AP IMPACT: Big Pharma cashes in on HGH abuse


A federal crackdown on illicit foreign supplies of human growth hormone has failed to stop rampant misuse, and instead has driven record sales of the drug by some of the world's biggest pharmaceutical companies, an Associated Press investigation shows.


The crackdown, which began in 2006, reduced the illegal flow of unregulated supplies from China, India and Mexico.


But since then, Big Pharma has been satisfying the steady desires of U.S. users and abusers, including many who take the drug in the false hope of delaying the effects of aging.


From 2005 to 2011, inflation-adjusted sales of HGH were up 69 percent, according to an AP analysis of pharmaceutical company data collected by the research firm IMS Health. Sales of the average prescription drug rose just 12 percent in that same period.


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EDITOR'S NOTE — Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.


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Unlike other prescription drugs, HGH may be prescribed only for specific uses. U.S. sales are limited by law to treat a rare growth defect in children and a handful of uncommon conditions like short bowel syndrome or Prader-Willi syndrome, a congenital disease that causes reduced muscle tone and a lack of hormones in sex glands.


The AP analysis, supplemented by interviews with experts, shows too many sales and too many prescriptions for the number of people known to be suffering from those ailments. At least half of last year's sales likely went to patients not legally allowed to get the drug. And U.S. pharmacies processed nearly double the expected number of prescriptions.


Peddled as an elixir of life capable of turning middle-aged bodies into lean machines, HGH — a synthesized form of the growth hormone made naturally by the human pituitary gland — winds up in the eager hands of affluent, aging users who hope to slow or even reverse the aging process.


Experts say these folks don't need the drug, and may be harmed by it. The supposed fountain-of-youth medicine can cause enlargement of breast tissue, carpal tunnel syndrome and swelling of hands and feet. Ironically, it also can contribute to aging ailments like heart disease and Type 2 diabetes.


Others in the medical establishment also are taking a fat piece of the profits — doctors who fudge prescriptions, as well as pharmacists and distributors who are content to look the other way. HGH also is sold directly without prescriptions, as new-age snake oil, to patients at anti-aging clinics that operate more like automated drug mills.


Years of raids, sports scandals and media attention haven't stopped major drugmakers from selling a whopping $1.4 billion worth of HGH in the U.S. last year. That's more than industry-wide annual gross sales for penicillin or prescription allergy medicine. Anti-aging HGH regimens vary greatly, with a yearly cost typically ranging from $6,000 to $12,000 for three to six self-injections per week.


Across the U.S., the medication is often dispensed through prescriptions based on improper diagnoses, carefully crafted to exploit wiggle room in the law restricting use of HGH, the AP found.


HGH is often promoted on the Internet with the same kind of before-and-after photos found in miracle diet ads, along with wildly hyped claims of rapid muscle growth, loss of fat, greater vigor, and other exaggerated benefits to adults far beyond their physical prime. Sales also are driven by the personal endorsement of celebrities such as actress Suzanne Somers.


Pharmacies that once risked prosecution for using unauthorized, foreign HGH — improperly labeled as raw pharmaceutical ingredients and smuggled across the border — now simply dispense name brands, often for the same banned uses. And usually with impunity.


Eight companies have been granted permission to market HGH by the U.S. Food and Drug Administration, which reviews the benefits and risks of new drug products. By contrast, three companies are approved for the diabetes drug insulin.


The No. 1 maker, Roche subsidiary Genentech, had nearly $400 million in HGH sales in the U.S. last year, up an inflation-adjusted two-thirds from 2005. Pfizer and Eli Lilly were second and third with $300 million and $220 million in sales, respectively, according to IMS Health. Pfizer now gets more revenue from its HGH brand, Genotropin, than from Zoloft, its well-known depression medicine that lost patent protection.


On their face, the numbers make no sense to the recognized hormone doctors known as endocrinologists who provide legitimate HGH treatment to a small number of patients.


Endocrinologists estimate there are fewer than 45,000 U.S. patients who might legitimately take HGH. They would be expected to use roughly 180,000 prescriptions or refills each year, given that typical patients get three months' worth of HGH at a time, according to doctors and distributors.


Yet U.S. pharmacies last year supplied almost twice that much HGH — 340,000 orders — according to AP's analysis of IMS Health data.


While doctors say more than 90 percent of legitimate patients are children with stunted growth, 40 percent of 442 U.S. side-effect cases tied to HGH over the last year involved people age 18 or older, according to an AP analysis of FDA data. The average adult's age in those cases was 53, far beyond the prime age for sports. The oldest patients were in their 80s.


Some of these medical records even give explicit hints of use to combat aging, justifying treatment with reasons like fatigue, bone thinning and "off-label," which means treatment of an unapproved condition


Even Medicare, the government health program for older Americans, allowed 22,169 HGH prescriptions in 2010, a five-year increase of 78 percent, according to data released by the Centers for Medicare and Medicaid Services in response to an AP public records request.


"There's no question: a lot gets out," said hormone specialist Dr. Mark Molitch of Northwestern University, who helped write medical standards meant to limit HGH treatment to legitimate patients.


And those figures don't include HGH sold directly by doctors without prescriptions at scores of anti-aging medical practices and clinics around the country. Those numbers could only be tallied by drug makers, who have declined to say how many patients they supply and for what conditions.


First marketed in 1985 for children with stunted growth, HGH was soon misappropriated by adults intent on exploiting its modest muscle- and bone-building qualities. Congress limited HGH distribution to the handful of rare conditions in an extraordinary 1990 law, overriding the generally unrestricted right of doctors to prescribe medicines as they see fit.


