China's Communists endorse Bo Xilai's expulsion

BEIJING (AP) — China's ruling Communist elite have endorsed the expulsion of former high-flying politician Bo Xilai and approved final preparations for the party's upcoming congress.

The closed-door meeting of the Central Committee that ended Sunday was the last before Communist Party leader Hu Jintao and others in his government begin to cede power to Vice President Xi Jinping and others at the congress, which opens Thursday.

The Central Committee said in a statement by the official Xinhua News Agency that it endorsed decisions to expel Bo and former Railways Minister Liu Zhijun from the Communist Party. Bo is accused of a range of misdeeds including covering up his wife's murder of a British businessman. Liu faces corruption charges.

Xinhua said Hu presided over the meeting and delivered a work report. It said Xi introduced a report of the current five-year session and an amendment to the party charter, both of which will be discussed at the congress. It gave no details.

Xinhua said delegates agreed that the past five years had been "extraordinary" because China had faced a difficult international environment as well as arduous tasks of reform, development and stability.

It also said the economy had grown stably and rapidly, there had been major progress on reform and opening-up, and people's living conditions had improved remarkably.

The policy-setting committee also promoted two generals to the party commission that oversees the military: air force Gen. Xu Qiliang and Gen. Fan Changlong, a career soldier who runs the Jinan Military Area Command and took part in relief efforts after the Sichuan earthquake in 2008.

The Central Committee is comprised of about 370 people from the upper ranks of the party, government and military.

Bo's ouster earlier this year widened rifts within a leadership that likes to project an image of unity. It also complicated the bargaining over the roster of new leaders.

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Google's Android software in 3 out of 4 smartphones

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Foxx, Wonder among stars honoring Eddie Murphy

LOS ANGELES (AP) — However riotous the Eddie Murphy stories from Arsenio Hall, Tracy Morgan, Adam Sandler and Russell Brand, the highlight of Spike TV's tribute to Eddie Murphy was the comedian's duet with Stevie Wonder.

Murphy joined the subject of one of his most classic impressions for a rousing rendition of Wonder's 1973 hit "Higher Ground" during the taping of the Spike TV special "Eddie Murphy: One Night Only," which is set to air Nov. 14. The Roots served as the house band.

Jamie Foxx, Tyler Perry, Martin Lawrence, Chris Rock and Keenan Ivory Wayans were also among those paying tribute to Murphy Saturday at the Saban Theater.

Accompanied by a pretty blonde, Murphy beamed throughout the two-hour program Saturday, saying he was touched by the tribute.

"I am a very, very bitter man," he said with a beguiling smile. "I don't get touched easily, and I am really touched."

Morgan called Murphy "my comic hero" and came onstage wearing a replica of Murphy's red leather suit from his standup show "Delirious."

"He set the tone for the whole industry a long time ago," Morgan said before Saturday's tribute. "He inspired me in a fearless way."

Sandler said he was still in high school when he first saw "Delirious," which he described as "one of the most legendary standup specials of all time."

"Everybody on the planet wanted to be Eddie," he said. "He funnier than us. He's cooler than any of us."

Samuel L. Jackson said Murphy "changed the course of American film history" by giving Jackson his first speaking role on the big screen, in 1988's "Coming to America."

"If it weren't for Eddie, we might not have all the wonderful films that I've made," Jackson said.

"He is a true movie star," Jackson continued, lauding Murphy's performance in "48 Hours" and "Beverly Hills Cop." ''You became an inspiration for all young African-American actors."

The program featured clips of Murphy's standup shows, his film appearances in "Shrek" and "Nutty Professor" and his work on "Saturday Night Live."

Murphy insisted before the tribute that he is retired.

"I'm just a retired old song and dance man," he said, adding that he only makes rare appearances these days. "That's what you do when you're retired: You come out every now and then and talk about the old days."

The 51-year-old entertainer took the stage at the conclusion of the tribute to say that he was moved by the honor.

"This is really a touching moving thing, and I really appreciate it," he said. "You know what it's like when you have something like this? You know when they sing happy birthday to you? It's like that for, like, two hours... and I am Eddied out."

___

Follow AP Entertainment Writer Sandy Cohen on Twitter at www.twitter.com/APSandy.

