 candidates, and residents have been subjected to incessant campaigning since the election was called after Huhne's resignation on February 5.

Clegg visited Eastleigh on Wednesday to pledge his support for candidate Mike Thornton, saying he was on the "cusp of a great, great victory".

Addressing supporters at Lib Dems headquarters, Clegg called the race the "most exciting and closely contested by-elections" that he could remember.

Farage backed his candidate, Diane James, to "come up on the rails" and cause a major shock.

"If you gave me evens on us gaining more than 20 percent in this by-election I would have a very big bet," he said. "This is the campaign that has got momentum."

John O'Farrell, the candidate for the main opposition Labour party, is fighting not to finish in fourth place, and said he hoped voters would register their dissatisfaction at living standards by voting for his party.

-AFP/ac



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Sariska villagers block tourists’ entry

ALWAR: About 2,500 villagers on Thursday blocked the main entrance of the Sariska Tiger Reserve, protesting their relocation from areas near the sanctuary.

Sariska field director RS Shekhawat said the villagers had locked the entrance and didn't allow tourists to enter the park. "We are trying to sort out the problem on a priority basis," Shekhawat said.

The villagers, who are on an indefinite sit-in, said they would not clear the blockade unless their demands were met. This is the third such protest in the past eight months against the relocation plan.

Tension began in Sariska when about 2,500 people from 50 villages gathered for a mahapanchayat against the alleged "cheating" by the district administration. "We had called off the agitation in May last year when the district administration agreed on some of our demands including lifting ban on the registry of land, construction of a concrete road and earmarking a grazing area. But now they have backtracked on the promise citing the Supreme Court orders," said Jaikishan Gujjar, a villager.

Since 2008, the farmers in the periphery of the reserve have been protesting the state government and wildlife authorities' decision to relocate them. On February 20, villagers thrashed a few senior sanctuary officials when 70 cattle were seized while grazing in the sanctuary area.

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Obama Admin to Court: End Calif. Gay Marriage Ban











In a historic argument for gay rights, President Barack Obama on Thursday urged the Supreme Court to overturn California's same-sex marriage ban and turn a skeptical eye on similar prohibitions across the country.



The Obama administration's friend-of-the-court brief marked the first time a U.S. president has urged the high court to expand the right of gays and lesbians to wed. The filing unequivocally calls on the justices to strike down California's Proposition 8 ballot measure, although it stops short of the soaring rhetoric on marriage equality Obama expressed in his inaugural address in January.



California is one of eight states that give gay couples all the benefits of marriage through civil unions or domestic partnership, but don't allow them to wed. The brief argues that in granting same-sex couples those rights, California has already acknowledged that gay relationships bear the same hallmarks as straight ones.



"They establish homes and lives together, support each other financially, share the joys and burdens of raising children, and provide care through illness and comfort at the moment of death," the administration wrote.






Justin Sullivan/Getty Images








The brief marks the president's most expansive view of gay marriage and signals that he is moving away from his previous assertion that states should determine their own marriage laws. Obama, a former constitutional law professor, signed off on the administration's legal argument last week following lengthy discussions with Attorney General Eric Holder and Solicitor General Donald Verrilli.



In a statement following the filing, Holder said "the government seeks to vindicate the defining constitutional ideal of equal treatment under the law."



Obama's position, if adopted by the court, would likely result in gay marriage becoming legal in the seven other states: Delaware, Hawaii, Illinois, Nevada, New Jersey, Oregon and Rhode Island.



In the longer term, the administration urges the justices to subject laws that discriminate on sexual orientation to more rigorous review than usual, as is the case for claims that laws discriminate on the basis of race, sex and other factors.



The Supreme Court has never given gay Americans the special protection it has afforded women and minorities. If it endorses such an approach in the gay marriage cases, same-sex marriage bans around the country could be imperiled.



Friend-of-the-court briefs are not legally binding. But the government's opinion in particular could carry some weight with the justices when they hear oral arguments in the case on March 26.



Despite the potentially wide-ranging implications of the administration's brief, it still falls short of what gay rights advocates and the attorneys who will argue against Proposition 8 had hoped for. Those parties had pressed the president to urge the Supreme Court to not only overturn California's ban, but also declare all gay marriage bans unconstitutional.



Still, marriage equality advocates publicly welcomed the president's legal positioning.



"President Obama and the solicitor general have taken another historic step forward consistent with the great civil rights battles of our nation's history," said Chad Griffin, president of the Human Rights Campaign and co-founder of the American Foundation for Equal Rights, which brought the legal challenge to Proposition 8.





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Medicare paid $5.1B for poor nursing home care


SAN FRANCISCO (AP) — Medicare paid billions in taxpayer dollars to nursing homes nationwide that were not meeting basic requirements to look after their residents, government investigators have found.


