India rape suspect actually a minor, lawyer says

NEW DELHI One of the five men charged with gang-raping and killing a woman is a minor, his lawyer said Monday as he demanded an age-determination test in what could be a tactic to delay the case from being tried in a fast-track court.

The five charged in last month's attack of the 23-year-old student in a moving bus in New Delhi would face a possible death penalty if convicted. A sixth suspect says he is 17 years old, and if he is tried in a juvenile court he would face a maximum sentence of three years in a reform facility.




15 Photos


Gang-rape sparks rage in India






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Indian prosecutors to push for death penalty in gang rape case



The rape of the woman, and the brutal beating that led to severe organ failure, has set off an impassioned debate about what India needs to do to prevent such tragedies. Protesters and politicians have called for tougher rape laws, police reforms and a transformation in the way the country treats women.

The five men charged with various crimes in the incident live in a slum in New Delhi, and were riding in an off-duty bus that picked up the woman and a male companion late in the evening of Dec. 16 in a posh part of the capital. Both were beaten severely and thrown off the bus. The woman died two weeks later of the injuries in a Singapore hospital.

Manohar Lal Sharma, the lawyer for one of the five charged men, Mukesh Singh, said at a court hearing Monday that his client is under 18, and that police documents indicating Singh is 26 had been "manipulated."

"If you could just see his face, he is only a child," Sharma told The Associated Press.

The hearing has been closed to the media under a gag order placed by the magistrate. The defendants have been brought to the court with their faces masked, and authorities have not released photos of the accused.

Sharma said Singh had added several years to his age to get a driver's license. He said he asked the court to order a medical test to determine his client's age, but that the court did not indicate whether it would meet his request.

The case was expected to be shifted to the fast-track court Monday to avoid the delays that plague most trials in India. But the court addressed only procedural matters and paper work at the hearing, and the case was not handed over.

The next hearing was scheduled for Thursday, but it was not clear whether the case would be handed over then to the fast-track court, which was created this month to deal with crimes against women.

Last week, Sharma made a series of inflammatory and often-contradictory statements, saying that police had beaten the five charged suspects and placed other prisoners into their cells to threaten them with knives.


india, bus, gang rape

Indian policemen stand with six men, faces covered in black, accused in the gang-rape of a bus passenger in Punjab state, India, Jan. 13, 2013.


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AP

Monday's hearing had been set for last week but was rescheduled when it turned out that the official list of charges was not completely legible.

On Sunday, police said they had arrested six suspects in another gang rape of a bus passenger in India.

Police officer Raj Jeet Singh said a 29-year-old woman was the only passenger on a bus as she was traveling to her village in northern Punjab state on Friday night. The driver took her to a desolate location, he said. There, the driver and the conductor took her to a building where they were joined by five friends and took turns raping her throughout the night, Singh said.

The driver dropped the woman off at her village early Saturday, he said, adding that police arrested six suspects on Saturday and were searching for another.

Also on Saturday, police arrested a 32-year-old man for allegedly raping and killing a 9-year-old girl two weeks ago in Ahmednagar district in western India, the Press Trust of India news agency reported.

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Newtown Parents Launch Anti-Violence Initiative













On the one-month anniversary of the massacre at Sandy Hook Elementary School, the parents of Anna Marquez Greene, one of the 20 children killed during the attack, are aiming to start a national dialogue through the non-profit group Sandy Hook Promise.


Appearing on "Good Morning America" today, Jimmy Greene and Nelba Marquez-Greene spoke of their grief for their little girl, and honored her memory.


"She was kind, she was loving, she was smart -- and she was also a fashionista -- she loved those gaudy flowers. I'm wearing it for her today," Nelba Marquez-Greene said, referring to her flower headwear. "We're hoping that through Sandy Hook Promise, we can bring awareness to issues, and start a conversation based on love and respect."



FULL COVERAGE: Newtown, Conn., Elementary School Shooting








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Newtown Shooting: Moment of Silence in Connecticut Watch Video









Newtown Children Return to School After Sandy Hook Massacre Watch Video





The non-profit, which was formed in the days following the December 14 shooting under the original name Newtown United, asks people to sign a pledge to "encourage and support common sense solutions that make my community and our country safer from similar acts of violence."


Tom Bittman, co-founder of Sandy Hook Promise, said the group aims to get past the polarization that the shooting has caused in the national debate.