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Floods render NYC hospitals powerless

NEW YORK (AP) — There are few places in the U.S. where hospitals have put as much thought and money into disaster planning as New York. And yet two of the city's busiest, most important medical centers failed a fundamental test of readiness during Superstorm Sandy this week: They lost power.

Their backup generators failed, or proved inadequate. Nearly 1,000 patients had to be evacuated.

The closures led to dramatic scenes of doctors carrying patients down dark stairwells, nurses operating respirators by hand, and a bucket brigade of National Guard troops hauling fuel to rooftop generators in a vain attempt to keep the electricity on.

Both hospitals, NYU Langone Medical Center and Bellevue Hospital Center, were still trying to figure out exactly what led to the power failures Thursday, but the culprit appeared to be the most common type of flood damage there is: water in the basement.

While both hospitals put their generators on high floors where they could be protected in a flood, other critical components of the backup power system, such as fuel pumps and tanks, remained in basements just a block from the East River.

Both hospitals had fortified that equipment against floods within the past few years, but the water — which rushed with tremendous force — found a way in.

"This reveals to me that we have to be much more imaginative and detail-oriented in our planning to make sure hospitals are as resilient as they need to be," said Irwin Redlener, director of the National Center for Disaster Preparedness at Columbia University's Mailman School of Public Health.

The problem of unreliable backup electricity at hospitals is nothing new.

Over the first six months of the year, 23 percent of the hospitals inspected by the Joint Commission, a health care facility accreditation group, were found to be out of compliance with standards for backup power and lighting, according to a spokesman.

Power failures crippled New Orleans hospitals after Hurricane Katrina. The backup generator failed at a hospital in Stafford Springs, Conn., after the remnants of Hurricane Irene blew through the state in 2011. Hospitals in Houston were crippled when Tropical Storm Allison flooded their basements and knocked out electrical equipment in 2001.

When the Northeast was hit with a crippling blackout in 2003, the backup power at several of New York City's hospitals failed or performed poorly. Generators malfunctioned or overheated. Fuel ran out too quickly. Even where the backup systems worked, they provided electricity to only some parts of the hospital and left others in the dark.

Afterward, a mayoral task force recommended upgrading testing standards for generators and requiring backup plans for blood banks and health care facilities that provide dialysis treatment.

Alan Aviles, president of New York City's Health and Hospitals Corp., which operates Bellevue, said that after a scare last summer when Hurricane Irene threatened to cause flooding, Bellevue put its basement-level fuel pumps in flood-resistant chambers.

It still isn't clear whether water breached those defenses, but when an estimated 17 million gallons of water rushed through loading docks and into the hospital's 1-million-square-foot basement, the fuel feed to the generators stopped working. The floodwaters also knocked out the hospital's elevators.

For two days, National Guardsmen carried fuel to the generators, but conditions inside the hospital for patients and staff deteriorated anyway. The generators were designed to supply only 30 percent of the usual electrical load at the hospital, leaving a lot of equipment and labs hobbled. The hospital also lost all water pressure on Tuesday. Nearly 700 patients had been evacuated by Thursday afternoon.

"The precautions we had taken to date had served us well," Aviles said. "But Mother Nature can always up the stakes."

NYU Langone Medical Center had also tried to armor itself against floods.

All seven of the generators providing backup power to the parts of the hospital involved in patient care are only a few years old and are on higher floors. The fuel tank is in a watertight vault. New fuel pumps were installed just this year in a pump house upgraded to withstand a high flood, said the hospital's vice president of facilities operation, Richard Cohen.

"The medical center invested quite a bit of money to upgrade the facility," he said.

The pump house remained "bone dry," Cohen said. But water shoved aside plastic and plywood defenses and infiltrated the fuel vault, where sensors detected the potentially damaging liquid and shut the generators down. "The force of the surge that came in was unbelievable. It dislodged our additional protection and caused a breach of the vault as well," Cohen said.

The power at NYU went out in a flash, leaving the staff scrambling to evacuate 300 patients with no notice.

Dr. Robert Berg, an obstetrician, said that when he lost power in his apartment, he went to the hospital to charge his cellphone and was stunned to find it in chaos.

"It didn't really occur to me that the hospital was going to be in trouble," he said. Even after finding the lobby dark, "I thought, 'We'll have power upstairs. We're an operating room.'"

He wound up carrying two patients down flights of stairs on a "med sled."

