GSK and J&J lead rivals in drug access for poor












LONDON (Reuters) – Drugmakers – led by GlaxoSmithKline and Johnson & Johnson – are stepping up efforts to ensure their medicines are available and affordable in poor countries, after being attacked in the past for not doing enough.


The Access to Medicines Index, which tracks the actions of the top 20 drugmakers, showed on Wednesday there had been an improvement across the board in the past two years, reflecting both commercial self-interest and a concern for reputation.












Still, the nonprofit group behind the index took companies to task for not being more open about the widespread outsourcing of clinical trials in overseas countries, where many studies are handled by contract research organizations (CROs).


The analysis found no company was fully transparent about all the CROs it used, and only four – Merck & Co, Sanofi, GlaxoSmithKline and Eisai – provided evidence of enforcing codes of conduct to ensure CRO trials met safety and ethical standards.


Companies are increasingly conducting clinical trials in eastern Europe, Asia and Latin America, where costs are often lower and patients easier to recruit.


LOW COST, HIGH VOLUME


With emerging markets now a top priority for pharmaceutical companies worldwide, as sales in Western nations slow, firms are experimenting with a wide variety of low-cost, high-volume models to boost business.


As a result, Wim Leereveld, founder of the Amsterdam-based Access to Medicine Foundation, said companies were becoming much more organized internally in addressing the needs of low-income markets.


More companies are now adopting “tiered” pricing, with prices in poor countries sometimes reduced by 50 to 75 percent, although this varies considerably between companies, products and markets.


Britain’s GlaxoSmithKline came top in the 2012 index, based on an assessment of performance across a range of activities, such as drug donation, patent policy, pricing and research.


Johnson & Johnson was second and Sanofi third, while Japanese drugmakers came bottom of the table.


Significantly, two of the top six companies were mid-sized businesses – the HIV/AIDS specialist Gilead Sciences and diabetes care group Novo Nordisk – reflecting the importance of less-developed countries in both these diseases.


It is the third time the index has been compiled. GSK also led the board in previous rankings in 2008 and 2010.


BOARDROOM ATTENTION


The pharmaceutical industry has often had a stormy relationship with healthcare activists and some governments, leading to a bruising battle a decade ago with South Africa over AIDS drugs patents and access.


Since then, companies have come under increasing pressure to do things differently and make their products more affordable.


“The key is that the boards of these companies understand it is an important issue … in getting them access to markets and maintaining a good reputation with governments,” said David Sampson, author of the latest report.


The 2012 analysis found that the issue was now a board-level matter for more than 60 percent of companies, leading to novel approaches, such as GSK’s recently established developing countries and market access unit.


(Editing by Hans-Juergen Peters)


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Protesters pack Tahrir Square, dispute Morsi

CAIRO (AP) — The same chants used against Hosni Mubarak were turned against his successor Tuesday as more than 200,000 people packed Egypt's Tahrir Square in the biggest challenge yet to Islamist President Mohammed Morsi.


The massive, flag-waving throng protesting Morsi's assertion of near-absolute powers rivaled some of the largest crowds that helped drive Mubarak from office last year.


"The people want to bring down the regime!" and "erhal, erhal" — Arabic for "leave, leave" — rang out across the plaza, this time directed at Egypt's first freely elected president.


The protests were sparked by edicts Morsi issued last week that effectively neutralize the judiciary, the last branch of government he does not control. But they turned into a broader outpouring of anger against Morsi and his Muslim Brotherhood, which opponents say have used election victories to monopolize power, squeeze out rivals and dictate a new, Islamist constitution, while doing little to solve Egypt's mounting economic and security woes.


Clashes broke out in several cities, with Morsi's opponents attacking Brotherhood offices, setting fire to at least one. Protesters and Brotherhood members pelted each other with stones and firebombs in the Nile Delta city of Mahalla el-Kobra, leaving at least 100 people injured.


"Power has exposed the Brotherhood. We discovered their true face," said Laila Salah, a housewife at the Tahrir protest who said she voted for Morsi in last summer's presidential election. After Mubarak, she said, Egyptians would no longer accept being ruled by an autocrat.