"We need to approach it differently," Bittman said on "GMA." "We need a national conversation on the things that need to change, so that this doesn't happen again. We think it's holistic, we don't think it's one piece of legislation and one change. We think it's going to be a number of things."


Greene said that he agrees that a multi-faceted approach is ideal.


"I don't think it's wise to focus on one thing," he said. "Obviously we need to make our schools, our streets, our malls, our public places safer. Obviously there needs to be a better discussion on mental health, and access to it."


Speaking of her daughter -- who caught the nation's attention in a video where she sang "Come Thou Almighty King" while her 9-year-old brother Isaiah played the piano -- Marquez-Greene said that she wants her work now to be a tribute to her little girl.


"[She was] passionate, she was abut loving God and loving people, and I hope that that can be the legacy that we leave," she said. "That love wins, and that love will prevail in this."



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Quest: U.S. economy to dominate Davos




The United States and the sorry state of its political and budgetary process will be the center of attention at Davos, writes Quest




STORY HIGHLIGHTS


  • Quest: Davos is a chance to see where the political and economic landmines are in 2013

  • Quest: People will be speculating about how dysfunctional the U.S. political process has become

  • Quest: Davos has been consumed by eurozone sovereign debt crises for three years




Editor's note: Watch Quest Means Business on CNN International, 1900pm GMT weekdays. Quest Means Business is presented by CNN's foremost international business correspondent Richard Quest. Follow him on Twitter.


(CNN) -- It is that time of the year, again. Come January no sooner have the Christmas trees been taken down, as the winter sales are in full vicious flood the world of business start thinking about going to the world economic forum, better known as Davos.


For the past three years Davos has been consumed by the eurozone sovereign debt crises.


As it worsened the speculation became ever more frantic.....Will Greece leave the euro? Will the eurozone even survive? Was this all just a big German trick to run Europe? More extreme, more dramatic, more nonsense.


Can China be the biggest engine of growth for the global economy. Round and round in circles we have gone on these subjects until frankly I did wonder if there was anything else to say short of it's a horrible mess!


This year there is a new bogey man. The US and in particular the sorry state of the country's political and budgetary process will, I have little doubt, be the center of attention.


Read more: More 'cliffs' to come in new Congress


Not just because Congress fluffed its big test on the fiscal cliff, but because in doing so it created many more deadlines, any one of which could be deeply unsettling to global markets... There is the $100 billion budget cutbacks postponed for two months by the recent agreement; postponed to the end of February.


At exactly the same time as the US Treasury's ability to rob Peter to pay Paul on the debt ceiling crises comes to a head.


Read more: Both Obama, GOP set for tough talks ahead


The Treasury's "debt suspension period" is an extraordinary piece of financial chicanery that if we tried it with our credit cards would get us locked up!! Then there is the expiration of the latest continuing resolution, the authority by which congress is spending money.


There is the terrifying prospect that all these budget woes will conflate into one big political fist fight as the US faces cutbacks, default or shutdown!!


I am being alarmist. Most rational people believe that the worst sting will be taken out of this tail....not before we have all been to the edge...and back. And that is what Davos will have on its mind.


People will be speculating about how dysfunctional the US political process has become and is it broken beyond repair (if they are not asking that then they should be...)




They will be pondering which is more serious for risk...the US budget and debt crises or the Eurozone sovereign debt debacle. A classic case of between the devil and the deep blue sea.




The official topic this year is Resilient Dynamism. I have absolutely no idea what this means. None whatsoever. It is another of WEF's ersatz themes dreamt up to stimulate debate in what Martin Sorrell has beautifully terms "davosian language" In short everyone interprets it as they will.




What I will enjoy, as I do every year, is the chance to hear the global players speak and the brightest and best thinkers give us their take on the global problems the atmosphere becomes febrile as the rock-stars of finance and economics give speeches, talk on panels and give insight.




Of course comes of these musings, it never does at Davos. That's not the point. This is a chance to take stock and see where the political and economic landmines are in 2013. I like to think of Davos as the equivalent of Control/Alt/Delete. It allows us to reboot.


We leave at least having an idea of where people stand on the big issues provided you can see through the panegyrics of self congratulatory back slapping that always takes place whenever you get like minded people in one place... And this year, I predict the big issue being discussed in coffee bars, salons and fondue houses will be the United States and its budgetary woes.







