WHO: Slight cancer risk after Japan nuke accident

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

"I'm enraged," he said.

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

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Online:

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

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Las Vegas Strip shooting suspect is arrested in L.A.

A man suspected in a deadly car-to-car shooting in the heart of the Las Vegas Strip was arrested Thursday at a Studio City apartment complex, bringing an end to a weeklong manhunt.

Los Angeles police and FBI agents surrounded the suburban apartment complex in the 4100 block of Arch Drive about noon and ordered Ammar Harris to surrender. Officers said there was a woman inside the apartment where he was holed up; she was not arrested.

Harris, 26, is being held on suspicion of murder and is expected to be extradited back to Nevada.

"This arrest is much more than just taking Ammar Harris," said Las Vegas Sheriff Doug Gillespie, speaking at police headquarters near the Strip. "The citizens of our community as well as tourists who visit and work in the Las Vegas Valley are entitled to a safe community."

Harris — described by law enforcement officials as a man with an "extensive and violent criminal history" — is accused of being the gunman in the Feb. 21 shooting that killed three people, including Kenneth Cherry Jr., an Oakland native and rapper known as Kenny Clutch.

Las Vegas police said Harris opened fire from his Ranger Rover on Cherry's Maserati on Las Vegas Boulevard after an altercation at a valet stand at the Aria hotel resort.

The Maserati then sped into the intersection at Flamingo Road, where it rammed a Yellow Cab, which erupted in flames near the mega-wattage casinos of the Bellagio, the Flamingo and Ceasars Palace. The explosion killed the taxi driver and passenger inside.

Cherry and a passenger in his Maserati were taken to a hospital, where Cherry was pronounced dead. Four other vehicles were involved in the fiery crash, which left three other people with injuries.

"What I can tell you is that Mr. Harris' behavior was unlike any other I've seen, and I've been in this community in law enforcement for 32 years," Clark County Dist. Atty. Steve Wolfson said.

"I cannot imagine anything more serious than firing a weapon from a moving vehicle into another moving vehicle on a corner such as Las Vegas Boulevard and Flamingo."

Even in a city accustomed to spectacle, the shooting and collision were shocking.

On the night of the shooting, Harris was accompanied by three people in his Range Rover, none considered suspects, said Lt. Ray Steiber of the Las Vegas Metropolitan Police Department. On Saturday, Las Vegas police found Harris' black Range Rover at an apartment complex in the city. The district attorney charged Harris with murder even though he could not be located, and a federal magistrate signed off on a charge of fleeing the jurisdiction.

Federal court documents show Las Vegas homicide detectives suspected that Harris may have fled to California because his phone showed he made calls in the state.

According to law enforcement sources, Harris operated as a pimp in Las Vegas. In a video released by Las Vegas police, Harris flashed a fistful of $100 bills as he bragged about the money. He boasted about money, guns, expensive cars and run-ins with the law on social media accounts, authorities said.

On one social media site, using the name Jai'duh, someone authorities believe was Harris posted pictures of stacks of $100 bills and a Carbon 15 pistol.

Harris' record includes a 2010 arrest in Las Vegas on suspicion of pimping-related offenses of pandering with force and sexual assault. He has previously been arrested on suspicion of a variety of crimes in South Carolina and Georgia, authorities said.

Harris is slated to appear in a downtown Los Angeles courtroom Monday for an extradition proceeding.

richard.winton@latimes.com

john.glionna@latimes.com

kate.mather@latimes.com

Glionna reported from Las Vegas. Times staff writer Andrew Blankstein contributed to this report.

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IHT Rendezvous: Environmentalists and Anti-Whalers: ‘Pirates’, or Protectors?

BEIJING — The battle between Japan’s “whale researchers” and anti-whaling groups has long been a furious one, often fought, precariously, between vessels heaving in icy seas.

But who here is the protector, who the pirate?

This week a federal judge in the United States ruled that Sea Shepherd, the anti-whaling group, was a “pirate,” in a suit brought by the whale researchers, the Institute of Cetacean Research in Japan. (The institute, set up in 1987, a year after an international moratorium on whaling took effect to protect fast-dwindling species, says it is a “whale research program” but environmentalists say it is involved in commercial whaling and its Web site says it engages in “whaling.”)