"It's like a wife whose husband was beating her and then she divorces him and becomes free," she said. "If she remarries she'll never accept another day of abuse."


Gehad el-Haddad, a senior adviser to the Brotherhood and its political party, said Morsi would not back down on his edicts. "We are not rescinding the declaration," he told The Associated Press.


That sets the stage for a drawn-out battle that could throw the nation into greater turmoil. Protest organizers have called for another mass rally Friday. If the Brotherhood responds with demonstrations of its own, as some of its leaders have hinted, it would raise the prospect of greater violence after a series of clashes between the two camps in recent days.


A tweet by the Brotherhood warned that if the opposition was able to bring out 200,000 to 300,000, "they should brace for millions in support" of Morsi.


Another flashpoint could come Sunday, when the constitutional court is to rule on whether to dissolve the assembly writing the new constitution, which is dominated by the Brotherhood and its Islamist allies. Morsi's edicts ban the courts from disbanding the panel; if the court defies him and rules anyway, it would be a direct challenge that could spill over into the streets.


"Then we are in the face of the challenge between the supreme court and the presidency," said Nasser Amin, head of the Arab Center for the Independence of the Judiciary and the Legal Profession. "We are about to enter a serious conflict" on both the legal and street level, he said.


Morsi and his supporters say the decrees were necessary to prevent the judiciary from blocking the "revolution's goals" of a transition to democracy. The courts — where many Mubarak-era judges still hold powerful posts — have already disbanded the first post-Mubarak elected parliament, which was led by the Brotherhood. Now it could also take aim at the Islamist-led upper house of parliament.


Morsi's decrees ban the judiciary from doing so and grant his decisions immunity from judicial review. Morsi also gave himself sweeping powers to prevent threats to the revolution, stability or state institutions, which critics say are tantamount to emergency laws. These powers are to remain in effect until the constitution is approved and parliamentary elections are held, not likely before spring 2013.


Opponents say the decrees turn Morsi — who narrowly won last summer's election with just over 50 percent of the vote — into a new dictator, given that he holds not only executive but also legislative powers, after the lower house of parliament was dissolved.


Tuesday's turnout was an unprecedented show of strength by the mainly liberal and secular opposition, which has been divided and uncertain amid the rise to power of the Brotherhood over the past year. The crowds were of all stripes, including many first-time protesters.


"Suddenly Morsi is issuing laws and becoming the absolute ruler, holding all powers in his hands," said Mona Sadek, a 31-year-old engineering graduate who wears the Islamic veil, a hallmark of piety. "Our revolt against the decrees became a protest against the Brotherhood as well."


"The Brotherhood hijacked the revolution," agreed Raafat Magdi, an engineer who was among a crowd of some 10,000 marching from the Cairo district of Shubra to Tahrir to the beat of drums and chants against the Brotherhood. Reform leader Mohammed ElBaradei led the march.


"People woke up to (Morsi's) mistakes, and in any new elections they will get no votes," Magdi said.


Many in the crowd said they were determined to push ahead with the protests until Morsi retreats. A major concern was that Islamists would use the decree's protection of the constitutional assembly to drive through their vision for the next charter, with a heavy emphasis on implementing Shariah, or Islamic law. The assembly has been plagued with controversy, and more than two dozen of its 100 members have quit in recent days to protest Islamist control.


"Next Friday will be decisive," protester Islam Bayoumi said of the upcoming rally. "If people maintain the same pressure and come in large numbers, they could manage to press the president and rescue the constitution."


A fellow protester, Saad Salem Nada, said of Morsi: "I am a Muslim and he made me hate Muslims because of the dictatorship in the name of religion. In the past, we had one Mubarak. Now we have hundreds."


Even as the crowds swelled in Tahrir, clashes erupted nearby between several hundred protesters throwing stones and police firing tear gas on a street leading to the U.S. Embassy. Clouds of tear gas hung over the area, where clashes have broken out for several days, fueled by anger over police abuses.


A photographer working for the AP, Ahmed Gomaa, was beaten by stick-wielding police while covering the clashes. Police took his equipment and Gomaa was taken to a hospital for treatment.


