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ISLAMABAD, Pakistan —Steps by the United States tovastly expand its aid to Pakistan,as well as the footprint of its em-bassy and private security con-tractors here, are aggravating analready volatile anti-Americanmood as Washington pushes forgreater action by the governmentagainst the Taliban.An aid package of $1.5 billiona year for the next five yearspassed by Congress last weekasks Pakistan to cease supportingterrorist groups on its soil and toensure that the military does notinterfere with civilian politics.President Asif Ali Zardari, whoseassociation with the United Stateshas added to his unpopularity,agreed to the stipulations in theaid package.But many here, especially inthe powerful army, object to theconditions as interference inPakistan’s internal affairs, andthey are interpreting the largerAmerican footprint in more sin-ister ways.American officials say the em-bassy and its security presencemust expand in order to monitorhow the new money is spent. Theyalso have real security concerns,which were underscored Mondaywhen a suicide bomber, dressedin the uniform of a Pakistani se-curity force, killed at least fivepeople at a U.N. office in the heartof Islamabad, the capital.The U.S. Embassy has publi-cized plans for a vast new build-ing in Islamabad for about 1,000people, with security for somediplomats provided through aWashington-based private con-tracting company, DynCorp.The embassy setup, with Amer-ican demands for importing morearmored vehicles, is a significantexpansion over the last 15 years. Itcomes at a time of intense discus-sion in Washington over whetherto widen American operationsand aid to Pakistan — a base forAl Qaeda — as an alternative todeeper American involvement inAfghanistan with the addition ofmore forces.The fierce opposition here isrevealing deep strains in the al-liance. Even at its current levels,the American presence was fuel-ing a sense of occupation amongPakistani politicians and securityofficials, said several Pakistaniofficials, who did not want to benamed for fear of antagonizingthe United States. The UnitedStates was now seen as behavingin Pakistan much as it did in Iraqand Afghanistan, they said.In particular, the Pakistani mil-itary and the intelligence agenciesare concerned that DynCorp is be-ing used by Washington to devel-op a parallel network of securityand intelligence personnel withinPakistan, officials and politiciansclose to the army said.The concerns are seriousenough that last month a localcompany hired by DynCorp to pro-vide Pakistani men to be trainedas security guards for Americandiplomats was raided by the Is-lamabad police. The owner of thecompany, the Inter-Risk SecurityCo., Capt. Syed Ali Ja Zaidi, waslater arrested.The tensions are erupting as theUnited States is pressing Pakistanto take on not only those Talibangroups that have threatened theirgovernment, but also the Talibanleadership that uses Pakistan as abase to organize and conduct theirinsurgency in Afghanistan. 
JANE PERLEZ
The fear of swine flu is beingcompounded by new worries, thistime among primary care doctorswho say that they are swampedby calls from patients seeking thenew vaccine, and that they are ill-prepared to cope with the nation-wide drive to immunize everyone,particularly children and chroni-cally ill adults.The federal Centers for DiseaseControl and Prevention releasedthe first doses of vaccine on Mon-day. But many doctors, especiallypediatricians, say they know littleabout the program and have beendeluged with questions.At the same time, the pediatri-cians are struggling to figure outhow to administer perhaps thou-sands of doses quickly in small of-fices with limited staff, while stilldealing with other illnesses.Some said they were consider-ing hiring nurses just for the vac-cinations and setting aside dayswhen children would be vaccinat-ed in alphabetical order.At Westchester Pediatrics, anoffice with 6,000 to 8,000 familiesin Hartsdale, N.Y., exasperateddoctors have added a new choiceto the office answering machine:“If you have a question about theflu vaccine, please dial 6.” Press-ing 6 produces a further messagesaying that the swine flu vaccineis not yet available, and to keepchecking the CDC.gov Web sitefor updates.For those who are not satisfied,a sign in the office waiting roomcounsels patience.In Philadelphia, Dr. Shea Cron-ley of Advocare Society Hill Pedi-atrics said she was concerned thatemergency rooms were startingto see a rise in flu cases, but shedid not know when she would begetting her share of vaccine.“We’re waiting,” she said.The Centers for Disease Controlhas embarked on an extensiveimmunization drive with a goal ofproducing 195 million to 250 mil-lion doses of vaccine.The vaccine is being distributedfree to local jurisdictions, like cityand state health departments,which are responsible for takingorders from doctors, hospitals,school systems and the like. Nor-mally, doctors order vaccines di-rectly from manufacturers.As of Monday, 62 states or local-ities had put in orders for a total ofmore than 1.7 million doses.Actual delivery will lag, howev-er, adding to the confusion aboutwhen doctors will get their share.The New York City Department ofHealth and Mental Hygiene saidFriday that it expected to get only68,800 doses by early this week. 