“You don’t need a peg leg or an eye patch” to be a pirate, ruled Chief Judge Alex Kozinski of the 9th Circuit, in an opinion dated Feb. 25 in Seattle. (The 9th Circuit is an appeals court that is one level below the Supreme Court, the highest court in the nation.)

“When you ram ships; hurl glass containers of acid; drag metal-reinforced ropes in the water to damage propellers and rudders; launch smoke bombs and flares with hooks; and point high-powered lasers at other ships, you are, without a doubt, a pirate, no matter how high-minded you believe your purpose to be,” the judge ruled, finding in favor of the Institute, which he described as “Japanese researchers who hunt whales in the Southern Ocean.”

The judge defined a pirate as someone involved in acts of violence on the high seas and, importantly, driven by “private” ends.

Here’s how the United Nations Convention on the Law of the Sea defines piracy, as cited by the judge: “illegal acts of violence or detention, or any act of depredation, committed for private ends by the crew or the passengers of a private ship . . . and directed . . . on the high seas, against another ship . . . or against persons or property on board such ship.”

The argument is of course more complicated than that (legal judgments usually are) but it does seem to raise the following important question: can environmentalists, who are working to protect their surroundings, be considered to be motivated merely by “private” ends? Or is it a larger, “public” ends that drive them?

The judge said in his ruling the issue had not been much studied. “Belgian courts, perhaps the only ones to have previously considered the issue, have held that environmental activism qualifies as a private end,” he wrote.

Unsurprisingly, the verdict is roiling environmentalists, with Sea Shepherd’s founder, Paul Watson, saying: “They are entitled to their opinion, but the Australian Federal Court deemed the Japanese (whalers) to be pirates.”

What do you think? Can environmentalists fighting to protect our natural surroundings be considered pirates driven by private ends? Are Sea Shepherd’s tactics too extreme? As our environment degrades, might one day the degraders be the ones who find themselves branded “pirates” drive by “private ends”?

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American Idol Reveals Its Top 10 Women

TV Watch

American Idol

02/27/2013 at 10:45 PM EST

From left: Randy Jackson, Mariah Carey, Ryan Seacrest, Nicki Minaj, Keith Urban

Michael Becker/FOX

American Idol's's list of the top 10 women is complete!

After the first week of sudden-death rounds, the judges gave their stamp of approval to five more female singers Wednesday night. And they sent five others home.

Keep reading to find out who's in and who's out on Idol ...

Here are the five contestants who are moving on in the competition:

1. Zoanette Johnson: The Tulsa resident, 20, was the first to be put through by the judges, who showered her with praise for singing a spirited version of "Circle of Life" from The Lion King. Keith Urban declared her "queen of the jungle." Nicki Minaj told Zoanette, "You make me so emotional ... You're the person we're going to remember tonight."

2. Aubrey Cleland: After singing a slowed-down version of Beyoncé's "Sweet Dreams," Mariah Carey told Cleland, 19, "You're limitless." Nicki and Randy Jackson pointed out her commercial appeal. "Lookin' like a current artist, soundin' like one, feelin' like one," said Nicki of the performance.

3. Candice Glover: Taking on Aretha Franklin's "(You Make Me Feel Like) A Natural Woman" paid off for the singer, 23, who earned a standing ovation from Keith. Randy said she was "one of my favorite singers in the whole competition."

4. Breanna Steer: "You're extremely marketable and gorgeous and talented," Mariah told the singer, 18, after she sang a dramatic version of Jazmine Sullivan's "Bust Your Windows" that had Randy wanting to sign her up for a recording contract. "You got the whole package," he said. "You brought so much drama."

5. Janelle Arthur: She beat out the other country singer in the competition, Rachel Hale, for the final spot in the women's top 10 after singing Lady Antebellum's "Just a Kiss." Though Randy called Arthur, 23, his "favorite country singer in this competition," the other judges questioned her song choice. "[The song] doesn't give you a chance to really soar," Keith said. "The melody kept pulling you back."

