Global Checkup: Most People Living Longer, But Sicker


If the world's entire population went in for a collective checkup, would the doctor's prognosis be good or bad? Both, according to new studies published in The Lancet medical journal.

The vast collaborative effort, called the Global Burden of Diseases, Injuries, and Risk Factors Study 2010, includes papers by nearly 500 authors in 50 countries. Spanning four decades of data, it represents the most comprehensive analysis ever undertaken of health problems around the world.

It reveals that, globally, we're living longer but coping with more illness as adults. In 1990, "childhood underweight"—a condition associated with malnutrition, measles, malaria, and other infectious diseases—was the world's biggest health problem. Now the top causes of global disease are adult ailments: high blood pressure (associated with 9.4 million deaths in 2010), tobacco smoking (6.2 million), and alcohol use (4.9 million).

First, the good news:

We're living longer. Average life expectancy has risen globally since 1970 and has increased in all but eight of the world's countries within the past decade.

Both men and women are gaining years. From 1970 to 2010, the average lifespan rose from 56.4 years to 67.5 years for men, and from 61.2 years to 73.3 years for women.

Efforts to combat childhood diseases and malnutrition have been very successful. Deaths in children under five years old declined almost 60 percent in the past four decades.

Developing countries have made huge strides in public health. In the Maldives, Bangladesh, Bhutan, Iran, and Peru, life expectancy has increased by more than 20 years since 1970. Within the past two decades, gains of 12 to 15 years have occurred in Angola, Ethiopia, Niger, and Rwanda, an indication of successful strategies for curbing HIV, malaria, and nutritional deficiencies.

We're beating many communicable diseases. Thanks to improvements in sanitation and vaccination, the death rate for diarrheal diseases, lower respiratory infections, meningitis, and other common infectious diseases has dropped by 42 percent since 1990.

And the bad:

Non-infectious diseases are on the rise, accounting for two of every three deaths globally in 2010. Heart disease and stroke are the primary culprits.

Young adults aren't doing as well as others. Deaths in the 15 to 49 age bracket have increased globally in the past 20 years. The reasons vary by region, but diabetes, smoking, alcohol, HIV/AIDS, and malaria all play a role.

The HIV/AIDS epidemic is taking a toll in sub-Saharan Africa. Life expectancy has declined overall by one to seven years in Zimbabwe and Lesotho, and young adult deaths have surged by more than 500 percent since 1970 in South Africa, Botswana, Zambia, and Zimbabwe.

We drink too much. Alcohol overconsumption is a growing problem in the developed world, especially in Eastern Europe, where it accounts for almost a quarter of the total disease burden. Worldwide, it has become the top risk factor for people ages 15 to 49.

We eat too much, and not the right things. Deaths attributable to obesity are on the rise, with 3.4 million in 2010 compared to 2 million in 1990. Similarly, deaths attributable to dietary risk factors and physical inactivity have increased by 50 percent (4 million) in the past 20 years. Overall, we're consuming too much sodium, trans fat, processed meat, and sugar-sweetened beverages, and not enough fruits, vegetables, whole grains, nuts, fiber, calcium, and omega-3 fatty acids.

Smoking is a lingering problem. Tobacco smoking, including second-hand smoke, is still the top risk factor for disease in North America and Western Europe, just as it was in 1990. Globally, it's risen in rank from the third to second leading cause of disease.

To find out more and see related charts and graphics, see the Institute for Health Metrics and Evaluation, which led the collaboration.


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Health-Exchange Deadline Looms













All of the Affordable Care Act, also known as "Obamacare," doesn't go into effect until 2014, but states are required to set up their own health care exchanges or leave it to the federal government to step in by next year. The deadline for the governors' decisions is Friday.


The health insurance exchanges are one of the key stipulations of the new health care law. They will offer consumers an Internet-based marketplace for purchasing private health insurance plans.


But the president's signature health care plan has become so fraught with politics that whether governors agreed to set up the exchanges has fallen mostly along party lines.


Such partisanship is largely symbolic because if a state opts not to set up the exchange, the Department of Health and Human Services will do it for them as part of the federal program. That would not likely be well-received by Republican governors, either, but the law forces each state's chief executive to make a decision one way or the other.


Here's what it looks like in all 50 states and the District of Columbia:



20 states that have opted out -- N.J., S.C., La., Wis., Ohio, Maine, Ala., Alaska, Ariz., Ga., Pa., Kan., Neb., N.H., N.D., Okla., S.D., Tenn., Texas and Wyo.