ANEMONA HARTOCOLLIS
Vaccine Arrives, as Flu Fear Creates a Rush
 Pakistan Resists Greater U.S. Influence
 j  ,
WASHINGTON — With unem-ployment expected to rise wellinto next year even as the econo-my slowly recovers, the Obamaadministration and Democraticleaders in Congress are discuss-ing extending several safety netprograms as well as proposingnew tax incentives for businessesto renew hiring.President Obama’s economicteam discussed a wide range ofideas at a meeting on Monday,following his Saturday radio ad-dress in which he said it would“explore additional options topromote job creation.” But offi-cials emphasized that a decisionwas still far off, and that the ef-fort would not add up to a secondeconomic stimulus package, onlyan extension of the first.“We’re thinking through all ad-ditional potential strategies foraccelerating job creation,” saidObama’s senior adviser, DavidAxelrod.The latest deliberations oc-curred against a backdrop ofworsening joblessness. Whilesome economists and policy mak-ers say the recession is easing, areport on Friday showed unem-ployment in September inched upto 9.8 percent, a 26-year high.Among the options for addi-tional steps is some variationon Obama’s proposal during thestimulus debate to give employ-ers a $3,000 tax credit for eachnew hire, which Congress reject-ed last winter. Another optionwould allow more businesses todeduct their net operating lossesgoing back five years instead ofthe usual two.The search for further rem-edies is part of a two-track effortin the White House and Congress.Democrats are also consideringplans to continue through 2010 theextra unemployment assistanceand health benefits available topeople who are out of work forlong periods.
JACKIE CALMES
  c x y 
FROM THE PAGES OF 
Tuesday OcTOber 6, 2009 
Minight in Nw yok 
Nine pages © 2009 The New York Times Visit The Times on the Web:
www.ntim.om 
 
CONAKRY, Guinea — Cell-phone snapshots, ugly and hardto refute, are circulating hereand feeding rage: they showthat women were the particulartargets of the Guinean soldierswho suppressed a political dem-onstration at a stadium here lastweek, with victims and witnessesdescribing rapes, beatings andacts of intentional humiliation.“I can’t sleep at night, afterwhat I saw,’’ said one middle-aged woman from an establishedfamily here, who said she hadbeen beaten and sexually molest-ed. “And I am afraid. I saw lots ofwomen raped, and lots of dead.”One photograph shows a nakedwoman lying on muddy ground,her legs up in the air, a man inmilitary fatigues in front of her.In a second picture a soldier ina red beret is pulling the clothesoff a distraught-looking womanhalf-lying, half-sitting on muddyground. In a third a mostly nudewoman lying on the ground ispulling on her trousers.The cellphone pictures are cir-culating anonymously, but mul-tiple witnesses corroborated theevents depicted.The attacks were part of a vio-lent outburst on Sept. 28 in whichsoldiers shot and killed dozens ofunarmed demonstrators at themain stadium here, where per-haps 50,000 had assembled. Localhuman rights organizations sayat least 157 were killed; the gov-ernment puts the figure at 56.But even more than the shoot-ings, the attacks on women — hor-rific anywhere, but viewed withparticular revulsion in Muslimcountries like this one — appearto have traumatized the citizenryand hardened the opposition’sdetermination to force out theleader of the military junta, Capt.Moussa Dadis Camara.Diplomats said the violencehad irreversibly underminedCamara’s standing with othercountries.If internal opposition continuesto grow, Camara may be forcedeither to leave power or to tightenhis grip with an even more au-thoritarian government.Bernard Kouchner, the foreignminister of France, the formercolonial power here, urged “in-ternational intervention.’’The exact number of womenwho were abused is not known.Because of the shame associatedwith sexual violence in this WestAfrican country, victims are re-luctant to speak, and local doctorsrefuse to do so. Victims who toldof the attacks would not providetheir names because they wereafraid of retribution.But the witnesses were ada-mant. “I affirm, in categoricalfashion, that women were raped,not just one woman,’’ said Mama-dou Mouctar Diallo, 34, an opposi-tion leader who said he had beenseverely beaten himself. “I sawmany rapes.’’
