Report: Death rates from cancer still inching down


WASHINGTON (AP) — Death rates from cancer are continuing to inch down, researchers reported Monday.


Now the question is how to hold onto those gains, and do even better, even as the population gets older and fatter, both risks for developing cancer.


"There has been clear progress," said Dr. Otis Brawley of the American Cancer Society, which compiled the annual cancer report with government and cancer advocacy groups.


But bad diets, lack of physical activity and obesity together wield "incredible forces against this decline in mortality," Brawley said. He warned that over the next decade, that trio could surpass tobacco as the leading cause of cancer in the U.S.


Overall, deaths from cancer began slowly dropping in the 1990s, and Monday's report shows the trend holding. Among men, cancer death rates dropped by 1.8 percent a year between 2000 and 2009, and by 1.4 percent a year among women. The drops are thanks mostly to gains against some of the leading types — lung, colorectal, breast and prostate cancers — because of treatment advances and better screening.


The news isn't all good. Deaths still are rising for certain cancer types including liver, pancreatic and, among men, melanoma, the most serious kind of skin cancer.


Preventing cancer is better than treating it, but when it comes to new cases of cancer, the picture is more complicated.


Cancer incidence is dropping slightly among men, by just over half a percent a year, said the report published by the Journal of the National Cancer Institute. Prostate, lung and colorectal cancers all saw declines.


But for women, earlier drops have leveled off, the report found. That may be due in part to breast cancer. There were decreases in new breast cancer cases about a decade ago, as many women quit using hormone therapy after menopause. Since then, overall breast cancer incidence has plateaued, and rates have increased among black women.


Another problem area: Oral and anal cancers caused by HPV, the sexually transmitted human papillomavirus, are on the rise among both genders. HPV is better known for causing cervical cancer, and a protective vaccine is available. Government figures show just 32 percent of teen girls have received all three doses, fewer than in Canada, Britain and Australia. The vaccine was recommended for U.S. boys about a year ago.


Among children, overall cancer death rates are dropping by 1.8 percent a year, but incidence is continuing to increase by just over half a percent a year. Brawley said it's not clear why.


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Jodi Arias: Who Is the Admitted Killer?













Jodi Arias is a woman that many can't keep their eyes off of--a soft-spoken, small-framed 32-year-old who last year won a jailhouse Christmas caroling contest. But she is also an admitted killer who is now on trial in Arizona for the 2008 murder of her ex-boyfriend Travis Alexander.


Sitting in a Maricopa County court, Arias, whose trial resumes today, cries every time prosecutors describe what she admits she did -- stab her one-time boyfriend Travis Alexander 27 times, slit his throat and shoot him in the head.


Arias grew up in the small city of Yreka, Calif. She dropped out of high school, but received her GED while in jail a few years ago. She was an aspiring photographer; her MySpace page includes several albums of pictures, one of which was called "In loving memory of Travis Alexander."


FULL COVERAGE: Jodi Arias Murder Trial








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Ariz. Woman Faces Death Penalty in Boyfriend's Slaying Watch Video





"Jodi wanted nothing but to please Travis," defense attorney Jennifer Wilmot said in her opening statements, but added that there was another reality – that Arias was Alexander's "dirty little secret."


Arias' attorneys want the jury to believe she killed Alexander in June of 2008 in self defense, that he abused her, and she feared for her life when she attacked him in the shower of his Mesa, Ariz., home.


Alexander's family and friends say Arias was a stalker who killed him in cold blood. They say the 30-year-old was a successful businessman who overcame all the odds. His parents were drug addicts, and he grew up occasionally homeless until he converted to Mormonism and turned his life around.


Jodi Arias Trial: A Timeline of Events in the Arizona Murder Case


"He actually had everything going for him," said Dave Hall, one of Alexander's friends. "A beautiful home, a beautiful car, a great income."


Alexander kept a blog, and in a haunting last entry, just two weeks before his murder, he wrote about trying to find a wife.


"This type of dating to me is like a very long job interview," he wrote. "Desperately trying to find out if my date has an axe murderer penned up inside of her."


Alexander did date a killer. It's now up to the jury to decide if she killed in self defense.



