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HEALTH ON THE CHEAP

June 22, 2008

I WAS thrilled when the Health Department said it would start a nationwide vaccination programme against cervical cancer.

As the mother of two girls, I’d do anything to give them as much protection as possible against the sexually transmitted diseases which can trigger this cancer.

But now we’re told the Health Department has made another short- sighted decision by failing to choose the vaccination that offers the widest protection.

While most other Western countries have chosen to vaccinate their girls with Gardasil - shown to offer protection against four strains of the HPV virus - Britain has awarded the contract to the makers of Cervarix, which only offers protection against two.

Both the Family Planning Association and STD campaigners have criticised the Government over its choice.

As Lisa Power from Terrence Higgins Trust says: “The Department of Health is pinching pennies to save pounds”. If this is true, an entire generation of British women have been condemned to inferior protection against a common cancer.

Like the measly rationing of breast cancer drugs, women are often given second-class health care to save money. Don’t make young women the victims of a poor economy.

Copyright 2008 MGN LTD
Provided by ProQuest Information and Learning Company. All rights Reserved.

Information provided by: Findarticles.com

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FAN-TASTIC

June 22, 2008

GLOBE-TROTTING jockey Willie Supple, who spends a lot of his career in Dubai, scored his second win in the Ulster Derby when Fantoche lifted the spoils for trainer Jessica Harrington at Down Royal yesterday.

Supple came with a late run on the 9-1 chance just when it looked as though long-time leader Salute Him would wrap the race up for Tony Martin and jockey Declan McDonogh.

Supple said afterwards: “I just got the best of breaks when I landed the inside berth on the turn for home, and after that I managed to pounce 50 yards from the post.

“The winner gave me a great ride - unfortunately Jessica Harrington wasn’t here to see it as she is at Royal Ascot.”

He added: “I couldn’t complain the way the race was run, and at the end of the day I got home by a neck.

“Back in 1990 I won this race for Jim Bolger on Nordic Region, and that seems to be a long time ago but I’ve been around a few places since then.

“I was delighted with the way today’s horse ran, and I think Fantoche was always going well within himself.”

Tony Martin, trainer of the runner-up Salute Him, said: “Of course I’m disappointed - the winner got up the inside on the turn for home and but for that I think I might have held on. But these things happen.”

Third place went to Ragged Staff who, in the closing stages, looked dangerous for Fran Berry but was just run out of it a few yards from the line.

Berry was successful earlier on the day on Striking Force, who won the seven-furlong rated race for trainer Vincent Ward.

Ward said: “That’s the second time he has won here and I’m now aiming him for a handicap at the Galway Festival.”

The day’s big story concerned Derby-winning jockey Kevin Manning, who was successful on Tosach Nua in the Fonacab Auction Maiden. That win gave Manning his fifth success from his last five rides - a remarkable achievement.

“I had a double at Fairyhouse, then I had another double at Ascot and I’ve had this win today,” said Manning. “Believe it or not, I have achieved something like this before but I can’t just give you the names of the horses!”

Manning, of course, has had a splendid month, and won the Derby for trainer Jim Bolger on New Approach - who will be bidding for a double at the Curragh in the Irish Derby next weekend.

Berry’s success with Striking Force followed up on a treble at Limerick on Friday night, and he said: “Things seem to be going my way. I’m looking forward to racing next week.”

Turk gave trainer Ger Lyons a timely success in the Louis Roederer Champagne Handicap.

Turk, a first win at Down Royal for 20-year-old jockey Keagan Latham, was giving trainer Lyons a win while he was in his sickbed having been struck down by a 48-hour virus.

His brother Shane did the honours and said: “Turk pleased me today and he will probably go for a similar race shortly.”

The winner was owned by Tenela Investments Limited, head of which is Barry Dobbin from Holywood, County Down.

Dobbin said: “We are a family concern and I have three horses with Lyons. But this was my first winner at Down Royal.”

WHERE THEY FINISHED

1 FANTOCHE 9-1

2 SALUTE HIM 11-4

3 RAGGED STAFF 7-2

4th Definate Spectacle, 5th The Bogberry, 6th Athlumney Lad, 7th Amarjit, 8th Mutakarrim

Copyright 2008 MGN LTD
Provided by ProQuest Information and Learning Company. All rights Reserved.

