text:
(CNN) -- President Obama on Monday strongly praised a decision by the nation's pharmaceutical industry to agree to a deal cutting drug costs for elderly Americans, calling it an example of the kind of compromise required for successful national health care reform.

President Obama says the pharmaceutical industry announcement "marks a major step forward."

The agreement discounts medications for Medicare beneficiaries facing high out-of-pocket expenses when their benefits reach a gap in coverage.

"This is a significant breakthrough on the road to health care reform, one that will make the difference in the lives of many older Americans," Obama said at the White House.

"Today marks a major step forward, but it will only be meaningful if we complete the journey. ... I have to repeat and revive an old saying we had from the campaign: Yes, we can. We are going to get this done."

The nation's top drug manufacturers agreed over the weekend to at least a 50 percent discount for most beneficiaries for brand-name medicines purchased in the so-called "doughnut hole" gap in coverage, Obama noted.

The gap involves medication costs of senior citizens between roughly $2,700 and $6,100 a year that are not covered by the Medicare part D plan.

The deal will be part of an $80 billion reduction in Medicare drug costs for senior citizens over the next 10 years, according to Senate Finance Committee Chairman Max Baucus, D-Montana, who helped negotiate the agreement.

Part of that $80 billion will go to closing the Medicare prescription drug "doughnut hole." Congressional staffers did not have precise estimates, but Finance Committee spokesman Erin Shields said they expect the $80 billion commitment to both cover the Medicare drug gap and leave additional money for other, still unannounced, programs.

The American Association of Retired People, the nation's largest organization of senior citizens, has praised the pharmaceutical industry agreement as a step toward health care reform. Obama spokesman Robert Gibbs noted Monday that AARP was opposed to health care reform during the first term of former President Bill Clinton in the early 1990s.

"You've got the pharmaceutical industry and the largest group representing seniors in this country, who 16 years ago weren't at the table but were on the other side of the political debate," Gibbs said of groups expressing support Monday for health care reform. "I think that represents progress and important steps towards real reform."

Overhauling health care is a top priority of Obama's administration, but the initial proposals to reach Congress last week received a rocky reception.

The Congressional Budget Office determined that either of two similar bills written by Senate Democrats would cost more than $1 trillion, which was higher than expected.

Republican opponents immediately slammed the measures, and the Senate Finance Committee delayed scheduled hearings on one of the bills. Hearings by the Senate Committee on Health, Education, Labor and Pensions on the other measure began amid intense partisan bickering, with hundreds of amendments proposed by Republican opponents.

At least two more bills are expected from the House of Representatives, and a bipartisan group led by former Senate majority leaders Tom Daschle, Howard Baker and Bob Dole also has offered guidelines for a proposal.

At issue is how best to reduce the cost and increase the reach of the current health care system, which officials say is increasingly draining personal, corporate and government budgets while leaving 46 million Americans without health insurance.

Obama has warned that a failure to act soon will bring far worse economic difficulties than the costs of plans under discussion. Both parties in Congress agree on the need to slow the increase in health care costs while ensuring that all Americans can get health insurance, but they differ sharply on how to proceed.

Democrats generally favor a government-funded "public option" to compete with private insurers. Republicans have said such a step would lead to a government takeover of health care, which they oppose.

Republicans also accuse Obama and Democrats of trying to rush through what they say is flawed legislation in 2009 before the politics of midterm elections in 2010 and the 2012 presidential race.

The parties do appear to agree on several broad principles, however, including an emphasis on preventive care, cost-cutting measures in the existing Medicare and Medicaid programs, and a halt to denials of coverage because of pre-existing medical conditions.

CNN's Lisa Desjardins contributed to this report.