Despite the law, illicit HGH spread around the sports world in the 1990s, making deep inroads into bodybuilding, college athletics, and professional leagues from baseball to cycling. The even larger banned market among older adults has flourished more recently.


FDA regulations ban the sale of HGH as an anti-aging drug. In fact, since 1990, prescribing it for things like weight loss and strength conditioning has been punishable by 5 to 10 years in prison.


Steve Kleppe, of Scottsdale, Ariz., a restaurant entrepreneur who has taken HGH for almost 15 years to keep feeling young, said he noticed a price jump of about 25 percent after the block on imports. He now buys HGH directly from a doctor at an annual cost of about $8,000 for himself and the same amount for his wife.


Many older patients go for HGH treatment to scores of anti-aging practices and clinics heavily concentrated in retirement states like Florida, Nevada, Arizona and California.


These sites are affiliated with hundreds of doctors who are rarely endocrinologists. Instead, many tout certification by the American Board of Anti-Aging and Regenerative Medicine, though the medical establishment does not recognize the group's bona fides.


The clinics offer personalized programs of "age management" to business executives, affluent retirees, and other patients of means, sometimes coupled with the amenities of a vacation resort. The operations insist there are few, if any, side effects from HGH. Mainstream medical authorities say otherwise.


A 2007 review of 31 medical studies showed swelling in half of HGH patients, with joint pain or diabetes in more than a fifth. A French study of about 7,000 people who took HGH as children found a 30 percent higher risk of death from causes like bone tumors and stroke, stirring a health advisory from U.S. authorities.


For proof that the drug works, marketers turn to images like the memorable one of pot-bellied septuagenarian Dr. Jeffry Life, supposedly transformed into a ripped hulk of himself by his own program available at the upscale Las Vegas-based Cenegenics Elite Health. (He declined to be interviewed.)


These promoters of HGH say there is a connection between the drop-off in growth hormone levels through adulthood and the physical decline that begins in late middle age. Replace the hormone, they say, and the aging process slows.


"It's an easy ruse. People equate hormones with youth," said Dr. Tom Perls, a leading industry critic who does aging research at Boston University. "It's a marketing dream come true."


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Associated Press Writer David B. Caruso reported from New York and AP National Writer Jeff Donn reported from Plymouth, Mass. AP Writer Troy Thibodeaux provided data analysis assistance from New Orleans.


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AP's interactive on the HGH investigation: http://hosted.ap.org/interactives/2012/hgh


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The AP National Investigative Team can be reached at investigate(at)ap.org


EDITOR'S NOTE _ Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the second of a two-part series.


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Critics Slam NRA's Call for Armed School Guards













Gun control advocates slammed the National Rifle Association today for its proposal to create a force of armed security guards at schools across the country as a response to the Connecticut school shooting.


"It is beyond belief that following the Newtown tragedy, the National Rifle Association's leaders want to fill our communities with guns and arm more Americans," Sen. Frank Lautenberg, D-N.J., said.


Criticism mounted after the NRA addressed for the first time last week's school shooting in Newtown, Conn., in which Adam Lanza, 20, used a semiautomatic weapon to open fire on students and teachers at Sandy Hook Elementary School, killing 26 at the school.


NRA spokesman Wayne LaPierre this morning dismissed the notion that the pro-gun group of about 4 million members would support any kind of gun-control laws, instead saying that "the only thing that can stop a bad guy with a gun is a good guy with a gun."


Rep. Chris Murphy, D-Conn., who represents the district encompassing Newtown, reacted angrily to the comments after attending the funeral of another victim from last Friday's massacre.


"Walking out of another funeral and was handed the NRA transcript. The most revolting, tone deaf statement I've ever seen," @ChrisMurphyCT tweeted.


LaPierre argued that the answer to gun violence in schools is an armed security force that can protect students, made up of trained volunteers stationed at every school across the country.


"It's not just our duty to protect [our children], it's our right to protect them," LaPierre said at a news conference. "The NRA knows there are millions of qualified active and reserved police, active and reserve military, security professionals, rescue personnel, an extraordinary corps of qualified trained citizens to join with local school officials and police in devising a protection plan for every single school."


He was interrupted twice by protestors who stood in front of LaPierre's podium holding signs and shouting that the NRA "has blood on its hands" and that the NRA is "killing our kids."


The protestors were eventually escorted out of the room.


Lautenberg, who has introduced legislation that would ban large-capacity ammunition magazines, called the NRA "irresponsible."


"The NRA points the finger of blame everywhere and anywhere it can, but they cannot escape the devastating effects of their reckless comments and irresponsible lobbying tactics," Lautenberg said.


Mark Kelly, a former NASA astronaut and husband of former congresswoman Gabrielle Giffords, who was shot in Arizona, said, "The NRA could have chosen to be a voice for the vast majority of its own members who want common sense, reasonable safeguards on deadly firearms, but instead it chose to defend extreme pro-gun positions that aren't even popular among the law-abiding gun owners it represents."






Chip Somodevilla/Getty Images











National Rifle Association Calls for Armed Security at Schools Watch Video









President Obama Launches Gun-Violence Task Force Watch Video









President Obama on Gun Control: Ready to Act? Watch Video





The Violence Policy Center, a gun-control advocacy organization, said the NRA's idea of arming security guards at schools would not stop school violence.