"There was a Category 1 outside and a Category 4 inside," he said. "I can't say that they were very well prepared for it."

That has left only one hospital, Beth Israel Medical Center, functioning in the southern third of Manhattan. It is also on backup power, but brought in two huge new generators Thursday, just in case.

Aviles said Bellevue might be out of commission for at least two more weeks. NYU Langone's generators are operating again, but the hospital is waiting for Consolidated Edison to restore its power before it starts taking patients again. That could happen in a matter of days.

Flooding may pose less of a danger to the hospital's power supply in the future. Construction is under way on a new power plant, at a cost of more than $200 million, that will run on natural gas and supply all the hospital's power needs.

"It's a tremendous facility, with a lot of hardening built into it," Cohen said.

___

AP Medical Writer Mike Stobbe contributed to this report.

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The abortion politics of Campaign 2012: Something that God intended?

Happy birthday, abortion! You’ve bedeviled philosophers, politicians and doctors for 25 centuries! That’s right: Since around the 5th-century B.C., when the Hippocratic Oath for physicians first contained a clause about abortion, we’ve driven ourselves insane over the implications of a simple, common, ancient medical procedure.

As the explosion of abortion punditry in Campaign 2012 made clear, the issue exerts a radioactive fascination. Millions of temples and keyboards began pounding in August after Todd Akin, the Republican candidate for Senate in Missouri, engaged in some pseudoscientific theorizing on the impossibility of pregnancy after a “legitimate rape.” And the number must have reached Carl Sagan proportions after Richard Mourdock, the Republican candidate for Senate in Indiana, uttered this line: “Even when life begins in that horrible situation of rape, that it is something that God intended to happen.”

Yikes. Did Mourdock say rape is divinely inspired? Not exactly. Journalists sensitive to religious cosmologies like Amy Sullivan of the New Republic explained that Mourdock had seen God’s intention only in the life conceived during rape, not the rape itself.

That clarification was useful. It spared Mourdock from the gruesome charge that his God advocates rape—or is Himself the rapist’s accomplice. The Sullivan exegesis put these distracting and chilling questions to rest, more or less.

But Mourdock’s comment still managed to throw into relief an intense disagreement between atheists and religious people. And by “religious people,” I mean everyone from Buddhists to evangelicals to plain-old “everything happens for a reason” American optimists.

This disagreement concerns the mind-consuming question of whether the full catastrophe of existence—including the fact of violent crime, or Hurricane Sandy, or the next president of the United States—might be said to reflect something like “God’s will” or “the order of things” or even “the spiritual perfection of the moment.”

You think abortion makes people squeamish? Try the idea, common to many contemplative traditions, that everything in reality, however painful, is exactly the way it’s supposed to be. Some people feel liberated beyond all understanding by this notion. Others feel sickened, crippled, outraged, disempowered.

But if that’s Mourdock’s logic, we might hold him to it—for consistency’s sake, if nothing else. If conception during forced copulation reflects God’s will, in other words, and if rape itself might even reflect that inscrutable will (since it too is part of reality), then abortion—common and legal as it is in the United States—also reflects God’s will.

And this is where the tension surrounding abortion has always resided. Is the art of medicine—the protection and promotion of life and health—best practiced by allowing or prohibiting abortion?

I’ve found that this tension is thoroughly resolved in the Hipprocratic Oath, of all places. Back at the start. We need not visit Roe v. Wade or the teachings of Operation Rescue. In the ancient oath, the Apollo-worshiping internist vows above all to protect “health and life.” He then specifically says that, toward this end, he won’t perform euthanasia; he won’t perform abortion; and he won’t remove kidney stones and gallstones.

Does that mean these procedures are in themselves immoral? Far from it—as anyone who has had gallstones removed might agree. Rather, these three procedures, we are made to understand, require both philosophical and manual work for which early physicians, trained in medicine but not abdominal surgery, were not qualified. The gallstone sufferer needs a surgeon trained specifically in the art of cutting for stones, says the oath. For a generic medicine man to undertake it would be to risk doing harm—the signal crime against the art of medicine.

The would-be suicide, on the same logic, should administer poison to himself, or have a trusted and willing friend aid him. A physician is not qualified to determine the wishes of a euthanasia candidate, and thus might again betray his oath by doing harm.

