Cease-Fire Deal Elusive in Gaza Conflict as U.S. Widens Its Role

JERUSALEM — Efforts to negotiate a cease-fire between Israel and Hamas were set to continue Wednesday but the struggle to achieve even a brief pause in the fighting emphasized the obstacles to finding any lasting solution.

Overnight, as the conflict entered its eighth day, the Israeli military said in Twitter feeds that “more than 100 terror sites were targeted, of which approximately 50 were underground rocket launchers.” The targets included the Ministry of Internal Security in Gaza, described as “one of the Hamas’ main command and control centers.”

The Israel Defense Forces also said they scored a direct hit early Wednesday on militants building rockets and intercepted two projectiles fired from Gaza toward “densely populated areas.”

On Tuesday — the deadliest day of fighting in the conflict — Secretary of State Hillary Rodham Clinton arrived hurriedly in Jerusalem and met with Prime Minister Benjamin Netanyahu of Israel to push for a truce. She was due in Cairo on Wednesday to consult with Egyptian officials in contact with Hamas, placing her and the Obama administration at the center of a fraught process with multiple parties, interests and demands.

Before leaving for Cairo, The Associated Press reported, Mrs. Clinton headed to the West Bank to meet Mahmoud Abbas, the head of the Palestinian Authority, which is estranged from the Hamas rulers of the Gaza Strip and has increasingly strained ties with Israel over a contentious attempt to upgrade the Palestinian status at the United Nations to that of a nonmember state. Mrs. Clinton was to meet again with Mr. Netanyahu again before heading for Egypt, The A.P. said.

Mr. Abbas’s faction is favored by the United States, but it is not directly involved in either the fighting in Gaza or the effort in Cairo to end it. Like Israel and much of the West, the United States regards Hamas as a terrorist organization.

Officials on all sides had raised expectations that a cease-fire would begin around midnight, followed by negotiations for a longer-term agreement. But by the end of Tuesday, officials with Hamas, the militant Islamist group that governs Gaza, said any announcement would not come at least until Wednesday.

The Israelis, who have amassed tens of thousands of troops on the Gaza border and have threatened to invade for a second time in four years to end the rocket fire, never publicly backed the idea of a short break in fighting. They said they were open to a diplomatic accord but were looking for something more enduring.

“If there is a possibility of achieving a long-term solution to this problem through diplomatic means, we prefer that,” Mr. Netanyahu said before meeting with Mrs. Clinton at his office. “But if not, I’m sure you understand that Israel will have to take whatever actions necessary to defend its people.”

Mrs. Clinton spoke of the need for “a durable outcome that promotes regional stability and advances the security and legitimate aspirations of Israelis and Palestinians alike.” It was unclear whether she was starting a complex task of shuttle diplomacy or whether she expected to achieve a pause in the hostilities and then head home.

The diplomatic moves came as the antagonists on both sides stepped up their attacks. Israeli aerial and naval forces assaulted several Gaza targets in multiple strikes, including a suspected rocket-launching site near Al Shifa Hospital. On Wednesday, the Israeli military said that “800 rockets fired from Gaza hit Israel in the past week — 162 during the last day alone.”

More than 30 people were killed on Tuesday, bringing the total number of fatalities in Gaza to more than 130 — roughly half of them civilians, the Gaza Health Ministry said.

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

The Israeli assaults continued early Wednesday, with multiple blasts punctuating the otherwise darkened Gaza skies.

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

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

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

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Jack Taylor scores 138 points for Grinnell

After a poor shooting weekend, Grinnell guard Jack Taylor was given the green light to shoot his way out of a slump.

It only took 108 shots for Taylor to make a mockery of the college basketball record books.

Taylor scored 138 points to shatter the NCAA scoring record in Division III Grinnell's 179-104 victory over Faith Baptist Bible on Tuesday night in Grinnell, Iowa.

Taylor, a 5-foot-10, 170-pound sophomore from Black River Falls, Wis., made 27 of 71 3-point attempts, was 52 of 108 overall from the field and added seven free throws on 10 attempts in 36 minutes.

"It felt like anything I tossed up was going in," Taylor told The Associated Press.

Rio Grande's Bevo Francis held the NCAA scoring record with 113 points against Hillsdale in 1954. In 1953, Francis had 116 against Ashland Junior College. Frank Selvy is the only other player to reach triple figures, scoring 100 points for Division I Furman against Newberry in 1954. The previous Grinnell record was 89 by Griffin Lentsch last Nov. 19 against Principia.

Under coach David Arseneault, the Pioneers press and shoot 3s like nobody else in the country in any level. They've led the nation in scoring for 17 of the past 19 seasons while ranking first nationally in 3-point shooting for the 15 of those past 19 years. But none of them have had a night quite like Taylor — who never saw this coming.

Taylor recently transferred to Grinnell, located about 50 miles east of Des Moines, after playing one season for Wisconsin-La Crosse. He struggled in his debut at the nearby Wartburg Tournament over the weekend by hitting only 11 of 41 shots — including only 6 of 34 3-point attempts Still, he averaged 23.5 points a game.