"The NRA plan, which cynically allows for the continued sale of the assault weapons and high-capacity ammunition magazines marketed by its gun industry corporate donors, has already been tried, and it did not work," the group said in a statement released today.


It pointed to the mass shooting at Columbine High School in 1999, in which two armed police officers were at the school when Eric Harris and Dylan Klebold opened fire. The officers exchanged gunfire with the killers, but were unable to stop them from their rampage.


House Minority Leader Nancy Pelosi conceded that the issue is "complicated, but she said the NRA's call for an escalation "is not a positive force" in the renewed gun-control debate.


"For the NRA and others to sort of shield themselves by saying it's the mentally ill or something, and therefore we have to have more armed cops in the schools or more guns in the school -- what are they -- are they going to have [a gun] on the teacher's desk?" Pelosi wondered.


"'Wait a minute, man with a gun; I have it locked up someplace. Wait until I go get it.' I mean, this ... just doesn't make sense; we've got to reduce violence."


LaPierre had dismissed the notion that banning so-called assault weapons or enacting gun-control laws would stop school violence. He instead cast blame for gun violence in schools on violent entertainment, including video games, and the media.


"How many more copycats are waiting in the wings for their moment of fame from a national media machine that rewards them with a wall of attention they crave while provoking others to make their mark?" he asked.


LaPierre announced that former U.S. congressman Asa Hutchinson of Arkansas would lead the NRA's effort to advocate for school security forces. Hutchinson specified that the NRA, with about 4 million members, is calling for volunteers to act as the armed guards, rather than requiring funding from local or federal authorities.


"Whether they're retired police, retired military or rescue personnel, I think there are people in every community in this country who would be happy to serve if only someone asked them and gave them the training and certifications to do so," Hutchinson said.


NRA leaders have held off on interviews this week after refusing to appear on Sunday morning public affairs shows. They said they would grant interviews beginning next week to discuss their position.


NRA News anchor Ginny Simone said Thursday that in the wake of the Sandy Hook shooting, membership surged "with an average of 8,000 new members a day."


New York City Mayor Michael Bloomberg has said the NRA is partially to blame for the tragedy.


"We're not trying to take away your right to advance the interests of gun owners, hunters, people who want to protect themselves," Bloomberg told "Nightline" anchor Cynthia McFadden in an interview Thursday. "But that's not an absolute right to encourage behavior which causes things like Connecticut. In fact, Connecticut is because of some of their actions."


The guns used in the attack were legally purchased and owned by the shooter's mother, Nancy Lanza, whom Adam Lanza shot to death before his assault on the school.


In the aftermath of the shooting, many, including Bloomberg, have called for stricter regulations on the type of weapons used in this and other instances of mass gun violence this year.


Sen. Dianne Feinstein, D-Calif., has said she intends to introduce a bill banning assault weapons on the first day of next year's Congress -- a step the president said he supports.






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Italy PM Monti resigns, elections likely in February


ROME (Reuters) - Italian Prime Minister Mario Monti tendered his resignation to the president on Friday after 13 months in office, opening the way to a highly uncertain national election in February.


The former European commissioner, appointed to lead an unelected government to save Italy from financial crisis a year ago, has kept his own political plans a closely guarded secret but he has faced growing pressure to seek a second term.


President Giorgio Napolitano is expected to dissolve parliament in the next few days and has already indicated that the most likely date for the election is February 24.


In an unexpected move, Napolitano said he would hold consultations with political leaders from all the main parties on Saturday to discuss the next steps. In the meantime Monti will continue in a caretaker capacity.


European leaders including German Chancellor Angela Merkel and European Commission President Jose Manuel Barroso have called for Monti's economic reform agenda to continue but Italy's two main parties have said he should stay out of the race.


Monti, who handed in his resignation during a brief meeting at the presidential palace shortly after parliament approved his government's 2013 budget, will hold a news conference on Sunday at which he is expected clarify his intentions.


Ordinary Italians are weary of repeated tax hikes and spending cuts and opinion polls offer little evidence that they are ready to give Monti a second term. A survey this week showed 61 percent saying he should not stand.


Whether he runs or not, his legacy will loom over an election which will be fought out over the painful measures he has introduced to try to rein in Italy's huge public debt and revive its stagnant economy.


His resignation came a couple of months before the end of his term, after his technocrat government lost the support of Silvio Berlusconi's centre-right People of Freedom (PDL) party in parliament earlier this month.


Speculation is swirling over Monti's next moves. These could include outlining policy recommendations, endorsing a centrist alliance committed to his reform agenda or even standing as a candidate in the election himself.


The centre-left Democratic Party (PD) has held a strong lead in the polls for months but a centrist alliance led by Monti could gain enough support in the Senate to force the PD to seek a coalition deal which could help shape the economic agenda.


BERLUSCONI IN WINGS


Senior figures from the alliance, including both the UDC party, which is close to the Roman Catholic Church, and a new group founded by Ferrari sports car chairman Luca di Montezemolo, have been hoping to gain Monti's backing.


He has not said clearly whether he intends to run, but he has dropped heavy hints he will continue to push a reform agenda that has the backing of both Italy's business community and its European partners.


The PD has promised to stick to the deficit reduction targets Monti has agreed with the European Union and says it will maintain the broad course he has set while putting more emphasis on reviving growth.


Berlusconi's return to the political arena has added to the already considerable uncertainty about the centre-right's intentions and increased the likelihood of a messy and potentially bitter election campaign.