Information provided by: Findarticles.com

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A Surgical Temptation: The Demonization of the Foreskin and the Rise of Circumcision in Britain. By Robert Darby (Chicago, The University of Chicago Press, 2005. xi plus 319 pp.).

Four years ago, the US Agency for International Development released a report indicating that circumcised men were less likely than uncircumcised men to get HIV/AIDS. Three years later, another report indicated that circumcision significantly reduced female to male transmission of the virus.

These recent assessments of circumcision by scientists make the publication of Robert Darby’s work especially timely. In A Surgical Temptation: The Demonization of the Foreskin and the Rise of Circumcision in Britain, Darby traces the rise and decline of circumcision in the United Kingdom and other Anglophone nations. Arguing that routine circumcision developed from "a general emphasis on sanitary, preventive and surgical approaches to disease control and health maximization," (317). Darby asserts that both old Galenic theories of medicine and newer theories which prioritized surgery merged to cause what he calls "the sud-den vogue for male circumcision in Victorian Britain," (1). Additional factors shaping this new surgical trend were the emergence of stricter codes of sexual morality, a growing interest in preventative medicine, and, even, a decline in anti-Semitism.

A Surgical Temptation is a well-researched book, with Darby delving deeply into the medical and social literature on this subject and presenting this material in a concise and clear manner. The book is best as a survey of secondary literature on the topic of Victorian views of sexuality. Darby’s own research into this subject is, as he himself admits, weakened by his reliance on printed sources.

The book is organized thematically with the first three chapters exploring pre Victorian notions of male sexuality and rising concerns regarding masturbation. Chapters four and five explore the ways in which changes in sexual morality, attitudes toward the body, and understanding of disease led to a growing acceptance of circumcision. According to Darby, many Victorians came to view circumcision favorably because they believed that the practice served as preventative against various diseases. However, the widespread belief that circumcision limited masturbation provided advocates of the practice with a much needed supplemental argument for their belief that circumcision should be widely adopted. In chapters six through twelve, Darby discusses the pathologization of male sexuality and the medical profession’s promotion of circumcision as a form of behavior modification as well as a means of disease prevention and health promotion.

Throughout A Surgical Temptation, Darby makes no secret of his own views on circumcision, claiming that while he seeks to understand the Victorian doctors who advocated this procedure, he also intends to "judge them…[as there must be] a moral accounting," (21). Unfortunately, in making this work an activist history, Darby unintentionally undermines some of his own excellent research. References to "loony doctors" and claims that surgeons declared "open season on" male genitals, (142) for example, indirectly weaken his argument by making his work appear less balanced. While criticisms of Victorian doctors are valid and to be expected, these criticisms should be couched in more nuanced tones.

Also lacking in balance is Darby’s discussion of female circumcision. Darby does state that male and female circumcision are quite different. However, by including a discussion of female circumcision within his study of male circumcision, he often veers dangerously close to equating the two practices.

These problems aside, Darby’s discussion of the failure of circumcision to become universal in Britain (in contrast to the United States) is provocative. Pointing out that circumcision was often limited to the upper and professional classes, Darby makes a convincing argument that this practice never became as widespread in Britain as physicians and moralists may have hoped. The reasons for this are varied. However, the contrast between the circumcised and uncircumcised and the fact that the circumcised were always a minority in British society undoubtedly led to a dislike of this procedure.

By the 1950s, as concerns about masturbation began to lessen, physicians ceased to advocate circumcision. This, combined with medical experts’ growing understanding of the utility of the foreskin, caused a decline in the already limited practice of circumcision within Britain. In most of Britain’s former colonies (with the notable exception of the United States), rates of circumcision also began to decline, although at a slightly slower rate than in Britain.

Overall, Darby’s thesis that "the establishment of circumcision as a valid procedure belongs firmly to an age when cure of disease was unlikely and prevention the only reliable option" (112) is well-researched and well-argued. As Darby effectively demonstrates, moral concerns, when combined with old and dated medical beliefs, can and do shape medical practices–often to the detriment of the patient’s health.