Finally, those early non-surgical doctors, are not qualified to perform abortions because they don’t have the manual skills or the philosophical ones. Internists are not qualified to determine when this surgery, which is prima facie harmful, favors the life of the patient, as stone-removal does.

Every pregnancy, in every woman, under every circumstance, affects her “health and life.” And “health and life” are the very ideals that physicians all first pledge to protect. If a woman doesn’t want to be pregnant or bear a child, she has a complaint that’s deeply psychological and deeply physical—at least as physical as gallstones. If medical men and women don’t feel qualified to gauge the distress and seriousness of a woman presenting with pregnancy and asking for an abortion, they should refer her to someone—a gynecological practice, Planned Parenthood—that is qualified to assess the patient and treat her.

There should be a comparable oath for all politicians. (Would that we had drawn it up four years ago. There’s still time for Campiagn 2016!) Some topics should be left to experts and avoided by male politicians with neither philosophical nor medical training, nor firsthand appreciation of the effects of pregnancy and childbirth on health and life.

Richard Mourdock may have just been voicing an armchair view of an age-old medico-philosophical issue that’s consistent with his religious beliefs. But to present outlandish views on the subject of abortion,
without the qualifications to do so—as too many politicians and pundits have done over the past three months—is to do harm.

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As foreigners go, Afghan city is feeling abandoned

KANDAHAR, Afghanistan (AP) — By switching from studying business management to training as a nurse, 19-year-old Anita Taraky has placed a bet on the future of the southern Afghan city of Kandahar — that once foreign troops are gone, private-sector jobs will be fewer but nursing will always be in demand.

Besides, if the Taliban militants recapture the southern Afghan city that was their movement's birthplace and from which they were expelled by U.S.-led forces 11 years ago, nursing will likely be one of the few professions left open to women.

Taraky is one of thousands of Kandaharis who are weighing their options with the approaching departure of the U.S. and its coalition partners. But while she has opted to stay, businessman Esmatullah Khan is leaving.

Khan, 29, made his living in property dealing and supplying services to the Western contingents operating in the city. Property prices are down, and business with foreigners is already shrinking, so he is pulling out, as are many others, he said.

Many are driven by a certainty that the Taliban will return, and that there will be reprisals.   

"From our baker to our electrician to our plumber, everyone was engaged with the foreign troops and so they are all targets for the Taliban. And unless the government is much stronger, when the foreign troops leave, that is the end," Khan said.

The stakes are high. Kandahar, Afghanistan's second city, is the southern counterweight to Kabul, the capital. Keeping Kandahar under central government control is critical to preventing the country from breaking apart into warring fiefdoms as it did in the 1990s.

"Kandahar is the gate of Afghanistan," said Asan Noorzai, director of the provincial council. "If Kandahar is secure, the whole country is secure. If it is insecure, the whole country will soon be fighting."

Even though Kandahar city has traffic jams and street hawkers to give it an atmosphere of normality, there are dozens of shuttered stores on the main commercial street, it's almost too easy to find a parking space these days, and shopkeepers are feeling the pinch.

Dost Mohammad Nikzad said his profits from selling sweets have dropped by a half or more in the past year, to about $30 a day, and he has had to cut back on luxuries.

He said that every month he would buy a new shalwar kameez, the tunic favored by Afghan men; now he buys one every other month.

"I only go out to eat at a restaurant once a week. Before I would have gone multiple times a week," Nikzad said, as he stood behind his counter, waiting for customers to show.

The measurements of violence levels contradict each other. On the one hand, many Kandaharis say things are better this year. On the other hand, the types of violence have changed and, to some minds, gotten worse.

"Before, we were mostly worried about bomb blasts. Now ... we are afraid of worse things like assassinations and suicide attacks," said Gul Mohammad Stanakzai, 34, a bank cashier.

Prying open the Taliban grip on Kandahar and its surrounding province has cost the lives of more than 400 international troops since 2001, and many more Afghans, including hundreds of public officials who have been assassinated by the Taliban.

Kandahar province remains the most violent in the country, averaging more than five "security incidents" a day, according to independent monitors. In Kandahar city, suicide attacks have more than doubled so far this year compared with the same period of 2011, according to U.N. figures.

"They are not fighting in the open the way they were before. Instead they are planting bombs and trying to get at us through the police and the army," said Qadim Patyal, the deputy provincial governor.

