Flu season strikes early and, in some places, hard

NEW YORK (AP) — From the Rocky Mountains to New England, hospitals are swamped with people with flu symptoms. Some medical centers are turning away visitors or making them wear face masks, and one Pennsylvania hospital set up a tent outside its ER to deal with the feverish patients.

Flu season in the U.S. has struck early and, in many places, hard.

While flu normally doesn't blanket the country until late January or February, it is already widespread in more than 40 states, with about 30 of them reporting some major hot spots. On Thursday, health officials blamed the flu for the deaths of 20 children so far.

Whether this will be considered a bad season by the time it has run its course in the spring remains to be seen.

"Those of us with gray hair have seen worse," said Dr. William Schaffner, a flu expert at Vanderbilt University in Nashville.

The evidence so far points to a moderate season, Schaffner and others say. It looks bad in part because last year was unusually mild and because the main strain of influenza circulating this year tends to make people sicker and really lay them low.

David Smythe of New York City saw it happen to his 50-year-old girlfriend, who has been knocked out for about two weeks. "She's been in bed. She can't even get up," he said.

Also, the flu's early arrival coincided with spikes in a variety of other viruses, including a childhood malady that mimics flu and a new norovirus that causes vomiting and diarrhea, or what is commonly known as "stomach flu." So what people are calling the flu may, in fact, be something else.

"There may be more of an overlap than we normally see," said Dr. Joseph Bresee, who tracks the flu for the Centers for Disease Control and Prevention.

Most people don't undergo lab tests to confirm flu, and the symptoms are so similar that it can be hard to distinguish flu from other viruses, or even a cold. Over the holidays, 250 people were sickened at a Mormon missionary training center in Utah, but the culprit turned out to be a norovirus, not the flu.

Flu is a major contributor, though, to what's going on.

"I'd say 75 percent," said Dr. Dan Surdam, head of the emergency department at Cheyenne Regional Medical Center, Wyoming's largest hospital. The 17-bed emergency room saw its busiest day ever last week, with 166 visitors.

The early onslaught has resulted in a spike in hospitalizations. To deal with the influx and protect other patients from getting sick, hospitals are restricting visits from children, requiring family members to wear masks and banning anyone with flu symptoms from maternity wards.

One hospital in Allentown, Pa., set up a tent this week for a steady stream of patients with flu symptoms. But so far "what we're seeing is a typical flu season," said Terry Burger, director of infection control and prevention for the hospital, Lehigh Valley Hospital-Cedar Crest.

On Wednesday, Boston declared a public health emergency, with the city's hospitals counting about 1,500 emergency room visits since December by people with flu-like symptoms.

All the flu activity has led some to question whether this year's flu shot is working. While health officials are still analyzing the vaccine, early indications are that it's about 60 percent effective, which is in line with what's been seen in other years.

The vaccine is reformulated each year, based on experts' best guess of which strains of the virus will predominate. This year's vaccine is well-matched to what's going around. The government estimates that between a third and half of Americans have gotten the vaccine.

In New York City, 57-year-old Judith Quinones skipped getting a flu shot this season and suffered her worst case of flu-like illness in years. She was laid up for nearly a month with fever and body aches. "I just couldn't function," she said.

But her daughter got the vaccine. "And she got sick twice," Quinones said.

Europe is also suffering an early flu season, though a milder strain predominates there. Flu reports are up, too, in China, Japan, the West Bank, the Gaza Strip, Algeria and the Republic of Congo. Britain has seen a surge in cases of norovirus.

On average, about 24,000 Americans die each flu season, according to the CDC. That's an estimate — the agency does not keep a running tally of adult flu deaths each year, only for children. Some state health departments do keep count, and they've reported dozens of flu deaths so far.

Flu usually peaks in midwinter. Symptoms can include fever, cough, runny nose, head and body aches and fatigue. Some people also suffer vomiting and diarrhea, and some develop pneumonia or other severe complications.

Most people with flu have a mild illness and can help themselves and protect others by staying home and resting. But people with severe symptoms should see a doctor. They may be given antiviral drugs or other medications to ease symptoms.

Flu vaccinations are recommended for everyone 6 months or older. Of the 20 children killed by the flu this season, only two were fully vaccinated.