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Football: Man Utd beat Liverpool to move 10 points clear






LONDON: Manchester United went 10 points clear at the top of the Premier League, for a few hours at least, after a 2-1 win over Liverpool at Old Trafford on Sunday.

Goals from Robin van Persie and Nemanja Vidic gave United a 2-0 lead before Liverpool substitute Daniel Sturridge pulled one back for the visitors in this latest clash between England's two most successful clubs.

Reigning champions Manchester City, currently in second place, will reduce the gap on local rivals United to seven points if they win away to Arsenal in a match kicking off at 4pm local time (1600GMT) on Sunday.

Van Persie gave United a 19th minute lead when he swept in Patrice Evra's cross from eight yards out.

It was the Dutch striker's 17th Premier League goal this term, and 21st in all competitions, since he arrived at Old Trafford in a 24 million pounds pre-season move from top-flight rivals Arsenal.

United made it 2-0 nine minutes after half-time when full-back Evra's header from van Persie's free-kick deflected in off centre-half Vidic.

But three minutes later Sturridge, on at the start of the second half for Lucas Leiva, marked his Premier League debut for Liverpool with a goal when he followed up the rebound after David de Gea saved skipper Steven Gerrard's shot from outside the box.

It was Sturridge's second goal in as many games for Liverpool following his move from European champions champions Chelsea after he was on target in the 2-1 FA Cup win over Mansfield last weekend.

However, Sturridge failed to make the most of two more chances and United held on for a victory that gave them a league double over Liverpool, who remained in eighth place, this season.

- AFP/fa



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Making job stress worth enduring




Defense Secretary Leon Panetta swears in reenlisting troops in Turkey. A survey found that military jobs tend to be the most stressful.




STORY HIGHLIGHTS


  • Marci Alboher: Annual list of most stressful jobs drew attention

  • She says the right issue is whether job rewards compensate for stress

  • People who take on stressful jobs that help others report satisfaction, she says




Editor's note: Marci Alboher, is a Vice President of Encore.org, a nonprofit making it easier for people to pursue second acts for the greater good. Her latest book is, "The Encore Career Handbook: How to Make a Difference and a Living in the Second Half of Life" (Workman: January 2013).


(CNN) -- A recent study with a catchy headline about the most stressful jobs of 2013 found its way to the soft hour of news this week.


The annual study by careercast.com created some buzz in the online water cooler and I was asked to appear on the "Today" show to talk about it. Colleagues e-mailed me and posted on my Facebook page about where their chosen professions ranked. My media friends couldn't help noticing that public relations professionals, reporters and photojournalists all made it into the top 10 for stress.


The "study," referred to in quotes in some of the commentary, considered some logical criteria to come up with these rankings. Proximity to risk of death (yours or others'), travel, deadlines, working in the public eye and physical demands all racked up points on the stress scale. And there's no arguing that military personnel, firefighters and police officers -- all high-rankers on the most-stressed list -- are exposed to higher stakes than your typical seamstress (holder of the second-least stressful job slot).



Marci Alboher

Marci Alboher



The job that snagged the "least stressful" slot, according to the survey, was "university professor," a designation that caused outrage among people who actually hold that job. One commenter conceded that most academic jobs don't put you in personal danger (though you can argue that point), but anyone who's ever been around professors knows that faculty politics, difficult students and pressure to "publish or perish" can cause even the most calm character to crack.


We could debate whether these designations make any sense. And whether every police officer, firefighter and member of the military faces the same amount of stress.


But let's make sure we are having the right conversation. How many people choose a profession based on how high the stress level is? And how can you measure stress objectively? If you're prone to stress, perhaps you're just as likely to feel stressed out whether you work as a librarian, a massage therapist or a commercial airline pilot (No. 4 on the stress list).


People choose their line of work for a lot of reasons. For those who are committed to making our communities and the world safer and healthier for the rest of us, minimizing stress is probably not so high on their list of criteria. And it shouldn't be. Folks who choose helping jobs that may have a high level of stress are fueled by other motivators, like wanting their work to have meaning.










They aren't deterred by the fact that their job will likely come with stress. And some people are simply by their own nature and personalities drawn to work that may be to others, dauntingly stressful. How many FBI agents do you think would prefer a gig as an audiologist (sixth-least stressful job)?


When I talk to men and women in their 50s and 60s who've decided to take on encore careers as teachers, they tell me that the work is often exhausting and stressful. They are on their feet all day, often with inadequate resources, with kids who are themselves highly stressed; even those who come from leadership roles in other sectors say they've never worked harder. Yet they almost always tell me that doing something that matters to others -- and that puts them in touch with young people every day -- compensates for the added stress.