But Taylor started Tuesday's night game off slow — at least according to his standards. His coaches figured the best way to get him on track was for him to keep chucking, so that's what Taylor did.

"Maybe my cold shooting from the weekend was affecting me," Taylor said. "But then they started to drop."

Taylor had 58 points at halftime.

Then he got hot.

Taylor was 32 of 58 shooting — including 18 3s — in the final 20 minutes and averaged an astounding four points a minute in the second half.

"I don't think reality has set in yet," Taylor said.

Faith Baptist's David Larson also had a big game, scoring 70 points on 34-of-44 shooting.

Carmelo Anthony and the New York Knicks were amazed by Taylor's feat when they heard about it after their victory in New Orleans.

"I never heard of nothing like that. That's like a video game," Anthony said, an incredulous look on his face. "How can you shoot 100 times, though?"

He joked that from now on when someone asks if he's taking too many shots, he'll mention "that someone shot it 108 times."

Raymond Felton also was astounded by the 108 shots.

"His elbow has got to be sore," Felton said.

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AP Sports Writer Brett Martel in New Orleans contributed to this report.

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Follow Luke Meredith on Twitter: http://www.twitter.com/LukeMeredithAP

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New H.I.V. Cases Falling in Some Poor Nations, but Treatment Still Lags

New infections with H.I.V. have dropped by half in the past decade in 25 poor and middle-income countries, many of them in Africa, the continent hardest hit by AIDS, the United Nations said Tuesday.

The greatest success has been in preventing mothers from infecting their babies, but focusing testing and treatment on high-risk groups like gay men, prostitutes and drug addicts has also paid dividends, said Michel Sidibé, the executive director of the agency U.N.AIDS.

“We are moving from despair to hope,” he said.

Despite the good news from those countries, the agency’s annual report showed that globally, progress is steady but slow. By the usual measure of whether the fight against AIDS is being won, it is still being lost: 2.5 million people became infected last year, while only 1.4 million received lifesaving treatment for the first time.

“There has been tremendous progress over the last decade, but we’re still not at the tipping point,” said Mitchell Warren, the executive director of AVAC, an advocacy group for AIDS prevention. “And the big issue, sadly, is money.”

Some regions, like Southern Africa and the Caribbean, are doing particularly well, while others, like Eastern Europe, Central Asia and the Middle East, are not. Globally, new infections are down 22 percent from 2001, when there were 3.2 million. Among newborns, they fell 40 percent, to 330,000 from 550,000.

The two most important financial forces in the fight, the multinational Global Fund for AIDS, Tuberculosis and Malaria and the domestic President’s Emergency Plan for AIDS Relief, were both created in the early 2000s and last year provided most of the $16.8 billion spent on the disease. But the need will soon be $24 billion a year, the groups said.

“Where is that money going to come from?” Mr. Warren asked.

The number of people living with H.I.V. rose to a new high of 34 million in 2011, while the number of deaths from AIDS was 1.7 million, down from a peak of 2.3 million in 2005. As more people get life-sustaining antiretroviral treatment, the number of people living with H.I.V. grows.

Globally, the number of people on antiretroviral drugs reached 8 million, up from 6.6 million in 2010. However, an additional 7 million are sick enough to need them. The situation is worse for children; 72 percent of those needing pediatric antiretrovirals do not get them.

New infections fell most drastically since 2001 in Southern Africa — by 71 percent in Botswana, 58 percent in Zambia and 41 percent in South Africa, which has the world’s biggest epidemic.

But countries with drops greater than 50 percent were as geographically diverse as Barbados, Cambodia, the Dominican Republic, Ethiopia, India and Papua New Guinea.

The most important factor, Mr. Sidibé said, was not nationwide billboard campaigns to get people to use condoms or abstain from sex. Nor was it male circumcision, a practice becoming more common in Africa.

Rather, it was focusing treatment on high-risk groups. While saving babies is always politically popular, saving gay men, drug addicts and prostitutes is not, so presidents and religious leaders often had to be persuaded to help them. Much of Mr. Sidibé’s nearly four years in his post has been spent doing just that.

Many leaders are now taking “a more targeted, pragmatic approach,” he said, and are “not blocking people from services because of their status.”

Fast-growing epidemics are often found in countries that criminalize behavior. For example, homosexuality is illegal in many Muslim countries in the Middle East and North Africa, so gay and bisexual men, who get many of the new infections, cannot admit being at risk. The epidemics in Eastern Europe and Central Asia are driven by heroin, and in those countries, methadone treatment is sometimes illegal.

Getting people on antiretroviral drugs makes them 96 percent less likely to infect others, studies have found, so treating growing numbers of people with AIDS has also helped prevent new infections.

Ethiopia’s recruitment of 35,000 community health workers, who teach young people how to protect themselves, has also aided in prevention.

Mr. Sidibé acknowledged that persuading rich countries to keep donating money was a struggle. The Global Fund is just now emerging from a year of turbulence with a new executive director, and the American program has come under budget pressures. Also, he noted, many countries like South Africa and China are relying less on donors and are paying their own costs. The number of people on treatment in China jumped 50 percent in a single year.