The billionaire media tycoon has fluctuated between attacking the government's "Germano-centric" austerity policies and promising to stand aside if Monti agrees to lead the centre right, but now appears to have settled on an anti-Monti line.


He has pledged to cut taxes and scrap a hated housing tax which Monti imposed. He has also sounded a stridently anti-German line which has at times echoed the tone of the populist 5-Star Movement headed by maverick comic Beppe Grillo.


The PD and the PDL, both of which supported Monti's technocrat government in parliament, have made it clear they would not be happy if he ran against them and there have been foretastes of the kind of attacks he can expect.


Former centre-left prime minister Massimo D'Alema said in an interview last week that it would be "morally questionable" for Monti to run against the PD, which backed all of his reforms and which has pledged to maintain his pledges to European partners.


Berlusconi who has mounted an intensive media campaign in the past few days, echoed that criticism this week, saying Monti risked losing the credibility he has won over the past year and becoming a "little political figure".


(Additional reporting by Gavin Jones, Massimiliano Di Giorgio and Paolo Biondi; Writing by Gavin Jones and James Mackenzie; Editing by Michael Roddy)



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Obama calls for scaled-back 'fiscal cliff' package






WASHINGTON: US President Barack Obama Friday told lawmakers to go home and drink some Christmas eggnog before coming back to Washington to pass a scaled-down tax package to avert a year-end fiscal crisis.

Obama said he still wanted a comprehensive and large deficit-cutting bill to put the US economy on the path to long-term prosperity, but that effort stalled when talks broke down between the White House and House Republicans this week.

So to avoid automatic and massive spending cuts and tax hikes due to kick in on all Americans on January 1, Obama called for a stop-gap bill to protect middle-class tax payers and to avert what has been dubbed the "fiscal cliff."

"There is absolutely no reason, none, not to protect these Americans from a tax hike. At the very least, let's agree right now on what we already agree on. Let's get that done."

Obama said he met Democratic Senate leader Harry Reid and spoke to Republican House speaker John Boehner on the phone to discuss a fall-back plan, though stressed he still believed a big compromise was possible.

He called on Congress to next week produce a package that at a minimum prevents a tax hike on the middle class, would extend unemployment insurance and which lays the groundwork for further deficit reduction next year.

The move would still satisfy his demand to raise taxes on the richest Americans, as all Bush-era taxes will go up on January 1, and Obama only envisions extending the lower rates for middle class earners.

"Everybody can cool off, everybody can drink some eggnog, have some Christmas cookies, sing some Christmas carols," Obama said.

"Call me a hopeless optimist, but I actually still think that we can get it done," said Obama, who will spend Christmas in his native Hawaii, but told reporters he would be back in Washington next week.

Obama's suggestion would extend tax breaks on 98 per cent of Americans --- those earning below US$250,000 a year. In talks with Boehner on a larger compromise, the president had offered to raise that threshold to US$400,000.

Obama seemed frustrated that Republicans were not willing to offer him a compromise after, in his eyes, he made major concessions to his opponents.

"Nobody gets 100 per cent of what they want," Obama said.

On Thursday, Republicans rejected a bid by Boehner to pass a backup bill to solve the crisis, leaving Washington in turmoil, markets spooked and renewing fears that America's political gridlock could spark a recession.

Boehner's spokesman Brendan Buck accused Obama of failing to offer any solution to the year-end crisis so far.

"Speaker Boehner will return to Washington following the holiday, ready to find a solution that can pass both houses of Congress," he said.

Boehner earlier said he remained committed to a grand bargain with Obama that would reform the US tax code and slash spending, notably in entitlement programs like Medicare healthcare for the elderly.

"How we get there, God only knows," Boehner said.

Obama's aides privately say they doubt that conservative deficit hawks who oppose raising taxes as a matter of principle will ever back a deal agreed with the president.

In that case, Boehner could opt to pass a compromise in the House with the help of votes from minority Democrats -- but that could undermine his position as speaker with his own party.

In the search for a comprehensive bill, Boehner has made an offer to Obama that would raise US$1 trillion in tax revenue -- mostly through closing loopholes and ending certain deductions -- and another US$1 trillion in spending cuts, including in some social programs like Medicare.

"I told the president on Monday these were my bottom lines," Boehner said.

The White House has described its offer as US$1.2 trillion in tax revenues and nearly US$1 trillion in spending cuts, although Republicans dispute whether all of the austerity measures are real.

One way to make a tax hike on the wealthy more palatable for Republicans is to not make them vote for one at all.

Should the new year arrive with no deal, taxes rise on everyone. Congress could then technically vote to lower taxes on the middle class, something conservatives might be more willing to do.

- AFP/jc



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Sistema, Kudankulam shadow over Putin visit

NEW DELHI: Even as India and Russia are poised to sign almost a dozen agreements during President Vladimir Putin's day-long visit on Monday, Sistema and Kudankulam promise to sour the summit.

India has told Russia that it would not intervene in the Sistema imbroglio. The Russian telecom company, which is owned by a close friend of Putin's, had its licence cancelled in the wake of the 2G scam. Sistema did not participate in the auction, and instead asked the government to lower the floor price.

A bigger problem occurred because there are now no more takers for the CDMA technology. However, Russian ambassador Alexander Kadakin told journalists on Friday that it was a "political" and not a judicial decision. Russia has consistently maintained that governments can take decisions that courts may not be able to take. Senior officials in the Indian government say the government just cannot intervene.