These five will join the five female finalists announced last week – Kree Harrison, Amber Holcomb, Adriana Latonio, Angela Miller and Tenna Torres – as well as the five men – Charlie Askew, Curtis Finch Jr., Paul Jolley, Elijah Liu and Devin Velez. Ten more guys will sing Thursday (8 p.m. ET) and five will move on to round out season 12's top 20.

Did the judges make the right decisions? Sound off in the comments below.

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Medicare paid $5.1B for poor nursing home care

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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On the Web:

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

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

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

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Eric Garcetti showed political savvy during busy student years

Fourth in a series of articles focusing on key periods in the lives of the mayoral hopefuls.

Ben Jealous still recalls walking into a Columbia University meeting of a new group called Black Men for Anita Hill and seeing a half-Jewish, half-Mexican kid from Los Angeles leading the discussion.

"What's he doing here?" he asked the professor who organized the meeting.

"Honestly brother," the teacher replied, "he's the only one here I'm certain will really work hard."

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It was Jealous' first exposure to Eric Garcetti, a committed young progressive known on campus for gliding between different worlds and liberal causes. As a political science major at Columbia, Garcetti patched plaster and painted walls in low-income apartments in Harlem while also serving as the president of an exclusive literary society known for its wealthy membership. He led a men's discussion group on gender and sexuality, ran successfully for student government, and wrote and performed in musicals.

His busy student years offered hints of the future political persona that would later help him win a Los Angeles City Council seat and emerge as a leading candidate for mayor. As he pursued countless progressive causes — improved race relations in New York City, democracy in Burma and human rights in Ethiopia — Garcetti also exhibited a careful stewardship of his image and a desire to get along with everyone.

Some of his critics complain that he is confrontation averse, and say his chameleon-like abilities are political. Others complain that he has lost touch with his activist roots, citing his recent advocacy for a plan to allow taller and bigger buildings in Hollywood despite strong opposition from some community members.

But Jealous, who went on to study with Garcetti at Oxford, where they were both Rhodes scholars, remembers his classmate as "authentically committed" to social justice and naturally at ease in different settings. That was a valuable trait in early 1990s New York City, when tensions between whites and blacks were high, said Jealous, who is now the president of the National Assn. for the Advancement of Colored People. Against a backdrop of racial violence, including the stabbing of the Rev. Al Sharpton in Brooklyn in 1991, "there was an urgent need to build bridges," he said.

On Columbia's campus, Garcetti pushed to involve more men in Take Back the Night protests against sexual violence and tracked hate crimes as president of the National Student Coalition Against Harassment. He also worked against homelessness and founded the Columbia Urban Experience, a program that exposes incoming freshmen to city life through volunteerism.

Judith Russell, a Columbia professor who taught Garcetti in a yearlong urban politics course, remembers him as a skilled organizer. "Eric was one of the best people I've ever met at getting people to agree," she said.

He was also ambitious. Russell says she wrote countless recommendation letters for Garcetti, who was always applying for some new opportunity. "For most people I have a file or two. For Eric I have a folder," she said.

Even as a student, Garcetti went to great lengths to guard his image and public reputation. In a 1991 letter to a campus newspaper, a 20-year-old Garcetti sought a retraction of a quote that he acknowledged was accurate. A reporter wrote that Garcetti called owners of a store that declined to participate in a Columbia-sponsored can recycling program "assholes." Garcetti said the comment was off the record.

"I would ask, then, if you would retract the quote, not because of the morality of my position, rather the ethics of the quoting," he wrote.

That self-awareness came partly from being raised in a politically active family. Back in Los Angeles, his father was mounting a successful campaign for county district attorney. His mother, the daughter of a wealthy clothier, ran a community foundation. Her father, who had been President Lyndon B. Johnson's tailor, made headlines in the 1960s when he took out a full-page ad in the New York Times calling on Johnson to exit the Vietnam War.

Garcetti's family wealth allowed him to carry on the legacy of political activism. While attending L.A.'s exclusive Harvard School for Boys, he traveled to Ethiopia to deliver medical supplies. In college, while other students worked at summer jobs, he traveled twice to Burma to teach democracy to leaders of the resistance movement.