Rival rallies by Morsi opponents and supporters turned into brief clashes in the Mediterranean city of Alexandria, where anti-Morsi protesters broke into the local office of the Muslim Brotherhood, throwing furniture out the windows and trying unsuccessfully to set fire to it. Protesters also set fire to Brotherhood offices in the city of Mansoura.


Morsi's supporters canceled a massive rally planned for Tuesday in Cairo, citing the need to "defuse tension." Morsi's supporters say more than a dozen of their offices have been ransacked or set ablaze since Friday. Some 5,000 demonstrated in the southern city of Assiut in support of Morsi's decrees, according to witnesses there.


So far, there has been little sign of a compromise. On Monday, Morsi met with the nation's top judges and tried to win their acceptance of his decrees. But the move was dismissed by many in the opposition and the judiciary as providing no real concessions.


Saad Emara, a senior Muslim Brotherhood member, said Morsi will not make any concessions, especially after the surge of violence and assaults on Brotherhood offices.


Emara accused the opposition "of resorting to violence with a political cover," claiming that former ruling party and Mubarak-era businessmen were hiring thugs to attack Brotherhood offices with the opposition's blessing.


"The story now is that the civilian forces are playing with fire. This is a dangerous scene."


___


Associated Press writer Hamza Hendawi in Cairo contributed to this report.

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Dog days in Cuba: from shih tzus to schnauzers












HAVANA (AP) — The Cuban capital has played host to political summits and art festivals, ballet tributes and international baseball competitions. Now dog lovers are getting their chance to take center stage.


Hundreds of people from all over Cuba and several other countries came to a scruffy field near Revolution Plaza this past week to preen and fuss over the shih tzus, beagles, schnauzers and cocker spaniels that are the annual Fall Canine Expo’s star attractions. There were even about a dozen bichon habaneros, a mid-sized dog bred on the island since the 17th century.












As dog lovers talked shop, the merely curious strolled the field, checking out the more than 50 breeds on display while carefully dodging the prodigious output of so many dogs.


The four-day competition, which ended Sunday, included competitions in several breeding categories, and judges were flown in from Nicaragua, Colombia and Mexico.


“This is a small, poor country, but Cubans love dogs,” said Miguel Calvo, the president of Cuba’s dog federation, which organized the show. “We make a great effort to breed purebred animals of quality.”


Winners don’t receive any trophy or prize money, but that doesn’t mean the competition is any less fierce.


Anabel Perez, owner of a cocker spaniel named Lisamineli after the U.S. actress, spent more than half an hour coifing the dog’s hair in preparation for the competition, while the owner of a shih tzu named Tiguer meticulously brushed his coat nearby.


“I’m a hairdresser for humans,” explained Tiguer’s owner, Miguel Lopez. “So it’s easy for me. I like shih tzus because they are a lot of work to keep well groomed.”


Latin America News Headlines – Yahoo! News


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Berry’s ex says he was threatened before fight












LOS ANGELES (AP) — Halle Berry‘s ex-boyfriend claims the actress’s fiance threatened to kill him during a Thanksgiving confrontation that left him with a broken rib, bruised face and under arrest.


Gabriel Aubry‘s claims are included in court filings that led a judge Monday to grant a restraining order against actor Olivier Martinez, who is engaged to the Oscar-winning actress.












Aubry, 37, was arrested on suspicion of misdemeanor battery after his confrontation with Martinez on Thursday, but he states in the civil court filings that he was not the aggressor and that he was threatened and attacked without provocation. Martinez told police that Aubry had attacked first, the filings state.


A representative for Martinez could not be immediately reached for comment.


Aubry’s filing claims Martinez threatened him the day before the fight at an event at his daughter’s school that he and the actors attended. Aubry, a model, has a 4-year-old daughter with Berry and the former couple have been engaged in a lengthy custody battle.


The proceedings have been confidential, but Aubry states a major aspect of the case was Berry’s wish to move to Paris and take her daughter with her. The request was denied Nov. 9, Berry’s court filings state, and Aubry shares joint custody of the young girl.


