Venezuelans take in shifting news on Chavez health

CARACAS, Venezuela (AP) — Venezuelans began 2013 with a respite from shifting news about the health of President Hugo Chavez, who hasn't been seen in public since his fourth cancer-related surgery three weeks ago.
The country was largely peaceful Tuesday after a New Year's Eve that saw a main government-organized celebration canceled due to Chavez's illness.
Jorge Rodriguez, a Chavez ally and mayor of a Caracas district, reiterated that the president is going through a "complex post-operative process."
He told reporters Tuesday that Venezuelans have shown an outpouring of compassion and support for a leader who has "been planted in the hearts of millions." Rodriguez urged Venezuelans to keep Chavez in their prayers and expressed hope the president would recover.
Chavez's son-in-law Jorge Arreaza, who is the government's science minister and has been with the president in Cuba, urged Venezuelans in a Twitter message Monday night not to believe "bad-intentioned rumors" circulating online. "President Chavez has spent the day calm and stable, accompanied by his children," Arreaza said in the message.
That followed a grim announcement from Vice President Nicolas Maduro on Sunday that the president had suffered new complications due to a respiratory infection that appeared after the surgery.
Bolivian President Evo Morales issued a New Year Eve greeting to Chavez lamenting the health problems plaguing his "anti-imperialist comrade."
Morales said he was sending wishes for "strength, energy, and for him to be able to recover soon." Morales made a visit to Havana last week to visit Chavez, but didn't refer to that trip.
In Bolivar Plaza in downtown Caracas, Chavez's supporters strummed guitars and read poetry in his honor on Monday night, singing along with a recording of the president belting out the national anthem.
About 300 people also filled a Caracas church for a Mass to pray for Chavez.
"This country would be terrible without Chavez. He's the president of the poor," said Josefa Carvajal, a 75-year-old former maid who sat in the pews. "They say the president is very sick. I believe he's going to get better."
Chavez's aides held a Mass as well, at the presidential palace, while government officials urged Venezuelans to keep their leader in their prayers.
Venezuelans rang in the New Year as usual with fireworks raining down all over the capital of Caracas. But some of Chavez's supporters had long faces as they gathered in Bolivar Plaza on Monday night holding pictures of the president. A government-sponsored celebration there had been called off.
Speaking to the crowd, lawmaker Earle Herrera said Chavez "is continuing to fight the battle he has to fight."
"He's an undefeated president, and he'll continue to be undefeated," Herrera said.
Political analyst Ricardo Sucre said the outlook for Chavez appeared dark. Sucre noted that Maduro appeared weary during a solemn televised appearance Sunday to announce the latest setback for Chavez.
"Everything suggests Chavez's health situation hasn't evolved as hoped," Sucre said. He said Maduro likely remained in Havana to keep close watch on how Chavez's condition develops.
"These hours should be key to having a more definitive prognosis of Chavez's health, and as a consequence to making the corresponding political decisions according to the constitution," Sucre said.
Sucre and other Venezuelans said it seems increasingly unlikely that Chavez would be able to be sworn in as scheduled Jan. 10 for his new term. The Venezuelan leader has not been seen or heard from since undergoing the Dec. 11 operation.
If Chavez dies or is unable to continue in office, the Venezuelan Constitution says a new election should be held within 30 days.
Before his operation, Chavez acknowledged he faced risks and designated Maduro as his successor, telling supporters they should vote for the vice president if a new presidential election was necessary.
Chavez said at the time that his cancer had come back despite previous surgeries, chemotherapy and radiation treatment. He has been fighting an undisclosed type of pelvic cancer since June 2011.
Medical experts say it's common for patients who have undergone major surgeries to suffer respiratory infections and that how a patient fares can vary widely from a quick recovery in a couple of days to a fight for life on a respirator.
On the streets of Caracas, images of Chavez smiling and saluting were emblazoned on campaign signs and murals. One newly painted mural read: "Be strong, Chavez."
State television played video of Chavez campaigning for re-election, including one of the president shouting: "I am a nation!"
A new government sign atop a high-rise apartment complex reads: "YOU ALSO ARE CHAVEZ."
Norelys Araque, who was selling holiday cakes on a sidewalk Monday, said she has been praying for Chavez. But, she added, "I don't think he will last long."
Araque said her family has benefited from state-run subsidized food markets and education programs started by Chavez, and that she hopes the government carries on with the president's programs if he doesn't survive.
Chavez has been in office since 1999 and was re-elected in October, three months after he had announced that his latest tests showed he was cancer-free.

