As Opposition Coalition Meets in Cairo, More Violence Kills Dozens in Syria

Francisco Leong/Agence France-Presse — Getty Images

Rebels celebrated on top of a downed Syrian jet in Daret Azzeh, 20 miles west of Aleppo, on Wednesday.

In its first major effort to show that it can be a viable political force, the newly formed Syrian opposition coalition started talks in Egypt on Wednesday aimed at forming an alternative to the government of President Bashar al-Assad and paving the way for more international acceptance and aid.

The coalition, whose official name is the National Coalition of Syrian Revolutionary and Opposition Forces, was formed at a meeting in Qatar this month and has been recognized by Britain, France, Turkey and the Gulf Cooperation Council. To win further support from foreign capitals, it must tackle the broader problems of uniting the many opposition groups in exile and the rebels on the ground in Syria.

Delegates were expected to hold their second day of talks in a Cairo hotel on Thursday against the backdrop of a 20-month civil war in which about 40,000 people have been killed in clashes between armed rebels and jihadist fighters on one side and Mr. Assad’s forces on the other. The rebels appear to be gaining in their strategy to challenge the air supremacy of Mr. Assad’s military.

There were reports on Wednesday that for the second successive day, insurgents had shot down a government aircraft. Video posted on the Internet by rebels showed an airplane tail assembly jutting out of debris. Such videos are difficult to verify, but the episode on Wednesday seemed to be confirmed by other witnesses.

“We watched a Syrian plane being shot down as it was flying low to drop bombs” on the town of Daret Azzeh, 20 miles west of Aleppo and close to the Turkish border, said Ugur Cuneydioglu, who said he saw the aircraft being downed from a Turkish border village in southern Hatay Province. “It slowly went down in flames before it hit the ground. It was quite a scene,” Mr. Cuneydioglu said.

The video said the plane had been brought down by “the free men of Daret Azzeh soldiers of God brigade.”

On Tuesday, Syrian rebels said they shot down a military helicopter with a surface-to-air missile outside Aleppo.

The violence on Wednesday also included car bombs in a Damascus suburb that killed dozens of people.

In their first meeting since their umbrella organization was created in Doha, Qatar, on Nov. 11, coalition delegates confronted the realities of the political terrain. Disagreements emerged over the coalition’s composition when one member, the Syrian National Council, tried to increase the number of its representatives.

“Nothing will proceed until we work this out,” said one council member who spoke on condition of anonymity, according to Reuters.

The focus also seemed to be more on deciding how leadership candidates should be chosen rather than on who they might be. “I don’t think we’ll be discussing the election of a transitional government during the meeting today,” said Khaled Khoja, a coalition member. “We’re still discussing whether to have a government or to have committees instead.”

While the group, and the talks, are in their infancy, members appeared to recognize that world supporters were watching for results. Mr. Khoja said that while the group was discussing the coalition’s structure, it wanted to “see the outcome of the meeting in Morocco before deciding on the government.”

He was referring to a meeting planned for next month in Morocco of the so-called Friends of Syria group of nations, which includes the United States. At a meeting in New York City in September that included foreign ministers and Syrian opposition leaders, the group offered modest pledges of support for opponents of the Assad government. The opposition had unified under international pressure to give provinces better representation, and ideally, to oversee the disparate rebel factions while also providing a counterweight to the well-armed jihadist groups in the country.

The conflict has also flared along Syria’s borders with Lebanon, Israel, Turkey and Jordan.

In Turkey, which was once an ally of the Assad government, a team of NATO inspectors visited sites on Wednesday where the alliance might install batteries of Patriot antiaircraft missiles.

Another video on Wednesday showed a rebel fighter holding what appeared to be a complete SA-16 heat-seeking, shoulder-fired missile.

The man claimed to have shot down both the airplane and the helicopter, and said the missiles had been captured by rebels when they overran Base 46 outside Aleppo earlier this month.

High-profile tactical successes in the war have often been followed by videotaped claims of responsibility, and in part are seen as fund-raising opportunities for the fighters. Many claims, including those by the rebel fighters, are impossible to verify immediately.