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text: President

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text: on

text: Monday

text: strongly

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text: a

text: decision

text: by

text: the

text: nation

text: 's

text: pharmaceutical

text: industry

text: to

text: agree

text: to

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text: deal

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text: drug

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text: for

text: elderly

text: Americans

text: calling

text: it

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text: example

text: of

text: the

text: kind

text: of

text: compromise

text: required

text: for

text: successful

text: national

text: health

text: care

text: reform

text: President

text: Obama

text: says

text: the

text: pharmaceutical

text: industry

text: announcement

text: marks

text: a

text: major

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text: agreement

text: discounts

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text: Medicare

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text: Finance

text: Committee

text: Chairman

text: Max

text: Baucus

text: D

text: Montana

text: who

text: helped

text: negotiate

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text: agreement

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text: of

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text: Medicare

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text: drug

text: doughnut

text: hole

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text: staffers

text: did

text: not

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text: precise

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text: Finance

text: Committee

text: spokesman

text: Erin

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text: said

text: they

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text: billion

text: commitment

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text: both

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text: Medicare

text: drug

text: gap

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text: additional

text: money

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text: Association

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text: nation

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text: largest

text: organization

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text: senior

text: citizens

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text: praised

text: the

text: pharmaceutical

text: industry

text: agreement

text: as

text: a

text: step

text: toward

text: health

text: care

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text: Obama

text: spokesman

text: Robert

text: Gibbs

text: noted

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text: that

text: AARP

text: was

text: opposed

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text: health

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text: term

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text: former

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text: pharmaceutical

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text: political

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text: support

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text: for

text: health

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text: important

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text: health

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text: Congressional

text: Budget

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text: two

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text: bills

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text: cost

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text: opponents

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text: measures

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text: bills

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text: measure

text: began

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text: proposal

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text: issue

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text: reduce

text: the

text: cost

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text: increase

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text: reach

text: of

text: the

text: current

text: health

text: care

text: system

text: which

text: officials

text: say

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text: and

text: government

text: budgets

text: while

text: leaving

text: million

text: Americans

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text: health

text: insurance

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text: has

text: warned

text: that

text: a

text: failure

text: to

text: act

text: soon

text: will

text: bring

text: far

text: worse

text: economic

text: difficulties

text: than

text: the

text: costs

text: of

text: plans

text: under

text: discussion

text: Both

text: parties

text: in

text: Congress

text: agree

text: on

text: the

text: need

text: to

text: slow

text: the

text: increase

text: in

text: health

text: care

text: costs

text: while

text: ensuring

text: that

text: all

text: Americans

text: can

text: get

text: health

text: insurance

text: but

text: they

text: differ

text: sharply

text: on

text: how

text: to

text: proceed

text: Democrats

text: generally

text: favor

text: a

text: government

text: funded

text: public

text: option

text: to

text: compete

text: with

text: private

text: insurers

text: Republicans

text: have

text: said

text: such

text: a

text: step

text: would

text: lead

text: to

text: a

text: government

text: takeover

text: of

text: health

text: care

text: which

text: they

text: oppose

text: Republicans

text: also

text: accuse

text: Obama

text: and

text: Democrats

text: of

text: trying

text: to

text: rush

text: through

text: what

text: they

text: say

text: is

text: flawed

text: legislation

text: in

text: before

text: the

text: politics

text: of

text: midterm

text: elections

text: in

text: and

text: the

text: presidential

text: race

text: The

text: parties

text: do

text: appear

text: to

text: agree

text: on

text: several

text: broad

text: principles

text: however

text: including

text: an

text: emphasis

text: on

text: preventive

text: care

text: cost

text: cutting

text: measures

text: in

text: the

text: existing

text: Medicare

text: and

text: Medicaid

text: programs

text: and

text: a

text: halt

text: to

text: denials

text: of

text: coverage

text: because

text: of

text: pre

text: existing

text: medical

text: conditions

text: CNN

text: 's

text: Lisa

text: Desjardins

text: contributed

text: to

text: this

text: report

question: By how much have Medicare drug costs been reduced for senior citizens?

answer: $80 billion

text: $80 billion

question: What group of  individuals  are  effected by the $80 billion reduction in Medicare drugs?

answer: elderly Americans,

text: elderly Americans,

question: how much is the discount?

answer: at least a 50 percent

text: at least a 50 percent

question: When can some individuals receive a discount on drugs if they are on Medicare?

answer: their benefits reach a gap in coverage.

text: their benefits reach a gap in coverage.

question: For whom does the deal discount drugs?

answer: elderly Americans,

text: elderly Americans,

question: to which is applied the discount?

answer: Medicare beneficiaries

text: Medicare beneficiaries

question: Who is the president?

answer: Obama

text: Obama


text:
Editor's Note: Donna Brazile, a Democratic strategist, is chairwoman of the Democratic National Committee's Voting Rights Institute and founder of Brazile & Associates, a political consulting firm. She was the campaign manager for the Al Gore-Joe Lieberman ticket in 2000 and wrote "Cooking with Grease."