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AP Medical Writer Maria Cheng in London contributed to this report.

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Online:

CDC flu: http://www.cdc.gov/flu/index.htm

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Judge: Holmes Can Face Trial for Aurora Shooting

Jan 10, 2013 8:45pm

(Arapahoe County Sheriff/AP Photo)

In a ruling that comes as little surprise, the judge overseeing the Aurora, Colo., theater massacre has ordered that there is enough evidence against James Holmes to proceed to a trial.

In an order posted late Thursday, Judge William Sylvester wrote that “the People have carried their burden of proof and have established that there is probable cause to believe that Defendant committed the crimes charged.”

The ruling came after a three-day preliminary hearing this week that revealed new details about how Holmes allegedly planned for and carried out the movie theater shooting, including how investigators say he amassed an arsenal of guns and ammunition, how he booby-trapped his apartment to explode, and his bizarre behavior after his arrest.

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Holmes is charged with 166 counts, including murder, attempted murder and other charges related to the July 20 shooting that left 12 people dead and 58 wounded by gunfire. An additional 12 people suffered non-gunshot injuries.

One of the next legal steps is an arraignment, at which Holmes will enter a plea. The arraignment was originally expected to take place Friday morning.

Judge Sylvester indicated through a court spokesman that he would allow television and still cameras into the courtroom, providing the outside world the first images of Holmes since a July 23 hearing. Plans for cameras in court, however, were put on hold Thursday afternoon.

“The defense has notified the district attorney that it is not prepared to proceed to arraignment in this case by Friday,” wrote public defenders Daniel King, Tamara Brady and Kristen Nelson Thursday afternoon in a document objecting to cameras in court.

A hearing in the case will still take place Friday morning. In his order, Judge Sylvester said it should technically be considered an arraignment, but noted the defense has requested a continuance.  Legal experts expect the judge will grant the continuance, delaying the arraignment and keeping cameras out of court for now.

Sylvester also ordered that Holmes be held without bail.

Holmes’ attorneys have said in court that the former University of Colorado neuroscience student is mentally ill. The district attorney overseeing the case has not yet announced whether Holmes, now 25, can face the death penalty.

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Swiss trains collide, 17 injured

NEUHAUSEN, Switzerland (Reuters) - Two Swiss trains collided on Thursday, injuring 17 people, none of them seriously, and closing the line near the German border, police said.

The two local trains, one travelling from Winterthur and the other from Schaffhausen, crashed just outside the Neuhausen station in northern Switzerland, not far from the German border.

Swiss railways said the line was closed and buses were carrying local passengers, while those travelling from Zurich to Stuttgart in Germany would be diverted via Basel.

Police spokeswoman Anja Schudel said 17 people had been injured and nine of them taken to hospital, but nobody was badly hurt. Everybody had been evacuated from the trains, which were carrying a total of 280 passengers, she said.

Swiss trains have a reputation for punctuality and safety, and fatal train accidents are rare.

The last major accident was in 2010. One passenger was killed and 42 were injured when one of the country's best-known tourist trains, the Glacier Express, derailed at the height of the summer holiday season.

(Reporting by Arnd Wiegmann and Emma Thomasson; Editing by Louise Ireland)

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India's Kingfisher airline boss promises restart

MUMBAI: The boss of India's troubled Kingfisher airline has sought to allay fears about jobs in a rare communication to staff, which outlines plans to restart limited operations and win a foreign investment deal.

Kingfisher, whose operations have been grounded since October, lost permission to fly after a deadline to renew its suspended licence with the aviation regulator expired at the start of the new year.

Vijay Mallya's email, sent late Wednesday, expressed hopes for a limited re-start of flights from March this year, requiring funding of 6.5 billion rupees (US$118 million) which would be provided by the airline's parent UB Group.

The airline has submitted a detailed restart plan to the regulator, he said, also reiterating that there were "discussions with multiple investors", including Abu Dhabi-based Etihad Airways, to sell a stake in the airline.

"We remain confident that we will secure a deal," he wrote in the email seen by AFP.

The firm's shares jumped 9.96 per cent to 14.79 rupees on the Bombay Stock Exchange on Thursday.

Many staff are owed months of pay. Some of them have threatened to approach a court seeking formal closure of the airline if they are unconvinced about the management's revival plan and its ability to pay pending salaries.