The Taliban have said in official statements that they are focusing more on infiltrating Afghan and international forces to attack them. In the Kandahar governor's office, armed Afghan soldiers are barred from meetings with American officials lest they turn on them, Patyal said.

And many point out that the "better security" is only relative. By all measures — attacks, bombings and civilian casualties — Kandahar is a much more violent city now than in 2008, before U.S. President Barack Obama ordered a troop surge.

There are no statistics on how many people have left the city of 500,000, but people are fleeing the south more than any other part of the country, according to U.N. figures. About 32 percent of the approximately 397,000 people who were recorded as in-country refugees were fleeing violence in the south, according to U.N. figures from the end of May.

The provincial government, which is supposed to fill the void left by the departing international forces, has suffered heavily from assassinations. It suffered a double blow in July last year with the killing of Ahmed Wali Karzai, the half-brother of President Hamid Karzai who was seen as the man who made things work in Kandahar, and Ghulam Haider Hamidi, the mayor of the city.

Now, Noorzai says, he can neither get the attention of ministers in Kabul nor trust city officials to do their jobs.

He remembers 2001, when he and others traveled to the capital flying the Afghan flag which had just been reinstated in place of that of the ousted Taliban. "People were throwing flowers and money on our car, they were so happy to have the Afghan flag flying again," he said.

"When we got power, what did we give them in return? Poverty, corruption, abuse."

Mohammad Omer, Kandahar's current mayor, insists that if people are leaving the city, it is to return to villages they fled in previous years because now security has improved.

Zulmai Hafez disagrees. He has felt like a marked man since his father went to work for the government three years ago, and is too frightened to return to his home in the Panjwai district outside Kandahar city. He refused to have his picture taken or to have a reporter to his home, instead meeting at the city's media center.

"It's the Taliban who control the land, not the government," Hafez said. He notes that the government administrator for his district sold off half his land, saying he would not be able to protect the entire farm from insurgents. Many believe the previous mayor was murdered because he went after powerful land barons.

Land reform is badly needed, and the mayor is angry about people who steal land, but he offers no solution. Kandahar only gets electricity about half the day. The mayor says it's up to the Western allies to fix that. But the foreign aid is sharply down. Aid coming to Kandahar province through the U.S. Agency for International Development, the largest donor, has fallen to $63 million this year from $161 million in 2011, according to U.S. Embassy figures.

The mayor prefers to talk about investing in parks and planting trees. "I can't resolve the electricity problem, but at least I can provide a place in the city for people to relax," he said.

The only people thinking long-term appear to be the Taliban.

"The Americans are going and the Taliban need the people's support, so they are trying to avoid attacks that result in civilian casualties," said Noor Agha Mujahid, a member of the Taliban shadow government for Kandahar province, where he oversees operations in a rural district. "After 2014 ... it will not take a month to take every place back."

One of the biggest worries is the fate of women who have made strides in business and politics since the ouster of the Taliban.

"What will these women do?" asked Ehsanullah Ehsan, director of a center that trains more than 800 women a year in computers, English and business. It was at his center where Anita Taraky studied before switching to nursing.

"Even if the Taliban don't come back, even if the international community just leaves, there will be fewer opportunities for women," he said.

On the outskirts of the city stands one of the grandest projects of post-Taliban Kandahar — the gated community of Ayno Maina with tree-lined cement homes, wi-fi and rooftop satellite dishes.

Khan, the departing businessman, says he bought bought 10 lots for $66,000 in Ayno Maina and has yet to sell any of them despite slashing the price,

He recalled that when he first went to the project office it was packed with buyers. "Now it is full of empty houses. No one goes there," Khan said.

Only about 15,000 of the 40,000 lots have been sold, and 2,400 homes built and occupied, according to Mahmood Karzai, one of the development's main backers and a brother of President Karzai. He argues, however, that prices are down all over Afghanistan, and that Ayno Maina is still viable, provided his brother gets serious about reform that will attract investors.

"Afghanistan became a game," he said over lunch at the Ayno Maina office. "The game is to make money and get the hell out of here. That goes for politicians. That goes for contractors."

He shrugged off allegations that he skimmed money from Ayno Maina, saying the claims were started by competitors in Kabul who assume everyone who is building something in Afghanistan is also stealing money.