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Tunisia frees man held over attack on U.S. consulate in Libya


Tunis (Reuters) - Tunisia has freed, for lack of evidence, a Tunisian man who had been suspected of involvement in an Islamist militant attack in Libya last year in which the U.S. ambassador was killed, his lawyer said on Tuesday.


Ali Harzi was one of two Tunisians named in October by the Daily Beast website as having been detained in Turkey over the violence in which Christopher Stevens, the U.S. ambassador to Libya, and three other American officials were killed.


"The judge decided to free Harzi and he is free now," lawyer Anouar Awled Ali told Reuters. "The release came in response to our request to free him for lack of evidence and after he underwent the hearing with American investigators as a witness in the case."


A Tunisian justice ministry spokesman confirmed the release of Harzi but declined to elaborate.


A month ago, Harzi refused to be interviewed by visiting U.S. FBI investigators over the September 11 assault on the U.S. consulate in the eastern Libyan city of Benghazi.


The Daily Beast reported that shortly after the attacks began, Harzi posted an update on an unspecified social media site about the fighting.


It said Harzi was on his way to Syria when he was detained in Turkey at the behest of U.S. authorities, and that he was affiliated with a militant group in North Africa.


(Reporting by Tarek Amara; Editing by Mark Heinrich)



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Indonesia police investigate baby-for-sale online ad






JAKARTA: Indonesian police on Monday said they are investigating an advertisement offering two babies for sale at US$1,000 each after it was spotted on the popular auction and shopping website Tokobagus.com.

"We are still investigating the existence of the online advertisement," Jakarta police spokesman Rikwanto told reporters.

"We have asked Tokobagus how the advertisement came to be posted, for how long, and whether any transaction was made," he added.

The National Commission for Child Protection lodged a police report last week after spotting the posting, its chairman Arist Merdeka Sirait told AFP.

"There was a photo of a baby and a telephone number. We called the advertiser and he said he wanted to sell two 18-month-olds, a boy and a girl, for Rp 10 million (US$1,000) each," Sirait said.

"We were negotiating, talking about birth certificates when he suddenly hung up. We tried contacting him again but failed," he added.

"This seems to be a new modus operandi by baby-selling syndicates. We are very concerned and must stop this crime against humanity," Sirait said, adding that human-traffickers could be jailed from 15 to 20 years.

Tokobagus posted an apology on Twitter, saying the advertisement was a result of "pure human error and was unintentional" and had been removed.

Indonesians have been using local auction and shopping sites to sell anything from cars and jewellery to body organs such as kidneys, exploiting a loophole in local laws.

Hundreds of advertisements have appeared on Indonesian personal advertising websites offering kidneys for as little as 50 million rupiah each.

- AFP/xq



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No difference between Cong, BJP: CPM

GUWAHATI: Asking the people of Assam to vote against both Congress and the BJP in the upcoming Panchayat polls in the state, CPM today said it would strive to strengthen panchayati raj institution.

"The history of the Congress is one of giving false assurances to the electorate and then make more promises to hide their previous failures," CPM state secretary Uddhab Barman told reporters here.

He further said, "There is not much difference between Congress and the BJP."

Barman said CPM is committed to working with other "Left and democratic parties" to provide an alternative in the state.

He said CPM would strive to strengthen panchayati raj institution.

"There has been massive mismanagement of rural development schemes and deprivation is rampant in rural areas. Our strategy is to strengthen grassroot democracy and the panchayati raj institution," Barman said.

The panchayat polls in Assam will be held in three phases on January 30, February 6 and February 12, 2013.

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Your medical chart could include exercise minutes


CHICAGO (AP) — Roll up a sleeve for the blood pressure cuff. Stick out a wrist for the pulse-taking. Lift your tongue for the thermometer. Report how many minutes you are active or getting exercise.


Wait, what?


If the last item isn't part of the usual drill at your doctor's office, a movement is afoot to change that. One recent national survey indicated only a third of Americans said their doctors asked about or prescribed physical activity.


Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too.


Here's how it works: During any routine check of vital signs, a nurse or medical assistant asks how many days a week the patient exercises and for how long. The number of minutes per week is posted along with other vitals at the top the medical chart. So it's among the first things the doctor sees.