Mallya said Kingfisher "was on safe ground" to renew its flying licence with the regulator, which can be applied for within two years after the date of expiry.

"We need to single-mindedly focus on being back in the air and to win back the confidence of our loyal guests," he wrote.

The Centre for Aviation, a Sydney-based consultancy, said in a recent report Kingfisher had accumulated losses of US$1.9 billion and debts of US$2.49 billion, including bank debts of US$1.1 billion.

- AFP/xq

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LeT chief Hafiz Saeed was present in PoK: Shinde

NEW DELHI: Union home minister Sushilkumar Shinde has said that visa agreement between India and Pakistan will be carried out as per schedule.

There will be no change in visa policy for Pakistan in view of the Tuesday's incident on Line of Control (LoC) in which two Indian soldiers were killed by Pakistan army with the body of one being badly mutilated.

Lashkar-e-Taiba founder Hafeez Saeed was present in Pakistan-occupied Kashmir some days before the Tuesday's LoC encounter, Shinde said. Shinde was speaking to mediapersons in New Delhi.

Earlier, India on Thursday outright rejected Pakistan's proposal for UN investigation into Tuesday's incident on Line of Control (LoC) in which two Indian soldiers were killed with the body of one being badly mutilated.

The issue figured at a meeting of the Cabinet Committee on Security (CCS) which was briefed by defence minister A K Antony on the incident in Jammu and Kashmir's Poonch sector on January eight and subsequent developments.

"We are certainly not going to agree to internationalise the issue or allow the United Nations to hold an inquiry. That demand is obviously rejected out of hand," finance minister P Chidambaram told a press conference after the meetings of the Union Cabinet and CCS here.

(With inputs from PTI)

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Retooling Pap test to spot more kinds of cancer

WASHINGTON (AP) — For years, doctors have lamented that there's no Pap test for deadly ovarian cancer. Wednesday, scientists reported encouraging signs that one day, there might be.

Researchers are trying to retool the Pap, a test for cervical cancer that millions of women get, so that it could spot early signs of other gynecologic cancers, too.

How? It turns out that cells can flake off of tumors in the ovaries or the lining of the uterus, and float down to rest in the cervix, where Pap tests are performed. These cells are too rare to recognize under the microscope. But researchers from Johns Hopkins University used some sophisticated DNA testing on the Pap samples to uncover the evidence — gene mutations that show cancer is present.

In a pilot study, they analyzed Pap smears from 46 women who already were diagnosed with either ovarian or endometrial cancer. The new technique found all the endometrial cancers and 41 percent of the ovarian tumors, the team reported Wednesday in the journal Science Translational Medicine.

This is very early-stage research, and women shouldn't expect any change in their routine Paps. It will take years of additional testing to prove if the so-called PapGene technique really could work as a screening tool, used to spot cancer in women who thought they were healthy.

"Now the hard work begins," said Hopkins oncologist Dr. Luis Diaz, whose team is collecting hundreds of additional Pap samples for more study and is exploring ways to enhance the detection of ovarian cancer.

But if it ultimately pans out, "the neat part about this is, the patient won't feel anything different," and the Pap wouldn't be performed differently, Diaz added. The extra work would come in a lab.

The gene-based technique marks a new approach toward cancer screening, and specialists are watching closely.

"This is very encouraging, and it shows great potential," said American Cancer Society genetics expert Michael Melner.

"We are a long way from being able to see any impact on our patients," cautioned Dr. Shannon Westin of the University of Texas MD Anderson Cancer Center. She reviewed the research in an accompanying editorial, and said the ovarian cancer detection would need improvement if the test is to work.

But she noted that ovarian cancer has poor survival rates because it's rarely caught early. "If this screening test could identify ovarian cancer at an early stage, there would be a profound impact on patient outcomes and mortality," Westin said.

More than 22,000 U.S. women are diagnosed with ovarian cancer each year, and more than 15,000 die. Symptoms such as pain and bloating seldom are obvious until the cancer is more advanced, and numerous attempts at screening tests have failed.

Endometrial cancer affects about 47,000 women a year, and kills about 8,000. There is no screening test for it either, but most women are diagnosed early because of postmenopausal bleeding.