He said the money went where it was needed: to Western-style building standards and security.

In downtown Kandahar, a deserted park and Ferris wheel serve as another reminder of thwarted hopes. Built in the mid-2000s, the wheel has been idle for two years according to a guard, Abdullah Jan Samad. It isn't broken, he said, it just needs electricity. A major U.S.-funded project to get reliable electricity to the city has floundered and generators that were supposed to provide a temporary solution only operate part-time because of fuel shortages.

"The government should be paying for maintenance for the Ferris wheel," the guard said. "When you build something you should also make sure to maintain it."

____

Associated Press Writer Mirwais Khan contributed to this report from Kandahar.

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Google's Android software in 3 out of 4 smartphones

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Songs offer messages of hope at Sandy benefit show

NEW YORK (AP) — From "Livin' on a Prayer" to "The Living Proof," every song Friday at NBC's benefit concert for superstorm Sandy victims became a message song.

New Jersey's Jon Bon Jovi gave extra meaning to "Who Says You Can't Go Home." Billy Joel worked in a reference to Staten Island, the decimated New York City borough. The hourlong event, hosted by Matt Lauer, was heavy on stars and lyrics identified with New Jersey and the New York metropolitan area, which took the brunt of this week's deadly storm. The telethon was a mix of music, storm footage and calls for donations from Jon Stewart, Tina Fey, Whoopi Goldberg and others.

The mood was somber but hopeful, from Christina Aguilera's "Beautiful" to Bon Jovi's "Livin' on a Prayer" and a tearful Mary J. Blige's "The Living Proof," her ballad of resilience with the timely declaration that "the worst is over/I can start living now." Joel rocked out with "Miami 2017 (Seen the Lights Go Out on Broadway)," a song born from crisis, New York City's near bankruptcy in the 1970s, while Jimmy Fallon endured a faulty microphone and gamely led an all-star performance of the Drifters' "Under the Boardwalk" that featured Joel, Bruce Springsteen and Steven Tyler. The Aerosmith frontman then sat behind a piano and gave his all on a strained but deeply emotional "Dream On." Sting was equally passionate during an acoustic, muscular version of The Police hit "Message In a Bottle" and its promise to "send an SOS to the world."

The show ended, as it only could, with Springsteen and the E Street Band, tearing into "Land Of Hope and Dreams."

"God bless New York," Springsteen, New Jersey's ageless native son, said in conclusion. "God bless the Jersey shore."

The stable of NBC Universal networks, including USA, CNBC, MSNBC, E! Entertainment, The Weather Channel and Bravo, aired the concert live from the NBC studios in Rockefeller Center in midtown Manhattan, several blocks north of where the city went days without power. Millions of people for whom the benefit was organized couldn't watch the event because they had no electricity.

NBC Universal invited other networks to televise the event, but not everyone signed on.

That might have something to do with network rivalries.

In the wake of the Sept. 11 terrorist attacks, the networks organized a benefit together behind the scenes and it was televised on more than 30 networks simultaneously, including all the big broadcasters.

After Hurricane Katrina, NBC televised its own benefit before the other broadcasters, one that became best known for Kanye West's off-script declaration that "George Bush doesn't care about black people." The other broadcasters cooperated on their own telethon a week later, and NBC televised that one, too.

Also this year, NBC organized and scheduled a telethon and gave others the chance to air it.

Others declined to televise Friday's telethon, even though ABC parent Walt Disney Co. said it would donate $2 million to the American Red Cross and various ABC shows will promote a "Day of Giving" on Monday. The CBS Corp., Viacom Inc., parent of "Jersey Shore" network MTV, Fox network owner News Corp. also announced big donations to the Red Cross.

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Floods render NYC hospitals powerless

NEW YORK (AP) — There are few places in the U.S. where hospitals have put as much thought and money into disaster planning as New York. And yet two of the city's busiest, most important medical centers failed a fundamental test of readiness during Superstorm Sandy this week: They lost power.

Their backup generators failed, or proved inadequate. Nearly 1,000 patients had to be evacuated.

The closures led to dramatic scenes of doctors carrying patients down dark stairwells, nurses operating respirators by hand, and a bucket brigade of National Guard troops hauling fuel to rooftop generators in a vain attempt to keep the electricity on.