But it was significant. The SA-16 is more modern and capable than the more commonly seen SA-7. It flies at a faster speed, can be used against aircraft at much wider range of attack angles, has a longer range and is promoted by its Russian exporters as being more resistant to an aircraft’s efforts to thwart it.

Its presence suggested that the rebels have been acquiring more weapons and could be mounting a more meaningful challenge to the Syrian Air Force.

State news media said on Wednesday that two car bombings struck Jaramana, a suburb of Damascus that is populated by members of the Christian and Druse minorities.

The SANA news agency said the death toll was at least 34. An activist group based in Britain, the Syrian Observatory for Human Rights, said 47 people were killed.

Christine Hauser reported from New York, and Hala Droubi from Dubai, United Arab Emirates. Reporting was contributed by Alan Cowell from London; Sebnem Arsu from Istanbul; Hania Mourtada from Beirut, Lebanon; and C. J. Chivers from the United States.

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United Is Struggling Two Years After Its Merger With Continental

Nam Y. Huh/Associated Press

A United 787 Dreamliner at O’Hare International Airport in Chicago. United lost $103 million through the third quarter of 2012.

CHICAGO — It was supposed to be a moment for celebration: United Airlines observing the delivery of its second Boeing 787 Dreamliner with a flight from Seattle to Chicago earlier this month for a select group of employees, while senior officers, including Jeffery A. Smisek, United’s hard-charging chief executive, served Champagne and took lunch orders.

Jad Mouawad/The New York Times

Jeff Smisek, the chief of United Airlines, served champagne on a flight to celebrate delivery of a Boeing 787 on Nov. 15.

But before the flight took off that morning, a computer glitch in one of the airline’s computer systems delayed 250 flights around the world for two hours.

So it goes at United these days. The world’s biggest airline, created after United merged with Continental Airlines in 2010, promised an unparalleled global network, with eight major hubs and 5,500 daily flights serving nearly 400 destinations. As an added benefit, the new airline would be led by Mr. Smisek of Continental, which was known for its attention to customer service.

But two years on, United still grapples with a myriad problems in integrating the two airlines. The result has been hobbled operations, angry passengers and soured relations with employees.

The list of United’s troubles this year has been long. Its reservation system failed twice, shutting its Web site, disabling airport kiosks and stranding passengers as flights were delayed or canceled. The day of the 787 flight, another system, which records the aircraft’s weight once passengers and bags are loaded, shut down because of a programming error.

United has the worst operational record among the nation’s top 15 airlines. Its on-time arrival rate in the 12 months through September was just 77.5 percent — six percentage points below the industry average and 10 percentage points lower than Delta Air Lines. It had the highest rate of regularly delayed flights this summer, and generated more customer complaints than all other airlines combined in July, according to the Transportation Department.

The airline even angered the mayor of Houston, Continental’s longtime home and still the carrier’s biggest hub, when it unsuccessfully sought to block Southwest Airlines’ bid to bring international flights to the city’s smaller airport, Hobby. 

The United-Continental merger is weighing on the company’s finances. It took a $60 million charge in the third quarter for merger-related expenses, including repainting planes. It also took a $454 million charge to cover a future cash payment to pilots under a tentative deal reached in August.

While most large airlines reported profits this year, United has lost $103 million in the first three quarters of 2012, with revenue up just 1 percent to $28.5 billion. Its shares are up 7 percent this year compared with a 12 percent gain for the Standard & Poor’s 500-stock index and a 24 percent gain for Delta.

“United remains at a challenging point,” analysts from Barclays wrote last month, and they forecast that the carrier would not begin to see the benefits of its merger until late in 2013 and into 2014. Still, while airlines initially struggle, mergers increase revenue eventually, as the example of Delta’s acquisition of Northwest Airlines demonstrated two years ago.

Mr. Smisek, taking a break from serving coffee halfway through the maiden 787 flight, acknowledged that things were not going as fast as expected, particularly given the aggressive targets he set two years ago. Back then, Mr. Smisek said the merger would be wrapped up in 12 to 18 months. He has since learned to be patient, he said.