Mr. Warren’s organization said in a report on Tuesday that the arsenal of prevention methods had expanded greatly since the days when the choice was abstain from sex, be faithful or use condoms. Male circumcision, which cuts infection risk by about 60 percent, a daily prophylactic pill for the uninfected and vaginal microbicides for women are in use or on the horizon, and countries need to use the ones suited to their epidemics, the report concluded.

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Clinton to Visit Israel in Effort to Defuse Gaza Conflict

PHNOM PENH, Cambodia — President Obama sent Secretary of State Hillary Rodham Clinton to the Middle East on Tuesday to try to defuse the conflict in Gaza, the White House announced.

Jason Reed/Reuters

Secretary of State Hillary Rodham Clinton and President Obama in Phnom Penh on Monday.

Mrs. Clinton, who accompanied Mr. Obama on his three-country Asia trip, left on her own plane immediately for the region, where she will stop first in Jerusalem to meet with Prime Minister Benjamin Netanyahu of Israel, then head to the West Bank to meet with Palestinian leaders and finally to Cairo to consult with Egyptian officials.

The decision to dispatch Mrs. Clinton dramatically deepens the American involvement in the crisis. Mr. Obama, on an Asian tour, made a number of late-night phone calls to the Middle East on Monday night that contributed to his conclusion that he had to become more engaged and that Mrs. Clinton might be able to accomplish something.

With the United Nations Secretary General Ban Ki-moon also scheduled to arrive in Israel on Tuesday, a senior official in the prime minister’s office said Israel decided to give more time to diplomacy before launching a ground invasion into Gaza.

“A decision has been taken to give diplomacy more time, but not unlimited time,” the official said, speaking on condition of anonymity because the deliberations of the inner cabinet are highly confidential. The decision came as the conflict entered its seventh day with casualties mounting.

The Health Ministry in Gaza said the death toll had climbed by late Tuesday morning to 112, roughly half of them civilians and including children. Three Israelis died in a rocket attack last week.After an Asian summit dinner in Phnom Penh on Monday night, Mr. Obama called President Mohamed Morsi of Egypt to discuss the situation, then spoke with Mr. Netanyahu and called Mr. Morsi back. He was up until 2:30 a.m. on the phone, the White House said. He consulted with Mrs. Clinton repeatedly on the sidelines of the Asian summit meetings on Tuesday.

“This morning, Secretary Clinton and the president spoke again about the situation in Gaza and the they agreed that it makes sense for the secretary to travel to the region so Secretary Clinton will depart today,” said Benjamin Rhodes, a deputy national security adviser to Mr. Obama. “Her visits will build on the engagement that we’ve undertaken in the last several days.”

Mr. Rhodes said that “any resolution to this has to include an end to that rocket fire” by Hamas militants on Israeli communities but “the best way to solve this is through diplomacy.”

He added: “It’s in nobody’s interest to see an escalation of the military conflict.”

Mrs. Clinton will not meet with Hamas representatives on her trip, but with leaders of the Palestinian leadership in the West Bank, which is at odds with the Hamas rulers of the Gaza Strip. “We do not engage directly with Hamas,” Mr. Rhodes said.

Instead, Mr. Obama is focused on leveraging Egypt’s influence with Hamas to press for a halt to the rocket attacks. “We believe Egypt can and should be a partner in achieving that outcome,” Mr. Rhodes said.

Mr. Rhodes reaffirmed that the United States supports Israel’s right to defend itself and said Mr. Obama did not ask Mr. Netanyahu to hold off a ground incursion into Gaza.

In Jerusalem, the official in the Israeli prime minister’s office said that the country’s top nine ministers, who make up the inner security cabinet, held discussions late into the night on the state of the diplomatic efforts and Israel’s military operation in Gaza. The goal of the operation, Israel says, is to end years of rocket fire by Gaza militants against southern Israel.

Egypt has been brokering efforts, with American involvement, for a cease-fire. “What is on the table is not there yet. It does not bring about what we need,” the official said, referring to Israel’s demands for an end to the threat of rocket fire.

Tens of thousands of Israeli reserve soldiers have been mobilized and troops and tanks have massed along the border with Gaza, ready to go in the order is given for a move into densely-populated coastal enclave that would significantly escalate the conflict.

So far Israel has carried out its campaign from the air, pounding more than 1,000 targets in Gaza, including long-range rocket launchers and stores. Gaza militants have fired more than 800 rockets at Israel and several have reached as far north as Tel Aviv.

Many of the rockets headed for densely populated areas have been intercepted by Israel’s anti-rocket missile system while others have landed in open ground.

Peter Baker reported from Phnom Penh, Cambodia, and Isabel Kershner from Jerusalem. Jodi Rudoren contributed reporting from Gaza City.

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HTC “happy” with Apple settlement, slams media estimates

TOKYO (Reuters) – Taiwan’s HTC Corp is happy with its patent settlement with Apple Inc, but regards media reports on details of the licensing agreement as “outrageous”, chief executive Peter Chou told reporters on Tuesday.