Both hospitals, NYU Langone Medical Center and Bellevue Hospital Center, were still trying to figure out exactly what led to the power failures Thursday, but the culprit appeared to be the most common type of flood damage there is: water in the basement.

While both hospitals put their generators on high floors where they could be protected in a flood, other critical components of the backup power system, such as fuel pumps and tanks, remained in basements just a block from the East River.

Both hospitals had fortified that equipment against floods within the past few years, but the water — which rushed with tremendous force — found a way in.

"This reveals to me that we have to be much more imaginative and detail-oriented in our planning to make sure hospitals are as resilient as they need to be," said Irwin Redlener, director of the National Center for Disaster Preparedness at Columbia University's Mailman School of Public Health.

The problem of unreliable backup electricity at hospitals is nothing new.

Over the first six months of the year, 23 percent of the hospitals inspected by the Joint Commission, a health care facility accreditation group, were found to be out of compliance with standards for backup power and lighting, according to a spokesman.

Power failures crippled New Orleans hospitals after Hurricane Katrina. The backup generator failed at a hospital in Stafford Springs, Conn., after the remnants of Hurricane Irene blew through the state in 2011. Hospitals in Houston were crippled when Tropical Storm Allison flooded their basements and knocked out electrical equipment in 2001.

When the Northeast was hit with a crippling blackout in 2003, the backup power at several of New York City's hospitals failed or performed poorly. Generators malfunctioned or overheated. Fuel ran out too quickly. Even where the backup systems worked, they provided electricity to only some parts of the hospital and left others in the dark.

Afterward, a mayoral task force recommended upgrading testing standards for generators and requiring backup plans for blood banks and health care facilities that provide dialysis treatment.

Alan Aviles, president of New York City's Health and Hospitals Corp., which operates Bellevue, said that after a scare last summer when Hurricane Irene threatened to cause flooding, Bellevue put its basement-level fuel pumps in flood-resistant chambers.

It still isn't clear whether water breached those defenses, but when an estimated 17 million gallons of water rushed through loading docks and into the hospital's 1-million-square-foot basement, the fuel feed to the generators stopped working. The floodwaters also knocked out the hospital's elevators.

For two days, National Guardsmen carried fuel to the generators, but conditions inside the hospital for patients and staff deteriorated anyway. The generators were designed to supply only 30 percent of the usual electrical load at the hospital, leaving a lot of equipment and labs hobbled. The hospital also lost all water pressure on Tuesday. Nearly 700 patients had been evacuated by Thursday afternoon.

"The precautions we had taken to date had served us well," Aviles said. "But Mother Nature can always up the stakes."

NYU Langone Medical Center had also tried to armor itself against floods.

All seven of the generators providing backup power to the parts of the hospital involved in patient care are only a few years old and are on higher floors. The fuel tank is in a watertight vault. New fuel pumps were installed just this year in a pump house upgraded to withstand a high flood, said the hospital's vice president of facilities operation, Richard Cohen.

"The medical center invested quite a bit of money to upgrade the facility," he said.

The pump house remained "bone dry," Cohen said. But water shoved aside plastic and plywood defenses and infiltrated the fuel vault, where sensors detected the potentially damaging liquid and shut the generators down. "The force of the surge that came in was unbelievable. It dislodged our additional protection and caused a breach of the vault as well," Cohen said.

The power at NYU went out in a flash, leaving the staff scrambling to evacuate 300 patients with no notice.

Dr. Robert Berg, an obstetrician, said that when he lost power in his apartment, he went to the hospital to charge his cellphone and was stunned to find it in chaos.

"It didn't really occur to me that the hospital was going to be in trouble," he said. Even after finding the lobby dark, "I thought, 'We'll have power upstairs. We're an operating room.'"

He wound up carrying two patients down flights of stairs on a "med sled."

"There was a Category 1 outside and a Category 4 inside," he said. "I can't say that they were very well prepared for it."

That has left only one hospital, Beth Israel Medical Center, functioning in the southern third of Manhattan. It is also on backup power, but brought in two huge new generators Thursday, just in case.

Aviles said Bellevue might be out of commission for at least two more weeks. NYU Langone's generators are operating again, but the hospital is waiting for Consolidated Edison to restore its power before it starts taking patients again. That could happen in a matter of days.