Aubry claims Martinez told him, “You cost us $ 3 million,” while he was punched and kicked him in the driveway of Berry’s home. Aubry had gone to the home to allow his daughter to spend Thanksgiving with her mother, the filings state. Aubry claims Martinez threatened to kill him if Aubry didn’t move to Paris.


Berry was not in the driveway during the confrontation and neither was their daughter, the documents state.


Photos of Aubry’s face with cuts and a black eye were included in his court filing.


A judge set a hearing for Dec. 17 to consider whether a three-year restraining order should be granted. Aubry has a Dec. 13 court date for the possible battery case, which has not yet been filed by prosecutors.


___


Anthony McCartney can be reached at http://twitter.com/mccartneyAP .


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FDA suspends peanut butter plant linked to salmonella outbreak












(Reuters) – The U.S. Food and Drug Administration suspended operations on Monday at a New Mexico food producer linked to salmonella-tainted peanut butter that has sickened at least 41 people this year, the agency said in a statement.


The FDA said it had suspended Sunland Inc‘s food facility registration “in the interest of public health,” following the national outbreak and a history of food safety violations reaching back over three years.












“The fact that peanut butter made by the company has been linked to an outbreak … that has sickened 41 people in 20 states, coupled with Sunland’s history of violations led FDA … to suspend the company’s registration,” the FDA statement said, referring to an outbreak that began in June.


Registration with the administration is required for any facility that makes, processes, packs or holds food for consumption in the United States. If a facility’s registration is suspended, it is banned from distributing food for sale.


The FDA said a review of Sunland Inc’s product testing records showed that 11 product lots of nut butter tested positive for salmonella between June 2009 and September 2012.


Between March 2010 and September 2012, at least a portion of eight product lots of nut butter that the firm’s own testing program identified as containing salmonella was distributed by the company to consumers, the organization said.


Additionally, the FDA found the presence of salmonella during its inspection of the plant in September and October, both in samples taken in food production areas and in food products themselves.


Attempts to reach Sunland on Monday were unsuccessful, but in a November 15 statement the company said “at no time in its twenty four year history has Sunland, Inc. released for distribution any products that it knew to be potentially contaminated with harmful microorganisms.”


The company said it “has followed internal testing protocols that it believed resulted in the isolation and destruction of any product that did not pass the test designed to detect the presence of any contaminants.”


Salmonella typically causes diarrhea, fever and abdominal pain. It can be fatal for old people, young children and people with weakened immune systems. The FDA said it would reinstate the firm’s registration only when it determines that the company has implemented procedures to produce safe products.


(Reporting by Tim Gaynor; Editing by Cynthia Johnston and Bob Burgdorfer)


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Sandy cost New York $32 billion

ALBANY, N.Y. (AP) — Top political leaders in New York put their heads together Monday on big requests for federal disaster aid as Gov. Andrew Cuomo announced that Superstorm Sandy ran up a bill of $32 billion in the state and the nation's largest city.

The cost is for repairs and restoration and does not include an additional accounting of over $9 billion to head off damage in the next disastrous storm, including steps to protect the power grid and cellphone network.

"It's common sense; it's intelligent," Cuomo said. "Why don't you spend some money now to save money in the future? And that's what prevention and mitigation is."

New York Mayor Michael Bloomberg had announced earlier in the day that Sandy caused $19 billion in losses in New York City — part of the $32 billion estimate Cuomo used.

New York taxpayers, Cuomo said, can't foot the bill.

"It would incapacitate the state. ... Tax increases are always a last, last, last resort."

Cuomo met with New York's congressional delegation to discuss the new figures and present "less than a wish list." The delegation, Cuomo and Bloomberg will now draw up a request for federal disaster aid.

States typically get 75 percent reimbursement for the cost of governments to restore mass transit and other services after a disaster.

The most basic recovery costs for roads, water systems, schools, parks, individual assistance and more total $15 billion in New York City; $7 billion for state agencies; $6.6 billion in Nassau County and $1.7 billion in Suffolk County, both on suburban Long Island; and $527 million in Westchester County and $143 million in Rockland County, both north of New York City, according to a state document used in the private briefing of the delegation and obtained by The Associated Press.