“It is still a work in progress,” he said. “The integration of two airlines takes years. It’s very complex. If you look at where we were two years ago, we’ve come a long way.”

Admittedly, the process is complicated. Airline mergers mean combining different technologies, often old computer systems, as well as thousands of procedures used by pilots and flight dispatchers, gate agents, flight attendants and ground crew.

Setbacks are common. Like United, US Airways experienced a breakdown in its booking technology after its combination with America West in 2005. Delta’s on-time performance fell sharply in the year after its purchase of Northwest.

But today, Delta is a leader among big airlines in on-time performance. US Airways had a record third-quarter profit even though it still lacks common work rules for its pilots seven years after its merger.

United has completed many of its merger tasks, particularly as far as passengers are concerned. It has received its single operating certificate from the Federal Aviation Administration, allowing it to run a combined fleet. Despite all the problems this summer, it claims to have finally merged the reservation and technology systems.

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Global Update: Investing in Eyeglasses for Poor Would Boost International Economy

BSIP/UIG Via Getty Images

Eliminating the worldwide shortage of eyeglasses could cost up to $28 billion, but would add more than $200 billion to the global economy, according to a study published last month in the Bulletin of the World Health Organization.

The $28 billion would cover the cost of training 65,000 optometrists and equipping clinics where they could prescribe eyeglasses, which can now be mass-produced for as little as $2 a pair. The study was done by scientists from Australia and the Johns Hopkins Bloomberg School of Public Health.

The authors assumed that 703 million people worldwide have uncorrected nearsightedness or farsightedness severe enough to impair their work, and that 80 percent of them could be helped with off-the-rack glasses, which would need to be replaced every five years.

The biggest productivity savings from better vision would not be in very poor regions like Africa but in moderately poor countries where more people have factory jobs or trades like driving or running a sewing machine.

Without the equivalent of reading glasses, “lots of skilled crafts become very difficult after age 40 or 45,” said Kevin Frick, a Johns Hopkins health policy economist and study co-author. “You don’t want to be swinging a hammer if you can’t see the nail.”

If millions of schoolchildren who need glasses got them, the return on investment could be even greater, he said, but that would be in the future and was not calculated in this study.

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Global Update: Investing in Eyeglasses for Poor Would Boost International Economy

BSIP/UIG Via Getty Images

Eliminating the worldwide shortage of eyeglasses could cost up to $28 billion, but would add more than $200 billion to the global economy, according to a study published last month in the Bulletin of the World Health Organization.

The $28 billion would cover the cost of training 65,000 optometrists and equipping clinics where they could prescribe eyeglasses, which can now be mass-produced for as little as $2 a pair. The study was done by scientists from Australia and the Johns Hopkins Bloomberg School of Public Health.

The authors assumed that 703 million people worldwide have uncorrected nearsightedness or farsightedness severe enough to impair their work, and that 80 percent of them could be helped with off-the-rack glasses, which would need to be replaced every five years.

The biggest productivity savings from better vision would not be in very poor regions like Africa but in moderately poor countries where more people have factory jobs or trades like driving or running a sewing machine.

Without the equivalent of reading glasses, “lots of skilled crafts become very difficult after age 40 or 45,” said Kevin Frick, a Johns Hopkins health policy economist and study co-author. “You don’t want to be swinging a hammer if you can’t see the nail.”

If millions of schoolchildren who need glasses got them, the return on investment could be even greater, he said, but that would be in the future and was not calculated in this study.

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Dark Warnings About Future of Internet Access

PARIS — A commercial and ideological clash is set for next week, when representatives of more than 190 governments, along with telecommunications companies and Internet groups, gather in Dubai for a once-in-a-generation meeting.

The subject: Control of the Internet, politically and commercially.

The stated purpose of the World Conference on International Telecommunications is to update a global treaty on technical standards needed to, say, connect a telephone call from Tokyo to Timbuktu. The previous conference took place in 1988, when the Internet was in its infancy and telecommunications remained a highly regulated, mostly analog-technology business.