Donna Brazile says Barack Obama's inauguration is a huge milestone in the fight for equal rights

WASHINGTON (CNN) -- Today Barack Obama will be sworn in as the 44th president of the United States of America.

This is the day for which so many prayed, so many marched and so many more sacrificed.

This is a day of jubilation and celebration.

This is the day to rejoice and recommit ourselves to restoring the American dream for us all.

Barack Obama's election offers our country the opportunity to open a new chapter that will allow us to turn the corner on past prejudices and racial politics.

When Sen. Obama announced his candidacy for president in 2007, most people, black and white, thought it would be, at best, an interesting sideshow.

After Obama's victories in the early primaries, there came the controversial videos of the Rev. Jeremiah Wright, broadcasting a racial divisiveness that cast even greater doubt on an Obama candidacy. But the senator moved quickly to reassure people that Wright's jaundiced view of America did not reflect his own.

Americans wanted to move beyond racial categorization and the politics of division. Obama understood that. And so did the voters. But African-Americans didn't believe it.

Seventy-one percent of black voters had never thought a black candidate for president would get elected in their lifetime, according to a national poll released in November by CNN/Opinion Research Corp. Yet 59 percent of white respondents said they had thought it was possible.

Obama did not just win the caucuses in Iowa  -- a state with a white population of more than 94 percent -- he resoundingly captured it. Other primary victories, once thought improbable, soon followed.

These included Georgia, and Virginia, the former seat of the Confederacy.

On Election Day, Obama won a higher percentage of the white vote than John Kerry did in 2004, though he did not get a majority of whites.

Unlike other black presidential candidates before him, Obama did not run as "the black candidate." He ran as a Democratic candidate, a U.S. senator from Illinois, and a progressive. And America, by larger margins than in previous recent elections, voted for the progressive Democratic U.S. senator from Illinois who happened to be biracial.

For too long, race has been the stain on the American fabric. As Secretary Condoleezza Rice reminded us, race has been our "nation's birth defect." At times during the long primary and general election, race became a subtle distraction -- but the American people rejected it and it was never the primary issue.

Nor was it the primary issue for Americans who voted for Barack Obama. The vast majority of those who voted for and against Obama did so based on the content of his political prescriptions and platform -- not the color of his skin.

A lot of lessons were taught November 4. Obama's election revealed the possibility of three new truths for African-Americans: White America may not be as racist as African-Americans thought they were; a solution to our country's lingering racial problem may eventually be found; and the Rev. Martin Luther King's dream that one day all people will be judged by the content of their character rather than the color of their skin is alive and within reach.

Obama's election has inspired 6 in 10 blacks to forecast better race relations in the United States. "A majority of blacks now believe that a solution to the country's racial problems will eventually be found," said CNN polling director Keating Holland.

"In every previous poll on this topic dating back to 1993, black respondents had always said that racial problems were a permanent part of the American landscape. Even in the most recent polls taken last week, a majority of African-Americans said that a solution to the country's racial problems could be within reach; now blacks and whites agree that racial tensions may end."

Yes, of course, racism still exists in America. But if a black man can become president of the United States of America, then aren't all Americans now free to believe they can achieve any goal they set for themselves?

So on this day, let us all rejoice and be glad. Let us celebrate this moment in American history and let us resolve to find common ground. Let us resolve to join together as a nation to ensure that racial prejudice in America, as well as an ethic of non-achievement based on excuses and low expectations, dies the same death it did in the November ballot box.

What our founders envisioned -- what President Lincoln and the Rev. King fought and died for, we are perhaps finally ready to achieve. This is a remarkable moment. Though not the apex we need to reach, it is still a mountaintop, alive with possibilities, a dream no longer deferred.

