Gunman's Computer Damaged, Drive Possibly Ruined

A computer at the Connecticut home where Newtown, Conn., school shooter Adam Lanza lived with his mother was badly damaged, perhaps smashed with a hammer, said police who hope the machine might still yield clues to the gunman's motive.

The computer's hard drive appeared to have been badly damaged with a hammer or screw driver, law enforcement authorities told ABC News, complicating efforts to exploit it for evidence.

Officials have "seized significant evidence at [Lanza's] residence," said Connecticut State Police spokesman Paul Vance, adding that the process of sifting through that much forensic evidence would be a lengthy and "painstaking process."

Authorities also told ABC News that the weapons used in Friday's rampage at Sandyhook Elementary School, which left dead 20 children and seven adults including Lanza's mother Nancy, were purchased by his mother between 2010 and 2012.

According to the Bureau of Alcohol Tobacco and Firearms, Lanza visited shooting ranges several times in recent years, and went at least one time with his mother.

The first funeral for a child killed in the massacre was held today in Fairfield, Conn., where mourners gathered to remember the too-short life of first-grader Noah Pozner.

Authorities also revealed this morning that two adult women shot during the rampage survived and their accounts will likely be integral to the investigation.

"Investigators will, in fact, speak with them when it's medically appropriate and they will shed a great deal of light on the facts and circumstances of this tragic investigation," Connecticut State Police Lt. Paul Vance said at a news conference today.

Both survivors are women and are now home from the hospital after being shot, police said. Officials had previously mentioned just one adult survivor. The women have not been identified and police did not give details on their injuries.

READ MORE: School nurse hid from gunman.

Both adults, Vance said, were wounded in the "lower extremities," but did not indicate where in the building they were when they were injured.

Moving trucks were seen outside Sandy Hook Elementary School this morning, as school officials prepare to move furniture and supplies to a vacant school in neighboring Monroe.

Sandy Hook itself will remain a secure crime scene "indefinitely," said Vance.

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CLICK HERE for complete coverage of the tragedy at Sandy Hook.

Police say Adam Lanza, 20, forced his way into Sandy Hook Elementary School on Friday, spraying bullets on students and faculty. Lanza killed 20 children and six adults before turning the gun on himself.

Lanza also killed his mother Nancy Lanza at the home they shared before going to school.

"There are many, many witnesses that need to be interviewed," Vance said. "We will not stop until we have interviewed every last one of them."

Vance said the investigation could take weeks or months to complete. "It's not something done in 60 minutes like you see on T.V."

Some of the other key witnesses will be children who survived the shooting spree by playing dead, hiding in closets and bathrooms and being rescued by dedicated teachers.

"Any interviews with any children will be done with professionals...as appropriate," Vance said. "We'll handle that extremely delicately when the time arises."

CLICK HERE for a tribute to the shooting victims.

The first funerals for victims of the shooting are today, beginning with 6-year-olds Noah Pozner and Jack Pinto.

Officials said today that the Sandy Hook Elementary School, where the shooting took place, will be closed "indefinitely."

Both the school and the home where shootings took place are being held by police as crime scenes and Vance predicted authorities would spend "months" investigating the elementary school.

All Newtown schools are closed today to give residents more time to cope. Every school except for Sandy Hook is expected to re-open Tuesday.

The town of Monroe has offered to open to Sandy Hook students the Chalk Hill School, a former middle school that currently houses the town's EMS and recreational departments.

Officials in Monroe, less than 10 miles from Newtown, say the building could be ready for students by the end of the week, but have not yet set a date to resume classes.

Nearly 100 volunteers are working to ensure the building complies with fire and security regulations and are working to retorfit the school with bathroom facilities for young children.

"We're working to make the school safe and secure for students," said Monroe Police Department spokesman Lt. Brian H. McCauley.

The neighboring community's school is expected to be ready to accommodate students in the next few days, though an exact schedule has not yet been published.

While the families grieve, federal and state authorities are working around the clock to answer the question on so many minds: "Why?"