Hard times were already facing the state and city governments that were staring at deficits of more than $1 billion before Sandy hit in late October. State tax receipts have also missed projections, showing a continued slow recovery from a recession that could hit taxpayers in the governments' budgets this spring. And there's the looming fiscal cliff, the combination of expiring federal tax cuts and major spending cuts that could rattle the economy.

"Make no mistake, this will not be an easy task, particularly given the impending fiscal cliff, and a Congress that has been much less friendly to disaster relief than in the past," Schumer said. "We will work with the (Obama) administration on supplemental legislation, to be introduced in the upcoming December session of Congress, that will set us on the road to meeting New York's needs. This will be an effort that lasts not weeks, but many months, and we will not rest until the federal response meets New York's deep and extensive needs."

Rep. Peter King, a Long Island Republican who, like Schumer, is a powerful member of his chamber, said he is seeking cooperation from House leaders to find enough disaster aid.

"It really is survival," King said. "This is an emergency. This should be separate of all the debate about the fiscal cliff and everything else."

The Cuomo administration has gained the public support of President Barack Obama and FEMA in New York's proposal for full reimbursement for storm damage, but state officials have privately worried about how much the state can get now.

In the city, Bloomberg is asking federal lawmakers to put up nearly $10 billion to reimburse government agencies and private businesses. That would be additional funding on an expedited basis over the $5.4 billion in standard disaster aid that the city projects it will receive from the Federal Emergency Management Agency.

That FEMA money and private insurance won't cover all the public and private expenses from the storm, which included damaged streets and restaurants closed because of flooding, Bloomberg said.

"While the impact of the storm will be felt for some time and the challenges are great, I am confident that the city will rebound and emerge stronger than ever," Bloomberg wrote to the congressional delegation.

Reinsurance company Swiss Re showed the extent of private sector pain. It estimates that claims stemming from Sandy will cost the company about $900 million and that total losses from insured damage will be between $20 billion and $25 billion.

Reinsurance firms provide coverage to insurance companies for great losses stemming from events like natural disasters.

Other states are seeking federal assistance, too. FEMA has already paid out nearly $250 million in New Jersey, where Gov. Chris Christie says the preliminary damage estimate is $29.4 billion and could rise.

___

Associated Press writers Jennifer Peltz and Meghan Barr in New York City contributed to this report.

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Israel successfully tests missile defense system












JERUSALEM (AP) — Israel successfully tested its newest missile defense system Sunday, the military said, a step toward making the third leg of what Israel calls its “multilayer missile defense” operational.


The “David’s Sling” system is designed to stop mid-range missiles. It successfully passed its test, shooting down its first missile in a drill Sunday in southern Israel, the military said.












The system is designed to intercept projectiles with ranges of up to 300 kilometers (180 miles).


Israel has also deployed Arrow systems for longer-range threats from Iran. The Iron Dome protects against short-range rockets fired by militants in the Gaza Strip and Hezbollah guerrillas in Lebanon. Iron Dome shot down hundreds of rockets from Gaza in this month’s round of fighting.


Israeli Defense Minister Ehud Barak said the success of Iron Dome highlighted the “immense importance” of such systems.


“David’s Sling,” also known “Magic Wand,” is developed by Israel’s Rafael Advanced Defense Systems and U.S.-based Raytheon Co. and is primarily designed to counter the large arsenal of Hezbollah rockets in Lebanon.


The military said the program, which is on schedule for deployment in 2014, would “provide an additional layer of defense against ballistic missiles.”


The next generation of the Arrow, now in the development stage, is set to be deployed in 2016. Called the Arrow 3, it is designed to strike its target outside the atmosphere, intercepting missiles closer to their launch sites. Together, the two Arrow systems would provide two chances to strike down incoming missiles.


Israel also uses U.S.-made Patriot missile defense batteries against mid-range missiles, though these failed to hit any of the 39 Scud missiles fired at Israel from Iraq In the first Gulf War 20 years ago. Manufacturers say the Patriot system has been improved since then.