Information provided by: Findarticles.com

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It continues to mount brutally effective operations around the world, but from Saudi Arabia to the streets of east London, hardline Islamists are turning against Al-Qa’ida in unprecedented numbers. Is the global terror network self-destructing? A special report by Peter Bergen and Paul Cruickshank

Within a few minutes of Noman Benotman’s arrival at the Kandahar guest house, Osama bin Laden came to welcome him. The journey from Kabul had been hard - 17 hours in a Toyota pick-up truck, bumping along what passed as the main highway to southern Afghanistan. It was the summer of 2000, and Benotman, then a leader of a group trying to overthrow the Libyan dictator Muammar Qaddafi, had been invited by Bin Laden to a conference of jihadists from around the Arab world, the first of its kind since al-Qa’ida had moved to Afghanistan in 1996. Benotman, the scion of an aristocratic family marginalised by Qaddafi, had known Bin Laden from their days fighting the communist Afghan government in the early 1990s, a period when Benotman established himself as a leader of the militant Libyan Islamic Fighting Group.

The night of Benotman’s arrival, Bin Laden threw a lavish banquet in the main hall of his compound, an unusual extravagance for the frugal al-Qa’ida leader. As Bin Laden circulated, making small talk, large dishes of rice and platters of whole roasted lamb were served to some 200 jihadists, many of whom had come from around the Middle East. “It was one big reunification,” Benotman recalls. “The leaders of most of the jihadist groups in the Arab world were there and almost everybody within al-Qa’ida.”

Bin Laden was trying to win over other militant groups to the global jihad he had announced against the West in 1998. Over the next five days, Bin Laden and his top aides, including Ayman al- Zawahiri, met with a dozen or so jihadist leaders. They sat on the floor in a circle with large cushions arrayed around them to discuss the future of their movement. “This was a big strategy meeting,” Benotman told one of us late last year, in his first account of the meeting to a reporter. “We talked about everything, where are we going, what are the lessons of the past 20 years.”

Despite the warm welcome, Benotman surprised his hosts with a bleak assessment of their prospects. “I told them that the jihadist movement had failed. That we had gone from one disaster to another, like in Algeria, because we had not mobilised the people,” recalls Benotman, referring to the Algerian civil war launched by jihadists in the 1990s that left more than 100,000 dead and destroyed whatever local support the militants had once enjoyed. Benotman also told Bin Laden that the al-Qa’ida leader’s decision to target the West would only sabotage attempts by groups such as Benotman’s to overthrow the secular dictatorships in the Arab world. “We made a clear-cut request for him to stop his campaign against the United States because it was going to lead to nowhere,” Benotman recalls, “but they laughed when I told them that America would attack the whole region if they launched another attack against it.”

Benotman says that Bin Laden tried to placate him with a promise: “I have one more operation, and after that I will quit” - an apparent reference to 11 September. “I can’t call this one back because that would demoralise the whole organisation,” Benotman remembers Bin Laden saying.

After the attacks, Benotman, now living in London, resigned from the Libyan Islamic Fighting Group, realising that the United States, in its war on terrorism, would differentiate little between al- Qa’ida and his organisation.

Benotman, however, did more than just retire. In January 2007, under a veil of secrecy, he flew to Tripoli in a private jet chartered by the Libyan government to try to persuade the imprisoned senior leadership of his former group to enter into peace negotiations with the regime. He was successful. This May, Benotman told us that the two parties could be as little as three months away from an agreement that would see the Libyan Islamic Fighting Group formally end its operations in Libya and denounce al-Qa’ida’s global jihad. At that point, the group would also publicly refute recent claims by al-Qa’ida that the two organisations had joined forces.

This past November, Benotman went public with his own criticism of al-Qa’ida in an open letter to al-Zawahiri, absorbed and well received, he says, by the jihadist leaders in Tripoli. In the letter, Benotman recalled his Kandahar warnings and called on al- Qa’ida to end all operations in Arab countries and in the West. The citizens of Western countries were blameless and should not be the target of terrorist attacks, argued Benotman, his refined English accent, smart suit, trimmed beard, and easygoing demeanour making it hard to imagine that he was once on the front lines in Afghanistan.

Although Benotman’s public rebuke of al-Qa’ida went unnoticed in the United States, it received wide attention in the Arabic press. In repudiating al-Qa’ida, Benotman was adding his voice to a rising tide of anger in the Islamic world toward al-Qa’ida and its affiliates, whose victims since 11 September have mostly been fellow Muslims. Significantly, he was also joining a larger group of religious scholars, former fighters, and militants who had once had great influence over al-Qa’ida’s leaders, and who - alarmed by the targeting of civilians in the West, senseless killings in Muslim countries, and barbaric tactics in Iraq - have turned against the organisation, many just in the past year.