The same is true of those tackling some of the world's most intractable problems. When I talk to Stephen and Elizabeth Alderman, whose foundation trains health-care professionals around the world to work with victims of trauma, or Judith Broder, who founded The Soldiers Project, which works with returning veterans, they rarely talk about stress. Instead they talk about how they are compelled to do what they do, because moving the needle even a fraction is better than doing nothing.


Rather than discouraging people to take on jobs that might have a lot of stress, let's instead encourage those who are designed for those jobs to do them. And let's make sure to support our friends and family members who go down these paths.


It's hard to grab headlines in the crowded space of morning television, but a good survey with a catchy title will always do that. So let's use these kinds of surveys to have the right kinds of conversations. Like why so many jobs that keep us safe and healthy, and that care for our children and the environment rarely show up on lists of the most highly compensated jobs. Now there's a conversation I'd most like to be having.


Follow us on Twitter @CNNOpinion


Join us on Facebook/CNNOpinion


The opinions expressed in this commentary are solely those of Marci Alboher.






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Poisoned Lottery Winner's Kin Were Suspicious













Urooj Khan had just brought home his $425,000 lottery check when he unexpectedly died the following day. Now, certain members of Khan's family are speaking publicly about the mystery -- and his nephew told ABC News they knew something was not right.


"He was a healthy guy, you know?" said the nephew, Minhaj Khan. "He worked so hard. He was always going about his business and, the thing is: After he won the lottery and the next day later he passes away -- it's awkward. It raises some eyebrows."


The medical examiner initially ruled Urooj Khan, 46, an immigrant from India who owned dry-cleaning businesses in Chicago, died July 20, 2012, of natural causes. But after a family member demanded more tests, authorities in November found a lethal amount of cyanide in his blood, turning the case into a homicide investigation.


"When we found out there was cyanide in his blood after the extensive toxicology reports, we had to believe that ... somebody had to kill him," Minhaj Khan said. "It had to happen, because where can you get cyanide?"


In Photos: Biggest Lotto Jackpot Winners


Authorities could be one step closer to learning what happened to Urooj Khan. A judge Friday approved an order to exhume his body at Rosehill Cemetery in Chicago as early as Thursday to perform further tests.








Lottery Winner Murdered: Widow Questioned By Police Watch Video









Moments after the court hearing, Urooj Khan's sister, Meraj Khan, remembered her brother as the kind of person who would've shared his jackpot with anyone. Speaking at the Cook County Courthouse, she hoped the exhumation would help the investigation.


"It's very hard because I wanted my brother to rest in peace, but then we have to have justice served," she said, according to ABC News station WLS in Chicago. "So if that's what it takes for him to bring justice and peace, then that's what needs to be done."


Khan reportedly did not have a will. With the investigation moving forward, his family is waging a legal fight against his widow, Shabana Ansari, 32, over more than $1 million, including Urooj Khan's lottery winnings, as well as his business and real estate holdings.


Khan's brother filed a petition Wednesday to a judge asking Citibank to release information about Khan's assets to "ultimately ensure" that [Khan's] minor daughter from a prior marriage "receives her proper share."


Ansari may have tried to cash the jackpot check after Khan's death, according to court documents, which also showed Urooj Khan's family is questioning if the couple was ever even legally married.


Ansari, Urooj Khan's second wife, who still works at the couple's dry cleaning business, has insisted they were married legally.


She has told reporters the night before her husband died, she cooked a traditional Indian meal for him and their family, including Khan's daughter and Ansari's father. Not feeling well, Khan retired early, Ansari told the Chicago Sun-Times, falling asleep in a chair, waking up in agony, then collapsing in the middle of the night. She said she called 911.


"It has been an incredibly hard time," she told ABC News earlier this week. "We went from being the happiest the day we got the check. It was the best sleep I've had. And then the next day, everything was gone.


"I am cooperating with the investigation," Ansari told ABC News. "I want the truth to come out."


Ansari has not been named a suspect, but her attorney, Steven Kozicki, said investigators did question her for more than four hours.






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Saudi execution: Brutal and illegal?