"All we ask our physicians to do is to make a comment on it, like, 'Hey, good job,' or 'I noticed today that your blood pressure is too high and you're not doing any exercise. There's a connection there. We really need to start you walking 30 minutes a day,'" said Dr. Robert Sallis, a Kaiser family doctor. He hatched the vital sign idea as part of a larger initiative by doctors groups.


He said Kaiser doctors generally prescribe exercise first, instead of medication, and for many patients who follow through that's often all it takes.


It's a challenge to make progress. A study looking at the first year of Kaiser's effort showed more than a third of patients said they never exercise.


Sallis said some patients may not be aware that research shows physical inactivity is riskier than high blood pressure, obesity and other health risks people know they should avoid. As recently as November a government-led study concluded that people who routinely exercise live longer than others, even if they're overweight.


Zendi Solano, who works for Kaiser as a research assistant in Pasadena, Calif., says she always knew exercise was a good thing. But until about a year ago, when her Kaiser doctor started routinely measuring it, she "really didn't take it seriously."


She was obese, and in a family of diabetics, had elevated blood sugar. She sometimes did push-ups and other strength training but not anything very sustained or strenuous.


Solano, 34, decided to take up running and after a couple of months she was doing three miles. Then she began training for a half marathon — and ran that 13-mile race in May in less than three hours. She formed a running club with co-workers and now runs several miles a week. She also started eating smaller portions and buying more fruits and vegetables.


She is still overweight but has lost 30 pounds and her blood sugar is normal.


Her doctor praised the improvement at her last physical in June and Solano says the routine exercise checks are "a great reminder."


Kaiser began the program about three years ago after 2008 government guidelines recommended at least 2 1/2 hours of moderately vigorous exercise each week. That includes brisk walking, cycling, lawn-mowing — anything that gets you breathing a little harder than normal for at least 10 minutes at a time.


A recently published study of nearly 2 million people in Kaiser's southern California network found that less than a third met physical activity guidelines during the program's first year ending in March 2011. That's worse than results from national studies. But promoters of the vital signs effort think Kaiser's numbers are more realistic because people are more likely to tell their own doctors the truth.


Dr. Elizabeth Joy of Salt Lake City has created a nearly identical program and she expects 300 physicians in her Intermountain Healthcare network to be involved early this year.


"There are some real opportunities there to kind of shift patients' expectations about the value of physical activity on health," Joy said.


NorthShore University HealthSystem in Chicago's northern suburbs plans to start an exercise vital sign program this month, eventually involving about 200 primary care doctors.


Dr. Carrie Jaworski, a NorthShore family and sports medicine specialist, already asks patients about exercise. She said some of her diabetic patients have been able to cut back on their medicines after getting active.


Dr. William Dietz, an obesity expert who retired last year from the Centers for Disease Control and Prevention, said measuring a patient's exercise regardless of method is essential, but that "naming it as a vital sign kind of elevates it."


Figuring out how to get people to be more active is the important next step, he said, and could have a big effect in reducing medical costs.


___


Online:


Exercise: http://1.usa.gov/b6AkMa


___


AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner


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Hagel Nomination Stirs Bipartisan Opposition













Two weeks before his inauguration, and with more "fiscal cliffs" on the horizon, President Obama is embracing a showdown with Congress over his pick to lead the Pentagon in his second term.


Obama will nominate former Republican Sen. Chuck Hagel to be the next Secretary of Defense at a formal White House announcement later today, administration officials said.


The president will name counterterrorism advisor John Brennan as the new CIA director to replace David Petraeus, rounding out an overhaul of his national security team.


Obama tapped Sen. John Kerry of Massachusetts last month to become the next Secretary of State.


Hagel is in many ways an ideal pick for Obama, giving nod to bipartisanship while appointing someone with a demonstrated commitment to veterans of Iraq and Afghanistan and to retooling and economizing the Pentagon bureaucracy for the future.


But the nomination of Hagel to replace outgoing Defense Secretary Leon Panetta is also politically charged, expected to trigger a brutal confirmation fight in the Senate, where a bipartisan group of critics has already lined up against the pick.