India, however, will buy 42 more Sukhoi 30-MKIs from Russia, a decision that was cleared by the Cabinet. Kadakin said there are other deals in energy and defence that would be signed.

But Kudankulam remains another abiding problem. Kadakin said Kudankulam 3 and 4 are "grandsons" of 1 and 2, and therefore should escape the liability law. "It is normal for functioning of international treaties and agreements and long established practice that it cannot be retroactive," he said.

The Indian government has refused. This is likely to mar discussions on the subject as well. India is also likely to raise concerns about the delay in Gorshkov, which is now expected to arrive only at the end of 2013. "This is a sophisticated state-of-the-art weapon system. We want a baby delivered who will be healthy, smiling and shouting. So, I don't think you should be disappointed. If you want a good health baby, let us wait," Kadakin said.

"Let us wait till Monday. All kinds of agreements... We are cooperating in various fields. I am saying from the outer space to sea bottom. Even the sky is not the limit. That is why, a number of agreements, which will embrace and cover all fields of human activity between India and Russia, will be signed," Kadakin added.

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AP IMPACT: Steroids loom in major-college football


WASHINGTON (AP) — With steroids easy to buy, testing weak and punishments inconsistent, college football players are packing on significant weight — 30 pounds or more in a single year, sometimes — without drawing much attention from their schools or the NCAA in a sport that earns tens of billions of dollars for teams.


Rules vary so widely that, on any given game day, a team with a strict no-steroid policy can face a team whose players have repeatedly tested positive.


An investigation by The Associated Press — based on interviews with players, testers, dealers and experts and an analysis of weight records for more than 61,000 players — revealed that while those running the multibillion-dollar sport say they believe the problem is under control, that control is hardly evident.


The sport's near-zero rate of positive steroids tests isn't an accurate gauge among college athletes. Random tests provide weak deterrence and, by design, fail to catch every player using steroids. Colleges also are reluctant to spend money on expensive steroid testing when cheaper ones for drugs like marijuana allow them to say they're doing everything they can to keep drugs out of football.


"It's nothing like what's going on in reality," said Don Catlin, an anti-doping pioneer who spent years conducting the NCAA's laboratory tests at UCLA. He became so frustrated with the college system that it was part of the reason he left the testing industry to focus on anti-doping research.


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EDITOR'S NOTE — Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the first of a two-part series.


___


While other major sports have been beset by revelations of steroid use, college football has operated with barely a whiff of scandal. Between 1996 and 2010 — the era of Barry Bonds, Mark McGwire, Marion Jones and Lance Armstrong — the failure rate for NCAA steroid tests fell even closer to zero from an already low rate of less than 1 percent.


The AP's investigation, drawing upon more than a decade of official rosters from all 120 Football Bowl Subdivision teams, found thousands of players quickly putting on significant weight, even more than their fellow players. The information compiled by the AP included players who appeared for multiple years on the same teams.


For decades, scientific studies have shown that anabolic steroid use leads to an increase in body weight. Weight gain alone doesn't prove steroid use, but very rapid weight gain is one factor that would be deemed suspicious, said Kathy Turpin, senior director of sport drug testing for the National Center for Drug Free Sport, which conducts tests for the NCAA and more than 300 schools.


Yet the NCAA has never studied weight gain or considered it in regard to its steroid testing policies, said Mary Wilfert, the NCAA's associate director of health and safety.


The NCAA attributes the decline in positive tests to its year-round drug testing program, combined with anti-drug education and testing conducted by schools.


The AP's analysis found that, regardless of school, conference and won-loss record, many players gained weight at exceptional rates compared with their fellow athletes and while accounting for their heights.


Adding more than 20 or 25 pounds of lean muscle in a year is nearly impossible through diet and exercise alone, said Dan Benardot, director of the Laboratory for Elite Athlete Performance at Georgia State University.


In nearly all the rarest cases of weight gain in the AP study, players were offensive or defensive linemen, hulking giants who tower above 6-foot-3 and weigh 300 pounds or more. Four of those players interviewed by the AP said that they never used steroids and gained weight through dramatic increases in eating, up to six meals a day. Two said they were aware of other players using steroids.


"I ate 5-6 times a day," said Clint Oldenburg, who played for Colorado State starting in 2002 and for five years in the NFL. Oldenburg's weight increased over four years from 212 to 290.


Oldenburg told the AP he was surprised at the scope of steroid use in college football, even in Colorado State's locker room. "There were a lot of guys even on my team that were using." He declined to identify any of them.


The AP found more than 4,700 players — or about 7 percent of all players — who gained more than 20 pounds overall in a single year. It was common for the athletes to gain 10, 15 and up to 20 pounds in their first year under a rigorous regimen of weightlifting and diet. Others gained 25, 35 and 40 pounds in a season. In roughly 100 cases, players packed on as much 80 pounds in a single year.


In at least 11 instances, players that AP identified as packing on significant weight in college went on to fail NFL drug tests. But pro football's confidentiality rules make it impossible to know for certain which drugs were used and how many others failed tests that never became public.


Even though testers consider rapid weight gain suspicious, in practice it doesn't result in testing. Ben Lamaak, who arrived at Iowa State in 2006, said he weighed 225 pounds in high school. He graduated as a 320-pound offensive lineman and said he did it all naturally.


"I was just a young kid at that time, and I was still growing into my body," he said. "It really wasn't that hard for me to gain the weight. I love to eat."