Flooding may pose less of a danger to the hospital's power supply in the future. Construction is under way on a new power plant, at a cost of more than $200 million, that will run on natural gas and supply all the hospital's power needs.

"It's a tremendous facility, with a lot of hardening built into it," Cohen said.

___

AP Medical Writer Mike Stobbe contributed to this report.

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Power sputters back in New York following Sandy

NEW YORK (AP) — More New Yorkers awoke Saturday morning to power being restored for the first time since Superstorm Sandy pummeled the region, and those whose lights were back on celebrated it, but patience was wearing thin among those in the region who had been without power for most of the week.

From storm-scarred New Jersey to parts of Connecticut, a widespread lack of gasoline frustrated people who were just trying to get to work or pick up a load of groceries. Gas was to be rationed starting at noon Saturday in northern New Jersey, where drivers will be allowed to buy it only every other day, the governor declared.

The ongoing recovery also forced the cancellation of Sunday's New York City Marathon. Mayor Michael Bloomberg reversed himself Friday and yielded to mounting criticism that this was no time to run the race, which starts on hard-hit Staten Island and wends through all five of the city's boroughs.

Bloomberg, who as late as Friday afternoon insisted the world's largest marathon should go on as scheduled Sunday, changed course shortly afterward amid intensifying opposition from the city comptroller, the Manhattan borough president and sanitation workers unhappy they had volunteered to help storm victims but were assigned to the race instead. The mayor said he would not want "a cloud to hang over the race or its participants."

Many runners understood the rationale behind the decision. The death toll in the city stood at 41 and thousands of people were shivering without electricity, making many New Yorkers recoil at the idea of police officers protecting a foot race and evicting storm victims from hotels to make way for runners.

But the suddenness of it all forced runners to deal with an unexpected twist: what to do with no race.

Well over half of the 40,000 athletes were from out of town. Their entry fees were paid. Their airline tickets were purchased. Their friends and family had hotel rooms. And all week the race was a go, even after Sandy came ashore Monday.

"I understand why it cannot be held under the current circumstances," Meb Keflezighi, the 2009 men's champion and 2004 Olympic silver medalist, said in a statement. "Any inconveniences the cancellation causes me or the thousands of runners who trained and traveled for this race pales in comparison to the challenges faced by people in NYC and its vicinity."

ING, the financial company that is the title sponsor of the marathon, said it supported the decision to cancel. The firm's charitable giving arm has made a $500,000 contribution to help with relief and recovery efforts and is matching employee donations. Sponsor Poland Spring said it would donate the bottled water earmarked for the marathon to relief agencies, more than 200,000 bottles.

"When you have a significant amount of people voicing real pain and unhappiness over its running, you have to hear that. You have to take that into consideration," said Howard Wolfson, deputy mayor for government affairs and communications.

"Something that is such a celebration of the best of New York can't become divisive," he said. "That is not good for the city now as we try to complete our recovery effort, and it is not good for the marathon in the long run."

Each day has brought signs of recovery in the region. Fewer than 1 million customers in New York were without power Saturday, the lowest the number has been since the storm hit.

Aida Padilla, 75, was thrilled that the power at her large housing authority complex in New York City's Chelsea section had returned late Friday.

"Thank God," said Padilla, 75. "I screamed and I put the lights on. Everybody was screaming. It was better than New Year's."

Asked about whether she had heat, she replied, "hot and cold water and heat! Thank God, Jesus!"

NYU Langone Medical Center, one of two New York hospitals that had to evacuate patients at the height of the storm, said it would reopen Monday, though some doctors would see patients at alternate sites.

Seven backup generators at the hospital failed during the storm surge on Monday night, forcing the evacuation of 300 patients.

At Bellevue Hospital Center, some 700 patients had to be evacuated after the power failed. An official there said Thursday the hospital could be out of commission at least two more weeks.

In New Jersey, Gov. Chris Christie announced that he would make public a list of when utility companies intend to restore power to each community. Even if they end up working faster or slower, he said, residents will have a sense of when they will have power restored so they can plan their lives a bit better.

Commuter rail operator NJ Transit said it would have more service restored in time for the workweek to start Monday, most of Atlantic City's casinos reopened, and many school districts decided to hold classes next Thursday and Friday, days previously reserved for the New Jersey Education Association's annual conference, which has been canceled because of the storm.

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