In 1993, after receiving a master's degree from Columbia's School of International and Public Affairs, Garcetti departed for Oxford. There he met Cory Booker, a fellow Rhodes scholar who is now the mayor of Newark, N.J., and a likely candidate for the U.S. Senate. Garcetti, Booker said, "was one of those guys who would be in the pub at midnight talking passionately about making a better world."

In England, Garcetti worked with Amnesty International and also met his future wife, Amy Wakeland, another Rhodes scholar with activist leanings. Garcetti remembers being impressed when Wakeland missed President Clinton's visit to the Rhodes House at Oxford because she was on the streets protesting tuition hikes. Her worldview aligned with his, he told friends.

In his second year at Oxford, Garcetti persuaded student leaders to join him in a hunger strike after the passage of Proposition 187, the 1994 California ballot measure that denied immigrants access to state healthcare and schools.

Looking back, he sees the hunger strike as a bit of youthful folly. "We were young," Garcetti said. "Was a fast an ocean away going to overturn 187? No. But in my book, whether it's me in Los Angeles seeing an injustice across an ocean or vice versa, you have to stand up and be heard."

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India Ink: ‘Kai Po Che’ and the Strange Case of the Vanishing Villain

“Kai Po Che,” or “Brothers for Life,” which opened in Indian theaters on Friday, isn’t a film about the Gujarati entrepreneurial spirit, or friendship, or cricket, or any of the various themes that the popular author Chetan Bhagat has suggested in press interviews over the past two weeks.

Based on his novel “The 3 Mistakes of My Life,” the film is a coming-of-age story about a group of three middle-class young Hindu men and a poor Muslim prodigy in Ahmedabad that unfolds from 2000 to 2002. But to understand the true premise of “Kai Po Che,” audiences may want to note what Mr. Bhagat changed or omitted from his novel as he wrote the screenplay with the director.

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Like the book, the film deals with the Gujarat riots of 2002, the first mainstream movie to do so in the 11 years since deadly clashes broke out between Muslims and Hindus across the state following a sudden fire in a train making a stop at the Godhra station that killed 58 Hindu pilgrims. Mr. Bhagat’s 2008 book was about the adventurous quest of three Gujarati boys to make it in business – an aim derailed by, among other events, the relationship one of them develops with a lonely Muslim kid, all of this happening against the backdrop of a religiously divided city.

“3 Mistakes” was a heavy-handed attempt at turning the events that shook Gujarat at the turn of the millennium into racy fiction. In Mr. Bhagat’s written account of Gujarat’s politics, for example, workers of the “Hindu Party,” a clear reference to the right-wing Bharatiya Janata Party,  carry “some form of accessory like a trishul (trident) or a rudraksha (prayer beads) or a holy book” at a dinner function. Nevertheless, it is the only work in Indian fiction, popular or literary, to deal with one of the most disturbing events in our recent history.

In turning his decidedly political book into a feel-good Bollywood spectacle, Mr. Bhagat has, on the face of it, done nothing less than rewrite history in favor of Gujarat’s chief minister, Narendra Modi of the B.J.P., who has been dogged by questions over his role in the 2002 riots. Mr. Bhagat has, for the most part, kept the screenplay clear of damning references to Gujarat’s Hindutva nationalist politics littered throughout his book, such as a grand conference of “the Hindu Party,” where the subject of discussion is “until when does a Hindu keep bearing pain?”

In an interview with India Ink, Mr. Bhagat defended his decision to leave out the divisive politics that his book described. “It’s a Bollywood film,” he said. “Also, a film is never a decision of a single person. And it was decided by everyone together that it would be better to focus on friendship and not politics.”

In the film adaptation, Mr. Bhagat has also added what seems like justification for some Hindus to turn violent, like the death by burning of both of the parents of one of the three protagonists in the Sabarmati Express; in the novel, it was his nephew. We all know the level of vengeance with which Bollywood heroes respond to the targeting of their mothers: “Teri maa mari hai kya (Is it your mother who has died?),” the bereaved son explodes at a sensible friend trying to stop him from losing control of himself.

In his book, Mr. Bhagat clearly showed the 2002 riots as a state-sanctioned exercise (“Whatever it takes to quench the hurt feelings,” says a “senior Hindu Party leader”). But he excised that from the film completely.