Now the Internet is the backbone for worldwide communications and commerce. Critics of the International Telecommunication Union, the agency of the United Nations that is organizing the meeting, see a dark agenda in the meeting. The blogosphere has been raging over supposed plans led by Russia to snatch control of the Internet and hand it to the U.N. agency.

That seems unlikely. Any such move would require an international consensus, and opposition is widespread.

Terry D. Kramer, the former Vodafone executive who is the United States ambassador to the conference, has vowed to veto any change in how the Internet is overseen.

Analysts say the real business of the conference is business. “The far bigger issue — largely obscured by this discussion — are proposals that are more likely to succeed that envision changing the way we pay for Internet services,” Michael Geist, an Internet law professor at the University of Ottawa, said by e-mail.

Hamadoun Touré, secretary general of the I.T.U., has repeatedly said that the U.N. group has no desire to take over the Internet or to stifle its growth. On the contrary, he says, one of the main objectives of the conference is to spread Internet access to more of the four and a half billion people around the world who still do not use it.

And yet, groups as diverse as Google, the Internet Society, the International Trade Union Confederation and Greenpeace warn that the discussions could set a bad precedent, encouraging governments to step up censorship or take other actions that would threaten the integrity of the Internet.

“This is a very important moment in the history of the Internet, because this conference may introduce practices that are inimical to its continued growth and openness,” Vinton G. Cerf, vice president and chief Internet evangelist at Google, said in a conference call.

Google set up a Web site last week, “Take Action,” encouraging visitors to sign a petition for a “free and open Internet.” The campaign is modeled on the successful drive last winter to defeat legislative proposals to crack down on Internet piracy in the United States.

More energy is expected to be spent on how companies make money off the Internet. In one submission to the conference, the European Telecommunications Network Operators’ Association, a lobbying group based in Brussels that represents companies like France Télécom, Deutsche Telekom and Telecom Italia, proposed that network operators be permitted to assess charges for content providers like Internet video companies that use a lot of bandwidth.

Analysts say the proposal is an acknowledgment by European telecommunications companies that they cannot hope to provide digital content. “The telecoms realize that they have lost the battle,” said Paul Budde, an independent telecommunications analyst in Australia. “They are saying, ‘We can’t beat the Googles and the Facebooks, so let’s try to charge them.’ ”

The European lobbying group says that without the new fees, there will be no money to invest in network upgrades needed to deal with a surge in traffic. Regulators have required European telecommunications operators to open their networks to rivals, and the market for broadband is fiercely competitive, with rock-bottom prices.

In the United States, by contrast, most telecommunications companies have been permitted to maintain local monopolies — or duopolies, with cable companies — in broadband, keeping prices higher. And American regulators have ordered broadband providers to give equal priority to all Internet traffic. Such “network neutrality” is incompatible with charging content providers for moving their bits of data.

Analysts say this may explain why American telecommunications companies have not joined the European call for a new business model. “Models that try to force payment terms between nations and telecom operators run a huge risk of cutting off traffic,” Mr. Kramer said in an interview. “Liberalized markets are the only way to expand the success of the Internet.”

People who have been briefed on the conference submissions say that not a single European government delegation has endorsed the telecommunications operators’ proposal, and the European Parliament has passed a resolution denouncing it. Only governments, not private groups or companies, can put items on the meeting agenda.

While many documents prepared for the conference remain secret, several people who have seen submissions say there is broad support for Internet connection fees in French-speaking Africa and among Arab nations — countries in which many telecommunications companies are still owned or heavily regulated by governments.

Much of the attention before the 12-day conference has focused on a proposal from Russia that would effectively remove control of the Internet’s infrastructure from a collection of decentralized and apolitical organizations, mostly based in the United States. “Member states,” Russia proposed, “shall have equal rights to manage the Internet, including in regard to the allotment, assignment and reclamation of Internet numbering, naming, addressing and identification resources.”

Those functions are performed by the Internet Corporation for Assigned Names and Numbers, a private organization with an international board that operates under contract with the United States government.