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Venezuelan VP says he has visited Chavez twice

CARACAS, Venezuela (AP) — Venezuela's vice president says he has visited ailing President Hugo Chavez twice in Cuba and plans to return home to Caracas.
Vice President Nicolas Maduro says he spoke with Chavez during their visits. Maduro says the president has "the same strength as always," despite a health situation that he described as complex three weeks after his cancer surgery.
Maduro says he will return to Venezuela on Wednesday.
He made the comments in an interview broadcast Tuesday night by the Caracas-based television network Telesur.

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Venezuelans on edge amid shifting news on Chavez

CARACAS, Venezuela (AP) — Supporters and opponents of President Hugo Chavez alike nervously welcomed the new year Tuesday, left on edge by shifting signals from the government about the Venezuelan leader's condition three weeks after cancer surgery in Cuba.
With rumors swirling that Chavez had taken a turn for the worse, Vice President Nicolas Maduro said in a televised interview in Cuba that he had met with the president twice, spoken with him and planned to return to Venezuela on Wednesday.
Maduro said Chavez faces "a complex and delicate situation." But Maduro also said that when he talked with the president and looked at his face, he seemed to have "the same strength as always."
"All the time we've been hoping for his positive evolution. Sometimes he has had light improvements, sometimes stationary situations," Maduro said in the prerecorded interview, which was broadcast Tuesday night by the Caracas-based television network Telesur.
"I was able to see him twice, converse with him. He's totally conscious of the complexity of his post-operative state and he expressly asked us ... to keep the nation informed always, always with the truth, as hard as it may be in certain circumstances," Maduro said.
Chavez has not been seen or heard from since the Dec. 11 operation, and officials have reported a series of ups and downs in his recovery — the most recent, on Sunday, announcing that new complications from a respiratory infection had put the president in a "delicate" state.
Speculation has grown since Maduro announced those latest troubles, which were a sharp shift from his remark nearly a week earlier that the president had been up and walking.
In Tuesday's interview, Maduro did not provide any new details about Chavez's complications. But he joined other Chavez allies in urging Venezuelans to ignore gossip, saying rumors are being spread due to "the hatred of the enemies of Venezuela."
He didn't refer to any rumors in particular, though one of them circulating online had described Chavez as being in a coma.
Political opponents of Chavez have complained that the government hasn't told the country nearly enough about his health.
Maduro's remarks about the president came at the end of an interview in which he praised his government's programs at length, recalled the history of the Cuban revolution and touched on what he called the long-term strength of Chavez's socialist Bolivian Revolution movement.
He mentioned that former Cuban President Fidel Castro had been in the hospital, and praised Cuba's government effusively. "Today we're together on a single path," Maduro said.
Critics in Venezuela sounded off on Twitter while the interview was aired, some saying Maduro sounded like a mouthpiece for the Cuban government. In their online messages, many Chavez opponents criticized a dearth of information provided by Maduro, accusing him of withholding key details about Chavez's condition. Opposition politicians have demanded that the government provide the country with a full medical report.
Even some of his supporters said on Tuesday that they wished they knew more.
"We're distressed by El Comandante's health," said Francisca Fuentes, who was walking through a downtown square with her grandchildren. "I think they aren't telling us the whole truth. It's time for them to speak clearly. It's like when you have a sick relative and the doctor lies to you every once in a while."
Chavez has been fighting an undisclosed type of pelvic cancer since June 2011. He has declined to reveal the precise location of the tumors that have been surgically removed. The president announced on Dec. 8, two month after winning re-election, that his cancer had come back despite previous surgeries, chemotherapy and radiation treatment.
"There's nothing we can do except wait for the government to deign to say how he is really," said Daniel Jimenez, an opposition supporter who was in a square in an affluent Caracas neighborhood.
Jimenez and many other Venezuelans say it seems increasingly unlikely that Chavez can be sworn in as scheduled Jan. 10 for his new term.
Venezuelans rang in 2013 as usual with fireworks raining down all over the capital of Caracas. But some of Chavez's supporters had long faces as they gathered in Bolivar Plaza on Monday night holding pictures of the president. A government-sponsored New Year's Eve celebration there had been called off, and instead his supporters strummed guitars and read poetry in Chavez's honor.
Maduro didn't discuss the upcoming inauguration plans, saying only that he's hopeful Chavez will improve.
Chavez has been in office since 1999 and was re-elected in October, three months after he announced that his latest tests showed him to be cancer-free. If he dies or is unable to continue in office, the Venezuelan Constitution says a new election should be held within 30 days.
Before his operation, Chavez acknowledged he faced risks and designated Maduro as his successor, telling supporters they should vote for the vice president if a new presidential election was necessary.
The vice president said that Chavez "has faced an illness with courage and dignity, and he's there fighting, fighting."
"Someone asked me yesterday by text message: How is the president? And I said, 'With giant strength,'" Maduro said. He recalled taking Chavez by the hand, saying "he squeezed me with gigantic strength as we talked.