ABC News has learned that investigators have seized computers belonging to Adam Lanza from the home he shared with his mother. Three weapons were found at the school scene and a fourth was recovered from Lanza's car. Lanza had hundreds of rounds and used multiple high-capacity magazines when he went on the rampage, according to Connecticut State Police.

Vance said that every single electronic device, weapon and round will be thoroughly examined and investigated as well as every aspect of Lanza's life going "back to the date of birth."

ABC News has learned that both the shooter and his mother spent time at an area gun range; however it was not yet known whether they had shot there.

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Obama meets top Republican on fiscal cliff talks

WASHINGTON: US President Barack Obama held fresh talks with top Republican lawmaker John Boehner at the White House on Monday, in their latest effort to reach a deal to avoid the so-called fiscal cliff.

"The president and Speaker Boehner are meeting at the White House to continue their discussions about the fiscal cliff and balanced deficit reduction," the White House said in a statement.

The meeting lasted about 45 minutes, said a statement from Boehner, the speaker of the House of Representatives, adding that there would be no news release about the face-to-face encounter.

It was the latest in a serious of meetings between the two men as they seek to forge a compromise aimed at preventing tax hikes and federal spending cuts from kicking in beginning January 1.

Congressional economists say tumbling over the fiscal cliff could send the US economy back into recession.

Republicans at least publicly have refused to go along with Obama's call to raise taxes on all US households earning more than $250,000 per year as part of his plan to raise $1.6 trillion in new tax revenues over the next decade.

Boehner has offered $800 billion in new revenue through the closing of loopholes and the elimination of tax deductions, but not by raising tax rates on the rich. Obama has dropped his revenues request to $1.4 trillion.

In a concession on Friday, Boehner sweetened his offer, reportedly agreeing to back tax hikes on those making more than $1 million per year provided spending cuts to entitlement programs like Medicare are part of the deal.

If no agreement is reached by year end, taxes rise on all Americans on January 1, followed by some $110 billion in spending cuts in 2013, split evenly between military and civilian programs.

- AFP/fa

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Japan's next PM Abe must deliver on economy, cope with China

TOKYO (Reuters) - Japan's hawkish ex-premier Shinzo Abe will get a second chance to run the country after his conservative Liberal Democratic Party (LDP) surged to power in Sunday's election, but must swiftly move to bolster the sagging economy while managing strained ties with China.

Abe, whose party won by a landslide just three years after a crushing defeat, was expected on Monday to meet Natsuo Yamaguchi, the leader of the small New Komeito party, to cement their alliance and confirm economic steps to boost an economy now in its fourth recession since 2000.

The victory by the LDP, which had ruled Japan for most of the past 50 years before it was ousted in 2009, will usher in a government pledged to a tough stance in a territorial row with China, a pro-nuclear energy policy despite the 2011 Fukushima disaster and a potentially risky recipe for hyper-easy monetary policy and big fiscal spending to boost growth.

Projections by TV broadcasters showed that the LDP had won at least 291 seats in the 480-member lower house, while the New Komeito party took at least 29 seats.

That gives the two parties the two-thirds majority needed to overrule parliament's upper house in most matters, where they lack a majority and which can block bills. The "super majority" could help to break a policy deadlock that has plagued the world's third biggest economy since 2007.

Markets have already pushed the yen lower and share prices higher in anticipation of an LDP victory and Abe's economic stimulus. The two-thirds "super majority" could boost share prices and weaken the yen further.

Prime Minister Yoshihiko Noda's Democratic Party of Japan (DPJ) was crushed, forecast to win just about 56 seats - less than a fifth of its showing in 2009, when it swept to power promising to pay more heed to consumers than companies and pry control of policies from bureaucrats.

But voters deemed the pledges honored mostly in the breach and the party was hit by defections before the vote due to Noda's unpopular plan to raise the sales tax to curb public debt already more than twice the size of the economy.

"This was an overwhelming rejection of the DPJ," said Gerry Curtis, a professor at New York's Columbia University.