The Russian proposal was widely interpreted as a call to legitimize domestic censorship of the Internet. Yet analysts note that governments inclined to filter the Web, like China and Iran, have not waited for consensus in an international meeting to do so.

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Protesters Gather Again in Cairo Streets to Denounce Morsi

CAIRO — Tens of thousands of people filled the central Tahrir Square on Tuesday afternoon in an outpouring of rage at President Mohamed Morsi’s attempt to claim expansive new powers and at the role in politics played by his party, the Muslim Brotherhood.

An attempt by Mr. Morsi on Monday to soften his edict, by reaffirming his deference to Egyptian courts, did little to constrain the crowd, which some estimates put at hundreds of thousands of people. In scenes that were reminiscent of the popular uprising against President Hosni Mubarak, and that signaled the country’s current widening divides, the protesters dusted off old taunts for Mr. Morsi, the country’s first freely elected leader.

“Leave,” they chanted. “The people want the fall of the regime.”

The president’s opponents turned out large numbers in several other cities, and clashed at times with his supporters, including in Mahalla el-Kubra in the Nile Delta, where more than a hundred people were reportedly injured. The Brotherhood also reported attacks on several of its political offices.

Most significant, though, was the turnout in Tahrir Square, where Egypt’s secular-minded opposition appeared to have momentarily overcome its divisions, bolstering its numbers with new allies among people implacably opposed to the Brotherhood, in an effort to muster a serious, visible challenge to Egypt’s Islamist groups.

It remained unclear whether Tuesday’s numbers signaled a new movement, or a moment. Islamists have repeatedly won at the polls since the fall of Mr. Mubarak, and the Brotherhood has shown its ability to turn out large crowds with little difficulty.

On Tuesday, the Brotherhood mocked the gathering in Tahrir Square, dismissing the protesters as “remnants” of the Mubarak government on a television channel associated with the group and playing down their numbers on Twitter.

The taunts were ignored in Tahrir Square, where the crowd chanted, “The square is full without the Brotherhood.”

The gathering was prompted by an edict released by Mr. Morsi last week that his decisions would be above judicial review, a move that essentially removed the last check on his power, since Egypt’s Parliament had earlier been dissolved by the courts.

Though Mr. Morsi framed the decree as an attempt to insulate Egypt’s constitutional assembly from being dissolved by Mubarak-era judges, it was quickly attacked as a power grab and a worrying return to autocracy. On Monday, through his spokesman, Mr. Morsi again tried to explain his intentions, saying he would work within judicial precedents to hold back efforts to dissolve the constituent assembly, rather than putting his power above judicial scrutiny.

Even as Mr. Morsi tried to placate the country’s judges, Egyptian television on Monday showed the growing polarization of the country in split-screen coverage of two funerals, each for a teenage boy killed in clashes set off by Mr. Morsi’s edict.

“Now blood has been spilled by political factions, so this is not going to go away,” said Rabab el-Mahdi, an activist and professor at the American University in Cairo, adding that these were the first deaths that rival factions had blamed on one another and not on the Mubarak government’s security forces since uprising began last year.

Despite Mr. Morsi’s attempts at clarification, opposition leaders went ahead with Tuesday’s protest. Some said that respect for the judiciary was now only a small part of their cause, and that their goal was to abort the current Islamist-dominated constituent assembly.

Many protesters treated the occasion as a referendum on Mr. Morsi’s rule, saying he and his prime minister had failed to make important changes, like reforming the Interior Ministry.

“I voted for Mr. Morsi,” said Emad Abdel Kawy, 35, a computer engineer. “It seems like he doesn’t know what he’s doing. You expect a revolution to bring revolutionary actions. It didn’t happen.” And like many here, Mr. Abdel Kawy blamed the Brotherhood, which Mr. Morsi helped lead before becoming president.

“It’s clear he doesn’t make the decisions,” he said of Mr. Morsi. “The decisions come to him.”

The gathering brought together the revolution’s hardened activists with their former foes, including supporters of the Mubarak government. Some said that the strange new alliances were just a necessary result of Egypt’s confusing, emerging politics. Yosra Mostafa, a 28-year-old activist, said she realized that some of Mr. Mubarak’s supporters had turned out simply because they sought a return to power.