In addition to random drug testing, Iowa State is one of many schools that have "reasonable suspicion" testing. That means players can be tested when their behavior or physical symptoms suggest drug use. Despite gaining 81 pounds in a year, Lamaak said he was never singled out for testing.


The associate athletics director for athletic training at Iowa State, Mark Coberley, said coaches and trainers use body composition, strength data and other factors to spot suspected cheaters. Lamaak, he said, was not suspicious because he gained a lot of "non-lean" weight.


But looking solely at the most significant weight gainers also ignores players like Bryan Maneafaiga.


In the summer of 2004, Bryan Maneafaiga was an undersized 180-pound running back trying to make the University of Hawaii football team. Twice — once in pre-season and once in the fall — he failed school drug tests, showing up positive for marijuana use but not steroids.


He'd started injecting stanozolol, a steroid, in the summer to help bulk up to a roster weight of 200 pounds. Once on the team, he'd occasionally inject the milky liquid into his buttocks the day before games.


"Food and good training will only get you so far," he told the AP recently.


Maneafaiga's former coach, June Jones, said it was news to him that one of his players had used steroids. Jones, who now coaches at Southern Methodist University, believes the NCAA does a good job rooting out steroid use.


On paper, college football has a strong drug policy. The NCAA conducts random, unannounced drug testing and the penalties for failure are severe. Players lose an entire year of eligibility after a first positive test. A second offense means permanent ineligibility for sports.


In practice, though, the NCAA's roughly 11,000 annual tests amount to a fraction of all athletes in Division I and II schools. Exactly how many tests are conducted each year on football players is unclear because the NCAA hasn't published its data for two years. And when it did, it periodically changed the formats, making it impossible to compare one year of football to the next.


Even when players are tested by the NCAA, experts like Catlin say it's easy enough to anticipate the test and develop a doping routine that results in a clean test by the time it occurs. NCAA rules say players can be notified up to two days in advance of a test, which Catlin says is plenty of time to beat a test if players have designed the right doping regimen. By comparison, Olympic athletes are given no notice.


Most schools that use Drug Free Sport do not test for anabolic steroids, Turpin said. Some are worried about the cost. Others don't think they have a problem. And others believe that since the NCAA tests for steroids their money is best spent testing for street drugs, she said.


Doping is a bigger deal at some schools than others.


At Notre Dame and Alabama, the teams that will soon compete for the national championship, players don't automatically miss games for testing positive for steroids. At Alabama, coaches have wide discretion. Notre Dame's student-athlete handbook says a player who fails a test can return to the field once the steroids are out of his system.


The University of North Carolina kicks players off the team after a single positive test for steroids. Auburn's student-athlete handbook calls for a half-season suspension for any athlete caught using performance-enhancing drugs.


At UCLA, home of the laboratory that for years set the standard for cutting-edge steroid testing, athletes can fail three drug tests before being suspended. At Bowling Green, testing is voluntary.


At the University of Maryland, students must get counseling after testing positive, but school officials are prohibited from disciplining first-time steroid users.


Only about half the student athletes in a 2009 NCAA survey said they believed school testing deterred drug use. As an association of colleges and universities, the NCAA could not unilaterally force schools to institute uniform testing policies and sanctions, Wilfert said.


"We can't tell them what to do, but if went through a membership process where they determined that this is what should be done, then it could happen," she said.


___


Associated Press writers Ryan Foley in Cedar Rapids, Iowa; David Brandt in Jackson, Miss.; David Skretta in Lawrence, Kan.; Don Thompson in Sacramento, Calif., and Alexa Olesen in Shanghai, China, and researchers Susan James in New York and Monika Mathur in Washington contributed to this report.


___


Contact the Washington investigative team at DCinvestigations (at) ap.org.


Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the first of a two-part series.


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Obama, Boehner Not Far Apart on 'Cliff'? Not Really


Dec 20, 2012 5:09pm







ap barack obama john boehner jt 121209 wblog Obama and Boehner Not Far Apart on Fiscal Cliff? Not Really

Carolyn Kaster/AP Photo; Pablo Martinez Monsivais/AP Photo


There are some in Washington and around Capitol Hill who keep saying that House Speaker John Boehner and President Obama really aren’t that far apart on the “fiscal cliff” and there will be a deal despite Boehner’s proposal to hold a vote on his “Plan B.”


Let’s deconstruct the two parts of that thinking.


Boehner and Obama really aren’t that far apart?


Not really.


The differences are more significant than just tax rates.  Republicans say the Democratic offer is really $800 billion in spending cuts and $1.3 trillion in tax increases.  That is because the inflation adjustment applies to tax rates* as well as Social Security — resulting in less than $100 billion in added tax revenues.


Democrats count that as a spending cut.  Republicans say that is a tax hike.  So the real difference, from their perspective, is $450 billion.  The $400,000 vs. $1 million threshold for tax rates hikes is just one part of this.  Republicans want more spending cuts and fewer tax increases.


Related: Read More About the Fiscal Cliff


Obama and Senate Democrats are fond of saying they are this close (fingers close together).  They say Boehner should just accept the president’s offer.


But, as I asked Senate Majority Leader Harry Reid, D-Nev., earlier today: If you are this close why not just accept Boehner’s offer?  He dodged, saying that Boehner’s offer wasn’t really an offer and likened him to Lucy and the football — you’ll recall the routine in which the “Peanuts” character would pull away the ball at the last second and leave Charlie Brown kicking at nothing but air.


Both sides like to talk about Lucy and the football, but that is another story.  Will there be a deal?


