Study: DVRs now in half of US pay-TV homes

NEW YORK (AP) — A new survey finds that digital video recorders are now in more than half of all U.S. homes that subscribe to cable or satellite TV services.

Leichtman Research Group‘s survey of 1,300 households found that 52 percent of the ones that have pay-TV service also have a DVR. That translates to about 45 percent of all households and is up from 13.5 percent of all households surveyed five years ago by another firm, Nielsen.

The first DVRs came out in 1999, from TiVo Inc. and ReplayTV. Later, they were built into cable set-top boxes. The latest trend is “whole-home” DVRs that can distribute recorded shows to several sets.

Even with the spread of DVRs, live TV rules. Nielsen found last year that DVRs accounted for 8 percent of TV watching.

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Noisy city: Cacophony in Caracas sparks complaints

CARACAS, Venezuela (AP) — This metropolis of 6 million people may be one of the world’s most intense, overwhelming cities, with tremendous levels of crime, traffic and social strife. The sounds of Caracas‘ streets live up to its reputation.

Stand on any downtown corner, and the cacophony can be overpowering: Deafening horns blast from oncoming buses, traffic police shrilly blow their whistles and sirens shriek atop ambulances stuck in bumper-to-bumper traffic.

Air horns routinely used by bus drivers are so powerful they make pedestrians on crosswalks recoil, and can even leave their ears ringing. Loud salsa music blares from the windows of buses, trucks with old mufflers rumble past belching exhaust, and “moto-taxis” weave through traffic beeping high-pitched horns.

Growing numbers of Venezuelans are saying they’re fed up with the noise that they say is getting worse, and the numbers of complaints to the authorities have risen in recent years.

One affluent district, Chacao, put up signs along a main avenue reading: “A honk won’t make the traffic light change.”

“The noise is terrible. Sometimes it seems like it’s never going to end,” said Jose Santander, a street vendor who stands in the middle of a highway selling fried pork rinds and potato chips to commuters in traffic.

Prosecutor General Luisa Ortega recently told a news conference that officials have started “putting an increased emphasis on promoting peaceful coexistence” by punishing misdemeanors such as violations of anti-noise regulations and other minor crimes. That effort has translated into hundreds of noise-related cases in recent years.

Some violators are ordered to perform community service. For instance, two young musicians who were recently caught playing loud music near a subway station were sentenced to 120 hours of community service giving music lessons to students in public schools.

Others caught playing loud music on the street have been charged with disturbing the peace after complaints from neighbors. Fines can run as high as 9,000 bolivars, or $ 2,093.

On the streets of their capital, however, Venezuelans have grown used to living loudly. The noisescape adds to a general sense of anarchy, with many drivers ignoring red lights and blocking intersections along potholed streets strewn with trash.

“This is something that everybody does. Nobody should be complaining,” said Gregorio Hernandez, a 23-year-old college student, as he listened to Latin rock songs booming from his car stereo on a Saturday night in downtown Caracas. “We’re just having fun. We’re not hurting anybody.”

Adding to the mess is the country’s notoriously divisive politics, which regularly fill the streets with marches and demonstrations.

On many days, the shouts of protesters streaming through downtown can be heard from blocks away, demanding pay hikes or unpaid benefits.

And the sporadic crackling of gunfire in the slums can be confused for firecrackers tossed by boisterous partygoers.

It’s difficult to rank the world’s noisiest cities because many, including Venezuela’s capital, don’t take measurements of sound pollution, said Victor Rastelli, a mechanical engineering professor and sound pollution expert at Simon Bolivar University in Caracas. But Rastelli said he suspects Caracas is right up there among the noisiest, along with Sao Paulo, Mexico City and Mumbai.

Excessive noise can be more than simply an annoyance, Rastelli said. “This is a public health problem.”

Dr. Carmen Mijares, an audiologist at a private Caracas hospital, said she treats at least a dozen patients every month for hearing damage caused by prolonged exposure to loud noises.

“Many of them work in bars or night clubs, and their maladies usually include temporary hearing loss and headaches,” Mijares said. For others, she said, the day-to-day noise of traffic, car horns and loud music can exacerbate stress and sleeping disorders.

Several cities have successfully reduced noise pollution, said Stephen Stansfeld, a London psychiatry professor and coordinator of the European Network on Noise and Health.

One of the most noteworthy initiatives, Stansfeld said, was in Copenhagen, Denmark, where officials used sound walls, noise-reducing asphalt and other infrastructure as well as public awareness campaigns to fight noise pollution.