The Hopkins research piggybacks on one of the most successful cancer screening tools, the Pap, and a newer technology used along with it. With a standard Pap, a little brush scrapes off cells from the cervix, which are stored in a vial to examine for signs of cervical cancer. Today, many women's Paps undergo an additional DNA-based test to see if they harbor the HPV virus, which can spur cervical cancer.

So the Hopkins team, funded largely by cancer advocacy groups, decided to look for DNA evidence of other gynecologic tumors. It developed a method to rapidly screen the Pap samples for those mutations using standard genetics equipment that Diaz said wouldn't add much to the cost of a Pap-plus-HPV test. He said the technique could detect both early-stage and more advanced tumors. Importantly, tests of Paps from 14 healthy women turned up no false alarms.

The endometrial cancers may have been easier to find because cells from those tumors don't have as far to travel as ovarian cancer cells, Diaz said. Researchers will study whether inserting the Pap brush deeper, testing during different times of the menstrual cycle, or other factors might improve detection of ovarian cancer.

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Biden, NRA to Meet During Day 2 of Gun Talks

Vice President Joe Biden will start day two of this week's meetings on gun violence Thursday, and the participants in the latest round of talks will include two powerhouses in the gun industry -- the National Rifle Association and Wal-Mart, one of the largest sellers of firearms in the country.

Spokesmen for the NRA and Wal-Mart confirmed representatives from their organizations will be included in the meetings Thursday. Advocates for sportsmen, women's groups, wildlife groups and gun owners will also be there. The vice president is slated to meet with members of the entertainment industry in the evening.

James J. Baker, the NRA's top lobbyist, will attend the meeting on behalf of the organization. The NRA called for armed officers to be placed in every school after the massacre at Sandy Hook Elementary School in Newtown, Conn. in December.

"We are sending a representative to hear what they have to say," Andrew Arulanandam, a spokesman for the NRA, said.

Wal-Mart initially turned down an invitation to participate in the talks but reversed its decision after it "underestimated the expectation to attend the meeting on Thursday in person," a spokesman said.

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"We take this issue very seriously and are committed staying engaged in this discussion as the administration and Congress work toward a consensus on the right path forward," David Tovar, vice president of corporate communications for Wal-Mart, said.

The latest meetings come one day after Biden held a first round of talks this week with gun safety advocate groups and victims and survivors of gun violence. Speaking to reporters before the meeting, the vice president expressed the administration's commitment to develop effective gun policy by considering all ideas. He suggested the administration would be ready to take executive action on the issue, which would not require help from Congress.

"We're here today to deal with a problem that requires our immediate action, urgent action. And the president and I are determined to take action," Biden told reporters before a meeting in his ceremonial office in the Eisenhower Executive Office Building. "I want to make it clear that we are not going to get caught up in the notion [that] unless we can do everything, we're going to do nothing."

"There are executive orders, executive action that can be taken. We haven't decided what that is yet, but we're compiling it all with the help the attorney general and all the rest of the cabinet members, as well as legislative action, we believe, is required," Biden said.

Colin Goddard, a survivor of the shooting at Virginia Tech University in 2007, participated in the meeting at the White House Wednesday and said the talks gave the groups "encouragement from the highest office in the country."

"I was really encouraged by seeing how focused and determined the administration is in seeing comprehensive changes to the gun violence in America," Goddard, who is now the assistant director for federal legislation at the Brady Campaign to Prevent Gun Violence, told ABC News. "It was really great to see even the Vice President of the United States of America supporting us. He wants to see this done to the end and bringing us all to the table to share our personal stories, share our ideas about what our proposals could be."

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Exhausted Egyptians count cost of political turmoil

ZAGAZIG, Egypt (Reuters) - These days, craftsmen, shopkeepers and other inhabitants of the Egyptian Delta town of Zagazig are often too busy making ends meet to ponder why life seems to be getting harder every day.

But when, exhausted, they finally come home and sit down to their evening meal, conversations inevitably turn to growing hardship and the frightening prospect of cuts in food subsidies as the economy slides further into crisis.

With their patience already stretched after years of upheaval, Egyptians - from the capital Cairo to smaller towns like Zagazig - appear to be nearing the point where discontent could explode into a new wave of unrest.