"Abe was smart to run the campaign saying 'It's the economy, stupid. His hawkish (security) views took second place to fiscal stimulus and getting a dovish Bank of Japan governor and getting the economy going. If he keeps that focus ... he has a chance of improving his standing."

Analyst Bruce Klingner of the Heritage Foundation think tank in Washington said the return of Abe and LDP was foremost a rejection of the DPJ, but "also reflects an embrace of conservative views" after recent years of strained relations with Japan's close neighbors.

"Chinese assertiveness and North Korean provocations nudged the public from its usual post-war complacency toward a new desire to stand up for Japanese sovereignty," he said.

The Japanese favor moving toward "a more normal nation status" and are not embracing resurgent militarism, added Klingner, a former CIA analyst.

Abe, expected to be voted in by parliament on December 26, will also have to prove he has learned from the mistakes of his first administration, plagued by scandals and charges of incompetence.

Voter distaste for both major parties has spawned a clutch of new parties including the Japan Restoration Party, founded by popular Osaka Mayor Toru Hashimoto, which took at least 52 seats, according to media projections.

But media estimates showed turnout at around 59 percent, which could match the previous post-war low.

LDP leader Abe, 58, who quit as premier in 2007 citing ill health, has been talking tough in a row with China over uninhabited isles in the East China Sea, although some experts say he may temper his hard line with pragmatism once in office.

The soft-spoken grandson of a prime minister, who will become Japan's seventh premier in six years, Abe also wants to loosen the limits of a 1947 pacifist constitution on the military, so Japan can play a bigger global security role.

President Barack Obama congratulated Abe and underlined U.S. interest in working with the longstanding American ally.

"The U.S-Japan Alliance serves as the cornerstone of peace and prosperity in the Asia-Pacific and I look forward to working closely with the next government and the people of Japan on a range of important bilateral, regional and global issues," he said in a statement.

The LDP, which promoted atomic energy during its decades-long reign, is expected to be friendly to nuclear utilities, although deep public concerns remain over safety.

Abe has called for "unlimited" monetary easing and big spending on public works to rescue the economy. Such policies, a centerpiece of the LDP's platform for decades, have been criticized by many as wasteful pork-barrel politics.

Many economists say that prescription for "Abenomics" could create temporary growth and enable the government to go ahead with a planned initial sales tax rise in 2014 to help curb a public debt now twice the size of gross domestic product.

But it looks unlikely to cure deeper ills or bring sustainable growth to Japan's ageing society, and risks triggering a market backlash if investors decide Japan has lost control of its finances.

(Additional reporting by Paul Eckert in Washington; Editing by Tomasz Janowski and Eric Walsh)

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Even ATMs freeze in Himachal cold

MANALI/SHIMLA/DHARAMSHALA: It's snowed in Himachal and there's already a cold wave in Delhi. Soon, tourists from all over the country will flock to the hill station to experience the chill, sometimes even eating the snow.

But life for those living in the higher reaches can get very tough — from lighting a fire under the fuel tank of your vehicle in the morning to melt the frozen diesel just to start it, or pouring buckets of boiling water to free frozen pipes for the liquid to pour out of taps. Often when there's disturbance on their TV sets, people scramble onto the roof to clear thick layers of frost on the DTH dish, opening up the transmission. And it's not unusual to see a queue outside an ATM counter, waiting till noon for the machine to be eased up by the rays of an unsure sun.

In Spiti, even tears turn into crystals

In fact, if you are in Lahaul Spiti, you can't even cry too much as the tears turn into small drops of crystals that stick to your face, making you look somewhat silly.

There will be tourists flocking to the hill stations and towns of Himachal, some of the most beautiful in the country, to celebrate Christmas and New Year, but away from the fun and frolic, life is something else altogether. It's a battle just to stay afloat.