“It is not the kind of film that takes political stands,” he told India Ink. “But I still show everything that happens. The film depicts the riots in full detail; it just doesn’t take sides. I am still the only writer who has engaged with Gujarat riots.”

Mr. Bhagat also denied that the changes he made for his screenplay were intended to appease Mr. Modi. “No, that is not the case,” he told India Ink. “If I cared about that, the film wouldn’t have shown what it does.”

In an interview with The Indian Express, he explained further: “Nobody can deny what has happened in Gujarat. Why and how has it happened that really is an opinion. And that the film doesn’t have.”

He also said, in the same interview, that neutrality was his biggest “trend,” even though his recent sharp words for public figures like the author Salman Rushdie and the Infosys co-founder Narayana Murthy seem to indicate the opposite.

“It’s a writer’s job to speak and give opinions, and I’m somewhat popular and unlike other popular people like cricketers and actors, who don’t speak on issues,” he had said in a February 2012 interview with The Telegraph in India about statements in which he accused Mr. Rushdie of being a desperate attention-seeker and Mr. Murthy of running a body shop.

Over the last year or so, Mr. Bhagat has tried, painstakingly, to be seen as respectful of Mr. Modi, whose rise from the ashes of 2002 has seemed inexorable. From praising Mr. Modi’s vision for development to acknowledging the emotional pull he exerts on many middle-class Indians, Mr. Bhagat has repeatedly endorsed the proudly nationalist chief minister in public.

Indeed, Mr. Modi publicly cautioned him, tongue in cheek, that rooting for him could cost the author the love of Indian liberals – well aware, of course, that Mr. Bhagat didn’t have that to begin with, and thus cementing their common-cause camaraderie.

Mr. Bhagat now opines in his influential column in The Times of India that “there is a lot more to Gujarat, the Gujarati people and their C.M. than Godhra” and that “many rights do not cover up a wrong. But should a wrong be constantly used to cover up many rights?”

So why does the man who once wrote “3 Mistakes” now appear to be trying to ingratiate himself with its implied villain? Is it because the author fears losing his legendary hold over the imagination of a young India that’s increasingly drawn to Mr. Modi’s pied-piper promises? Or could this extended goodwill, and an obvious softening of the original narrative, be a ruse to introduce the 2002 riots to popular cinema without earning the fatal wrath of Mr. Modi, who is being hailed as the new Hindu Hriday Samrat (Emperor of Hindu Hearts), after the death of Bal Thackeray?

These questions remain unanswered. But, let’s not forget that at a time when a potential prime ministerial candidate like Mr. Modi is most desperate for Indians to see beyond the 2002 riots, Mr. Bhagat has allowed, and contributed to, the making and breathless promotion of a guaranteed blockbuster that shows tilak-wearing and sword-waving Hindu mobs wipe out entire Muslim neighborhoods on account of a rumor.

That alone perhaps makes “Kai Po Che” worthy of the standing ovations it is reported to have inspired across the theaters.

Snigdha Poonam is Arts Editor at The Caravan. She is on Twitter at @snigdhapoonam

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Bobby Brown Sentenced to 55 Days in Jail in Drunk Driving Case

02/26/2013 at 09:30 PM EST

Bobby Brown has been sentenced to 55 days in jail and four years probation in his most recent drunk driving arrest.

Brown, 44, was pulled over in Studio City, Calif., on Oct. 24 for driving erratically and was arrested when the officer detected "a strong scent of alcohol." He was charged with DUI and driving on a suspended license.

He was also arrested for driving under the influence in March of 2012.

Brown pled no contest to the charges on Tuesday, reports TMZ. He was also ordered to complete an 18-month alcohol treatment program.

The singer, who married Alicia Etheredge in Hawaii in June of 2012, must report to jail by March 20.

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Advanced breast cancer edges up in younger women

CHICAGO (AP) — Advanced breast cancer has increased slightly among young women, a 34-year analysis suggests. The disease is still uncommon among women younger than 40, and the small change has experts scratching their heads about possible reasons.