"There is no security. There is nothing," said Soheir Abdel Moneim, a retired school teacher, as she hurried through an open-air market in Zagazig in search of vegetables she could afford.

"The pound is falling. Everything is more expensive. Is there anything that has not become more expensive?" she asked with a shrug, as traders on bicycles loaded with their wares dodged through the chaos of the market.

Nearby, a torn poster of President Mohamed Mursi beams from the wall of a crumbling brick house, with the words "Liars! Liars!" scrawled over his face.

The mood of growing nervousness is bad news for Mursi, who faces a parliamentary election in coming months, and a new round of political feuding that could pitch Egypt back into civil strife.

Egypt's economy, once strong and popular among investors, has been in tatters since the revolt of 2011 that ousted Hosni Mubarak and shook the country to its foundations.

Disagreements over a new national constitution late last year triggered violent protests, dealing another blow to the economy and eroding trust in Mursi's government.

A country where cuts in food subsidies have caused riots in the past now faces the risk of further upheaval as Mursi prepares to impose austerity measures in order to obtain a desperately needed $4.8 billion loan from the International Monetary Fund.

In Zagazig, people worry about the future.

Farouk Sarhan, the 74-year-old manager of a shop selling women's clothes, said sales were already down by almost 50 percent from just a few weeks ago.

"No one is selling or buying. I had more activity last year," he said, stubbing out a cigarette with a deep sigh in his tiny store lined with mannequins of veiled women.

"Customers are not buying as much as before because of the economic situation."

The price of fresh food often goes up in winter but shoppers in the Zagazig market said recent increases had been steep, with tomatoes and cauliflower about 50 percent dearer than at the start of the year.

WHAT NEXT?

Egypt has been on the ropes since investors and tourists fled after the revolt, when people rose up to demand their freedom and also an end to economic policies they said simply lined the pockets of the rich.

On the economic front, the picture remains grim, although Qatar's decision to lend Egypt another $2 billion has offered some respite.

Foreign reserves are dwindling and the pound has been hitting new lows daily. Food and raw materials from abroad have become more expensive, hurting businesses and families in a desert nation which relies on imports to feed itself.

As in other parts of Egypt, people in Zagazig see complex economic trends in terms of the daily hardships they must endure, and it is Mursi's government and his Muslim Brotherhood allies who get the blame.

"Mursi doesn't feel our grievances," said Emad, a man in his late 30s who sells traditional Egyptian clothes by the side of a dusty street. He said he had been forced to raise prices to cover rising costs, upsetting his customers.

Pointing to one of the black embroidered gowns, Emad said: "We used to sell this for 35 pounds ($5.40). Now it's 45 pounds. We didn't raise the prices. Traders did.

"Very few people are buying. I used to sell 50 pieces a day, and now I sell 15 or 20. Today I still haven't sold anything."

Reliable opinion polls are unavailable in Egypt and it is hard to gauge how widespread people's views are. But in Zagazig, most of those interviewed by Reuters echoed Emad's feelings.

Economists worry that continued turmoil could prompt people and businesses to convert their savings into dollars en masse - a risky process known as dollarisation which has caused trouble in many emerging market crises before.

But in Zagazig, people laughed at the idea, saying only the rich could afford to buy foreign currency. "Dollars?" asked Nabil, a local trader, as others burst into laughter. "Give me some dollars! Of course we don't have any!"

SUPPORT FOR MURSI

But some were prepared to give Mursi a chance.

In the nearby village of al-Adwa, where the future president grew up in the family of a local farmer, brick walls and fences were plastered with posters of Mursi.

A crowd of farmers standing by the side of a dirt track cutting through the village shook their fists and shouted "Mursi! Mursi!" when asked about their political views.

But even in Adwa, where Mursi appeared to enjoy rock-solid support, locals said sudden increase in taxes or abrupt cuts to fuel or food subsidies would cost him dearly.

"If that happens that would be the worst thing. What am I going to do as a farmer?" said Said Youssef, his hands black from working the land. "Where are we going to get the money?"

Another man, Aly Saber, 65, said fertilizer prices had gone up by 50 Egyptian pounds in the past year alone, making his business less profitable.

"Things are tough here in the rural areas," he said as others nodded in agreement. "Everything is becoming more expensive."