Middle East News Headlines – Yahoo! News


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Vampires foil Tooth Fairy, Santa to claim box office win












(Reuters) – Teen vampire film “The Twilight Saga: Breaking Dawn – Part 2″ continued to take a bite out of the domestic box office, drawing $ 64 million in ticket sales over the five-day Thanksgiving holiday weekend to finish ahead of James Bond film “Skyfall.”


After opening with a massive $ 141.1 million last weekend, the finale of the “Twilight” franchise brought in a holiday swarm of fans to see teen favorites Robert Pattinson, Kristen Stewart and Taylor Lautner, pushing “Breaking Dawn” to $ 227 million in total domestic ticket sales.












“Skyfall,” starring Daniel Craig in the 23rd installment of the James Bond franchise, finished second, collecting $ 51 million in weekend ticket sales in the United States and Canada, according to studio estimates compiled by the box office division of Hollywood.com.


“Lincoln,” Steven Spielberg’s historical film on the last days of President Abraham Lincoln, grabbed third with $ 34.1 million over the Wednesday-through-Sunday period.


Making its debut in fourth place with $ 32.6 million was the animated film “Rise of the Guardians,” featuring the voices of Chris Pine and Alec Baldwin as the Tooth Fairy, Santa Claus and other childhood favorites who save the world.


“Life of Pi,” based on Yann Martel’s 2001 best-seller about a boy who survives on a raft with a tiger after his ship sinks, collected $ 30.15 million for a strong fifth-place finish.


“Rise of the Guardians,” produced by Dreamworks Animation for roughly $ 145 million, had been projected by distributor Paramount Pictures to gross $ 35 million in its first five days, according to Box Office Mojo.


Based on “The Guardians of Childhood” book series by children’s author William Joyce, the film will be the last Paramount will release for Dreamworks, whose films will be distributed next year by News Corp’s Fox studio.


Anne Globe, Dreamworks’ chief marketing officer, pointed to “the great parent reactions we’ve seen” to the film, and noting it was among the few choices for families through the end of year, said the studio was “hoping for very long legs through the holidays.”


The Ang Li film “Life of Pi,” on the other hand, performed stronger than expected. “We clearly exceeded our pre-release expectations,” said Chris Aronson, president of domestic distribution for 20th Century Fox.


“We’re seeing word of mouth in action, and a remarkably balanced demographic,” including strong ticket sales among those under 25, he said, adding “Many felt it was impossible to film, but Ang Li pulled it off.”


The remake of the 1984 Cold War film “Red Dawn,” finished seventh with $ 22 million in sales, behind animated feature “Wreck It Ralph”‘s $ 23 million take.


“Red Dawn” arrived at movie theaters four years after it was shot by MGM, but was delayed when the studio filed for bankruptcy in 2010. Last year, MGM decided to digitally alter the villains in the movie, inserting North Koreans instead of Chinese, after Hollywood began courting Chinese companies to help finance its films.


Propelled by the vampires, secret agents, presidents and nursery school favorites, Hollywood ticket sales totaled $ 290 million for the holiday weekend, beating the holiday weekend high mark of $ 273 million recorded in 2009. Hollywood studios often release their biggest holiday films on Wednesday to take advantage of school breaks the day before Thanksgiving.


The continued rush of fans to see teen favorites Pattinson, Stewart and Lautner pushed the “Twilight” installment to $ 227 million in total domestic ticket sales, making it the year’s sixth-largest, according to figures compiled by Box Office Mojo.


“Skyfall” with $ 221.7 million is just behind at number seven, while the year’s box office champ remains “Marvel’s The Avengers,” which has taken in $ 623 million to date.


(Reporting By Ronald Grover)


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Psoriasis patients look to Hong Kong government for help – and hope












HONG KONG (Reuters) – When Gary Lai first came down with the skin disease psoriasis, he got so tired of the stigma he faced in the outside world that he would lock himself away in his apartment whenever he didn’t have to be at work.


“When you have to apply ointment all over your body, it is impractical. It also has a smell and when you go to work, your colleagues will start asking questions,” said Lai, who was 24 when he was diagnosed.