But such high-tech solutions seem like a remote possibility in Caracas, where streets are literally falling apart and aging overpasses regularly lack portions of their guard rails. Prosecutors, angry neighbors and others hoping to fight the noise will have to persuade Venezuelans to do nothing less than change their loud behavior.

For Carlos Pinto, however, making noise is practically a political right.

The 26-year-old law student and his friends danced at a recent street party to house music booming from woofers in his car’s open trunk, with neon lights on the speakers that pulsed to the beat.

When asked about the noise, he answered: “We will be heard.”

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AP freelance video journalist Ricardo Nunes contributed to this report.

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Christopher Toothaker on Twitter: http://twitter.com/ctoothaker

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Dear President Obama: My White House petition requires your magical powers

By Chris Wilson

Since President Barack Obama won reelection, the White House website for citizen petitions has received secession requests from all 50 states. In the case of Texas, more than 100,000 people have endured the inconvenience of entering their name and email address in order to support the state’s bid for autonomy. Apparently, in a sign of Americans’ growing distaste for physical activity, 2012 is the year when people stopped threatening to move to a foreign country if their candidate lost the presidency. Instead, they want foreign countries to move to them.

The forum-happy Internet activism crowd has never had a realistic sense of what happens when you to plug government directly into the Ethernet port. This is what happens: In addition to petitions for secession, you get ones calling for Bigfoot to be recognized as an endangered species, naturopathic medicine to be covered by Obamacare, and funding for a Death Star beginning in 2016.

The petition website, called We the People, is not very useful as a guide to what Americans really care about. But it is useful as a guide to how people think of what the government can do, down to the specific words the authors use in the petitions.

Of the 300 most recent petitions, only three request that the government “protect” something—states rights, email privacy, the planet—while seven request that it “recognize” something—same-sex marriage, hate groups, and so forth. Dozens ask that Obama “grant” or “allow” a certain privilege, while only a few suggest he “ban” an action or “prevent” an outcome.

The interactive below arranges the petitions into a tree structure by the principal verb in the title. When you click a blue dot, the tree expands to show all the petitions that begin with that verb. You can mouse over those branches to see the original wording of the petition and search for any word you like by typing a phrase into the box at the top.

 

Bigfoot aside, most of the petitions on the site are earnest. This does not mean they are all sane. About 37,000 people have signed a petition suggesting that it be illegal to offend the prophets of major religions. Another petition demands recognition that Israel is responsible for 9/11—that one with only some 600 signatories.

But many present very good ideas. There’s one for reforming the Electoral College and another that suggests all scientific papers based on taxpayer-funded research should be freely accessible online.

If there is one binding force behind the petitions, it is that most of them request that Obama intercede in matters that he has no authority over or rightful business meddling with, regardless of where one comes down on the subject of big government. While the site is technically designed to lobby the government, most petitions appear personally directed at Obama.

Even the petitions to secede are written in a tone of distinct obeisance: “Peacefully grant the state of Connecticut to withdraw from the United States of America and create its own new government.” Oregon’s petition is particularly careful to specify that there are no hard feelings: “Allow Oregon to vote on and leave the union peacefully and remain an ally to the nation.”

Secession always seemed to me to be something that, by definition, you did without asking permission. (Mutual breakups are as rare in history as they are in love.) But for all the rampant anti-government sentiment in America, many people still believe the president is an omnipotent force who can pass laws on a dime, ban unsavory behavior, manipulate foreign countries with precision, expel citizens at will and otherwise bend the world to his fancy.

This does not mean people love the government. We know they do not. But they still want it to fix their problems with as little trouble as possible.

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There are some great open-source tools, like Python’s Natural Language Toolkit, that can automatically identify verbs and objects in sentences with fairly high accuracy. But a lot of human intervention is still required to clean up the results. I posted the code for retrieving the petitions from the White House website on my Github page, and the White House offers the full code for the petitions website on its Github page. Questions or comments? Email me at [email protected]
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Womens’ stories dominate 2013 Sundance film lineup

NEW YORK (Reuters) – The Sundance Film Festival, the top U.S. film festival for independent cinema, on Wednesday unveiled its lineup for 2013, with films centered on female characters dominating the American fiction film competition.

The 113 feature length movies, including both narrative films and documentaries, cover a range of topics, but more than half of those chosen for the U.S. dramatic competition focus on stories about women, including several about females exploring sexual relationships.