Unbelievable as it may seem, the first thing Sher Singh Bodh, a resident of Keylong town in Lahaul-Spiti district, does after he wakes up is boil a bucket of water to pour over frozen taps. Then he lights a fire under the fuel tank of his jeep. But he's used to it by now - in Lahaul valley, the cold desert of Himachal Pradesh, even wall clocks freeze up. So do wrist watches and cellular phones.

As the entire district is cut off from the rest of the world for the next five months, tribals stock up everything in advance - from food to funeral paraphernalia. And, this is just the beginning. In the initial phase of winter, mercury dips only up to -8 degree Celsius in Keylong; it is below -12 degree Celsius at Khoksar. Later, in January, the minimum temperature dips to -20 degree Celsius in Keylong. In Lahaul, at about 11,000 feet, it plunges to below -30 degree Celsius.

The chill froze the only ATM machine of Lahaul last fortnight and bank officials have been heating it up every day to make it work. Fearing electronic voting machines (EVMs), too, would meet the same fate, the Election Commission had them shifted from Lahaul to Kullu soon after assembly elections on November 4.

River Chenab, which originates in Lahaul-Spiti and feeds the fields of Pakistan, has already frozen partially. With the closure of the Manali-Leh road due to heavy snowfall at the 13,050-feet Rohtang Pass, people in Lahaul-Spiti are now locked inside the valley, with the only mode of transport for them being state-run choppers. For tourists then, it's best to limit the travel to Kufri and thereabouts, where you can ride yaks and eat some snow.

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Experts: No link between Asperger's, violence

NEW YORK (AP) — While an official has said that the 20-year-old gunman in the Connecticut school shooting had Asperger's syndrome, experts say there is no connection between the disorder and violence.

Asperger's is a mild form of autism often characterized by social awkwardness.

"There really is no clear association between Asperger's and violent behavior," said psychologist Elizabeth Laugeson, an assistant clinical professor at the University of California, Los Angeles.

Little is known about Adam Lanza, identified by police as the shooter in the Friday massacre at a Newtown, Conn., elementary school. He fatally shot his mother before going to the school and killing 20 young children, six adults and himself, authorities said.

A law enforcement official, speaking on condition of anonymity because the person was not authorized to discuss the unfolding investigation, said Lanza had been diagnosed with Asperger's.

High school classmates and others have described him as bright but painfully shy, anxious and a loner. Those kinds of symptoms are consistent with Asperger's, said psychologist Eric Butter of Nationwide Children's Hospital in Columbus, Ohio, who treats autism, including Asperger's, but has no knowledge of Lanza's case.

Research suggests people with autism do have a higher rate of aggressive behavior — outbursts, shoving or pushing or angry shouting — than the general population, he said.

"But we are not talking about the kind of planned and intentional type of violence we have seen at Newtown," he said in an email.

"These types of tragedies have occurred at the hands of individuals with many different types of personalities and psychological profiles," he added.

Autism is a developmental disorder that can range from mild to severe. Asperger's generally is thought of as a mild form. Both autism and Asperger's can be characterized by poor social skills, repetitive behavior or interests and problems communicating. Unlike classic autism, Asperger's does not typically involve delays in mental development or speech.

Experts say those with autism and related disorders are sometimes diagnosed with other mental health problems, such as depression, anxiety, bipolar disorder or obsessive-compulsive disorder.

"I think it's far more likely that what happened may have more to do with some other kind of mental health condition like depression or anxiety rather than Asperger's," Laugeson said.

She said those with Asperger's tend to focus on rules and be very law-abiding.

"There's something more to this," she said. "We just don't know what that is yet."

After much debate, the term Asperger's is being dropped from the diagnostic manual used by the nation's psychiatrists. In changes approved earlier this month, Asperger's will be incorporated under the umbrella term "autism spectrum disorder" for all the ranges of autism.

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AP Writer Matt Apuzzo contributed to this report.

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Online:

Asperger's information: http://1.usa.gov/3tGSp5

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Conn. Shooter Had Hundreds of Rounds

Adam Lanza had hundreds of rounds and used multiple high capacity magazines when he went on a rampage at Sandy Hook Elementary School, killing 20 first graders and six adults, Connecticut State Police said today.