They should be able to do a deal.  I know where the deal should be.  So do you.  But, really, they aren’t quite as close as the nifty charts like this one from the Washington Post suggest. And this is about much more than the $400,000 tax-rate threshold.


*By lowering the government’s calculation for inflation, the income level for the top rates would rise at a slower rate, putting more and more people into the top rates.



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Syrian rebels fight for strategic town in Hama province


BEIRUT (Reuters) - Rebels began to push into a strategic town in Syria's central Hama province on Thursday and laid siege to at least one town dominated by President Bashar al-Assad's minority sect, activists said.


The operation risks inflaming already raw sectarian tensions as the 21-month-old revolt against four decades of Assad family rule - during which the president's Alawite sect has dominated leadership of the Sunni Muslim majority - rumbles on.


Opposition sources said rebels had won some territory in the strategic southern town of Morek and were surrounding the Alawite town of al-Tleisia.


They were also planning to take the town of Maan, arguing that the army was present there and in al-Tleisia and was hindering their advance on nearby Morek, a town on the highway that runs from Damascus north to Aleppo, Syria's largest city and another battleground in the conflict.


"The rockets are being fired from there, they are being fired from Maan and al-Tleisia, we have taken two checkpoints in the southern town of Morek. If we want to control it then we need to take Maan," said a rebel captain in Hama rural area, who asked not to be named.


Activists said heavy army shelling had targeted the town of Halfaya, captured by rebels two days earlier. Seven people were killed, 30 were wounded, and dozens of homes were destroyed, said activist Safi al-Hamawi.


Hama is home to dozens of Alawite and Christian villages among Sunni towns, and activists said it may be necessary to lay siege to many minority areas to seize Morek. Rebels want to capture Morek to cut off army supply lines into northern Idlib, a province on the northern border with Turkey where rebels hold swathes of territory.


From an offshoot of Shi'ite Islam, Alawites have largely stood behind Assad, many out of fear of revenge attacks. Christians and some other minorities have claimed neutrality, with a few joining the rebels and a more sizeable portion of them supporting the government out of fear of hardline Islamism that has taken root in some rebel groups.


Activists in Hama said rebels were also surrounding the Christian town of al-Suqeilabiya and might enter the city to take out army positions as well as those of "shabbiha" - pro-Assad militias, the bulk of whom are usually Alawite but can also include Christians and even Sunnis.


"We have been in touch with Christian opposition activists in al-Suqeilabiya and we have told them to stay downstairs or on the lowest floor of their building as possible, and not to go outside. The rebels have promised not to hurt anyone who stays at home," said activist Mousab al-Hamdee, speaking by Skype.


He said he was optimistic that potential sectarian tensions with Christians could be resolved but that Sunni-Alawite strife may be harder to suppress.


SECTARIAN FEARS


U.N. human rights investigators said on Thursday that Syria's conflict was becoming more "overtly sectarian", with more civilians seeking to arm themselves and foreign fighters - mostly Sunnis - flocking in from 29 countries.


"They come from all over, Europe and America, and especially the neighboring countries," said Karen Abuzayd, one of the U.N. investigators, told a news conference in Brussels.


Deeper sectarian divisions may diminish prospects for post-conflict reconciliation even if Assad is ousted, and the influx of foreigners raises the risk of fighting spilling into neighboring countries riven by similar communal fault lines.


Some activists privately voiced concerns of sectarian violence, but the rebel commander in Hama said fighters had been told "violations" would not be tolerated and argued that the move to attack the towns was purely strategic.


"If we are fired at from a Sunni village that is loyal to the regime we go in and we liberate it and clean it," he said. "So should we not do the same when it comes to an Alawite village just because there is a fear of an all-out sectarian war? We respond to the source of fire."


President Vladimir Putin of Russia, Assad's main ally and arms supplier, warned that any solution to the conflict must ensure government and rebel forces do not merely swap roles and fight on forever. It appeared to be his first direct comment on the possibility of a post-Assad Syria.


The West and some Arab states accuse Russia of shielding Assad after Moscow blocked three U.N. Security Council resolutions intended to increase pressure on Damascus to end the violence, which has killed more than 40,000 people. Putin said the Syrian people would ultimately decide their own fate.


Assad's forces have been hitting back at rebel advances with heavy shelling, particularly along the eastern ring of suburbs outside Damascus, where rebels are dominant.


A Syrian security source said the army was planning heavy offensives in northern and central Syria to stem rebel advances, but there was no clear sign of such operations yet.


Rebels seized the Palestinian refugee district of Yarmouk earlier this week, which put them within 3 km (2 miles) of downtown Damascus. Heavy shelling and fighting forced thousands of Palestinian and Syrian residents to flee the Yarmouk area.


Rebels said on Thursday they had negotiated to put the camp - actually a densely packed urban district - back into the hands of pro-opposition Palestinian fighters. There are some 500,000 Palestinian refugees and their descendants living in Syria, and they have been divided by the uprising.


Palestinian factions, some backed by the government and others by the rebels, had begun fighting last week, a development that allowed Syrian insurgents to take the camp.


A resident in Damascus said dozens of families were returning to the camp but that the army had erected checkpoints. Many families were still hesitant to return.


LEBANON BORDER POST TAKEN


Elsewhere, Syrian insurgents took over an isolated border post on the western frontier with Lebanon earlier this week, local residents told Reuters on Thursday.


The rebels already hold much of the terrain along Syria's northern and eastern borders with Turkey and Iraq respectively.