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Employer wins relief from U.S. contraceptives mandate

(Reuters) - A divided federal appeals court has temporarily barred the U.S. government from requiring an Illinois company to obtain insurance coverage for contraceptives, as mandated under the 2010 healthcare overhaul, after the owners objected on religious grounds.
More than 40 lawsuits are challenging a requirement in the Patient Protection and Affordable Care Act that requires most for-profit companies to offer workers insurance coverage for contraceptive drugs and devices and other birth control methods.
Friday's 2-1 order by a panel of the 7th U.S. Circuit Court of Appeals in Chicago in favor of Cyril and Jane Korte was the second by a federal appeals court to temporarily halt enforcement against people who said it violated their faith, said Edward White, a lawyer for the Roman Catholic couple.
The 7th Circuit suggested that the couple's legal challenge might eventually prevail.
Its order came two days after U.S. Supreme Court Justice Sonia Sotomayor declined to block the provision's enforcement against companies controlled by the family of Oklahoma City billionaire David Green.
The U.S. Department of Justice, which had defended the contraceptives provision, did not immediately respond on Saturday to a request for comment.
The Kortes, who own the construction firm Korte & Luitjohan Contractors, had sought to drop a health insurance plan for 20 non-unionized workers that included coverage for contraception, and substitute a different plan consistent with their faith.
But the Obama administration's healthcare law did not allow the change, and the Kortes said that violated the First Amendment to the U.S. Constitution and the federal Religious Freedom Restoration Act, or RFRA.
In issuing an injunction, the 7th Circuit majority said the Kortes had established a reasonable likelihood of success on the merits of their RFRA claim, and that the government had not yet justified the apparent "substantial burden" on their religious exercise.
The court also said the couple had established irreparable harm, because absent an injunction they would have to choose between maintaining insurance coverage they considered inappropriate or facing substantial financial penalties.
"Business owners who are objecting to the mandate are not objecting to people using contraceptives, but that they have to arrange for and pay for it," White, a lawyer with the American Center for Law and Justice, said in a phone interview. "The federal government shouldn't tell business owners they have to contract to buy what they see as immoral services and goods."
Judges Joel Flaum and Diane Sykes comprised the 7th Circuit majority.
Judge Ilana Rovner dissented. She said the Kortes were "multiple steps" removed from the contraceptives services because it was their company paying for the coverage, and because it would be a worker, her doctor and the insurer involved in the decisions about the services and their funding.
The Kortes' case is expected to continue in the 7th Circuit.
Neither the 7th Circuit nor Sotomayor ruled on the merits of their respective cases. The legal standard for obtaining an injunction from the Supreme Court is much higher.
The case is Korte et al v. Sebelius, 7th U.S. Circuit Court of Appeals, No. 12-3841.

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FDA approves Salix's diarrhea drug for HIV/AIDS patients

(Reuters) - U.S. health regulators approved Salix Pharmaceuticals Ltd's drug to treat diarrhea in HIV/AIDS patients on antiretroviral therapy, a combination of medicines used to treat HIV infection.
Diarrhea is a common reason why HIV/AIDS patients discontinue or switch their antiretroviral therapies.
The drug, called Fulyzaq, is intended to be used in HIV/AIDS patients whose diarrhea is not caused by an infection from a virus, bacteria, or parasite.
Until now, there have been no therapies for HIV-associated diarrhea approved by the U.S. Food and Drug Administration.