After shooting at victims in two classrooms and a hallway with a high-powered semi-automatic rifle, he put a bullet into his own head with a handgun.

"The weapon that was utilized most of the time during this horrific crime was identified as a Bushmaster AR-15 assault weapon," Connecticut State Police Lt. Paul Vance said. "The trajectory of the shots and all of the ammunition used in the horrible crime will be examined."

Vance said three weapons were found at the scene, while a fourth, a shotgun, was recovered from Lanza's vehicle.

While the shattered community of Newtown awaits President Obama's visit this afternoon, plans for the first funerals were announced.

Noah Pozner, the first grader whose twin sister survived the massacre, and 6-year-old Jack Pinto, will be laid to rest in separate ceremonies Monday afternoon.

The funeral for Jessica Rekos, 6, will be held on Tuesday at St. Rose of Lima Roman Catholic Church, where several of the victims' families attend mass.

The community faced a new shock today when parishioners attending the midday service at Rose of Lima were told to evacuate after a church official became aware of a credible threat.

About 1,000 people were gathered inside the church at the time observing one of four memorial services being held there.

Witnesses said police entered the church and told parishioners that a threat had been made against the church and the surrounding area and that everyone had to leave immediately.

More than a dozen state troopers armed with assault rifles entered the church's education center next to the church, but after a short time it was determined that threat was over.

Brian Wallace, director of communications for the Diocese of Bridgeport, said that after massacre on Friday, he felt evacuation was a vital precaution to take.

"I don't think any of us could be surprised about anything after what has happened," Wallace said.

Meanwhile, police are working to understand what set Lanza off on his rampage.

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ABC News has learned that investigators have seized computers belonging to the 20-year-old from the home he shared with his mother Nancy, the same place he killed her before going to the Sandy Hook Elementary School, where he slaughtered students in two first-grade classes and teachers and staff.

CLICK HERE for full coverage of the tragedy at the elementary school.

Authorities are forensically investigating those computers and are also examining devices owned by Ryan Lanza, the gunman's older brother, to see if they can learn anything more about Adam and what caused him to snap.

Members of the community gathered today at churches across the small town, seeking comfort, clarity or just a cry.

With intermittent freezing rain falling, the bells tolled at St. Rose of Lima as parishioners came for the morning service.

Little more than a week before Christmas when congregants celebrate the birth of the savior, they instead were mourning the deaths of people they knew.

Many of the victims attended the church and the clergy is preparing for the funerals of eight of the children.

As parishioners arrived at the church for the morning service, many stopped at a makeshift memorial with flowers, teddy bears and candles. On large white boards, people wrote notes that express condolences, hope, and even forgiveness.

One says "Rest in Peace Sweet Angels."

After a man and woman knelt down at the memorial -- the woman overcome by grief crying into her husband's arms -- two police officers opened their cars with a delivery: bouquets of flowers and teddy bears stacked in the back of their vehicles. They delicately placed each one down and then both knelt down at the vigil.

The female officer began crying and her male partner put his arm around her to comfort her. She quickly got up, walking to her car while wiping away tears, and then they pulled away.

READ: Complete List of Sandy Hook Victims

A mother and two young daughters came next. She gripped one while she also wiped away tears. A father and his young daughter also came up, the father kneeling and talking to the girl before they slowly walked into the church.

A state police trooper was also among those dropping flowers at the memorial comprised of candles, stuffed toys and a sign that says "Sleep in heavenly peace."

Police Tracing Guns Used in Shooting

At a news conference this morning, Vance said there are many pieces missing in the investigation and investigators continue to work inside Sandy Hook Elementary School to collect evidence.

Key to the investigation will also be the four firearms found at or near the crime scene, he said.

"We are tracing them historically, all the way back to when they were on the workbench being assembled," Vance said.

Authorities are wrapping up their processing of the exterior crime scene, which included vehicles parked in the school's lot at the time of the shooting, Vance said, and have began to release the cars back to their owners.