HTC and Apple announced a global patent settlement and a 10-year licensing agreement this month after a bruising patent war between the two smartphone makers.

The companies did not disclose details of the settlement or the licensing agreement, but HTC said it will not change its fourth-quarter guidance.

Responding to a question about media reports that HTC will pay Apple $ 6 to $ 8 per Android phone as part of the patent settlement, Chou said it was an outrageous estimate.

“I think that these estimates are baseless and very, very wrong. It is a outrageous number, but I’m not going to comment anything on a specific number. I believe we have a very, very happy settlement and a good ending,” said Chou at a KDDI Corp product launch in Tokyo.

Apple sued the Taiwanese handset maker in 2010, its first major legal salvo against a manufacturer using Google’s Android operating system. Since the suit, a patent war has engulfed competitors including Samsung Electronics Co Ltd and Google’s Motorola Mobility unit.

(Reporting by Mari Saito; Editing by Michael Watson and Muralikumar Anantharaman)

Wireless News Headlines – Yahoo! News

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49ers' Kaepernick gets big assist from Aldon Smith

SAN FRANCISCO (AP) — Aldon Smith's high-flying defense gave Colin Kaepernick all kinds of extra chances in his first career NFL start.

And the Kaepernick looked little like a backup in delivering on nearly every one of those opportunities under the lights on football's big stage.

The strong-armed Kaepernick passed for 243 yards and two touchdowns in place of the injured Alex Smith, Aldon Smith had 5½ sacks, and the 49ers whipped the Chicago Bears 32-7 on Monday night in a highly anticipated NFC showdown that hardly lived up to the hype.

"I wanted to come out and show what I'm capable of and show that I can be a starter," Kaepernick said. "That's what I've been trying to prove since I've been here."

With Aldon Smith wreaking havoc on the other side of the ball, Kaepernick threw touchdown passes to Vernon Davis and Michael Crabtree, and Kendall Hunter ran for a 14-yard score as San Francisco (7-2-1) jumped out to a big lead by scoring on each of its first four possessions.

Jason Campbell, the other quarterback in this matchup of backups for division leaders, threw a 13-yard touchdown pass to Brandon Marshall in the third quarter, but was sacked five times and threw two interceptions in his first start since October 2011 for Oakland.

He faced fierce pressure all night, playing for the Bears (7-3) while starter Jay Cutler recovers from a concussion suffered eight days earlier — just like Alex Smith.

After Kaepernick's stellar night on national TV, there's certain to be chatter of a quarterback controversy for the NFC West-leading Niners. And anyone who knows coach Jim Harbaugh knows he's all about competition — at every spot on the field.

"I usually tend to go with the hot hand, and we've got two quarterbacks with hot hands," he said. "We'll make that decision when we have to make it."

Kaepernick certainly isn't counting on it.

"I don't think one game can be called a hot hand," he said.

Aldon Smith took over the NFL sacks lead with 15, passing Denver's Von Miller with 13, and recorded the second-best total in franchise history behind Fred Dean's six-sack day on Nov. 13, 1983, against New Orleans. Tarell Brown and Dashon Goldson each had an interception for San Francisco's stingy defense, which shut down Campbell, Matt Forte and Co. three years after the teams last met in a 10-6 49ers home win.

"I think I have a thing for night games, I love playing at night," Smith said. "I love playing under the lights."

Kaepernick, Aldon Smith and Hunter sure made general manager Trent Baalke looked good for his selections from the 2011 draft class.

"Colin is the man!" Davis said emphatically. "Colin did a great job, I was very proud of him."

And reigning NFL Coach of the Year Harbaugh earned a key victory four days after his own health issue. The 48-year-old Harbaugh had a minor procedure for an irregular heartbeat Thursday.

The 49ers added a safety in the fourth quarter after a replay review. With 9:24 left, former San Francisco offensive lineman Chilo Rachal was called for intentional grounding out of the end zone, but Harbaugh challenged and the review showed Rachal's knee was down in the end zone before the ball left.

"Tonight was probably the worst nightmare. We just have to find a way," Campbell said. "It's one game that we lost. We have to pick it back up next week and try to get back on the winning side. Our goals and everything still sit ahead of us."

The soft-spoken, stone-faced Kaepernick went 16 for 23 with a 133.1 passer rating. He completed 12 of his first 14 passes with a 57-yard strike to Kyle Williams that set up Davis' 3-yard TD on the next play — and he already had amassed 126 yards passing by the end of the first quarter.

The 49ers led 17-0 on Hunter's early TD run in the second, quickly topping the 14.8 points the Bears were allowing per game.

Kaepernick threw for 184 yards in the first half alone — an impressive outing for the second-year pro selected in the second round out of Nevada.

"I think after the first drive I felt really comfortable with what they were doing and what we had in our game plan," he said. "I really wasn't too nervous. I've had a lot of time in this offense. My teammates were really supportive."