That includes “May In The Summer,” director Cherien Dabis’s new film about a bride-to-be forced to re-evaluate her life when she reunites with her family in Jordan that is one of 16 films in the U.S. dramatic competition.

It will kick off Sundance on January 17 as one of four first-night screenings that will comprise of one feature and one documentary from each of the U.S. films and world cinema sections – movies made outside the United States.

Overall, 4,044 feature films from around the world were submitted for the festival that is backed by Robert Redford’s Sundance Institute for filmmaking and is the premiere U.S. event for movies made outside Hollywood’s major studios.

Indie films from Sundance festivals that have gone on to critical success include last year’s winner, “Beasts of the Southern Wild,” as well as “The Sessions,” and “Little Miss Sunshine” and “An Inconvenient Truth”.

Other features about female journeys include writer director Lynn Shelton’s “Touchy Feely,” about a massage therapist unable to do her job when she suddenly has an aversion to bodily contact.

“There are a lot of women’s stories, and interestingly enough, a lot of those stories exploring sexual relationships,” the festival’s program director Trevor Groth said in an interview, noting it was a natural extension of an increase in female directors.

“We have had some over the years that have been from a male gaze looking at sexual politics and sexual relationships, but this year we have got a wave of films doing that from a female perspective, which is intriguing and exciting.”

Those include “Afternoon Delight”, a dark comedy about a lost L.A. housewife who takes in a young stripper, “Concussion”, about a woman in a lesbian relationship who becomes a call girl, and “The Lifeguard”, about a reporter who quits her job in New York and moves back home to Connecticut.

Stories from the male perspective include “C.O.G.”, the first film adaptation of comic writer David Sedaris. Adapted from a short story from Sedaris’ best-selling 1997 essay collection, “Naked”, Sedaris has co-written the screenplay about a cocky man traveling to Oregon to work on an apple farm.

PUNK PRAYERS

Other “Day One” screenings include “Crystal Fairy”, about two strangers on a road trip in Chile, and the documentaries “Twenty Feet From Stardom”, about backup singers for some of the biggest bands in pop music and “Who Is Dayani Cristal?”, about the search for an anonymous body in the Arizona desert.

Nonfiction films from the world documentary section tackle subjects ranging from Russian punk protest band Pussy Riot in “Pussy Riot — A Punk Prayer”, to the 2008 Sichuan earthquake “Fallen City” to Google’s quest to build a giant digital library “Google and the World Brain”.

And returning to the United States, among American documentaries are an examination of the occupy Wall Street movement “99% – The Occupy Wall Street Collaborative Film”, “Dirty Wars” about America’s covert wars and “Manhunt” that looks inside the CIA’s conflict against Al Qaeda.

Festival director John Cooper noted the strength and “immediacy” of the documentary lineup and “the way these films explain and expose the issues of our time, like economic inequality, corporate corruption and greed, the problems and sometimes the solutions of living in this information age”.

Movies in the Premieres section, which unlike the competition sections feature more established directors, will be announced December 3.

Overall, this year’s festival will feature movies from 32 countries and 51 first-time filmmakers. The festival begins on January 17, 2012 and runs through January 27.

(Reporting By Christine Kearney, editing by Patricia Reaney)

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Voters Come Clean on Health Care

Nov 29, 2012 1:56pm

Reported by Dr. Nisha Nathan:

 Voters who backed President Obama and those who supported Mitt Romney just can’t seem to agree on key health care issues, a new study suggests. But they’ll have to compromise if they want change in Washington.

The study, which drew on the combined data of three pre-election and exit polls, found that Obama supporters were three times more likely to say that health care was the most important problem facing the country.

These polls are a “very good prediction of what positions administrators will take on, and what directions they will move, especially in health and social policy,” said Robert Blendon, a professor of health policy at Harvard University and lead author of the study published Wednesday in the New England Journal of Medicine. But, Blendon added, “People’s views could change and shift and might not be as polarized as reflected in the polls.”

The majority of voters, according to the study, saw President Obama as better than Mitt Romney at handling key issues in health care and Medicare, but not as good as his Democratic predecessors in the three previous elections.  And while most Americans — 85 percent of Obama voters and 53 percent of Romney voters — agreed that the government should try to fix the health care system, how this fix should happen remained a point of contention.

Obama voters wanted the Affordable Care Act instituted and supported a more activist government that would intervene more directly in the U.S. health care system. They also opposed changing the structure of the Medicare and Medicaid programs.