The opinions expressed in this commentary are solely those of Donna Brazile.

text: Editor

text: 's

text: Note

text: Donna

text: Brazile

text: a

text: Democratic

text: strategist

text: is

text: chairwoman

text: of

text: the

text: Democratic

text: National

text: Committee

text: 's

text: Voting

text: Rights

text: Institute

text: and

text: founder

text: of

text: Brazile

text: Associates

text: a

text: political

text: consulting

text: firm

text: She

text: was

text: the

text: campaign

text: manager

text: for

text: the

text: Al

text: Gore

text: Joe

text: Lieberman

text: ticket

text: in

text: and

text: wrote

text: Cooking

text: with

text: Grease

text: Donna

text: Brazile

text: says

text: Barack

text: Obama

text: 's

text: inauguration

text: is

text: a

text: huge

text: milestone

text: in

text: the

text: fight

text: for

text: equal

text: rights

text: WASHINGTON

text: CNN

text: Today

text: Barack

text: Obama

text: will

text: be

text: sworn

text: in

text: as

text: the

text: president

text: of

text: the

text: United

text: States

text: of

text: America

text: This

text: is

text: the

text: day

text: for

text: which

text: so

text: many

text: prayed

text: so

text: many

text: marched

text: and

text: so

text: many

text: more

text: sacrificed

text: This

text: is

text: a

text: day

text: of

text: jubilation

text: and

text: celebration

text: This

text: is

text: the

text: day

text: to

text: rejoice

text: and

text: recommit

text: ourselves

text: to

text: restoring

text: the

text: American

text: dream

text: for

text: us

text: all

text: Barack

text: Obama

text: 's

text: election

text: offers

text: our

text: country

text: the

text: opportunity

text: to

text: open

text: a

text: new

text: chapter

text: that

text: will

text: allow

text: us

text: to

text: turn

text: the

text: corner

text: on

text: past

text: prejudices

text: and

text: racial

text: politics

text: When

text: Sen.

text: Obama

text: announced

text: his

text: candidacy

text: for

text: president

text: in

text: most

text: people

text: black

text: and

text: white

text: thought

text: it

text: would

text: be

text: at

text: best

text: an

text: interesting

text: sideshow

text: After

text: Obama

text: 's

text: victories

text: in

text: the

text: early

text: primaries

text: there

text: came

text: the

text: controversial

text: videos

text: of

text: the

text: Rev.

text: Jeremiah

text: Wright

text: broadcasting

text: a

text: racial

text: divisiveness

text: that

text: cast

text: even

text: greater

text: doubt

text: on

text: an

text: Obama

text: candidacy

text: But

text: the

text: senator

text: moved

text: quickly

text: to

text: reassure

text: people

text: that

text: Wright

text: 's

text: jaundiced

text: view

text: of

text: America

text: did

text: not

text: reflect

text: his

text: own

text: Americans

text: wanted

text: to

text: move

text: beyond

text: racial

text: categorization

text: and

text: the

text: politics

text: of

text: division

text: Obama

text: understood

text: that

text: And

text: so

text: did

text: the

text: voters

text: But

text: African

text: Americans

text: did

text: n't

text: believe

text: it

text: Seventy

text: one

text: percent

text: of

text: black

text: voters

text: had

text: never

text: thought

text: a

text: black

text: candidate

text: for

text: president

text: would

text: get

text: elected

text: in

text: their

text: lifetime

text: according

text: to

text: a

text: national

text: poll

text: released

text: in

text: November

text: by

text: CNN

text: Opinion

text: Research

text: Corp.

text: Yet

text: percent

text: of

text: white

text: respondents

text: said

text: they

text: had

text: thought

text: it

text: was

text: possible

text: Obama

text: did

text: not

text: just

text: win

text: the

text: caucuses

text: in

text: Iowa

text: a

text: state

text: with

text: a

text: white

text: population

text: of

text: more

text: than

text: percent

text: he

text: resoundingly

text: captured

text: it

text: Other

text: primary

text: victories

text: once

text: thought

text: improbable

text: soon

text: followed

text: These

text: included

text: Georgia

text: and

text: Virginia

text: the

text: former

text: seat

text: of

text: the

text: Confederacy

text: On

text: Election

text: Day

text: Obama

text: won

text: a

text: higher

text: percentage

text: of

text: the

text: white

text: vote

text: than

text: John

text: Kerry

text: did

text: in

text: though

text: he

text: did

text: not

text: get

text: a

text: majority

text: of

text: whites

text: Unlike

text: other

text: black

text: presidential

text: candidates

text: before

text: him

text: Obama

text: did

text: not

text: run

text: as

text: the

text: black

text: candidate

text: He

text: ran

text: as

text: a

text: Democratic

text: candidate

text: a

text: U.S.