STORY HIGHLIGHTS


  • Saudi authorities beheaded Rizana Nafeek, a Sri Lankan woman

  • She was convicted of killing a baby of the family employing her as a housemaid

  • This was despite Nafeek's claims that the baby died in a choking accident

  • Becker says her fate "should spotlight the precarious existence of domestic workers"




Jo Becker is the Children's Rights Advocacy Director for Human Rights Watch and author of 'Campaigning for Justice: Human Rights Advocacy in Practice.' Follow Jo Becker on Twitter.


(CNN) -- Rizana Nafeek was a child herself -- 17 years old, according to her birth certificate -- when a four-month-old baby died in her care in Saudi Arabia. She had migrated from Sri Lanka only weeks earlier to be a domestic worker for a Saudi family.


Although Rizana said the baby died in a choking accident, Saudi courts convicted her of murder and sentenced her to death. On Wednesday, the Saudi government carried out the sentence in a gruesome fashion, by beheading Rizana.



Jo Becker

Jo Becker



Read more: Outrage over beheading of Sri Lankan woman by Saudi Arabia


Rizana's case was rife with problems from the beginning. A recruitment agency in Sri Lanka knew she was legally too young to migrate, but she had falsified papers to say she was 23. After the baby died, Rizana gave a confession that she said was made under duress -- she later retracted it. She had no lawyer to defend her until after she was sentenced to death and no competent interpreter during her trial. Her sentence violated international law, which prohibits the death penalty for crimes committed before age 18.


Rizana's fate should arouse international outrage. But it should also spotlight the precarious existence of other domestic workers. At least 1.5 million work in Saudi Arabia alone and more than 50 million -- mainly women and girls -- are employed worldwide according to the International Labour Organization (ILO).


Read more: Indonesian maid escapes execution in Saudi Arabia






Again according to the ILO, the number of domestic workers worldwide has grown by more than 50% since the mid-1990s. Many, like Rizana, seek employment in foreign countries where they may be unfamiliar with the language and legal system and have few rights.


When Rizana traveled to Saudi Arabia, for example, she may not have known that many Saudi employers confiscate domestic workers' passports and confine them inside their home, cutting them off from the outside world and sources of help.


It is unlikely that anyone ever told her about Saudi Arabia's flawed criminal justice system or that while many domestic workers find kind employers who treat them well, others are forced to work for months or even years without pay and subjected to physical or sexual abuse.




Passport photo of Rizana Nafeek



Read more: Saudi woman beheaded for 'witchcraft and sorcery'


Conditions for migrant domestic workers in Saudi Arabia are among some of the worst, but domestic workers in other countries rarely enjoy the same rights as other workers. In a new report this week, the International Labour Organization says that nearly 30% of the world's domestic workers are completely excluded from national labor laws. They typically earn only 40% of the average wage of other workers. Forty-five percent aren't even entitled by law to a weekly day off.


Last year, I interviewed young girls in Morocco who worked 12 hours a day, 7 days a week for a fraction of the minimum wage. One girl began working at age 12 and told me: "I don't mind working, but to be beaten and not to have enough food, this is the hardest part."


Many governments have finally begun to recognize the risks and exploitation domestic workers face. During 2012, dozens of countries took action to strengthen protections for domestic workers. Thailand, and Singapore approved measures to give domestic workers a weekly day off, while Venezuela and the Philippines adopted broad laws for domestic workers ensuring a minimum wage, paid holidays, and limits to their working hours. Brazil is amending its constitution to state that domestic workers have all the same rights as other workers. Bahrain codified access to mediation of labor disputes.


Read more: Convicted killer beheaded, put on display in Saudi Arabia


Perhaps most significantly, eight countries acted in 2012 to ratify -- and therefore be legally bound by -- the Domestic Workers Convention, with more poised to follow suit this year. The convention is a groundbreaking treaty adopted in 2011 to guarantee domestic workers the same protections available to other workers, including weekly days off, effective complaints procedures and protection from violence.


The Convention also has specific protections for domestic workers under the age of 18 and provisions for regulating and monitoring recruitment agencies. All governments should ratify the convention.


Many reforms are needed to prevent another tragic case like that of Rizana Nafeek. The obvious one is for Saudi Arabia to stop its use of the death penalty and end its outlier status as one of only three countries worldwide to execute people for crimes committed while a child.


Labor reforms are also critically important. They may have prevented the recruitment of a 17 year old for migration abroad in the first place. And they can protect millions of other domestic workers who labor with precariously few guarantees for their safety and rights.