“I don’t mind being on their side to oust a dictator,” she said, speaking of Mr. Morsi.

The show of unity masked deep divisions between the opposition and other groups and even in them, Ms. Mahdi said.

“This is not a united front, and I am inside it,” she said. “Every single political group in the country is now divided over this. Is the decree revolutionary justice or building a new dictatorship? Should we align ourselves with felool” — the term for the remnants of the old government — “or should we be revolutionary purists?”

Yasser el-Shimy, an Egypt analyst at the International Crisis Group, argued that the persistence of protests against Mr. Morsi reflected in part the failure of the opposition to accept its own recent election defeats, including of the parliamentary and presidential elections.

“It has never come to terms with these defeats, so it tries to delegitimize the Muslim Brotherhood,” he said.

Mayy El Sheikh and Mai Ayyad contributed reporting.

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Jeffrey Zucker Expected to Be Next President of CNN

In the days to come, when Time Warner appoints a new leader of CNN Worldwide for the first time in a decade, he or she will face an identity crisis unlike any other in corporate America.

Though CNN over all is on track to have its most profitable year ever, its flagship channel in the United States is seemingly rudderless, run by layers of producers and executives — many with competing visions. The channel’s low prime-time ratings are the stuff of punch lines and a journalism school case study in the damage wrought by the digital age.

Then again, the channel also has tremendous potential, an enviably popular Web site and countless people rooting for it to succeed.

Throughout a four-month search process for the person to succeed Jim Walton, the departing president, attention has centered on Jeffrey Zucker, the former chief executive of NBCUniversal, who was replaced when Comcast took over the company last year. Mr. Zucker currently produces Katie Couric’s daytime talk show.

Several news executives close to Mr. Zucker said this week that they believed he had been chosen to run CNN and expected the appointment to be announced soon. People close to the Time Warner chief executive, Jeffrey L. Bewkes, also identified Mr. Zucker. A Time Warner spokesman declined to comment.

In considering candidates to run one of the world’s best-known, but beleaguered, news organizations, Mr. Bewkes and his deputy Phil Kent have also been considering their own legacies. They are cautious about not undermining CNN’s journalistic heart and soul, even as they strive to resuscitate the channel’s prime-time lineup, according to people who have met with them about the search. That means the channel’s programming will remain nonpartisan in nature.

“They want someone who has programming and management and cable expertise; someone who can be credible to the staff and to the business community,” said one of these people. “They know that this is a pretty tall order.”

Mr. Zucker could check off all those boxes. As a young NBC News producer, he helped start what became a 16-year winning streak for the “Today” show. He had mixed results as he moved up the rungs of NBC, but he can point to cable programming successes even as the NBC broadcast network struggled. He did not respond to requests for comment, and people with knowledge of the search insisted on anonymity to preserve friendships and business relationships.

But many others in and around CNN spoke on the record about the challenges ahead. Getting the top-heavy 4,000-person company — spread among New York, Washington, Atlanta and bureaus around the world — to row in the same direction will be one of the toughest tasks, many said.

The company’s many channels and sites net roughly $600 million in annual profits, through advertising revenue and subscriber fees. But the channel is leaving ad dollars on the table, as one executive put it, because its prime-time ratings are lagging, and it’s putting future fee increases at risk by appearing irrelevant in the eyes of some cable subscribers.

One problem dates back to CNN’s creation in 1980: when there is a lack of news, there is a lack of viewers. Kiran Chetry, a CNN morning anchor from 2007 to 2011, said her time there was like being on a news treadmill: “We were running, sweating, doing the work, but never getting anywhere ratings-wise,” she said. This stemmed, she said, from uncertainty about “what we were, who our audience was and how we best served them.”

As Fox News and, later, MSNBC put on confrontational political programs with partisan points of view, CNN sold itself as proudly nonpartisan, but fell from first to second to third place in the cable news wars along the way. This should have been an “up” year for the channel, thanks to the presidential election; but through mid-November the channel had drawn 412,000 viewers at any given time, down 16 percent from the previous 12 months.