The results are potentially worrisome because young women's tumors tend to be more aggressive than older women's, and they're much less likely to get routine screening for the disease.

Still, that doesn't explain why there'd be an increase in advanced cases and the researchers and other experts say more work is needed to find answers.

It's likely that the increase has more than one cause, said Dr. Rebecca Johnson, the study's lead author and medical director of a teen and young adult cancer program at Seattle Children's Hospital.

"The change might be due to some sort of modifiable risk factor, like a lifestyle change" or exposure to some sort of cancer-linked substance, she said.

Johnson said the results translate to about 250 advanced cases diagnosed in women younger than 40 in the mid-1970s versus more than 800 in 2009. During those years, the number of women nationwide in that age range went from about 22 million to closer to 30 million — an increase that explains part of the study trend "but definitely not all of it," Johnson said.

Other experts said women delaying pregnancy might be a factor, partly because getting pregnant at an older age might cause an already growing tumor to spread more quickly in response to pregnancy hormones.

Obesity and having at least a drink or two daily have both been linked with breast cancer but research is inconclusive on other possible risk factors, including tobacco and chemicals in the environment. Whether any of these explains the slight increase in advanced disease in young women is unknown.

There was no increase in cancer at other stages in young women. There also was no increase in advanced disease among women older than 40.

Overall U.S. breast cancer rates have mostly fallen in more recent years, although there are signs they may have plateaued.

Some 17 years ago, Johnson was diagnosed with early-stage breast cancer at age 27, and that influenced her career choice to focus on the disease in younger women.

"Young women and their doctors need to understand that it can happen in young women," and get checked if symptoms appear, said Johnson, now 44. "People shouldn't just watch and wait."

The authors reviewed a U.S. government database of cancer cases from 1976 to 2009. They found that among women aged 25 to 39, breast cancer that has spread to distant parts of the body — advanced disease — increased from between 1 and 2 cases per 100,000 women to about 3 cases per 100,000 during that time span.

The study was published Tuesday in the Journal of the American Medical Association.

About one in 8 women will develop breast cancer in their lifetime, but only 1 in 173 will develop it by age 40. Risks increase with age and certain gene variations can raise the odds.

Routine screening with mammograms is recommended for older women but not those younger than 40.

Dr. Len Lichtenfeld, the American Cancer Society's deputy chief medical officer, said the results support anecdotal reports but that there's no reason to start screening all younger women since breast cancer is still so uncommon for them.

He said the study "is solid and interesting and certainly does raise questions as to why this is being observed." One of the most likely reasons is probably related to changes in childbearing practices, he said, adding that the trend "is clearly something to be followed."

Dr. Ann Partridge, chair of the federal Centers for Disease Control and Prevention's advisory committee on breast cancer in young women, agreed but said it's also possible that doctors look harder for advanced disease in younger women than in older patients. More research is needed to make sure the phenomenon is real, said Partridge, director of a program for young women with breast cancer at the Harvard-affiliated Dana-Farber Cancer Institute.

The study shouldn't cause alarm, she said. Still, Partridge said young women should be familiar with their breasts and see the doctor if they notice any lumps or other changes.

Software engineer Stephanie Carson discovered a large breast tumor that had already spread to her lungs; that diagnosis in 2003 was a huge shock.

"I was so clueless," she said. "I was just 29 and that was the last thing on my mind."

Carson, who lives near St. Louis, had a mastectomy, chemotherapy, radiation and other treatments and she frequently has to try new drugs to keep the cancer at bay.

Because most breast cancer is diagnosed in early stages, there's a misconception that women are treated, and then get on with their lives, Carson said. She and her husband had to abandon hopes of having children, and she's on medical leave from her job.

"It changed the complete course of my life," she said. "But it's still a good life."

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Online:

JAMA: http://jama.ama-assn.org

CDC: http://www.cdc.gov/cancer/breast/index.htm

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Wendy Greuel acquired a love of politics from working with Tom Bradley

In the early 1980s, Wendy Greuel was at a crossroads. In one direction was the family building supply company housed in a dusty North Hollywood warehouse. The other way, a career at Los Angeles City Hall in Mayor Tom Bradley's administration beckoned.