Now Lai, 41, and other Hong Kong residents suffering from psoriasis – a lifelong autoimmune disease that covers the skin in red, scaly plaques – have joined hands to press the government to help subsidize their high treatment costs.


Affecting up to two percent of the population in Asia, or 125 million people worldwide, this disfiguring disease can take a higher physical and mental toll on patients than cancer and heart disease, past surveys have found.


“During all that time, I experienced great stress and prejudice. In the subway, people around me will stare at me and they think I may infect them,” said Lai, a data analyst. “I can tell from their eyes even if they don’t say anything.”


In psoriasis patients, skin cells grow too fast and rapidly pile up, forming red and inflamed scales or plaques on the skin. While cell reproduction in normal skin takes 28 days, that process in psoriasis patients takes only four days.


The exact cause of psoriasis remains unknown although experts believe it is linked to the immune system where a class of fighter cells attack the body’s own healthy skin cells by mistake. They cite a combination of risk factors, including genetic predisposition and environmental factors.


Dermatologist Yeung Chi-keung said first-line treatments such as creams, exposure to ultraviolet light and oral drugs tend not to work for about 10 percent of patients, who will then require second-line drugs, which are injected.


These injectable drugs now cost an average of HK$ 10,000 (US$ 1,282) a month and getting on Hong Kong‘s general list will mean patients need only pay a nominal administrative fee of $ 10.


“In the last month, we (dermatologists in Hong Kong) proposed to the government to consider subsidizing these drugs,” said Yeung, who is honorary clinical associate professor of dermatology at the University of Hong Kong’s department of medicine.


A spokesman for the Hospital Authority, the body that oversees all public hospitals in Hong Kong, said it would have to make a detailed study before deciding if it will subsidize the treatment of such patients.


“The review process would take into account scientific evidence on safety, efficacy and cost-effectiveness as well as actual clinical experience in the use of drugs. Views of professionals and patient groups will also be considered,” the spokesman added.


For the patients who wait and hope, the stress never goes away.


“When I go to the pool, other swimmers think it is contagious and that I will pollute the water, so they complain to the lifeguard to get rid of me,” Lai said. “We hope the government will put these drugs on their general (subsidized) list.”


(Reporting by Tan Ee Lyn, editing by Elaine Lies)


Health News Headlines – Yahoo! News


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Violence, economic unrest as Egypt's political foes dig in their heels

CAIRO (AP) — Supporters and opponents of Egypt's president on Sunday grew more entrenched in their potentially destabilizing battle over the Islamist leader's move to assume near absolute powers, with neither side appearing willing to back down as the stock market plunged amid the fresh turmoil.

The standoff poses one of the hardest tests for the nation's liberal and secular opposition since Hosni Mubarak's ouster nearly two years ago. Failure to sustain protests and eventually force Mohammed Morsi to loosen control could consign it to long-term irrelevance.

Clashes between the two sides spilled onto the streets for a third day since the president issued edicts that make him immune to oversight of any kind, including that of the courts.

A teenager was killed and at least 40 people were wounded when a group of anti-Morsi protesters tried to storm the local offices of the political arm of the president's Muslim Brotherhood in the Nile Delta city of Damanhoor, according to security officials.

It was the first reported death from the street battles that erupted across much of the nation on Friday, the day after Morsi's decrees were announced. The officials, who spoke on condition of anonymity because they were not authorized to speak to the media, identified the boy as 15-year-old Islam Hamdi Abdel-Maqsood.

The tensions also dealt a fresh blow to the economy, which has suffered due to the problems plaguing the Arab world's most populous nation since Mubarak's ouster.

Egypt's benchmark EGX30 stock index dropped 9.59 percentage points Sunday in the first trading session since Morsi issued his decrees. The losses were among the biggest since the turbulent days and weeks immediately after Mubarak's ouster in a popular uprising last year. The loss in the value of shares was estimated at close to $5 billion.

The judiciary, the main target of the edicts, has pushed back, calling the decrees a power grab and an "assault" on the branch's independence. Judges and prosecutors stayed away from many courts in Cairo and other cities on Sunday.