Bill Carter contributed reporting.

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Panel Lukewarm on Hepatitis C Screening for Baby Boomers

An influential advisory committee has given only lukewarm support to a government recommendation that all baby boomers be tested for hepatitis C.

In a draft opinion Monday, the United States Preventive Services Task Force said that clinicians may “consider offering” hepatitis C screening to adults born between 1945 and 1965.

That falls short of the recommendation made in August by the Centers for Disease Control and Prevention that all adults in that age group should get a one-time test to see if they are infected.

The task force is made up of outside experts appointed by the government, and its recommendations can in some cases carry more weight than those of the C.D.C. Had hepatitis C screening for baby boomers received a stronger recommendation from the task force, health plans would have been required to pay for it under the 2010 Affordable Care Act, with no charge to the patient.

Some advocates of wider screening said they feared the new opinion would be used by insurers to deny reimbursement for testing and would slow efforts to ferret out hidden cases of hepatitis C at a time when more effective and tolerable treatments are being developed.

The recommendation “could derail the hard work that the C.D.C. has put in in proving the case that it’s smart for baby boomers to get a one-time hepatitis C test,” said Martha B. Saly, director of the National Viral Hepatitis Roundtable, a coalition of more than 200 groups dedicated to eradicating hepatitis. Some drug companies, which would benefit from wider screening, are associate members of the round table.

Dr. Kirsten Bibbins-Domingo, of the University of California, San Francisco, and a member of the task force, said differences in the recommendations were merely a matter of degree. “I would say our findings are compatible,” she said.

The C.D.C. declined to comment, saying the opinion was still a draft.

About 3 million Americans are infected with hepatitis C, but 45 percent to 85 percent of them do not know it, according to the C.D.C. The virus can cause scarring of the liver and liver cancer, though typically not until decades after the initial infection, and not in everyone. About 15,000 people a year die from hepatitis C.

The C.D.C. used to recommend screening only for people most likely to be infected: intravenous drug users or people who got blood transfusions before 1992 when testing of donated blood for the virus began.

But a lot of cases were missed because people did not remember risky behaviors from decades ago or did not tell their doctors.

So in August the C.D.C. recommended that all baby boomers be tested. Although only about 3 percent of this age group is infected, they account for about three quarters of all cases. Screening them would detect more than 800,000 infections, which could then potentially be treated, averting many cases of liver disease and about 120,000 deaths.

But the task force said there were no clinical trials or studies directly proving that screening asymptomatic adults would reduce liver disease or deaths.

It noted that the C.D.C. recommendation was based partly on computer models that might have overestimated how many people with hepatitis C would develop liver cirrhosis or die, and therefore overstated the number of cases or deaths that could be prevented.

The task force concluded that there would be at least a small benefit from screening baby boomers and gave the recommendation a grade of C, meaning “for most individuals without signs or symptoms there is likely to be only a small benefit from this service.”

The task force provoked controversy in the past with recommendations against screening for prostate cancer and against routine mammograms for women under 50.

In 2004, the task force recommended against hepatitis C screening of adults not considered at high risk.

The draft, posted on the task force Web site, will be open for comment until Dec. 24. The evidence behind the recommendation is being published in The Annals of Internal Medicine.

Read More..

Panel Lukewarm on Hepatitis C Screening for Baby Boomers

An influential advisory committee has given only lukewarm support to a government recommendation that all baby boomers be tested for hepatitis C.

In a draft opinion Monday, the United States Preventive Services Task Force said that clinicians may “consider offering” hepatitis C screening to adults born between 1945 and 1965.

That falls short of the recommendation made in August by the Centers for Disease Control and Prevention that all adults in that age group should get a one-time test to see if they are infected.

The task force is made up of outside experts appointed by the government, and its recommendations can in some cases carry more weight than those of the C.D.C. Had hepatitis C screening for baby boomers received a stronger recommendation from the task force, health plans would have been required to pay for it under the 2010 Affordable Care Act, with no charge to the patient.