Read more: Malala, others on front lines in fight for women


The opinions expressed in this commentary are solely those of Jo Becker.






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Shaken survivors remember Italy cruise disaster






GIGLIO ISLAND, Italy: Shaken survivors and grieving relatives of the 32 victims of the Costa Concordia cruise ship disaster began arriving on the island of Giglio for a first anniversary commemoration of the tragedy on Sunday.

"It's terrible coming back here," one survivor, Clara Stara, said in the tiny Italian port where the giant hulk of a ship twice as big as the Titanic still lies keeled over on its side.

"I've been anxious since yesterday and I hadn't felt any fear for a whole year," she said.

Among the arrivals was the family of Erika Fani Soria Molina, a Peruvian waitress who died.

"This is very difficult for us," said her sister Maddelein Soria, 35, as her father held back tears.

"This is something that will stay with us our whole lives. I am here to pay tribute to my sister. I feel as if I am with her again," she told AFP.

Indian-born Kevin Rebello, whose brother worked as a waiter on the ship and is still officially reported missing, said: "It's not easy to return."

"I have still not found peace," he said.

The 290-metre (951-foot) liner crashed into a group of rocks just off Giglio, veered sharply and keeled over just as many passengers were sitting down for supper on the first night of a Mediterranean cruise.

There were 4,229 people from 70 countries on board.

Hundreds were forced to jump into the freezing waters after some of the lifeboats failed to deploy, while others climbed down a rope ladder across the hull in the dark to waiting boats.

Salvage workers have been labouring around the clock for months to stabilise the wreck and eventually refloat it and tow it away in an operation that has never been attempted before.

The removal has been hit by delays but the head of Italy's civil protection agency, Franco Gabrielli, said it would happen by September at the latest.

Franco Porcellacchia, an executive from ship owner Costa Crociere who is overseeing the project, said the budget had increased from $300 million to $400 million (300 million euros) and could rise further.

Mayor Sergio Ortelli said islanders were keen to welcome back those who lived through that night, even though Costa Crociere asked survivors to stay away from the commemoration because of logistics.

Many survivors sought shelter in local homes and a church in the port after being pulled shivering from the sea following a panicky evacuation.

"The idea is to exorcise a horrible episode, and to share the pain and drama of those who lost a loved one," Ortelli said.

"Many survivors and relatives of victims have returned to thank us, and share their memories with us. Some, a year on, still send us emails," he said.

The commemorations on Sunday will include replacing where it once stood the rock that the ship crashed into and tore away. There will then be a mass.

Father Lorenzo Pasquotti said he would display objects that survivors left behind -- life jackets, emergency blankets, even discarded rolls of bread -- next to the altar, underneath a Madonna statue salvaged from the ship's chapel.

Flowers and candles line the aisles of the church, where extra pews have been squeezed in for survivors, salvage workers and government officials.

Rebello said he hoped the ceremony would not be overshadowed by talk about the Concordia's infamous captain Francesco Schettino.

Schettino is accused of causing the crash through reckless seamanship and then abandoning ship before all the passengers had been rescued.

He is one of 10 people under investigation, including other crew members and three executives from Costa Crociere.

Rebello said he had spoken to Schettino by phone several times because the Italian captain knew his brother personally.

"I'm not expecting answers from him. I've forgiven him," he said.

-AFP/ac



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How the holidays gave you the flu






STORY HIGHLIGHTS


  • David Zich: This flu season definitely ranks as one of the worst I've seen

  • Zich: This outbreak is worse than average due to, more than anything, poor timing

  • He says the holiday period was the perfect storm for the spread of influenza

  • Zich: The peak onset of the flu coincided with a time when our immunity was down




Editor's note: David Zich, an internist and emergency physician at Northwestern Memorial Hospital, is an assistant professor of medicine at Feinberg School of Medicine at Northwestern University.


(CNN) -- I started to see influenza-like illnesses starting roughly around mid-December, and within a week knew that 2013 was going to be a bad year. In my 12 years of practice in Chicago, this flu season definitely ranks as one of the worst I've seen. However, I also see no reason to be alarmed that we have a public health threat. What we are dealing with is a well-known virus. This outbreak is worse than average due to, more than anything, poor timing.


There are three main factors to consider in evaluating the intense flu activity across the country.