Frank Gore ran for 78 yards and David Akers kicked field goals of 32, 37 and 32 yards for the 49ers, eager to defend their home field a week after settling for a frustrating 24-24 tie against the division rival St. Louis Rams.

They outgained Chicago 249-35 in a lopsided first half.

Davis got his prime-time moment just how he loves it. Eager to get more involved in the offense down the stretch this season, the tight end had a team-best six catches for 83 yards.

"It felt like somebody took the handcuffs off," Davis said. "It sends out a message we're for real and we'll step up in big games."

Campbell was slow to get up after a hit by Ahmad Brooks with 6:06 left in the third quarter, not an encouraging sign as third-string QB Josh McCown started loosening up.

Chicago dropped into a first-place tie in the NFC North with Green Bay, which owns the tiebreaker after beating the Bears in Week 2. The Bears have lost two straight following a six-game winning streak.

Things were much less stressful on the opposite sideline, where Kaepernick chatted between series with Alex Smith — who was out of uniform and dressed in red 49ers jacket on a crisp, windy fall evening at sold-out Candlestick Park.

Smith, the 2005 No. 1 overall draft pick, was ruled out earlier Monday after being evaluated by team medical director Dr. Dan Garza.

Campbell had little chance as his offensive line was overmatched all night, spoiling his first start since last October and before a broken collarbone derailed his 2011 season and forced him to miss the final 10 games.

Forte was limited to 63 yards on 21 carries — not much better than his 41-yard day on 20 carries in the loss here in 2009, when Cutler threw five interceptions.

"I think we all let the team down at one point or another in the ballgame," Marshall said. "We're just taking turns."

San Francisco featured the opportunistic, ball-hawking defense this time after the Bears came in with an NFL-leading 30 takeaways and 19 interceptions.

"Coming in I think there may have been some questions about who may have been the better defense," Aldon Smith said. "We came out and proved a point tonight."

NOTES: The 49ers won their fourth straight Monday Night Football game, fifth in six and seventh of 10. ... San Francisco's 43 Monday Night Football victories match the Dallas Cowboys for the most. ... Bears WR Alshon Jeffery left with a knee injury in the second half.

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Responding to Illnesses Manifesting Amid Recovery From Storm

Nicole Bengiveno/The New York Times

Dr. Aaron Gardener, center, attended to a patient at an ad hoc medical unit in Long Beach, N.Y. Many people have coughs, rashes and other ailments.

Day and night, victims of Hurricane Sandy have been streaming into ad hoc emergency rooms and relief centers, like the MASH-type medical unit on an athletic field in Long Beach, and the warming tent in the Rockaways the size of a small high school gym.

They complain of rashes, asthma and coughing. They need tetanus shots because — house-proud and armed with survivalist instincts — they have been ripping out waterlogged boards and getting poked by rusty nails. Those with back pain from sifting through debris receive muscle relaxants; those with chest pain from overexertion are hooked up to cardiac monitors.

“I’ve been coughing,” said Gabriel McAuley, 46, who has been working 16-hour days gutting homes and hauling debris in the Rockaways since the storm hit. “I’ve never felt a cough like that before. It’s deeper down.”

It is impossible to say how many people have been sickened by what Hurricane Sandy left behind: mold from damp drywall; spills from oil tanks; sewage from floodwater and unflushable toilets; tons upon tons of debris and dust. But interviews with hurricane victims, recovery workers, health officials and medical experts over the last week reveal that some of the illnesses that they feared would occur, based on the toxic substances unleashed by the storm and the experience of other disasters, notably Hurricane Katrina, have begun to manifest themselves.

Emergency rooms and poison control centers have reported cases of carbon monoxide exposure — and in New Jersey, several deaths have been attributed to it — from the misuse of generators to provide power and stoves to provide heat.

In Livingston, N.J., the Burn Center at St. Barnabas Medical Center had 16 burn cases over about six days, three times as many as usual, from people trying to dispel the cold and darkness with boiling water, gasoline, candles and lighter fluid.

Raw sewage spilled into homes in Baldwin and East Rockaway, in Nassau County, when a sewage plant shut down because of the surge and the system could not handle the backup. Sewage also spilled from a huge plant in Newark. “We tried to limit our presence in the house because the stink was horrible,” said Jennifer Ayres, 34, of Baldwin, who has been staying temporarily in West Hempstead. She said that she felt ill for several days, that her son had a scratchy throat, and that her mother, who lives in the house, had difficulty breathing, all problems she attributed to the two days they spent inside their house cleaning up last week. “I had stomach problems. I felt itchy beyond itchy on my face.”

Coughing — locally known as the Rockaway cough — is a common symptom that health officials said could come from mold, or from the haze of dust and sand kicked up by the storm and demolitions. The air in the Rockaways is so full of particles that the traffic police wear masks — though many recovery workers do not, worrying people who recall the fallout of another disaster.

“It’s just like 9/11,” said Kathy Smilardi, sitting inside the skeleton of her gutted home in Broad Channel, wrapped in a white puffy jacket, her breath visible in the afternoon cold. “Everyone runs in to clean up, and they’re not wearing masks. Are we going to wait 20 years to figure out that people are dying?”