Obama supporters also wanted the federal government to have more responsibility in health care reform, but they disagreed on how the the government should use this responsibility.  The party remains split between the market approach in which the government provides incentives for healthy competition between hospitals, doctors and health insurance companies, and increased regulation of what insurance companies, doctors and hospitals can charge.

Abortion is another controversial health issue in which the country remains strongly divided. Forty-five percent of Obama voters thought that abortion should be legal no matter what, while 57 percent of Romney followers wanted abortion to be illegal in most or all cases, according to the study. Blendon said the president would likely have to balance both parties’ views, a move that might pan out through Planned Parenthood funding and Supreme Court appointments.

While Obama’s narrow win would force a delicate balance in health policy decisions, Blendon predicted that Romney followers would still be slightly disappointed. “The Affordable Care Act is not going to be repealed, and it will go ahead,” he said. But with the Senate maintaining a Democratic majority and the House of Representatives staying Republican, there will have to be a lot of compromise when it comes to health care.

Expect push back, Blendon said. “In many parts of the country, this will not go ahead rapidly, even though the president won the election.”

SHOWS: World News

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Ice on Mercury, despite nearby Sun

New evidence suggests Mercury's north polar region contains large deposits of ice. (NASA/Johns Hopkins Univers …NASA's Messenger spacecraft has discovered evidence that the planet Mercury has enough ice on its surface to encase Washington, D.C., in a block two and a half miles deep.

"For more than 20 years the jury has been deliberating on whether the planet closest to the Sun hosts abundant water ice in its permanently shadowed polar regions," writes Sean Solomon of the Columbia University's Lamont-Doherty Earth Observatory, the principal investigator of the Messenger mission. The spacecraft "has now supplied a unanimous affirmative verdict."

"These reflectance anomalies are concentrated on poleward-facing slopes and are spatially collocated with areas of high radar backscatter postulated to be the result of near-surface water ice," Gregory Neumann of NASA's Goddard Space Flight Center writes in the paper. "Correlation of observed reflectance with modeled temperatures indicates that the optically bright regions are consistent with surface water ice."

The study results were published on Wednesday in Science magazine, which explains in its summary, "The buried layer must be nearly pure water ice. The upper layer contains less than 25 wt.% water-equivalent hydrogen. The total mass of water at Mercury's poles is inferred to be 2 × 10¹⁶ to 10¹⁸ g and is consistent with delivery by comets or volatile-rich asteroids."

Radar imaging of Mercury has long suggested that there could be large deposits on the planet's surface, with reports dating to 1991. But today's report presents harder evidence supporting that theory.

Messenger has fired more than 10 million laser imaging pulses at Mercury's surface since arriving in its orbit in 2011. Feedback from those pulses have helped NASA in its quest to verify whether ice is present in Mercury's poles, which are largely shielded from exposure to the sun's rays.

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Boehner: ‘No substantive progress’ on fiscal cliff talks

Republican House Speaker John Boehner (Alex Wong/Getty Images)

WASHINGTON—House Speaker John Boehner on Thursday offered a grim portrayal of the progress between Republicans and Democrats on a deal to avoid a series of automatic tax increases next year.

"No substantive progress has been made in the talks between the White House and the House during the past two weeks," Boehner said during a press briefing on Capitol Hill, signaling that little had changed since Republicans presented their framework for a deal earlier this month.

Both parties are currently negotiating behind closed doors to produce a deal to avoid many of the tax increases. Boehner said Thursday that he continues to be open to the Democrats' call for policies that would increase tax revenue, but only in exchange for an overhaul of the federal government's expensive entitlement programs.

"Revenue is only on the table if there are serious spending cuts that are part of this agreement," Boehner said.

Boehner, an Ohio Republican, confirmed that he spoke to President Barack Obama by phone on Wednesday night about the state of the negotiations. While he characterized the conversation as "straightforward," Boehner declined to discuss details.

Moments after Boehner made his remarks, Senate Majority Leader Harry Reid held his own press conference with other Democratic Senate leaders, including Patty Murray of Washington, Dick Durbin of Illinois and Charles Schumer of New York. Reid said Democrats would stick with their proposal to let the Bush-era tax rates expire for families that earn more than $250,000 per year and were waiting for Republicans to respond.

When asked about Boehner's comments that he would do nothing until Democrats put forth a new proposal, Reid replied: "I don't understand his brain."