They said around 20 rebels from the Qadissiyah Brigade overran the post at Rankus, which is linked by road to the remote Lebanese village of Tufail.


Video footage downloaded on the Internet on Thursday, dated December 16, showed a handful of fighters dressed in khaki fatigues and wielding rifles as they kicked down a stone barricade around a small, single-storey army checkpoint.


Syrian Interior Minister Ibrahim al-Shaar arrived in Lebanon on Wednesday for treatment of wounds sustained in a bomb attack on his ministry in Damascus a week ago.


Lebanese medical sources said Shaar had shrapnel wounds in his shoulder, stomach and legs but they were not critical.


The Syrian opposition has tried to peel off defectors from the government as well as from the army, though only a handful of high-ranking officials have abandoned Assad.


The conflict has divided many Syrian families. Security forces on Thursday arrested an opposition activist who is also the relative of Vice President Farouq al-Sharaa, the Syrian Observatory said. The man was arrested along with five other activists who are considered pacifists, it said.


Sharaa, a Sunni Muslim who has few powers in Assad's Alawite-dominated power structure, said earlier this week that neither side could win the war in Syria. He called for the formation of a national unity government.


(Reporting by Erika Solomon; Editing by Andrew Osborn)



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Britain's Cameron visits troops in Afghanistan






LONDON: Prime Minister David Cameron on Thursday paid a pre-Christmas visit to British troops serving in Afghanistan, insisting that the "high price" paid by servicemen had been worthwhile, his office said.

Cameron told reporters that Afghan security forces were "doing better than expected" as he defended plans for the British force to be cut to 5,200 next year, according to his office.

The premier, who was touring Camp Bastion in Helmand Province, said he was confident that the draw-down of nearly half of British troops, announced in parliament on Wednesday, would not pave the way for an increase in terrorist activity.

"The fact is they (Afghan security forces) are doing better than expected," he said.

"This is withdrawal. This is draw-down based on success, not on failure."

He added that the move was "being done for good military reasons and it has been done in a proper way.

"We're confident it can be done while making sure Afghanistan does not return to become a haven of terrorism which is of course why we came here in the first place," stressed the prime minister.

Britain has the second largest force in Afghanistan after the United States and has lost 438 troops in Afghanistan since the operation began to topple the Taliban in October 2001 following the 9/11 attacks.

Brigadier Bob Bruce, commander of Task Force Helmand, backed the prime minister's comments, saying standards had "risen markedly" over the last year.

"The Afghans working with us now really are in control," he told the BBC. "The insurgency is still there. It's not gone but it doesn't dictate things."

Cameron joined in a carol service and played table-football with soldiers during Thursday's flying visit. He also announced 230 million in extra funding for equipment.

This will go toward providing additional Improvised Explosive Device (IED) detectors, more military working dogs and an upgrade to armoured vehicles.

The leader claimed that Afghanistan was now a "far better place than it was when we came here in 2001", but admitted it remained a "deeply challenged country".

"We have paid a very heavy price but I think the reason for coming here in the first place, which was to stop Afghanistan being a haven for terror... I think it was the right decision," he explained.

He said on Wednesday that there was no final decision on how many troops would stay in Afghanistan after the end of combat operations in December 2014 but said some would remain to help return equipment to Britain and to deal with logistics.

Britain would also honour its commitment to help set up an officer training academy for the Afghans, as well as contributing military assistance and aid programmes, he added.

The US military currently has about 66,000 troops on the ground as part of a NATO-led force of roughly 100,000.

- AFP/fa



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Rajya Sabha passes UAPA amendments amid protest

NEW DELHI: Parliament on Thursday passed a bill that makes economic offences, including circulation of high quality counterfeit currency, a terrorist act.

The Rajya Sabha passed Unlawful Activities (Prevention) Amendment Bill, 2012 by voice vote while several parties, including Left, JD(U), RJD and LJP walked out in protest. The bill was already passed by Lok Sabha.

In the Rajya Sabha, discussion on the bill generated much heat. Besides protests by opposition parties, some MPs of the Congress and its allies, the RJD and the National Conference, warned the government against misuse of the anti-terror law, especially against Muslims.

The CPM moved an amendment seeking to take trade unions out of the purview of this Act, but it was defeated.

CPM MP Sitaram Yechury likened the bill to POTA that the Congress-led UPA-1 government had repealed. The Left parties were proving outside support to the UPA government then. "We repealed the POTA together... by bringing this bill, you have brought back the same draconian measures (of POTA) that we repealed together," Yechury said.

The bill reverses the logic of jurisprudence by saying a person will be considered guilty until proven innocent, said Yechury.

In response, minister of state for home R P N Singh said, "This bill has nothing to do with other laws (like POTA). It is to prevent counterfeit currency that is weakening our economy."

Member after member cited instances where Muslims arrested in terrorist cases were released after years in jail when the courts called them innocent.

While Singh assured the bill was not against any religion, Shivanand Tiwari of JD(U) said even POTA was religion neutral but the 'draconian' law was misused. D Raja of the CPI asked the government to "defer the bill for wider consultation before passing it in hurry".

Md Adeeb, Independent MP from Uttar Pradesh, cited instances of misuse of existing anti-terror laws and asked the government to ensure accountability of policemen who frame innocent people.

Besides economic offences, the bill expands the definition of terrorist act to include acts involving detention, abduction, threats to kill or injure, or other actions so as to compel an international or inter-governmental organization to comply with some demand.

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