ADAM NOSSITER
 In Guinea Violence, Soldiers Prey on Women
LUBUK LAWEK, Indonesia —The arrival of heavy machineryin this tiny village on Mondayallowed search teams to reachdeeper into a region devastatedby a series of landslides causedby the earthquake last Wednes-day. But the delicate search forsurvivors gave way to large ma-chines clawing away at wreckedbuildings, twisted trees and mud-covered debris to find the dead.After heavy overnight rain,the Indonesian military andthe police spent the day march-ing through thick mud, placingstakes wherever they could smelldecomposing flesh. Several back-hoes, provided by a local Indone-sian business, managed to maketheir way to some of the mostremote villages in the district ofPadang Pariaman, like this one,about 50 miles from Padang, theprovincial capital of West Suma-tra.In the late morning, one crewhere unearthed the bodies of apregnant woman and her twoyoung daughters. Others begandigging out the bodies of about 40people swept away as they werecelebrating a wedding.The earthquake, with a magni-tude of 7.6, struck the western In-donesian island of Sumatra lastWednesday evening, devastatingPadang, a city of 900,000, and set-ting off landslides to its north.Emergency workers have sofar focused most of their effortson Padang, where hundreds oflarge buildings collapsed, trap-ping many people inside. TheIndonesian government said ithad counted more than 600 bod-ies, and that some 1,000 peoplewere still missing. The death tollis certain to rise as workers pen-etrate the villages.An official with the IndonesianHealth Ministry estimated thatmore than 600 people could havebeen buried by the landslides,raising the potential toll beyondthe United Nations’ estimate of1,100.
PETER GELLING
 Search for Survivors Continues in Indonesia Towns
TEGUCIGALPA, Honduras— Rosamaria Valeriano Floreswas returning home from a visitto a public health clinic and foundherself in a crowd of people dis-persing from a demonstration insupport of the ousted president,Manuel Zelaya. As she crossedthe central square of the Hondu-ran capital, a group of soldiersand police officers pushed her tothe ground and beat her with theirtruncheons.She said the men kicked outmost of her top teeth, broke herribs and split open her head. “Apoliceman spit in my face andsaid, ‘You will die,’ ” she said.Valeriano, 39, was sitting in theoffice of a Tegucigalpa humanrights group last week, speak-ing about the assault, which tookplace on Aug. 12.Since Zelaya was removed ina June 28 coup, security forceshave tried to halt opposition withbeatings and mass arrests, hu-man rights groups say. Elevenpeople have been killed since thecoup, according to the Committeefor Families of the Disappearedand Detainees in Honduras.The number of violations andtheir intensity has increasedsince Zelaya secretly returned toHonduras two weeks ago, takingrefuge at the Brazilian Embassy,human rights groups say.
ELISABETH MALKIN 
 State Forces Are Accused of Abuses in Honduras
in brief
Pkisn Bmbing
ISLAMABAD, Pakistan — Asuicide bomber dressed in theuniform of one of Pakistan’s se-curity forces struck the U.N.World Food Program offices inIslamabad on Monday, killingat least five people in what thepolice said was a serious breachin a building tightly guarded byprivate security officers. Therewas no immediate claim of re-sponsibility for the attack. Thebombing was the first direct at-tack against a U.N. agency herein the Pakistani capital, and theagency immediately closed itsoffices in Pakistan.