Vance declined to say what evidence has or has not been collected.

"We can't take segments of an investigation and discuss that publicly because something taken out of context could be misinterpreted," he said, adding that in the end, the "goal is to answer every single question.

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Motor Racing: Grosjean thrills Bangkok with Race of Champions win

BANGKOK: French Formula One star Romain Grosjean claimed the Race of Champions in Bangkok late on Sunday, besting some of the biggest names in motorsport including Sebastian Vettel and Michael Schumacher.

Grosjean beat Le Mans legend Tom Kristensen in the best-of-three final to the competition, which brought together heavyweights from all racing disciplines in the same type of car including IndyCar Series champion Ryan Hunter-Reay and rally driver Sebastien Ogier.

Grosjean, who endured a controversy-marked season in his Formula One Lotus car, ended the year in style with the inspired win at the custom-built tarmac track in Bangkok's 50,000-capacity Rajamangala Stadium.

Grand prix legend Schumacher was knocked out by Grosjean in the semi-final of the headline event while three-time Formula One champion Vettel stumbled at the quarters for the second year running.

But it was not all bad news for the German superstar, as he claimed the ROC Nations Cup on Saturday for the sixth time in a row with compatriot Schumacher.

The 25th edition of the event comes as Thailand makes moves to host its first Formula One race in 2014.

- AFP/fa

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Violence flares in Cairo as Egyptians vote

CAIRO (Reuters) - Islamists attacked the offices of an Egyptian opposition party newspaper on Saturday, security sources said, as people voted on a new constitution intended to pull the country out of a growing political crisis.

The newspaper of the Wafd party in Cairo was targeted with petrol bombs and birdshot, the sources said, in the latest of a series of violent incidents surrounding a divisive referendum designed to pave the way to national elections next year.

The attack came as officials began counting votes after polling stations closed at 11 p.m. (1600 ET).

Official results will not come until after a second round of voting in remaining areas of the country next Saturday, but conflicting claims were already emerging from the rival camps.

A spokesman for the opposition National Salvation Front said it had indications that 60-65 percent of voters in Cairo and other cities had rejected the new constitution, while President Mohamed Mursi's Muslim Brotherhood allies said that after 1 million votes had been counted, 72.5 percent were in favor.

Mostafa Shafik, managing editor at Wafd's newspaper, which is located next to the party headquarters, said his offices had been damaged.

"The attackers used Molotov cocktails to enter, which left minor areas burned," he said.

A Reuters photographer saw a dozen or so cars damaged inside the Wafd headquarters' grounds, their windows broken. Glass was also broken in the headquarters, but he saw no immediate signs of fire damage. Two people appeared to have been injured.

Wafd blamed followers of Hazem Abu Ismail, a Salafist preacher, for the attack, but he used his Facebook page to deny involvement.

Violence in Cairo and other cities has marred the run-up to the referendum. Several party buildings belonging to the Muslim Brotherhood's Freedom and Justice party have been burned in protests.

Rival factions armed with clubs, knives and swords fought in the streets of Alexandria on Friday. Opposition supporters trapped a Muslim preacher inside his mosque after he backed a "yes" vote in favor of the constitution.

ANGRY DEMONSTRATIONS

President Mursi provoked angry demonstrations when he issued a decree last month expanding his powers and then fast-tracked the draft constitution through an assembly dominated by his Muslim Brotherhood group and its allies. At least eight people were killed in clashes last week outside the presidential palace.

His liberal, secular and Christian opponents say the constitution is too Islamist and tramples on minority rights. Mursi's supporters say the charter is needed if progress is to be made towards democracy nearly two years after the fall of military-backed strongman Hosni Mubarak.

"The sheikhs (preachers) told us to say 'yes' and I have read the constitution and I liked it," said 53-year-old Adel Imam as he queued to vote in Cairo on Saturday. "The country will move on."

Turnout was high enough for voting to be extended by four hours in Cairo and some other cities.