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Myanmar cracks down on mine protest; dozens hurt

MONYWA, Myanmar (AP) — Security forces used water cannons and other riot gear Thursday to clear protesters from a copper mine in in northwestern Myanmar, wounding villagers and Buddhist monks just hours before opposition leader Aung San Suu Kyi was to visit the area to hear their grievances.

The crackdown at the Letpadaung mine near the town of Monywa risks becoming a public relations and political fiasco for the reformist government of President Thein Sein, which has been touting its transition to democracy after almost five decades of repressive military rule.

The environmental and social damage allegedly produced by the mine has become a popular cause in activist circles, but was not yet a matter of broad public concern. However, hurting monks — as admired for their social activism as they are revered for their spiritual beliefs — is sure to antagonize many ordinary people, especially as Suu Kyi’s visit highlights the events.

“This is unacceptable,” said Ottama Thara, a 25-year-old monk who was at the protest. “This kind of violence should not happen under a government that says it is committed to democratic reforms.”

According to a nurse at a Monywa hospital, 27 monks and one other person were admitted with burns caused by some sort of projectile that released sparks or embers. Two of the monks with serious injuries were sent for treatment in Mandalay, Myanmar’s second biggest city, a 2 ½ hour drive away. Other evicted protesters gathered at a Buddhist temple about 5 kilometers (3 miles) from the mine’s gates.

Lending further sympathy to the protesters’ cause is whom they are fighting against. The mining operation is a joint venture between a Chinese company and a holding company controlled by Myanmar’s military. Most people remain suspicious of the military, while China is widely seen as having propped up army rule for years, in addition to being an aggressive investor exploiting the country’s many natural resources.

Government officials had publicly stated that the protest risked scaring off foreign investment that is key to building the economy after decades of neglect.

State television had broadcast an announcement Tuesday night that ordered protesters to cease their occupation of the mine by midnight or face legal action. It said operations at the mine had been halted since Nov. 18, after protesters occupied the area.

Some villagers among a claimed 1,000 protesters left the six encampments they had at the mine after the order was issued. But others stayed through Wednesday, including about 100 monks.

Police moved in to disperse them early Thursday.

“Around 2:30 a.m. police announced they would give us five minutes to leave,” said protester Aung Myint Htway, a peanut farmer whose face and body were covered with black patches of burned skin. He said police fired water cannons first and then shot what he and others called flare guns.

“They fired black balls that exploded into fire sparks. They shot about six times. People ran away and they followed us,” he said, still writhing hours later from pain. “It’s very hot.”

Photos of the wounded monks showed they had sustained serious burns on parts of their bodies. It was unclear what sort of weapon caused them.

The protest is the latest major example of increased activism by citizens since the elected government took over last year. Political and economic liberalization under Thein Sein has won praise from Western governments, which have eased sanctions imposed on the previous military government because of its poor record on human and civil rights. However, the military still retains major influence over the government, and some critics fear that democratic gains could easily be rolled back.

In Myanmar’s main city of Yangon, six anti-mine activists who staged a small protest were detained Monday and Tuesday, said one of their colleagues, who asked not to be identified because he did not want to attract attention from the authorities.

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Russian court bans “extremist” Pussy Riot video

MOSCOW (Reuters) – A Russian court ruled on Thursday that video footage of the Pussy Riot punk group protesting against President Vladimir Putin in a church was “extremist” and should be removed from websites.

The demonstration last February offended many Russian Orthodox Christians. But Putin has been criticized by U.S. and European leaders over what they saw as disproportionate jail sentences imposed on three Pussy Riot members. Their trial was also seen by Putin’s critics as part of a clampdown on dissent.

The Moscow court said it had based its ruling on conclusions by a panel of experts who studied the video, showing band members in colorful mini-skirts and ski masks dancing in front of the altar of Moscow’s main Russian Orthodox cathedral.

Judge Marina Musimovich said the footage “has elements of extremism; in particular there are words and actions which humiliate various social groups based on their religion”. She said it also had calls for mutiny and “mass disorder”.

The verdict said that free distribution of the video could ignite racial and religious hatred.

The court’s ruling applies to other videos released by the band, including a performance in Moscow’s Red Square, where calls for mass disorder could be heard. Such calls were not made inside the church.

The websites are now likely to be included in a state register and could be blocked if the banned content is not removed.

The Russian communications regulator Roskomnadzor said that once the court decision takes effect it will monitor how it is implemented.

Three members of Pussy Riot convicted in August of hooliganism motivated by religious hatred for their “punk prayer”, which the Russian Orthodox Church has cast as part of a concerted attack on the church and the faithful.