(NYT)
Ddy Sm in Indi
NEW DELHI — More than240 people have died, and hun-dreds of thousands have beenleft homeless in southern Indiaafter four days of heavy rainfallat the end of the monsoon sea-son, the government said Mon-day. The sudden rains, com-ing after a severe drought, de-luged villages and caused wide-spread disruption in the statesof Andhra Pradesh and Kar-nataka. Floodwaters are nowthought to be receding, officialssaid.
(NYT)
Dhs in Iq
BAGHDAD — A suicidebomber detonated himselfamong mourners at a funeral inwestern Iraq on Monday, killing6 people and wounding 16 in An-bar Province, a region that hasgrown increasingly violent dur-ing the past few months. The fu-neral’s mourners included po-lice officers, tribal sheiks andmembers of Awakening Coun-cils, the Sunni militias that fightinsurgents.
(NYT)
Fid N. K Ds
North Korea has receivedthe equivalent of about $2.2 bil-lion under deals starting in1994 aimed at persuading it todismantle its nuclear facili-ties, a South Korean lawmakersaid Monday, in what his officesaid was the first accounting ofthe cost of the failed strategy.North Korea abandoned its nu-clear disablement process lastyear.
(AP)
INterNatIoNal
 
Tuesday, OcTOber 6, 2009
2
 
in brief
Ccin Vccin
Scientists say they have de-veloped a vaccine that can pre-vent cocaine addicts from get-ting high by blocking the drug’seffect on the brain, though itdoes not blunt cravings for thedrug. Although the vaccine hadonly limited success, it createdenough of an immune responsein some subjects that many ofthem cut their drug use by half,researchers reported in a studyto be published in Tuesday’s Ar-chives of General Psychiatry.The vaccine stimulates pro-duction of antibodies that bindto cocaine and hold it in thebloodstream, preventing it fromreaching the brain and other or-gans.The trial’s success is signifi-cant because some of the sameprinciples are being used byother scientists in trying to cre-ate an antinicotine vaccine,which could have even broaderappeal.
(NYT)
Fid Gun Sc
TAMPA, Fla. — The Univer-sity of South Florida was lockeddown on Monday after someonereported a man with a gun anda bomb near the library. Thepolice had one person in custo-dy. No one reported shots beingfired or injuries. Students weretold to return to their normalroutine about three hours af-ter the lockdown began. VincentT. McCoy, 23, a student at theuniversity, was arrested andcharged with making a falsereport. The Tampa Police De-partment’s bomb squad exam-ined McCoy’s backpack and de-termined it was safe, the policesaid. (AP)
High Cu rfuss2,000 Css
WASHINGTON — The Su-preme Court on Monday re-fused to hear appeals concern-ing the Pledge of Allegiance,the Confederate flag and li-cense plates bearing the words“Choose Life.” In those andsome 2,000 other cases that ac-cumulated during the court’ssummer break, the court letstand rulings from lower courtswithout comment.