In order to pass, the constitution must be approved by more than 50 percent of voters who cast ballots. A little more than half of Egypt's electorate of 51 million are eligible to vote in the first round in Cairo and other cities.

Rights groups reported some abuses, such as polling stations opening late, officials telling people to vote "yes", bribery and intimidation.

But Gamal Eid, head of the Arab Network for Human Rights Information, which is monitoring the vote, said nothing reported so far was serious enough to invalidate the referendum.

TRANSITION

Christians, making up about 10 percent of Egypt's 83 million people and who have long complained of discrimination, were among those waiting at a polling station in Alexandria to oppose the basic law. They fear Islamists, long repressed by Mubarak, will restrict social and other freedoms.

"I voted 'no' to the constitution out of patriotic duty," said Michael Nour, a 45-year-old Christian teacher in Alexandria. "The constitution does not represent all Egyptians."

Howaida Abdel Azeem, a post office employee, said: "I said 'yes' because I want the destruction the country is living through to be over and the crisis to pass."

Islamists are counting on their disciplined ranks of supporters and the many Egyptians who may fall into line in the hope of ending turmoil that has hammered the economy and sent Egypt's pound to eight-year lows against the dollar.

Mursi was among the early voters after polls opened at 8 a.m. (0600 GMT). He was shown on television casting his ballot shielded by a screen and then dipping his finger in ink - a measure to prevent people voting twice.

The second round will be held in other regions on December 22 because there are not enough judges willing to monitor all polling stations after some said they would boycott the vote.

Egyptians are being asked to accept or reject a constitution that must be in place before a parliamentary election can be held next year to replace an Islamist-led parliament dissolved in June. Many hope this will lead Egypt towards stability.

If the constitution is voted down, a new assembly will have to be formed to draft a revised version, a process that could take up to nine months.

The army has deployed about 120,000 troops and 6,000 tanks and armoured vehicles to protect polling stations and other government buildings. While the military backed Mubarak and his predecessors, it has not intervened in the present crisis.

(Writing by Edmund Blair and Giles Elgood; Editing by Tom Pfeiffer)

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Interaction key to end Kudankulam-like stir: IAEA chief

KORIYAMA (FUKUSHIMA): UN nuclear watchdog IAEA chief Yukiya Amano on Saturday called for 'better communication and higher transparency' in dealing with Kudankulam-like protests. Even as he sought to distance himself from both sides — protesters as well as votaries of nuclear power —the director-general said that the issue of spent N-fuel, which is at the core of protests in India, was one of the lessons the world learnt from the accident at Fukushima Daiichi N-plant in Japan last year.

Amano was talking exclusively to TOI here on the sidelines of the Fukushima ministerial conference that saw many smaller countries pleading for nuclear power generation to deal with rising fossil fuel prices and climate change issues. The conference, which was presided over by Japanese foreign minister Koichiro Gemba, was held to strengthen N- safety worldwide.

"I don't have any particular comment on opposition to nuclear power anywhere, or those who support it, but if I can give a recommendation, we need to share both good news and bad news to be able to get a better understanding of the problem," he told TOI, replying to a query about protests in India that have delayed the commissioning of the first unit at Kudankulam.

"Communication is one of the areas where we need to improve and IAEA has been organizing meetings of global experts to look into this. We have to explain complicated things in a simple manner and it is only through better communication and higher transparency that we can achieve this," he added.

Amano admitted that the safety aspect of the spent N-fuel was a very important issue. The government's 'success' in acquiring reprocessing rights from Russia has become a millstone around its neck as this prevents it from sending the spent or used fuel back to Russia. The government painstakingly maintains that it considers spent fuel an asset that is used to produce electricity.

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Fewer health care options for illegal immigrants

ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.

The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.

To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.

But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.

When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.

And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.

In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."

The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.

Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.

Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.

A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.

California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.

The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.

And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.

If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.

Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.

The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.

"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."

Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.

There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.

Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.

For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.

"They always attended to me," she said, "even though it's slow."

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Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .

Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .

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