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Texas judge OKs ban on Planned Parenthood funding

AUSTIN, Texas (AP) — Texas can cut off funding to Planned Parenthood's family planning programs for poor women, a state judge ruled Monday, requiring thousands to find new state-approved doctors for their annual exams, cancer screenings and birth control.
Judge Gary Harger said that Texas may exclude otherwise qualified doctors and clinics from receiving state funding if they advocate for abortion rights.
Texas has long banned the use of state funds for abortion, but had continued to reimburse Planned Parenthood clinics for providing basic health care to poor women through the state's Women's Health Program. The program provides preventive care to 110,000 poor women a year, and Planned Parenthood clinics were treating 48,000 of them.
Planned Parenthood's lawsuit to stop the rule will still go forward, but the judge decided Monday that the ban may go into effect for now. In seeking a temporary restraining order, Planned Parenthood wanted its patients to be able to see their current doctors until a final decision was made.
"We are pleased the court rejected Planned Parenthood's latest attempt to skirt state law," attorney general spokeswoman Lauren Bean said. "The Texas Attorney General's office will continue to defend the Texas Legislature's decision to prohibit abortion providers and their affiliates from receiving taxpayer dollars through the Women's Health Program."
Ken Lambrecht, president and CEO of Planned Parenthood of Greater Texas, said he brought the lawsuit on behalf of poor women who depend on its clinics.
"It is shocking that once again Texas officials are letting politics jeopardize health care access for women," Lambrecht said. "Our doors remain open today and always to Texas women in need. We only wish Texas politicians shared this commitment to Texas women, their health, and their well-being."
Planned Parenthood has brought three lawsuits over Texas' so-called "affiliate rule," claiming it violates the constitutional rights of doctors and patients while also contradicting existing state law.
Republican lawmakers who passed the affiliate rule last year have argued that Texas is an anti-abortion state, and therefore should cut off funds to groups that support abortion rights. Gov. Rick Perry, who vehemently opposes abortion, has pledged to do everything legally possible to shut down Planned Parenthood in Texas and welcomed the court's ruling.
"Today's ruling finally clears the way for thousands of low-income Texas women to access much-needed care, while at the same time respecting the values and laws of our state," Perry said. "I applaud all those who stand ready to help these women live healthy lives without sending taxpayer money to abortion providers and their affiliates."
The Texas Health and Human Services Commission has spent the last nine months preparing to implement the affiliate rule. But federal officials warned it violated the Social Security Act and cut off federal funds for the Women's Health Program, prompting the commission to start a new program using only state money.
State officials have also scrambled to sign up new doctors and clinics to replace Planned Parenthood. Women who previously went to Planned Parenthood clinics will now have to use the agency's web site to find a new state-approved doctor. HHSC officials acknowledged Monday they are unsure whether the new doctors can pick up Planned Parenthood's caseload in all parts of the state.
Any capacity issues will become clear in the next few weeks as women try to make appointments with new clinics and doctors, with problems anticipated in South Texas and other impoverished areas. Texas already suffers from a shortage of primary care physicians willing to take on new patients who rely on state-funded health care.
Linda Edwards Gockel, a spokesman for the Texas Health and Human Services Commission, said Monday that the new state program will launch as planned on Tuesday.
"We have more than 3,500 doctors, clinics and other providers in the program and will be able to continue to provide women with family planning services while fully complying with state law," she said. "We welcome Planned Parenthood's help in referring patients to providers in the new program."
Democratic lawmakers continued to question whether women will have to wait longer for appointments and services.
"I vehemently disagree with the state's efforts to blacklist a qualified provider and, thereby, interfere with a woman's right to choose her own provider," said state Rep. Donna Howard, D-Austin. "I will be submitting a letter to the Texas Health and Human Services Commission, requesting a list of approved providers to gauge the outreach of the new program, and ensure that all qualified women throughout the state have access to its services."
Another hearing is scheduled with a different judge for Jan. 11, where Planned Parenthood will again ask for an injunction to receive state funding.