But the nation's highest judicial body, the Supreme Judiciary Council, watered down its opposition to the decrees on Sunday. It told judges and prosecutors to return to work and announced that its members would meet with Morsi on Monday to try to persuade him to restrict immunity to major state decisions like declaring war or martial law or breaking diplomatic relations with foreign nations.

Morsi supporters insist that the measures were necessary to prevent the courts, which already dissolved the elected lower house of parliament, from further holding up moves to stability by disbanding the assembly writing the new constitution, as judges were considering doing. Both the parliament and the constitutional assembly are dominated by Islamists. Morsi accuses Mubarak loyalists in the judiciary of seeking to thwart the revolution's goals and barred the judiciary from disbanding the constitutional assembly or parliament's upper house.

Opposition activists, however, have been adamant since the crisis first erupted that they would not enter a dialogue with Morsi's regime before the decrees are rescinded.

Protesters also clashed with police at Cairo's Tahrir Square, the birthplace of the mass protests that toppled Mubarak, and in the side streets and avenues leading off the plaza. The Interior Ministry, which is in charge of the police, said 267 protesters have been arrested and 164 policemen injured since the unrest began a week ago, initially to mark the anniversary of street protests a year ago against the nation's then-military rulers. Forty-two protesters were killed in those demonstrations.

The ministry did not say how many protesters were injured in the latest clashes in Tahrir, but security officials put the figure at 260.

Hundreds of protesters staging a sit-in in Tahrir have vowed not to leave before Morsi rescinds his decrees. The two sides also have called for massive rival protests Tuesday in Cairo, signaling a protracted struggle.

Morsi's office issued an English-language statement late Sunday defending his decrees and repeating the argument he used when addressing supporters Friday outside his Cairo palace — that they were designed to bolster the country's transition to democratic rule and dismantle Mubarak's old regime.

"The presidency reiterates the temporary nature of the said measures, which are not meant to concentrate powers," it said. The statement also pledged Morsi's commitment to engaging all political forces on the drafting of a new constitution. Secular and Christian members withdrew from the panel drafting the document, alleging that the Islamists who dominate the body have hijacked the process to produce a charter with an Islamist slant.

Nader Omran, of the Brotherhood's Freedom and Justice party, said any changes to the decrees were "out of the question" but Morsi might "make pledges, vows or addendums explaining his position to clarify the decrees."

He said Morsi would hand over his legislative powers to parliament's upper chamber once a new constitution is adopted in a nationwide referendum and ahead of parliamentary elections. The presidency did not confirm the claim, but doing so would leave the Egyptian leader with the state's executive and legislative powers until around April.

The move also has caused some internal discord among the Morsi camp, with one aide, Samer Marqous, already resigning to protest the "undemocratic" decree.

Another Morsi adviser Ayman al-Sayyad wrote on his Twitter account that the president met Sunday for the second time in as many days with his 17-member advisory council and three of his assistants.

"I think it (the meeting) produced a genuine realization of the gravity of the situation ... We were candid today in our meeting with the president and we now expect practical steps on the ground." He did not elaborate.

Leading Egyptian democracy advocate Mohammed ElBaradei, a Nobel Peace Laureate and a former director of the U.S. nuclear agency, warned Saturday of increasing turmoil that could potentially lead to the military stepping in unless Morsi rescinds his new powers.

Egypt's liberal and secular groups — long divided, weakened and uncertain as Islamist parties rose to power in the months after the revolution — are seeking to rally in response to the decrees as the stakes are high. The fractured opposition came together as the engine of the 18-day uprising that forced Mubarak to step down after 29 years in power, bringing millions out on the streets, but they have failed to recapture that energy after months of setbacks.

Morsi, meanwhile, already has backed down twice in high-profile battles with the judiciary in the five months he's been in office. The U.S.-trained engineer failed to challenge the court ruling dissolving parliament's powerful lower chamber and had to rescind his decision to fire the country's attorney-general, Mubarak-era appointee Abdel-Maguid Mahmoud, in October. He fired him on Thursday as part of his edicts.

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Associated Press writer Aya Batrawy contributed to this report.

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