(NYT)
WASHINGTON — As Demo-crats prepare to take up healthcare legislation on the floor of theSenate and the House, they arefacing tough choices about twocompeting priorities. They wantpeople to pay affordable pricesfor health insurance policies, butthey want those policies to offercomprehensive health benefits.These goals collide in the billsmoving through Congress. Thedifferent versions of the legisla-tion would all require insurancecompanies to provide coveragemore generous than many poli-cies sold in the individual markettoday. That is good for consum-ers, Democrats say.But Republicans say the newrequirements would mean addedcosts for some consumers andfor the government, which wouldhelp pay premiums for millions oflow- and middle-income people.That tension between keepingcosts low and improving cov-erage is just one of many chal-lenges facing Congress and theObama administration as theyhead toward the final stages ofthe effort to pass health care leg-islation.Under the legislation, the gov-ernment would not only requireinsurers to accept all applicants.It would also define the accept-able levels of coverage.Sen. Jeff Bingaman, D-N.M.,said the federal government hadto specify coverage levels be-cause the benefits under manyexisting insurance policies wereinadequate.“We have more than 46 mil-lion people who are uninsured,”Bingaman said. “We also havea substantial number who areunder-insured. Although theyhave coverage, it is so bad or soinadequate that if they really getsick, they find they cannot affordthe health care they need.”But the No. 2 Republican in theSenate, Jon Kyl of Arizona, saidit was “an act of hubris” for Con-gress to prescribe the permis-sible coverage.The Senate Finance Com-mittee had been scheduled tomeet Tuesday to finish work ona sweeping health care bill thatit put together over the last twoweeks. But it postponed the ses-sion while it waits for a cost es-timate from the CongressionalBudget Office.Under the committee’s bill,there would be four levels ofbenefits — bronze, silver, goldand platinum — and all insurerswould be required to offer, at aminimum, coverage in the silverand gold categories.Most employer-sponsoredhealth plans already meet theproposed federal standards. Butinsurers and actuaries say thatone-third to one-half of policiesbought by individuals and fami-lies fall short. About 17 millionpeople buy insurance on theirown, in this individual market. 
ROBERT PEAR
 In Debate on Health, It’s Coverage Vs. Cost 
The Nobel Prize in Physiologyor Medicine was awarded Mon-day to three American scientistswho solved a problem of cell biol-ogy with deep relevance to cancerand aging. The three will receiveequal shares of a prize wortharound $1.4 million.The recipients solved a long-standing puzzle involving theends of chromosomes, the giantmolecules of DNA that embodythe genetic information. Theseends, called telomeres, get short-er each time a cell divides andso serve as a kind of clock thatcounts off the cell’s allotted spanof life.The three winners are ElizabethH. Blackburn of the University ofCalifornia, San Francisco; CarolW. Greider of the Johns HopkinsUniversity School of Medicine;and Jack W. Szostak of Massachu-setts General Hospital.The discoveries were madesome 20 years ago in pursuit ofa purely scientific problem thatseemingly had no practical rele-vance. But telomeres have turnedout to play a role in two medicalareas of vast importance, thoseof aging and cancer, because oftheir role in limiting the numberof times a cell can divide.“I am thrilled that the basic sci-ence can be celebrated,” Greidersaid in an interview Monday.Only eight women had wonthe Nobel Prize in Physiologyor Medicine. Asked how she feltabout becoming No. 9, Blackburnreplied, “Very excited, and hop-ing that nine will quickly becomea larger number.”Thomas Cech, a Nobel Prizewinner at the University of Colo-rado, said the discovery had hada broad impact on several fieldsof biology and medicine and hadalso provided a “fascinating in-sight” into the transition betweenthe DNA world and the RNAworld that preceded it in the ori-gin of life. RNA is a close chemi-cal cousin of DNA. 
NICHOLAS WADE
 3 Americans Share Nobel for Work in Cell Biology 
CINCINNATI — In continuingfallout from a failed executionlast month, Gov. Ted Stricklandon Monday postponed two otherexecutions to give corrections of-ficials more time to revise lethalinjection procedures.The announcement came justhours after a federal appealscourt indefinitely delayed one ofthose executions, which had beenscheduled for Thursday, becauseof similar concerns about proce-dures.The state is looking into backupprocedures in case the standardexecution techniques fail, asthey did on Sept. 15, when tech-nicians at the state prison in Lu-casville tried for over two hoursto maintain an intravenous con-nection in order to inject RomellBroom with lethal drugs for theabduction, rape and murder ofa teenage girl in 1984. A hearingto consider whether Broom canbe executed in conformity withconstitutional requirements isscheduled for Nov. 30.“More research and evaluationof backup or alternative proce-dures is necessary before one ormore can be selected,” Stricklandsaid in his order.The state expects to have back-up procedures in place in time toexecute another inmate, KennethBiros, on Dec. 8, he said. 
BOB DRIEHAUS
 After Failed Execution, Ohio Postpones Two Others
NatIoNal
 
Tuesday, OcTOber 6, 2009
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