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Ivory Coast New Year's death toll rises to 64

ABIDJAN, Ivory Coast (AP) — Ivory Coast's health minister says the death toll in the New Year's stampede has risen to 64.
Health Minister Raymonde Goudou, speaking to the press, said three more people died in addition to the 61 who were killed from being trampled when thousands left a New Year's fireworks display. She said 26 people who had been missing after the chaos of the stampede were located in various hospitals in Abidjan.
Goudou said Thursday afternoon that the government will close its investigation into the tragic stampede on Friday and will issue a report later.
The Front Populaire Ivorien, the opposition party of former President Laurent Gbagbo, issued a statement criticizing Interior Minister Hamed Eakayoko for not taking adequate security measures for the fireworks display in central Abidjan on New Year's Eve.

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Mali's Ansar Dine: Islamists to resume hostilities

BAMAKO, Mali (AP) — An Islamist group in northern Mali says it's suspending its pledge to halt hostilities less than a month after it agreed to do so.
The group Ansar Dine said negotiations with the Malian government are ultimately aimed at a military intervention to oust the Islamists, and are not true peace talks. Still, the group said that it remains committed to a dialogue with the Malian government in Bamako even though it is withdrawing its pledge to halt hostilities.
The original offer had drawn skepticism from some observers, who noted the group's links to al-Qaida's North Africa branch.
Ansar Dine also has been behind public executions, amputations and whippings in northern Mali. The group on its website says it seeks autonomy for northern Mali.

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Nigeria police: Hyundai paid $187K to free workers

LAGOS, Nigeria (AP) — Hyundai Heavy Industries Co. paid about $187,000 to free four abducted South Korean workers and their local colleague, a lucrative ransom showing the continuing allure of kidnapping in Nigeria's oil-rich southern delta, police said Friday.
South Korean officials declined to say whether they paid a ransom when announcing the hostages' release on Dec. 22, following the pattern of other foreign governments and companies operating in the Niger Delta when dealing with abductions. However, cash payments often represent the only safe way of getting back expatriate workers in the region since militants began attacks there in 2006.
Police learned of the kidnapping payment after arresting one of three suspected kidnappers, Bayelsa state police spokesman Fidelis Odunna told The Associated Press on Friday. The man claimed that several gangs involved in the kidnapping received 30 million naira ($187,500), Odunna said.
"The real reason for the kidnapping is for financial interest," the spokesman said. "The company didn't want to endanger the lives of the workers and paid secretly."
While the workers were safely released, Odunna said the cash payment likely would further embolden the criminal gangs and militant groups — some often one in the same — that operate in the delta, a region of mangroves and swamps about the size of Portugal.
On Dec. 17, gunmen ambushed workers for the Korea-based company at a construction site in the Brass region of Bayelsa state. Six people were initially taken, though kidnappers let one Nigerian go an hour after the attack, likely because he came from the area, authorities had said.
Foreign companies have pumped oil out of the Niger Delta for more than 50 years, making Nigeria one of the top crude suppliers to the U.S. Despite the billions of dollars flowing into Nigeria's government, many in the delta remain desperately poor, living amid polluted waters without access to proper medical care, education or jobs. The poor conditions sparked an uprising in 2006 by militants and opportunistic criminals who blew up oil pipelines and kidnapped foreign workers.
That violence ebbed in 2009 with a government-sponsored amnesty program that offered ex-fighters monthly payments and job training. However, few in the delta have seen the promised benefits and sporadic kidnappings and attacks continue. Pirates operating in the region also routinely kidnap foreign sailors off vessels in the Gulf of Guinea.
Middle- and upper-class Nigerians now routinely find themselves and their family members targeted by kidnap gangs. The end of the year in Nigeria usually sees an uptick in criminal activity as well, as criminal gangs target the wealthy returning to the country to celebrate the holidays.
Most workers taken hostages are released after a few weeks when their employers pay a ransom, typically around a $100,000 or higher, depending on negotiations, experts say

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BAMAKO, Mali (AP) — An Islamist group in northern Mali says it's suspending its pledge to halt hostilities less than a month after it agreed to do so. The group Ansar Dine said negotiations with the Malian government are ultimately aimed at a military intervention to oust the Islamists from the West African nation and are not true peace talks. Still, the group said it remains committed to a dialogue with the Malian government in Bamako even though it is keeping its military options open. The original offer had drawn skepticism from some observers, who noted the group's links to al-Qaida's North Africa branch. Ansar Dine, which says it seeks autonomy for northern Mali, has been behind public executions, amputations and whippings in the aDifferent challenges in Central African Rep., Mali rea that it seized last year.