Bright, young and ambitious, Greuel had balanced duties on the high school cheerleading squad and as student body president with part-time work at Frontier Building Supply — where she kept the books, drove a forklift and answered the phone that sometimes rang for her mother's side business, the White Lace Inn.

The 17-year-old Greuel, raised a Republican, was star-struck when she first met the Democratic mayor during a youth leadership ceremony atop City Hall. "Here was this 6-foot-5 inspirational leader," she said, "and as I've jokingly said, I fell in love that day."

When Bradley handed her an award, her course was set. Over the next decade, she would join a group of young aides who drove the five-term mayor's agenda, from the inspiring run-up to the 1984 Olympic Games to the difficult rebuilding after the city's 1992 riots. Her portfolio at City Hall — homelessness, housing, child care and AIDS — took the young UCLA graduate from the conservative enclaves of the Valley into the most destitute corners of South and East L.A.

"I used to call her the mayor of hopeless causes," former Bradley Deputy Press Secretary Dee Dee Myers said. "She had all the really tough, intractable issues … and she dove in."

Now a leading contender to follow her political hero to City Hall's top office, Greuel says she learned from Bradley the skills the job demands: a tireless work ethic, an ability to glide between city factions and a relentless focus on basic city services.

"What I really learned from all of those years was that the details matter," said Greuel, whose admiration for Bradley's zeal in reporting potholes led her to style herself as the "pothole queen" when she later represented the San Fernando Valley on the City Council.

But critics contend that as Greuel, currently the city's controller, raised her political profile she shied away from the imaginative and idealistic projects that were a hallmark of her years in the Bradley administration. Councilman Richard Alarcon, who worked with Greuel in Bradley's office, said he endorsed Greuel's chief rival, Eric Garcetti, after watching her gravitate toward politically safe initiatives.

"When Wendy was with Mayor Bradley, it was all about action — all about creating projects, ideas, L.A.'s Best," Alarcon said, alluding to the acclaimed after-school program that has now expanded to more than 150 Los Angeles schools. "We were doing a lot more than filling potholes."

Greuel says Bradley inspired her "passion to fight for social justice" and to stand up for the most vulnerable. But some saw her City Council focus as tending toward the more narrow — modernizing parking meters and synchronizing traffic signals.

Councilman Bernard C. Parks, the former police chief who is supporting Greuel's rival Jan Perry, said that Bradley created the downtown skyline, rebuilt the airport and brought the Olympics to L.A.

"He had a variety of legacies — most of them were big-picture ideas," Parks said. "In Wendy's era on the council…it was more of the mechanics of dealing with transportation and potholes."

In the early years however, Greuel's drive on those social issues was unquestioned.

Olivia Mitchell, Greuel's first boss in Bradley's youth development office, described Greuel as the ultimate "go-getter." At night, Greuel volunteered to be Mitchell's driver, ferrying her boss to community gatherings, prisoner probation meetings and continuation high schools in her brown Camaro.

"She wanted to know everything I knew and the people I knew," Mitchell said. Later, colleagues would tease her about being willing to "go to the opening of an envelope," Greuel said.

Former Bradley aide Donna Bojarsky said Greuel sought out "high-value, low-glamour" assignments. She also cultivated long-term political relationships that have helped her stack up endorsements in the current race.

Fellow Bradley aide Kerman Maddox noted that she was the one staffer who went to every group's party.

"We're talking 1980s Los Angeles, a tough, gritty, racially-balkanized city," Maddox said. "We'd tease her: 'How many white girls are hanging out in South L.A? It's just you.' But that's her.... She could move from camp to camp, faction to faction, because she got along with everyone."

Greuel was tasked with developing programs to deal with the city's burgeoning homeless population, which was threatening Bradley's drive to redevelop downtown's Bunker Hill. Greuel was in the thick of the issue when tensions grew over a proliferation of urban encampments, including the much-publicized "Justiceville."

Ted Hayes, Justiceville's leader and an advocate for the homeless, recalled that he and Bradley were at sharp odds because "I ran like a buzz saw right smack dab into his plans." Greuel began showing up at the camp, wandering among the plywood and cardboard structures in her prim navy suits.

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