One is the virus itself. Both the medical community and the general public alike worry someday we will encounter a "superbug." We fear a virus that is extremely potent at causing disease, replicating, resisting our treatment and killing the host. Though the predominant strain this year may be slightly more potent than average based on the number of cases we are seeing, there is no indication that this virus is markedly different from what we've seen in other years.



David Zich

David Zich




Opinion: Next time, get vaccinated earlier


The percentage of influenza-related deaths is not higher than in previous outbreaks. The CDC also has found no viral strains this season that are resistant to neuraminidase inhibitors, the drugs that we use to treat patients once they develop the flu. So, we need not worry too much about the virus.


The second factor to consider is the effectiveness of the flu shot. This year's flu vaccine is well matched to the strains of flu that have been circulating. According to the CDC, more than 90% of the identified viral types are covered by the current vaccine. In other words, we cannot blame an ineffective vaccine for the bad outbreak.


Finally, we need to look at environmental factors. The unusually warm weather this winter should not be contributing to the severity of the outbreak. Why? Because last year, it was also unusually warm, and at the time we hypothesized the weather was partly responsible for a milder than normal flu season. Clearly, warm weather can't both enhance and suppress the spread of influenza. Instead, we must focus on what's different from previous years.








Unlike last year, when the flu showed up late, this flu season came early. Most importantly, the peak incidence of illness happened to coincide almost exactly with the onset of the holiday season, which is critical to take into account.


If someone were trying to develop a way to disseminate an illness, he would first devise a way to weaken the population's immune system, and then bring people together to spread the disease. In essence, that is what the holiday season does.


Opinion: America flunks its health exam


Because of holiday preparations and parties, people tolerate less sleep. Stress around the holidays generally goes up. Combine those with poor eating habits and overindulgences that are typical in festive times, and the immune system gets weakened.


Once a person contracts the flu virus, he or she is contagious approximately 12 to 24 hours before the peak onset of symptoms, and is often contagious up to 24 hours after resolution of fever. During this very social time of year, many of these sick people are either tolerating their symptoms to join big groups of friends or family, or coming together honestly unaware that they are contagious. As a result, we have the perfect storm for the spread of influenza.


In sum, our flu season this year is simply a product of poor timing.


Health: Your top flu questions answered


The peak onset of the flu just happened to coincide with a period when we have weakened our immune system and congregated in large gatherings to, among other things, disseminate disease. There is no supervirus. The flu strains have been well anticipated and carry no resistance to our treatment. We have no reason to panic.


I recommend that everyone de-stress from the holiday stresses, wash their hands, eat healthy, exercise and get plenty of sleep. Stay home if you are sick. And in good time, this too shall pass.


Follow us on Twitter @CNNOpinion


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The opinions expressed in this commentary are solely those of David Zich.






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Source: Armstrong will admit doping to Oprah

AUSTIN, Texas Lance Armstrong will make a limited confession to doping during his televised interview with Oprah Winfrey next week, according to a person with knowledge of the situation.





Play Video


Anti-doping chief: Armstrong bullied witnesses






38 Photos


Lance Armstrong




Armstrong, who has long denied doping, will also offer an apology during the interview scheduled to be taped Monday at his home in Austin, Texas, according to the person who spoke on condition of anonymity because there was no authorization to speak publicly on the matter.



While not directly saying he would confess or apologize, Armstrong sent a text message to The Associated Press early Saturday that said: "I told her (Winfrey) to go wherever she wants and I'll answer the questions directly, honestly and candidly. That's all I can say."



A confession would be a dramatic break from more than 13 years of vehement denials from Armstrong that he took performance-enhancing drugs to win the Tour de France seven times.



The interview is scheduled to be taped broadcast Thursday night on the Oprah Winfrey Network.



Citing an anonymous source, USA Today reported that the disgraced cyclist plans to admit using performance-enhancing drugs, but likely will not get into details of the allegations outlined in a 2012 report by the U.S. Anti-Doping Agency that led to Armstrong being stripped of his seven Tour de France titles and banned for life from the sport.



The New York Times first reported last week that Armstrong was considering making a confession.

The 41-year-old Armstrong, who vehemently denied doping for years, has not spoken publicly about the USADA report that cast him as the leader of a sophisticated and brazen doping program on his U.S. Postal Service teams that included use of steroids, blood boosters and illegal blood transfusions.



Winfrey's network announced Tuesday that Armstrong agreed to a "no holds barred" interview with her.



A confession to Winfrey would come at a time when some of Armstrong's legal troubles appear to be clearing up.



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