Charles Dharapak/AP Photo











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Several Republican governors have said they will not set up the exchanges, including Chris Christie (N.J.), Nikki Haley (S.C.), Bobby Jindal (La.), Scott Walker (Wis.), John Kasich (Ohio), Paul LePage (Maine), Robert Bentley (Ala.), Sean Parnell (Ark.), Jan Brewer (Ariz.), Nathan Deal (Ga.), Tom Corbett (Pa.), Sam Brownback (Kan.), Dave Heineman (Neb.), John Lynch (N.H.), Jack Dalrymple (N.D.), Mary Fallin (Okla.), Dennis Daugaard (S.D.), Bill Haslam (Tenn.), Rick Perry (Texas), and Matt Mead (Wyo.).


3 States Out, but a Little More Complicated -- Mont., Ind. and Mo.


The Montana outgoing and incoming governors are both Democrats, but the Republican state legislature rejected the Democratic state auditor's request to start setting up a state exchange. So a federal exchange will be set up in Montana as well.


The Indiana outgoing and incoming governors are both Republicans and outgoing Gov. Mitch Daniels deferred the decision to governor-elect and U.S. Rep. Mike Pence, who said his preference is not to set up a state health care exchange, paving the way for the feds to come in too.


In Missouri, Gov. Jay Nixon is a Democrat, but Prop E passed on Nov. 6, which barred his administration from creating a state-based exchange without a public vote or the approval of the state legislature. After the election, he sent a letter to the Department of Health and Human Services saying he would be unable to set up a state-based exchange, meaning the federal government would have to set up its own.


1 State Waiting for the White House -- Utah


Utah already has a state exchange set up, a Web-based tool where small-business employees can shop and compare health insurance with contributions from their employee. In a letter Republican Gov. Gary Herbert sent to the White House Tuesday, he asked for its exchange, called Avenue H, to be approved as a state-based exchange under the Affordable Care Act as long as state officials can open it to individuals and larger businesses.


Norm Thurston, the state's health reform implementation coordinator, says authorities there "haven't received an official response" from the White House, but "we anticipate getting one soon."


There are some sticking points that don't comply with the exchanges envisioned by the Affordable Care Act and Utah would like to keep it that way.






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Cultural exchange at National Gallery offers glimpse of Italian politics



By the end of the month, Terzi di Sant’Agata will most likely be out of a job and the administration he serves will be out of power.

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Unsafe ride-on animal toy recalled






SINGAPORE: SPRING Singapore has found that a toy given out as a free gift contains unsafe levels of phthalates, commonly used as a plasticiser in toys.

The free gift comes in the shape of cows, deers and ponies.

SPRING had sent samples of the toy for testing in response to a consumer's complaint.

As a precaution, SPRING had asked the retailer Aura Roboclean Singapore Pte Ltd to immediately stop distributing the product.

The retailer is contacting customers who were given the toys to stop using them and dispose of them immediately, or return them to the company.

So far, between 300 and 400 toy animals have been given out.

- CNA/ck



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Chilkur temple stage for Pandit Shankar’s secret wedding

HYDERABAD: For the older priests of the Balaji temple in Chilkur, the news of Pandit Ravi Shankar's sudden demise brought back vivid memories of the day he landed in Hyderabad and paid them a quiet visit, taking them all by surprise.

Not many people know but the sitar maestro married Sukanya Devi, mother of Anoushka Shankar in 1989 at the very temple, when it was frequented by only a handful of devotees.

"They came in a car on that day with their own purohit and nobody had even a faint idea that the marriage of a celebrity was going to take place," said M V Soundara Rajan, hereditary trustee of the Chilkur Balaji temple . "The temple authorities were not informed beforehand. It was a very low-key and simple affair bereft of any celebrity wedding. The marriage ritual was finished within an hour and the guests left soon," recalls Rajan, whose 99-year-old uncle C M Srinivasa Raghava Chary performed the marriage. The maestro, according to temple authorities, was a big devotee of Balaji and had visited the temple several times. Popularly known as the "visa god" as students pray there before applying for visa counseling, the temple witnesses over 5000 people visiting it every day.

Back in the days, the temple was very popular among members of Gujarati and Marwari community from the city who were ardent devotees of the lord.