"This is an in your face nomination by the president to all of us who are supportive of Israel," Sen. Lindsey Graham, R-S.C., told CNN on Sunday. "I don't know what his management experience is regarding the Pentagon -- little, if any, so I think it's an incredibly controversial choice."








Obama's Defense Nominee Chuck Hagel Stirs Washington Lawmakers Watch Video









The criticism stems from Hagel's controversial past statements on foreign policy, including a 2008 reference to Israel's U.S. supporters as "the Jewish lobby" and public encouragement of negotiations between the United States, Israel and Hamas, a Palestinian group the State Department classifies as terrorists.


"Hagel has consistently been against economic sanctions to try to change the behavior of the Islamist regime, the radical regime in Tehran, which is the only way to do it, short of war," Sen. Joe Lieberman, I-Conn., said last month.


The Nebraska Republican has also drawn fire for his outspoken opposition to the 2003 U.S.-led war in Iraq and the subsequent troop "surge" ordered by then-President George W. Bush in 2007, which has been credited with helping bring the war to a close.


On the left, gay rights groups have protested Hagel for comments he made in 1998 disparaging then-President Bill Clinton's nominee for U.S. Ambassador to Luxembourg James Hormel as "openly, aggressively gay." Hagel has since apologized for the remark as "insensitive."


Top Senate Democrats tell ABC News there is no guarantee Hagel will win confirmation and that, as of right now, there are enough Democratic Senators with serious concerns about Hagel to put him below 50 votes.


But that could change, with many top lawmakers publicly vowing to withhold final judgment until Hagel has an opportunity to answer his critics during confirmation hearings. No senator has yet publicly vowed to filibuster the Hagel nomination.


Hagel is a decorated Vietnam veteran and businessman who served in the senate from 1997 to 2009. After having sat on that chamber's Foreign Relations and Intelligence committees, he has in recent years gathered praise from current and former diplomats for his work on Obama's Intelligence Advisory Board as well as the policy board of current Defense Secretary Leon Panetta.


"Chuck Hagel is a tremendous patriot and statesman, served incredibly in Vietnam, served this country as a United States senator. He hasn't had a chance to speak for himself. And so why all the prejudging?" said Sen. Heidi Heitkamp, D-N.D., on "This Week."


"In America, you give everybody a chance to speak for themselves and then we'll decide," she said.


The top Senate Republican echoed that sentiment. "I'm going to wait and see how the hearings go and see whether Chuck's views square with the job he would be nominated to do," Senate Minority Leader Mitch McConnell of Kentucky said.






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Five accused of rape in India appear in court for charges


NEW DELHI (Reuters) - Five men accused of the rape and murder of an Indian student appeared in court on Monday to hear charges against them after two of them offered evidence possibly in return for a lighter sentence in the case that has provoked widespread anger.


The five men, along with a teenager, are accused of raping the 23-year-old physiotherapy student after she boarded their bus on the way home from a movie in New Delhi on December 16. She died two weeks later in a Singapore hospital.


The attack on the student has ignited protests against the government and anger towards the police for their perceived failure to protect women. It has also provoked a rare national debate about rising violence against women.


A police guard said the men had their faces covered when they entered the courtroom, which had been closed to the public minutes earlier.


The five had already been charged with murder, rape and abduction along with other offences and the magistrate gave them copies of the charges, a prosecutor in the case told Reuters.


The court has yet to assign them defense lawyers or legal aid, said public prosecutor Rajiv Mohan. Most lawyers are unwilling to defend them because of the brutality of the crime.


Reuters video images showed the men stepping out of a blue police van that brought them from Tihar jail, and walking through a metal detector into the South Delhi court, across the street from the cinema where the victim watched a film before boarding the bus with a male friend on December 16.


Following shouting and angry scenes in the packed court, the magistrate, Namrita Aggarwal, closed the hearing to the media and the public. The court was cleared and police were posted at its doors before the accused were brought in.


"Keeping in view the sensitivity of this case that has risen, the proceedings including the inquiry and trial are to be held in camera," Aggarwal said, before ordering people not connected with the case out of the courtroom.


Aggarwal said the next hearing would be on January 10. She did not say when the case would go to trial in a separate, fast-track court, set up after the attack on the woman.