Health officials and experts say the risks are real, but are cautioning against hysteria. Some coughing could be due to cold, damp weather. Lasting health effects from mold, dust and other environmental hazards generally require long-term, continuous exposure, they said. And the short-term effects can be mitigated by taking precautions like wearing masks, gloves and boots and removing mold-infested wallboard. “The reality is that cleaning up both muck and sewage and spills and removing walls and reconstruction and dealing with debris all do in fact pose concerns,” Daniel Kass, New York City’s deputy commissioner for environmental health, said Friday. “Are they vast or uncontrollable? No. But they depend on people doing work correctly and taking basic precautions.”

The Katrina cough was found to be temporary, said Roy J. Rando, a professor at Tulane’s School of Public Health and Tropical Medicine. Felicia Rabito, an epidemiologist at the school, said that healthy children exposed to mold after Hurricane Katrina showed no lasting respiratory symptoms when they moved back to new or renovated homes.

Immediately after Hurricane Katrina, lead levels in New Orleans’s soil dropped after the top layers of dirt, where lead from paint and gasoline can accumulate, were washed away. But in the two years afterward, soil testing found extremely high lead levels, Dr. Rabito said, which she theorized came from renovating old homes. “That’s a cautionary tale,” she said. Lead in soil can be tracked into homes and pose a health hazard to children playing inside or outside.

Though at least one outbreak of norovirus, a contagious gastrointestinal virus, occurred in a Brooklyn high school that was used as a shelter, New York and New Jersey health officials said they had not seen any significant spike in respiratory or gastrointestinal diseases related to the storm.

In Broad Channel, most homes on Noel Road, where Ms. Smilardi lives, have outdoor oil tanks that were overturned by the storm. The innards of many homes, built when asbestos was used, lie spilled among major and minor roads.

Ominous red spots covered both sides of Paul Nowinski’s burly torso. After the storm, Mr. Nowinski, a musician, waded into the basement of his childhood home on Beach 146th Street in the Rockaways to try to salvage records, books and instruments. He was up to his chest in water, which he thinks might have been contaminated with sewage. He said that he did not know the cause of the red marks; and that he had been too busy “schlepping” to go to the doctor.

Angela Macropoulos contributed reporting.

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Gaza Clash Escalates With Deadliest Israeli Strike

Bernat Armangue/Associated Press

Smoke rose over Gaza City on Sunday, as Israel widened its range of targets to include buildings used by the news media.

CAIRO — Emboldened by the rising power of Islamists around the region, the Palestinian militant group Hamas demanded new Israeli concessions to its security and autonomy before it halts its rocket attacks on Israel, even as the conflict took an increasing toll on Sunday.

After five days of punishing Israeli airstrikes on the Hamas-controlled Gaza Strip and no letup in the rocket fire in return, representatives of Israel and Hamas met separately with Egyptian officials in Cairo on Sunday for indirect talks about a truce.

The talks came as an Israeli bomb struck a house in Gaza on Sunday afternoon, killing 11 people, in the deadliest single strike since the conflict between Israel and Hamas escalated on Wednesday. The strike, along with several others that killed civilians across the Gaza Strip, signaled that Israel was broadening its range of targets on the fifth day of the campaign.

By the end of the day, Gaza health officials reported that 70 Palestinians had been killed in airstrikes since Wednesday, including 20 children, and that 600 had been wounded. Three Israelis have been killed and at least 79 wounded by unrelenting rocket fire out of Gaza into southern Israel and as far north as Tel Aviv.

Hamas, badly outgunned on the battlefield, appeared to be trying to exploit its increased political clout with its ideological allies in Egypt’s new Islamist-led government. The group’s leaders, rejecting Israel’s call for an immediate end to the rocket attacks, have instead laid down sweeping demands that would put Hamas in a stronger position than when the conflict began: an end to Israel’s five-year-old embargo of the Gaza Strip, a pledge by Israel not to attack again and multinational guarantees that Israel would abide by its commitments.

Prime Minister Benjamin Netanyahu of Israel stuck to his demand that all rocket fire cease before the air campaign lets up, and Israeli tanks and troops remained lined up outside Gaza on Sunday. Tens of thousands of reserve troops had been called up. “The army is prepared to significantly expand the operation,” Mr. Netanyahu said at the start of a cabinet meeting.

Reda Fahmy, a member of Egypt’s upper house of Parliament and of the nation’s dominant Islamist party, who is following the talks, said Hamas’s position was just as unequivocal. “Hamas has one clear and specific demand: for the siege to be completely lifted from Gaza,” he said. “It’s not reasonable that every now and then Israel decides to level Gaza to the ground, and then we decide to sit down and talk about it after it is done. On the Israeli part, they want to stop the missiles from one side. How is that?”

He added: “If they stop the aircraft from shooting, Hamas will then stop its missiles. But violence couldn’t be stopped from one side.”