Mohamed Gamal, the 42-year-old owner of a tiny shop selling kitchen appliances, said business was so bad that he would sometimes go for days without a single customer.

"I import goods all the time. Prices have gone up by 10-40 percent since the revolution. It's gone up even more in recent weeks," said Gamal, who, Like Mursi, grew up in Adwa.

He said his neighbors were suspicious about why he had to keep raising his prices.

"People just don't believe me," he said, hunched over his desk, cigarette smoke swirling above stacks of unsold trays, cups and ironing boards. "They are not convinced why things are getting more expensive. I buy them, and they stack up."

($1 = 6.4809 Egyptian pounds)

(Writing by Maria Golovnina; Editing by Giles Elgood)

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Japan's foreign minister on two-day visit to Singapore

SINGAPORE: Japan's Minister for Foreign Affairs Fumio Kishida will visit Singapore from Thursday till Friday.

This will be Mr Kishida's first official visit to Singapore in his current capacity.

During his visit, Mr Kishida will call on Prime Minister Lee Hsien Loong at the Istana, and meet with Minister for Foreign Affairs and Law K Shanmugam.

Mr Shanmugam will also host Mr Kishida to lunch.

- CNA/de

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Enough proof of Pak army's involvement in Indian jawans' killing: Antony

NEW DELHI/KOLKATA: Outraged by the brutal killing of two of its soldiers by intruding Pakistani troops, India on Wednesday strongly protested to Pakistan, warning that the "unacceptable" incident will have adverse impact on the ties.

As strong reactions by the government and political parties came, Pakistan high commissioner Salman Bashir was summoned by foreign secretary Ranjan Mathai, who conveyed India's "deepest concern and protest" over yesterday's attack in which two Indian soldiers were killed and their bodies subjected to "barbaric and inhuman mutilation".

Pakistan was also asked to immediately investigate these actions that are in contravention of all norms of international conduct and ensure that these do not recur.

India's Director General of Military Operations (DGMO) Lt Gen Vinod Bhatia spoke to his Pakistani counterpart Maj Gen Ashfaq Nadeem to complain about the attack. A Pakistani military official said in Islamabad that Gen Nadeem rejected Indian Army's contention of cross-Line of Control(LoC) firing by Pakistani troops and killing of any Indian soldier.

Referring to last month's Indo-Pak discussions on conventional CBMs, wherein maintaining the sanctity of the LoC, one of the most important CBMs between the two countries, was emphasised, Khurshid said,"therefore violation of (ceasefire) that itself is something which is a matter of great concern. And that would obviously, if not immediately, contained will have adverse impact on what we have been trying to do for such a long time."

In a gruesome attack, Pakistan regular soldiers crossed into Indian territory in Poonch sector of Jammu and Kashmir on Tuesday and ambushed an Indian patrol killing two soldiers, one of whom was decapitated.

Khurshid also stressed the need "to make sure that whatever happened should not be escalated. We cannot and must not allow escalation of this very unwholesome event that has taken place."

Enough proof of Pak army's involvement in Indian jawans killing: Antony

Defence minister A K Antony said on Wednesday that there is ample evidence to prove that Pakistani troops were involved in the killing of two Indian Army jawans along the Line of Control in Jammu and Kashmir. According to Antony, the act was inhuman.

"I already condemned the incident before leaving Delhi. There is ample evidence of how they treated the two Indian Army soldiers. The act was inhuman and we have already taken up the matter with the Pakistani government. The government of India is taking up the issue with all stakeholders. The Director General (Military Operations) is keeping close watch on the developments and has also taken up the issue with his counterpart in Pakistan," the defence minister said in Kolkata before leaving for Delhi.

Antony was in Kolkata for the 47th Convocation of the Indian Statistical Institute (ISI). The defence minister is the chairman of the ISI Council. In his brief address, Antony pointed out how research carried out at the institute has applications in the security sector as well.

"Make use of your skills but ensure that values don't suffer. Society has high hopes from you. Do contribute to society. I would have wanted to spend more time here but I have several important meetings in Delhi and have to rush back. The situation is such that my coming to Kolkata became uncertain at one point of time," Antony said before leaving, midway through the programme.

(With inputs from PTI)

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