Two of the accused, Vinay Sharma and Pawan Gupta, moved an application on Saturday requesting they be made "approvers", or informers, against the other accused, Mukesh Kumar, Ram Singh and Akshay Thakura, prosecutor Mohan said.


Mohan said he was seeking the death sentence given the "heinous" crime.


"The five accused persons deserve not less than the death penalty," he said, echoing public sentiment and calls from the victim's family.


Most members of the bar association in Saket district, where the case is being heard, have vowed not to represent the accused.


GROUNDS FOR APPEAL?


But on Monday, lawyers Manohar Lal Sharma and V. K. Anand stood up to offer representation to the men. They were heckled by other lawyers who said the accused did not deserve representation.


"We are living in a modern society. We all are educated. Every accused, including those in brutal offences like this, has the legal right to represent his or her case to defend themselves," Lal Sharma said.


The court asked Anand to get the approval of the accused to represent them. If the men, most of them from a slum neighborhood, cannot arrange their own lawyers, the court will offer them legal aid before the trial begins.


Police have conducted extensive interrogations and say they have recorded confessions, even though the five have no lawyers.


Legal experts say their lack of representation could give grounds for appeal should they be found guilty. Similar cases have resulted in acquittals years after convictions.


Last week, chief justice Altamas Kabir inaugurated six fast-track courts to help reduce a backlog of sex crime cases in Delhi.


But some legal experts have warned that previous attempts to fast-track justice in India in some cases led to imperfect convictions that were later challenged.


The sixth member of the gang that lured the student and a male friend into the private bus is under 18 and will be tried in a separate juvenile court.


The government is aiming to lower the age teenagers can be tried as an adult, given widespread public anger that the boy will face a maximum three-year sentence.


The victim, who died on December 29 in hospital in Singapore, where she had been taken for treatment, was identified by a British newspaper on the weekend but Reuters has opted not to name her.


Indian law generally prohibits the identification of victims of sex crimes. The law is intended to protect victims' privacy and keep them from the media glare in a country where the social stigma associated with rape can be devastating.


But her father repeated on Monday his wish that she be identified and said he would be happy to release a photograph of her.


"We don't want to hide her identity, there is no reason for that. The only condition is it should not be misused," he told Reuters.


He said he was confident the trial would be quick and reiterated a call that those responsible be hanged.


(Writing by Frank Jack Daniel; Editing by Robert Birsel)



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US drones kill 12 Taliban in Pakistan: officials






MIRANSHAH, Pakistan: US drones fired a volley of missiles at militant hideouts in northwest Pakistan on Sunday, killing at least 12 Taliban fighters near the Afghan border, security officials said.

The missile attack took place in Babar Ghar village in South Waziristan, a tribal district bordering Afghanistan which is a stronghold of Taliban and Al-Qaeda-linked militants.

"US drones fired several missiles at two militant compounds. At least 12 militants have been killed and several others were wounded," a security official in Miranshah told AFP under condition of anonymity.

The official earlier said eight militants were killed.

"There are members of Tehreek-e-Taliban Pakistan (TTP) among those who have been killed," he said, adding that a close relative of TTP chief Hakimullah Mehsud was among the dead.

"Most of the militants were from Punjabi Taliban group and a close relative of Hakimullah Mehsud," the official said.

Another security official in the northwestern city of Peshawar confirmed the drone attacks and casualties.

Intelligence officials in Miranshah said that militants had died after US drones fired up to 10 missiles on three militant compounds in the Babar Ghar attack, but the security officials could not verify that account.

Residents said that militants had cordoned off the area and were looking for more dead or wounded in the debris.

US drone strikes last week killed a prominent warlord who sent insurgents to fight NATO troops in Afghanistan along with nine other militants in Pakistan's tribal belt.

Mullah Nazir was the main militant commander in South Waziristan, part of the tribal zone where militants linked to the Taliban and Al-Qaeda have bases on the Afghan border. He is one of the highest-profile drone victims in recent years.

The covert US drone strikes are publicly criticised by the Pakistani government as a violation of sovereignty, but American officials believe they are a vital weapon in the war against Islamist militants.