Hamas’s aggressive stance in the cease-fire talks is the first test of the group’s belief that the Arab Spring and the rise in Islamist influence around the region have strengthened its political hand, both against Israel and against Hamas’s Palestinian rivals, who now control the West Bank with Western backing.

It also puts intense new pressure on President Mohamed Morsi of Egypt, a former leader of the Muslim Brotherhood who was known for his fiery speeches defending Hamas and denouncing Israel. Mr. Morsi must now balance the conflicting demands of an Egyptian public that is deeply sympathetic to Hamas and the Palestinian cause against Western pleadings to help broker a peace and Egypt’s need for regional stability to help revive its moribund economy.

Indeed, the Egyptian-led cease-fire talks illustrate the diverging paths of the Muslim Brotherhood and Hamas, a Palestinian offshoot of the original Egyptian Islamist group. Hamas has evolved into a more militant insurgency and is labeled a terrorist organization by the United States and Israel, while the Brotherhood has effectively become Egypt’s ruling party. Mr. Fahmy said in an interview in March that the Brotherhood’s new responsibilities required a step back from its ideological cousins in Hamas, and even a new push to persuade the group to compromise.

Reporting was contributed by Ethan Bronner, Irit Pazner Garshowitz and Isabel Kershner from Jerusalem, and Peter Baker from Bangkok.

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Ravens top Steelers 13-10, control AFC North race

PITTSBURGH (AP) — Terrell Suggs isn't ready to declare the race for the AFC North title over.

Besides, even if it were after the Baltimore Ravens' 13-10 victory over the Steelers on Sunday night, the veteran linebacker knows Pittsburgh still has the upper hand in the rivals' ultimate litmus test.

"They got it where it counts," Suggs said. "That's all that really matters is championships. These little independent battles is good for morale but until we catch them in the ring race ... we'll take the win but we've still got to catch them in that component of the rivalry."

The Ravens (8-2) took a significant step in that direction by shutting down the Steelers (6-4) and backup quarterback Byron Leftwich. The veteran completed 18 of 39 passes for 201 yards in place of injured starter Ben Roethlisberger. Leftwich ran for a score but also threw a drive-killing interception and was sacked three times.

"We went out there and we tried to make plays," Leftwich said. "Some went our way, some didn't. And it just wasn't enough."

The rematch comes in Baltimore in two weeks.

"It's like halftime," Baltimore coach John Harbaugh said. "It's like we won the first half and the second half is coming up."

The Steelers certainly hope it goes a little better than the first.

Pittsburgh was a clock chewing, drive extending machine under Roethlisberger. There were considerably more fits and starts with Leftwich under center. The Steelers converted just 5 of 17 (29 percent) of third downs, well below their season average or 49 percent.

"We never found a rhythm," Leftwich said.

The Ravens weren't much better. Joe Flacco completed 20 of 32 passes for 164 yards. Running back Ray Rice managed just 40 yards on 20 carries, forcing the Ravens to rely on an old standby make the difference.

Typically, that's not a problem. But this is not a typical year in Baltimore.

The defense came in ranked 27th in the league in yards allowed and is missing spiritual leader Ray Lewis, who is on the injured reserve-return list with a triceps injury.

The emotional linebacker made the trip anyway, giving his teammates a lift in the locker room.

"We haven't been playing the best the past couple weeks, or the whole season, some people say," said Baltimore cornerback Corey Graham, who intercepted Leftwich in the third quarter. "We've just got to find a way to get wins and that's what we were able to do today."

The Steelers hosted a number of franchise greats, including Hall-of-Famers Lynn Swann, John Stallworth and Joe Greene.

Their presence was appreciated, though it did little to make up for the absence of safety Troy Polamalu — out again with a right calf injury — or Roethlisberger, the franchise's current standard bearer.

Roethlisberger offered to do everything he could to help Leftwich win his first game as a starter in more than six years and insisted all week the offense wouldn't change.

For a fleeting moment, Roethlisberger appeared to be right.

Leftwich went deep on the game's first snap trying to hit Mike Wallace, drawing a pass interference penalty on Baltimore's Cary Williams. Two plays later Leftwich — who joked all week about his lack of speed — bought time in the pocket, rolled to his right and made for the sideline.

Rather than slide or duck out of bounds, the 250-pound Leftwich got a block and raced — in a manner of speaking — 31 yards for a touchdown to give the Steelers a 7-0 lead. Roethlisberger lifted his good arm in the air in celebration after the longest run of Leftwich's career, and the play seemed to give Pittsburgh a sense of confidence.

It didn't last. At least, not on offense.

The Steelers' second possession ended with a Wallace fumble that Ed Reed returned to the Pittsburgh 14. Baltimore managed only a field goal, but it seemed to bring the Steelers back to earth.

If that didn't, Jones did.

The explosive return man drifted under a Drew Butler punt late in the first half, sprinted up the field, cut to the right and zipped untouched to the end zone for his third return touchdown of the season to give Baltimore a 10-7 lead.

"They were trying to set up the outside wall, but I saw nothing but open field to the right so I thought, 'Why not go this way?'" Jones said.