A Gujarati businessman from the city, who was the patron of the temple, was instrumental in getting Ravi Shankar married here, priests say. "Ravi Shankar was a close friend of a Gujarati devotee who used to visit our temple. Probably this was the reason why he chose this temple. He had accompanied Ravi Shankar and his would-be wife to the temple that day," Rajan recalled.

Soundara Rajan also remembered the Gujarati devotee, whose name he does not remember , speaking of organizing a benefit programme with Ravi Shankar and promising to donate its proceeds to the development of the temple. "But our family had rejected that idea since we did not want any monetary help raised through such programmes since we consider this as a service," he said.

Recalling the marriage, priests said the marriage at this temple would have been confidential and not known to many had it not been for a lucky reporter who stumbled on the information . "Only after the news was splashed many knew that he had visited the city" a priest said.

According to them, Ravi Shankar also chose the temple as he was also a devotee of Chilkur Balaji. "He seemed to have visited the temple before and after the marriage."

C S Rangarajan, chief priest of the temple and son of Soundara Rajan recalled his conversation on this topic with his grandfather , who was the in-charge of the temple then. "This temple might have been chosen because it was quiet and hardly visited by any devotees. He had visited again in 2009 which showed he had faith in Chilkur Balaji," Rangarajan added.

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Hubble Discovers Oldest Known Galaxy


The Hubble space telescope has discovered seven primitive galaxies formed in the earliest days of the cosmos, including one believed to be the oldest ever detected.

The discovery, announced Wednesday, is part of the Hubble Ultra Deep Field campaign to determine how and when galaxies first assembled following the Big Bang.

"This 'cosmic dawn' was not a single, dramatic event," said astrophysicist Richard Ellis with the California Institute of Technology in Pasadena. Rather, galaxies appear to have been formed over hundreds of millions of years.

Ellis led a team that used Hubble to look at one small section of the sky for a hundred hours. The grainy images of faint galaxies include one researchers determined to be from a period 380 million years after the onset of the universe—the closest in time to the Big Bang ever observed.

The cosmos is about 13.7 billion years old, so the newly discovered galaxy was present when the universe was 4 percent of its current age. The other six galaxies were sending out light from between 380 million and 600 million years after the Big Bang. (See pictures of "Hubble's Top Ten Discoveries.")

Baby Pictures

The images are "like the first ultrasounds of [an] infant," said Abraham Loeb, a specialist in the early cosmos at Harvard University. "These are the building blocks of the galaxies we now have."

These early galaxies were a thousand times denser than galaxies are now and were much closer together as well, Ellis said. But they were also less luminous than later galaxies.

The team used a set of four filters to analyze the near infrared wavelengths captured by Hubble Wide Field Camera 3, and estimated the galaxies' distances from Earth by studying their colors. At a NASA teleconference, team members said they had pushed Hubble's detection capabilities about as far as they could go and would most likely not be able to identify galaxies from further back in time until the James Webb Space Telescope launches toward the end of the decade. (Learn about the Hubble telescope.)

"Although we may have reached back as far as Hubble will see, Hubble has set the stage for Webb," said team member Anton Koekemoer of the Space Telescope Science Institute in Baltimore. "Our work indicates there is a rich field of even earlier galaxies that Webb will be able to study."


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McAfee Lands in Miami: I'm Free













Software mogul John McAfee has been released from detention in Guatemala City and has landed in Miami.


Immediately upon landing, according to passengers on the plane, McAfee's name was called and he was whisked off the aircraft. Federal officials escorted the 67-year-old Internet antivirus pioneer through customs spirit him out a side door, out of the view of reporters, according to Miami International Airport's communication director, Greg Chin.


It was not clear whether officials intended to help McAfee avoid the inevitable media circus or wanted to question him. However, he has not been charged with committing a crime in Guatemala or Belize, where the authorities have sought to question him about the murder of his neighbor.


McAfee's departure from Guatemala came earlier today.


"They took me out of my cell and put me on a freaking airplane," he told ABC News. "I had no choice in the matter."


McAfee said, however, that Guatemalan authorities had been "nice" and that his exit from the Central American country was "not at all" unpleasant.


"It was the most gracious expulsion I've ever experienced," he said. "Compared to my past two wives that expelled me this isn't a terrible trip."


McAfee said he would not be accompanied by his 20-year-old Belizean girlfriend, but is seeking a visa for her. He also said he had retained a lawyer in the U.S.