Some advocates of wider screening said they feared the new opinion would be used by insurers to deny reimbursement for testing and would slow efforts to ferret out hidden cases of hepatitis C at a time when more effective and tolerable treatments are being developed.

The recommendation “could derail the hard work that the C.D.C. has put in in proving the case that it’s smart for baby boomers to get a one-time hepatitis C test,” said Martha B. Saly, director of the National Viral Hepatitis Roundtable, a coalition of more than 200 groups dedicated to eradicating hepatitis. Some drug companies, which would benefit from wider screening, are associate members of the round table.

Dr. Kirsten Bibbins-Domingo, of the University of California, San Francisco, and a member of the task force, said differences in the recommendations were merely a matter of degree. “I would say our findings are compatible,” she said.

The C.D.C. declined to comment, saying the opinion was still a draft.

About 3 million Americans are infected with hepatitis C, but 45 percent to 85 percent of them do not know it, according to the C.D.C. The virus can cause scarring of the liver and liver cancer, though typically not until decades after the initial infection, and not in everyone. About 15,000 people a year die from hepatitis C.

The C.D.C. used to recommend screening only for people most likely to be infected: intravenous drug users or people who got blood transfusions before 1992 when testing of donated blood for the virus began.

But a lot of cases were missed because people did not remember risky behaviors from decades ago or did not tell their doctors.

So in August the C.D.C. recommended that all baby boomers be tested. Although only about 3 percent of this age group is infected, they account for about three quarters of all cases. Screening them would detect more than 800,000 infections, which could then potentially be treated, averting many cases of liver disease and about 120,000 deaths.

But the task force said there were no clinical trials or studies directly proving that screening asymptomatic adults would reduce liver disease or deaths.

It noted that the C.D.C. recommendation was based partly on computer models that might have overestimated how many people with hepatitis C would develop liver cirrhosis or die, and therefore overstated the number of cases or deaths that could be prevented.

The task force concluded that there would be at least a small benefit from screening baby boomers and gave the recommendation a grade of C, meaning “for most individuals without signs or symptoms there is likely to be only a small benefit from this service.”

The task force provoked controversy in the past with recommendations against screening for prostate cancer and against routine mammograms for women under 50.

In 2004, the task force recommended against hepatitis C screening of adults not considered at high risk.

The draft, posted on the task force Web site, will be open for comment until Dec. 24. The evidence behind the recommendation is being published in The Annals of Internal Medicine.

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Pogue’s Posts Blog: You Can Stop Spreading That Facebook Notice Now

For the last couple of days, my Facebook timeline, and probably yours, has been filled with repetitions of a peculiar piece of boilerplate text, from all kinds of friends. It goes something like this:

In response to the new Facebook guidelines, I hereby declare that my copyright is attached to all of my personal details, illustrations, comics, paintings, crafts, professional photos and videos, etc. (as a result of the Berner Convention).

For commercial use of the above my written consent is needed at all times!

Facebook is now an open capital entity. All members are recommended to publish a notice like this, or if you prefer, you may copy and paste this version.

Guess what? You’ve been hoaxed.

First, no declaration by you, in a Facebook posting, would make any difference to the legal status of your posts. You’re already protected by copyright law.

Second, there are no “new Facebook guidelines.” Facebook’s policy is this: “You retain the copyright to your content. When you upload your content, you grant us a license to use and display that content.”

Third, there’s no such thing as the Berner Convention. There’s a Berne Convention, which covers literary works.

Fourth, the fact that Facebook is now a publicly traded company has absolutely nothing to do with its copyright or privacy policies. They’re entirely unrelated.

Finally, Facebook itself has issued the following statement: “There is a rumor circulating that Facebook is making a change related to ownership of users’ information or the content they post to the site. This is false. Anyone who uses Facebook owns and controls the content and information they post, as stated in our terms. They control how that content and information is shared. That is our policy, and it always has been.”

Snopes, the anti-misinformation site, has already debunked this hoax. So you can stop pasting that meaningless “I hereby declare” status update. Let’s get back to hearing what you had for lunch.

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