The report, released Thursday by the Department of Health and Human Services' inspector general, said Medicare paid about $5.1 billion for patients to stay in skilled nursing facilities that failed to meet federal quality of care rules in 2009, in some cases resulting in dangerous and neglectful conditions.


One out of every three times patients wound up in nursing homes that year, they landed in facilities that failed to follow basic care requirements laid out by the federal agency that administers Medicare, investigators estimated.


By law, nursing homes need to write up care plans specially tailored for each resident, so doctors, nurses, therapists and all other caregivers are on the same page about how to help residents reach the highest possible levels of physical, mental and psychological well-being.


Not only are residents often going without the crucial help they need, but the government could be spending taxpayer money on facilities that could endanger people's health, the report concluded. The findings come as concerns about health care quality and cost are garnering heightened attention as the Obama administration implements the nation's sweeping health care overhaul.


"These findings raise concerns about what Medicare is paying for," the report said.


Investigators estimate that in one out of five stays, patients' health problems weren't addressed in the care plans, falling far short of government directives. For example, one home made no plans to monitor a patient's use of two anti-psychotic drugs and one depression medication, even though the drugs could have serious side effects.


In other cases, residents got therapy they didn't need, which the report said was in the nursing homes' financial interest because they would be reimbursed at a higher rate by Medicare.


In one example, a patient kept getting physical and occupational therapy even though the care plan said all the health goals had been met, the report said.


The Office of Inspector General's report was based on medical records from 190 patient visits to nursing homes in 42 states that lasted at least three weeks, which investigators said gave them a statistically valid sample of Medicare beneficiaries' experiences in skilled nursing facilities.


That sample represents about 1.1 million patient visits to nursing homes nationwide in 2009, the most recent year for which data was available, according to the review.


Overall, the review raises questions about whether the system is allowing homes to get paid for poor quality services that may be harming residents, investigators said, and recommended that the Centers for Medicare & Medicaid Services tie payments to homes' abilities to meet basic care requirements. The report also recommended that the agency strengthen its regulations and ramp up its oversight. The review did not name individual homes, nor did it estimate the number of patients who had been mistreated, but instead looked at the overall number of stays in which problems arose.


In response, the agency agreed that it should consider tying Medicare reimbursements to homes' provision of good care. CMS also said in written comments that it is reviewing its own regulations to improve enforcement at the homes.


"Medicare has made significant changes to the way we pay providers thanks to the health care law, to reward better quality care," Medicare spokesman Brian Cook said in a statement to AP. "We are taking steps to make sure these facilities have the resources to improve the quality of their care, and make sure Medicare is paying for the quality of care that beneficiaries are entitled to."


CMS hires state-level agencies to survey the homes and make sure they are complying with federal law, and can require correction plans, deny payment or end a contract with a home if major deficiencies come to light. The agency also said it would follow up on potential enforcement at the homes featured in the report.


Greg Crist, a Washington-based spokeswoman for the American Health Care Association, which represents the largest share of skilled nursing facilities nationwide, said overall nursing home operators are well regulated and follow federal guidelines but added that he could not fully comment on the report's conclusions without having had the chance to read it.


"Our members begin every treatment with the individual's personal health needs at the forefront. This is a hands-on process, involving doctors and even family members in an effort to enhance the health outcome of the patient," Crist said.


Virginia Fichera, who has relatives in two nursing homes in New York, said she would welcome a greater push for accountability at skilled nursing facilities.


"Once you're in a nursing home, if things don't go right, you're really a prisoner," said Fichera, a retired professor in Sterling, NY. "As a concerned relative, you just want to know the care is good, and if there are problems, why they are happening and when they'll be fixed."


Once residents are ready to go back home or transfer to another facility, federal law also requires that the homes write special plans to make sure patients are safely discharged.


Investigators found the homes didn't always do what was needed to ensure a smooth transition.


In nearly one-third of cases, facilities also did not provide enough information when the patient moved to another setting, the report found.


___


On the Web:


The OIG report: http://1.usa.gov/VaztQm


The Medicare nursing home database: http://www.medicare.gov/NursingHomeCompare/search.aspx?bhcp=1&AspxAutoDetectCookieSupport=1


___


Follow Garance Burke on Twitter at —http://twitter.com/garanceburke.


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Japan's factory output up 1.0% in January






TOKYO: Japan's factory output for January rose a smaller-than-expected 1.0 per cent from the previous month, official data showed on Thursday.

The rise was weaker than a 1.5 per cent expansion expected by the market and a revised 2.4 per cent increase in December.

But the ministry maintained a positive view, saying in a monthly report: "Industrial production has bottomed out and shows some signs of picking up."

- AFP/ck



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