Guatemala's National Police/AP Photo











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When he was released earlier today, McAfee told the Associated Press, "I'm free. ... I'm going to America."


McAfee, who had been living in a beachfront house in Belize, went on the run after the Nov. 10 murder of his neighbor, fellow American expatriate Greg Faull. Belize police said they wanted to question McAfee about the murder, but McAfee said he feared for his life in Belizean custody.


He entered Guatemala last week seeking asylum, but was arrested and taken to an immigration detention center. He was taken to the hospital after suffering a nervous collapse and then returned to the detention center. The U.S. State Department has visited McAfee, who is a dual U.S.-British citizen, several times during his stay in Guatemala.


During his three-week journey, said McAfee, he disguised himself as handicapped, dyed his hair seven times and hid in many different places during his three-week journey.


He dismissed accounts of erratic behavior and reports that he had been using the synthetic drug bath salts. He said he had never used the drug, and said statements that he had were part of an elaborate prank.


Investigators in Belize said that McAfee was not a suspect in the death of Faull, a former developer who was found shot in the head in his house.


McAfee told ABC News that the poisoning death of his dogs and the murder just hours later of Faull, who had complained about his dogs, was a coincidence.


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Birds, fish replace queen on Fiji currency






SUVA: Fiji dropped the image of Britain's Queen Elizabeth II from a new range of bank notes and coins, replacing her with plants and animals native to the Pacific island state.

Fiji President Ratu Epeli Nailatikau said on Wednesday the new currency was a milestone for the former British colony, which became independent in 1970 and declared itself a republic in 1987 following a military coup.

Nailatikau said the royal family had featured on Fiji's currency since 1934 but it was time for the country to move on and introduce new coins and notes, which will enter circulation in January.

"With the new series comes a little sadness for many of us," he said.

"We will witness a historical change. A change involving much feeling and sentiment and representing an emotional severance of a link to the British crown.

"But it is a change that is necessary. Our notes and coins will no longer feature the portrait of Her Majesty Queen Elizabeth II -- some will liken this to the dawning of a new era."

He said Fiji was "forever grateful" to the royal family for allowing it to use their likenesses on the currency, adding: "It is now time to move forward as we strive to create our own identity synonymous to what Fiji is all about."

Images on the polymer bank notes include the rare kulawai lorikeet, the beli fish and the tagimoucia flower, while the coins depict flying foxes, parrots and the banded iguana.

Reserve Bank governor Barry Whiteside said the new currency was more relevant to Fiji and would encourage pride in its environment.

"We've been a republic for 25 years, which means the queen has not been our head of state for 25 years," he said.

"We're just looking at the natural wonders around us and trying to reflect that in this issue."

- AFP/ck



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India successfully tests nuclear-capable surface-to-surface Agni-I missile

Bhubaneswar: India Wednesday carried out a successful test of its nuclear-capable surface-to-surface Agni-I missile from a military base in Odisha, an official said.

The intermediate-range ballistic missile, which can strike a target 700 km away, was tested from a facility on Wheeler Island near Dhamra in Bhadrak district, 170 km from here.

The test was carried out by the Strategic Forces Command of the Indian armed forces as part of a training exercise to ensure preparedness, director of the Integrated Test Range, M.V.K.V. Prasad, said.

"The mission was successful," he said.

Scientists from the Defence Research and Development Organisation (DRDO), which developed the missile, witnessed and supervised the test, Prasad added.

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Best Space Pictures of 2012: Editor's Picks

Photograph courtesy Tunç Tezel, APOY/Royal Observatory

This image of the Milky Way's vast star fields hanging over a valley of human-made light was recognized in the 2012 Astronomy Photographer of the Year competition run by the U.K.’s Royal Observatory Greenwich.

To get the shot, photographer Tunç Tezel trekked to Uludag National Park near his hometown of Bursa, Turkey. He intended to watch the moon and evening planets, then take in the Perseids meteor shower.

"We live in a spiral arm of the Milky Way, so when we gaze through the thickness of our galaxy, we see it as a band of dense star fields encircling the sky," said Marek Kukula, the Royal Observatory's public astronomer and a contest judge.

Full story>>

Why We Love It

"I like the way this view of the Milky Way also shows us a compelling foreground landscape. It also hints at the astronomy problems caused by light pollution."—Chris Combs, news photo editor

Published December 11, 2012

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