Information provided by: Findarticles.com

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WHEN Andy Murray questioned the mentality and work ethic of most British tennis players in his recent autobiography, Jamie Baker would certainly have been exempted from criticism. Not only is the Glaswegian a childhood friend, but his tennis career in recent months has been so all consuming that it put his life in danger.

But less than three months on from the scare that could have ended much more than his career, Baker has declared himself fit to take up his wild card into the singles at Wimbledon. The story is so remarkable, and Baker’s telling of it so graphic, that it deserves to drag at least a few column inches away from the Murray brothers for at least a few days.

It was on March 31 that Baker was training at his Florida base when he was admitted to hospital in Tampa.

“I had noticed a few things probably about a week before I was put into hospital but I didn’t really know what they were, ” Baker said. “It was just kind of bruising and stuff. To start with there were some big bruises, then a bit later I probably I had about 10 really big ones, all over my body and they just weren’t getting better. In fact they were getting worse. That was when I thought ‘hang on, something is not right here’.”

At fi rst the US medical system was as confused as Baker. “The doctors were throwing out different poss-ibilities for what it could be, but they couldn’t say definitively until they had done a blood test, ” Baker said. “I am not going to say what the alternatives were, but they certainly weren’t good. So I got a blood test and that was when they told me not to move off my bed until they could get my platelet count in my blood back up.”

Baker was diagnosed as suffering from Immune Thrombocytopenic Purpura, a rare virus which causes platelet levels in the blood to drop to such low levels there is a risk of bleeding internally. He spent three days in intensive care, having been left in no doubt about the dangers of a condition which meant even the merest bump or graze could have caused him to bleed to death. Now, he realises the most dangerous point had actually been a week earlier, when unaware of the problem, he had taken part in a competitive tennis event at Harlingen, in Texas.

The player believes it was no co-incidence the problem should arise at the end of a punishing period which saw him climb to a career high world ranking of 211 in November. This was followed in January with qualifi cation to the Australian Open for the fi rst time, a live rubber triumph in the Davis Cup against Argentina’s Agustin Calleri in February, and two consecutive futures tournament triumphs in Texas in March.

Not surprisingly, the experience has caused Baker to reassess his priorities. “I think it just means a bit less overall, my work ethic and attitude won’t change a great deal in terms of how much I put in, ” he said, “but in terms of how much is riding on it for me then there is not as much. I know there are plenty of other things in life that can be enjoyed, not just whether or not you win or lose a tennis match. I think that will actually help me quite a lot in the long run.

It might just give me a bit more freedom to play well, because I know that whatever I do, I have done as much as I can. There is no need for me to judge myself as a person simply on whether I win or lose.

“I also think I am a lot more body aware now of what and how much I will do. I will have to train a bit smarter. I have always been someone who wanted to work hard, someone who could really grind out the hours, I enjoyed that part of it. But I think I am realising now there are probably smarter ways to do things.”

Baker’s expedited return to competitive action last week at Nottingham means he is still on a low dosage of steroids, but he doesn’t envisage that being a problem for the doping committee.

“I am still on a very low dosage but I am only basically staying on that because I am playing matches for the next two weeks, so I will be off that as soon as Wimbledon finishes, ” he said.

The 21-year-old’s game is not so suited to grass as that of a Henman or a Murray - the baseliner particularly enjoys the US hard courts - but considering how he felt when trooping on to a deserted No 1 court at Nottingham to play against big-serving Aussie qualifier Samuel Groth last week, emotions will be running high when he faces qualifier Stefano Galvani from Italy in the first round at the All England club.

Despite reaching the quarterfinals of Junior Wimbledon in 2004, Baker’s previous two Wimbledon wild-card entries have ended in first- round defeat; indeed he has never won any match which has gone five sets. Just six places behind the British No 2 Alex Bogdanovic, Baker’s world ranking of 250 is right on the stated cut-off point above which the LTA are keen to discourage wild cards.

“I am obviously hugely excited.

Even at Nottingham I was quite emotional just walking on the court at the start, ” Baker said.

“There were times I didn’t think that would ever happen, let alone this soon after something like that.

Information provided by: Findarticles.com

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