BANGUI, Central African Republic (AP) — Two land-locked, desperately poor African countries are gripped by rebellions in the north that have left huge chunks of both nations outside of government control. Neighboring countries are rushing troops into Central African Republic only a few weeks after rebels started taking towns but Mali's government is still awaiting foreign military help nearly one year after the situation there began unraveling. Here's a look at why there's been quick action in one country, and not in the other.
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THE INSURGENTS
The simple answer lies in the vastly different challenges faced by intervention forces. Northern Mali is home to al-Qaida-linked militants who are stocking weapons and possess stores of Russian-made arms from former Malian army bases as well as from the arsenal of toppled Libyan leader Moammar Gadhafi. The local and foreign jihadists there are digging in and training forces in preparation for jihad and to repel an invasion. Central African Republic, by contrast, is dealing with home-grown rebels who are far less organized and have less sophisticated weapons.
The numbers of troops being sent to Central African Republic are relatively small — Republic of Congo, Cameroon and Gabon are each sending about 120 soldiers. The rebels stopped their advances toward the capital on Dec. 29, perhaps at least in part because of the presence of the foreign troops who have threatened to counterattack if the rebels move closer to Bangui, the capital. In Mali, it will take far more than the 3,000 African troops initially proposed for a military operation to be successful in ousting the militants, analysts say.
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THE MISSION
The military objectives are also a stark contrast. In Central African Republic, neighboring nations have a mandate to help stabilize the region between rebel-held towns and the part of the country that is under government control. The intervention force will fire back if fired upon, but so far are not being asked to retake the towns already in rebel hands.
The mission in Mali that foreign forces are slowly gearing up for is far more ambitious. It involves trying to take back a piece of land larger than Texas or France where militants are imposing strict Islamic law, or Shariah. Making things even more complicated there: A military coup last year that created chaos and enabled the rebels to more easily take territory has left the country with a weak federal government and the country's military with a broken command-and-control structure, and with its leaders reluctant to give real power to the civilians.
"In Mali you have a very undefined mission. What does it mean to retake the country and give it back to government forces that were not able to hold it in the first place?" noted Jennifer Cooke, director of the Africa program at the Washington-based Center for Strategic and International Studies.
Central African Republic's situation "is a more limited, defined and frankly somewhat easier mission in the military sense," she said.
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THE TERRAIN
Northern Mali is a scorching desert that is unfamiliar to many of the troops who would be coming from the West African regional bloc of countries known as ECOWAS. By contrast, Central African Republic's neighbors already have been pulled into past rebellions in the country.
Chadian forces helped propel President Francois Bozize into power in 2003 and they have assisted him in putting down past rebellions here.
"These forces — particularly the Chadians — have been there before," Cooke said. "They know the players, they have an interlocutor in Bozize however fragile he is. This is familiar territory to them."
The Economic Community of Central African States, or ECCAS, also already had established a peacekeeping force in Central African Republic known as MICOPAX.
"From the beginning, they knew that they needed to have troops on the ground. MICOPAX was already there, had already been deployed there. There was already a structure in place," said Thierry Vircoulon, project director for Central Africa at the International Crisis Group.
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DIFFERING MOTIVATIONS
The rebels in Central African Republic are made up of four separate groups all known by their French acronyms — UFDR, CPJP, FDPC and CPSK. They are collectively known as Seleka, which means alliance in the local Sango language, but have previously fought one another. For instance, in September 2011 fighting between the CPJP and the UFDR left at least 50 people dead and more than 700 homes destroyed. Insurgent leaders say a 2007 peace accord allowing them to join the regular army wasn't fully implemented and are demanding payments to former combatants among other things. Rebel groups also feel the government has neglected their home areas in the north and particularly the northeast, said Filip Hilgert, a researcher with Belgium-based International Peace Information Service.
In northern Mali, the Islamist rebels are motivated in large part by religion. Al-Qaida fighters chant Quranic verses under the Sahara sun , displaying deep, ideological commitment. They consider north Mali as "Islamic territory" and say they will fight to the death to defend it. They also want to use the territory to expand the reach of al-Qaida-linked groups to other countries. This would seem to make other countries more motivated to intervene in Mali than in Central African Republic, but the challenges are so steep and convoluted that an intervention mission is still on the drawing board.

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