The women said the protest, in which they burst into Christ the Saviour Cathedral and called on the Virgin Mary to rid Russia of Putin, was not motivated by hatred and was meant to mock the church leadership’s support for the longtime leader.

Band members Nadezhda Tolokonnikova and Maria Alyokhina are serving two-year jail sentences over the protest last February. A third member, Yekaterina Samutsevich, walked free last month when her sentence was suspended on appeal.

“To me this is a clear attribute of censorship – censorship of art and censorship of culture, of the protest culture which is very important for any country, let alone for Russia,” Samutsevich told reporters outside court.

“Now of course the fact that they will be blocking all Pussy Riot videos as I understand, all photos – this is horrible. Naturally, I will lodge an appeal and I will try to do it today,” she added.

Putin, a former KGB officer who has cultivated close ties with the Orthodox church over 13 years in power, has rebuffed Western criticism about the prison terms meted out.

(Additional reporting Valery Stepchenkov; Editing by Mark Heinrich)

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Clinton releases road map for AIDS-free generation

WASHINGTON (AP) — In an ambitious road map for slashing the global spread of AIDS, the Obama administration says treating people sooner and more rapid expansion of other proven tools could help even the hardest-hit countries begin turning the tide of the epidemic over the next three to five years.

“An AIDS-free generation is not just a rallying cry — it is a goal that is within our reach,” Secretary of State Hillary Rodham Clinton, who ordered the blueprint, said in the report.

“Make no mistake about it, HIV may well be with us into the future but the disease that it causes need not be,” she said at the State Department Thursday.

President Barack Obama echoed that promise.

“We stand at a tipping point in the fight against HIV/AIDS, and working together, we can realize our historic opportunity to bring that fight to an end,” Obama said in a proclamation to mark World AIDS Day on Saturday.

Some 34 million people worldwide are living with HIV, and despite a decline in new infections over the last decade, 2.5 million people were infected last year.

Given those staggering figures, what does an AIDS-free generation mean? That virtually no babies are born infected, young people have a much lower risk than today of becoming infected, and that people who already have HIV would receive life-saving treatment.

That last step is key: Treating people early in their infection, before they get sick, not only helps them survive but also dramatically cuts the chances that they’ll infect others. Yet only about 8 million HIV patients in developing countries are getting treatment. The United Nations aims to have 15 million treated by 2015.

Other important steps include: Treating more pregnant women, and keeping them on treatment after their babies are born; increasing male circumcision to lower men’s risk of heterosexual infection; increasing access to both male and female condoms; and more HIV testing.

The world spent $ 16.8 billion fighting AIDS in poor countries last year. The U.S. government is the leading donor, spending about $ 5.6 billion.

Thursday’s report from PEPFAR, the President’s Emergency Plan for AIDS Relief, outlines how progress could continue at current spending levels — something far from certain as Congress and Obama struggle to avert looming budget cuts at year’s end — or how faster progress is possible with stepped-up commitments from hard-hit countries themselves.

Clinton warned Thursday that the U.S. must continue doing its share: “In the fight against HIV/AIDS, failure to live up to our commitments isn’t just disappointing, it’s deadly.”

The report highlighted Zambia, which already is seeing some declines in new cases of HIV. It will have to treat only about 145,000 more patients over the next four years to meet its share of the U.N. goal, a move that could prevent more than 126,000 new infections in that same time period. But if Zambia could go further and treat nearly 198,000 more people, the benefit would be even greater — 179,000 new infections prevented, the report estimates.

In contrast, if Zambia had to stick with 2011 levels of HIV prevention, new infections could level off or even rise again over the next four years, the report found.

Advocacy groups said the blueprint offers a much-needed set of practical steps to achieve an AIDS-free generation — and makes clear that maintaining momentum is crucial despite economic difficulties here and abroad.

“The blueprint lays out the stark choices we have: To stick with the baseline and see an epidemic flatline or grow, or ramp up” to continue progress, said Chris Collins of amFAR, the Foundation for AIDS Research.

His group has estimated that more than 276,000 people would miss out on HIV treatment if U.S. dollars for the global AIDS fight are part of across-the-board spending cuts set to begin in January.

Thursday’s report also urges targeting the populations at highest risk, including gay men, injecting drug users and sex workers, especially in countries where stigma and discrimination has denied them access to HIV prevention services.

“We have to go where the virus is,” Clinton said.

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