A report commissioned by legal lobby group Reprieve in September estimated that between 474 and 881 civilians were among 2,562 to 3,325 people killed by drones in Pakistan between June 2004 and September 2012.

- AFP/xq



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Babus seek zero tolerance towards petty crimes against women

NEW DELHI: If police want to prevent rapes, they will have to show zero tolerance towards petty crimes against women - especially offences like lewd remarks, gesture, sound or act that are aimed at insulting the modesty of a woman. The suggestion, which includes amendment to the Juvenile Justice (JJ) Act to lower the age bar for defining juveniles from 18 to 16 years, came as part of the 35 key points that emerged during the brainstorming of top bureaucrats who had gathered here on Friday to discuss how to deal with crime against women.

Most of them, including directors general of police (DGPs) and chief secretaries of states, argued that such petty offenders — if remain unpunished — would graduate to hardened criminals, who indulge in heinous crimes like rape.

They said that since the provisions to punish such offenders were there in the law under Section 509 of the Indian Penal Code (IPC), it was needed to implement it strictly by bringing certain amendments in the existing legislation like defining the gestures and cataloguing in detail the meaning of objectionable words.

They felt that amendments are needed to remove ambiguity in the law so that police can secure conviction in cases against offenders.

The Section 509 says, "Whoever intending to insult the modesty of any woman, utters any word, makes any sound or gesture, or exhibits any object, intending that such word or sound be heard, or that gesture shall be seen by such woman, shall be punished with simple imprisonment for a term which may extend to one year, or with fine, or with both".

The home ministry, which had called the meeting in the wake of public outrage over the December 16 gang-rape incident, has enlisted this suggestion as one of the key points under the 'crime prevention' category.

Other points, which emerged during the day-long meeting, include amendment to the Juvenile Justice (JJ) Act to lower the age bar for defining juveniles from 18 to 16 years and also to introduce a concept of grading punishment based on magnitude of offences.

This point was discussed in the light of the December 16 incident. One of the six accused, who was the most brutal in the group, in this case is a juvenile and many fear that he may escape with a lighter punishment for the crime, thanks to his age.

Officials also discussed introduction of punishment provisions for juveniles where the convicted ones have to remain in remand home, half-way jail or regular prison depending on age and magnitude of offence.

Besides suggesting higher punishment for rapists (few pitched for even death penalty, though it eluded consensus), DGPs and chief secretaries also recommended doing away with the provision of discretion in grant of bail when there is presumption of an offence having been committed. In addition, they said, there should be no adjournments once a trial starts with day-to-day hearing.

Sources in the home ministry said that all these points would be examined further in consultation with various stakeholders like police, judiciary, NGOs, civil societies and other experts. Some of the relevant points would be passed on to the Justice (retired) J S Verma Committee for its recommendation to the government.

The Verma panel was set up on December 23 to look into the possible amendments to the criminal law to ensure quicker trial and enhanced punishment for criminals, accused of committing sexual assault of extreme nature against women.

Other suggestions include setting up fast-track courts, making available women prosecutors and judges, consideration of victim's choice in selecting prosecutor, audio/video recording of complaints or FIRs, creation of national database of sexual offenders, strengthening of forensic capabilities, reserving posts for women in police, coming out with more elaborate standard operating procedures for investigation, defining timeframe for filing chargesheet, focusing on community policing (police-citizens coordination in crime prevention), establishing single helpline for women across the country and bringing placement (for jobs like drivers, cleaners, conductors etc.) agencies under law among others.

All these suggestions are categorized by the home ministry under six broad heads like crime prevention, changes in law, police organization, women safety, investigation process and trial.

Officials felt that reluctance of women to join police force can be dealt with reserving posts for them. They also suggested posting of one deputy SP as nodal officer for crime against women in every district and one additional DG as nodal officer in every state.

Introduction of gender sensitization as part of the curriculum if not done in police training schools and colleges, increasing number of response vehicles (PCR), starting women PCRs, 'Mahila' help desk in all police stations across the country, setting up more women police stations, fitting GPS system in buses across the nation and setting up care centres for women, who have no place to go at night, with the help of NGOs are some of the other points that were suggested during the meeting.

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