Baltimore moved in front 13-7 in the third quarter on Justin Tucker's second field goal, more than enough to help the Ravens take a major step toward their second straight division title.

"They talked about how it was going to be a physical game, how it was going to come down to the end and it lived up to it," Graham said. "It was definitely a great experience. I look forward to it in a couple weeks."

NOTES: Baltimore TE Dennis Pitta left the game with a concussion in the first quarter and did not return ... Pittsburgh RB Isaac Redman also left with a concussion and did not return ... Pittsburgh RB Rashard Mendenhall had 33 yards in his first game in a month ... The Steelers travel to Cleveland next week while the Ravens play in San Diego.

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Follow Will Graves at www.twitter.com/WillGravesAP

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Online: http://pro32.ap.org/poll and http://twitter.com/AP_NFL

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Teenage Boys, Worried About Body Image, Take Health Risks

It is not just girls these days who are consumed by an unattainable body image.

Take David Abusheikh. At age 15, he started lifting weights for two hours a day, six days a week. Now that he is a senior at Fort Hamilton High School in Brooklyn, he has been adding protein bars and shakes to his diet to put on muscle without gaining fat.

“I didn’t used to be into supplements,” said Mr. Abusheikh, 18, who plans on a career in engineering, “but I wanted something that would help me get bigger a little faster.”

Pediatricians are starting to sound alarm bells about boys who take unhealthy measures to try to achieve Charles Atlas bodies that only genetics can truly confer. Whether it is long hours in the gym, allowances blown on expensive supplements or even risky experiments with illegal steroids, the price American boys are willing to pay for the perfect body appears to be on the rise.

In a study to be published on Monday in the journal Pediatrics, more than 40 percent of boys in middle school and high school said they regularly exercised with the goal of increasing muscle mass. Thirty-eight percent said they used protein supplements, and nearly 6 percent said they had experimented with steroids.

Over all, 90 percent of the 2,800 boys in the survey — who lived in the Minneapolis-St. Paul area, but typify what doctors say is a national phenomenon — said they exercised at least occasionally to add muscle.

“There has been a striking change in attitudes toward male body image in the last 30 years,” said Dr. Harrison Pope, a psychiatry professor at Harvard who studies bodybuilding culture and was not involved in the study. The portrayal of men as fat-free and chiseled “is dramatically more prevalent in society then it was a generation ago,” he said.

While college-age men have long been interested in bodybuilding, pediatricians say they have been surprised to find that now even middle school boys are so absorbed with building muscles. And their youth adds an element of risk.

Just as girls who count every calorie in an effort to be thin may do themselves more harm than good, boys who chase an illusory image of manhood may end up stunting their development, doctors say, particularly when they turn to supplements — or, worse, steroids — to supercharge their results.

“The problem with supplements is they’re not regulated like drugs, so it’s very hard to know what’s in them,” said Dr. Shalender Bhasin, a professor of medicine at Boston Medical Center. Some contain anabolic steroids, and even high-quality protein supplements might be dangerous in large amounts, or if taken to replace meals, he said. “These things just haven’t been studied very well,” he said.

Anabolic steroids pose a special danger to developing bodies, Dr. Bhasin said. Steroids “stop testosterone production in men,” he said, leading to terrible withdrawal problems when still-growing boys try to stop taking them. Still, the constant association of steroids with elite athletes like Lance Armstrong and Barry Bonds perpetuates the notion that they can be managed successfully.

Online, in bodybuilding forums for teenagers, boys barely out of puberty share weight-lifting regimens and body fat percentages, and judge one another’s progress. On Tumblr and Facebook, teenagers post images of ripped athletes under the heading “fitspo” or “fitspiraton,” which are short for “fitness inspiration.” The tags are spinoffs of “thinspo” and “thinspiration” pictures and videos, which have been banned from many sites for promoting anorexia.

“Lifted b4 school today felt good but was weak as hell,” wrote one boy who said he was 15 and from Tallahassee, Fla., on a message board on Bodybuilding.com in September, saying he bench-pressed 245 pounds. “Barely got it.”

Many of these boys probably see themselves in Mike Sorrentino, “The Situation” from the “Jersey Shore” series on MTV, or the Adam Sackler character, on the HBO series “Girls,” who rarely wears a shirt or takes a break from his crunches.

Mr. Abusheikh, for instance, has a Facebook page full of photos of himself shirtless or showing off his six-pack abs. At his high school, participation in the annual bodybuilding competition hit an all-time high of 30 students this year.

“They ask us about everything,” said Peter Rivera, a physical education teacher at Fort Hamilton High School who helps oversee the competition. “How do I lose weight? How do I gain muscle? How many times a week should I work out?” Some boys want to be stronger for sports, Mr. Rivera said, but others “want to change their body type.”

Compared with a sedentary lifestyle of video games and TV, an obsession with working out may not quite qualify as a health hazard. And instructors like Mr. Rivera say most boys are eager for advice on the healthiest, drug-free ways to get in shape.

With so little known about supplements, it can be difficult, particularly for teenagers, to make wise decisions.

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