text: senator

text: from

text: Illinois

text: and

text: a

text: progressive

text: And

text: America

text: by

text: larger

text: margins

text: than

text: in

text: previous

text: recent

text: elections

text: voted

text: for

text: the

text: progressive

text: Democratic

text: U.S.

text: senator

text: from

text: Illinois

text: who

text: happened

text: to

text: be

text: biracial

text: For

text: too

text: long

text: race

text: has

text: been

text: the

text: stain

text: on

text: the

text: American

text: fabric

text: As

text: Secretary

text: Condoleezza

text: Rice

text: reminded

text: us

text: race

text: has

text: been

text: our

text: nation

text: 's

text: birth

text: defect

text: At

text: times

text: during

text: the

text: long

text: primary

text: and

text: general

text: election

text: race

text: became

text: a

text: subtle

text: distraction

text: but

text: the

text: American

text: people

text: rejected

text: it

text: and

text: it

text: was

text: never

text: the

text: primary

text: issue

text: Nor

text: was

text: it

text: the

text: primary

text: issue

text: for

text: Americans

text: who

text: voted

text: for

text: Barack

text: Obama

text: The

text: vast

text: majority

text: of

text: those

text: who

text: voted

text: for

text: and

text: against

text: Obama

text: did

text: so

text: based

text: on

text: the

text: content

text: of

text: his

text: political

text: prescriptions

text: and

text: platform

text: not

text: the

text: color

text: of

text: his

text: skin

text: A

text: lot

text: of

text: lessons

text: were

text: taught

text: November

text: Obama

text: 's

text: election

text: revealed

text: the

text: possibility

text: of

text: three

text: new

text: truths

text: for

text: African

text: Americans

text: White

text: America

text: may

text: not

text: be

text: as

text: racist

text: as

text: African

text: Americans

text: thought

text: they

text: were

text: a

text: solution

text: to

text: our

text: country

text: 's

text: lingering

text: racial

text: problem

text: may

text: eventually

text: be

text: found

text: and

text: the

text: Rev.

text: Martin

text: Luther

text: King

text: 's

text: dream

text: that

text: one

text: day

text: all

text: people

text: will

text: be

text: judged

text: by

text: the

text: content

text: of

text: their

text: character

text: rather

text: than

text: the

text: color

text: of

text: their

text: skin

text: is

text: alive

text: and

text: within

text: reach

text: Obama

text: 's

text: election

text: has

text: inspired

text: in

text: blacks

text: to

text: forecast

text: better

text: race

text: relations

text: in

text: the

text: United

text: States

text: A

text: majority

text: of

text: blacks

text: now

text: believe

text: that

text: a

text: solution

text: to

text: the

text: country

text: 's

text: racial

text: problems

text: will

text: eventually

text: be

text: found

text: said

text: CNN

text: polling

text: director

text: Keating

text: Holland

text: In

text: every

text: previous

text: poll

text: on

text: this

text: topic

text: dating

text: back

text: to

text: black

text: respondents

text: had

text: always

text: said

text: that

text: racial

text: problems

text: were

text: a

text: permanent

text: part

text: of

text: the

text: American

text: landscape

text: Even

text: in

text: the

text: most

text: recent

text: polls

text: taken

text: last

text: week

text: a

text: majority

text: of

text: African

text: Americans

text: said

text: that

text: a

text: solution

text: to

text: the

text: country

text: 's

text: racial

text: problems

text: could

text: be

text: within

text: reach

text: now

text: blacks

text: and

text: whites

text: agree

text: that

text: racial

text: tensions

text: may

text: end

text: Yes

text: of

text: course

text: racism

text: still

text: exists

text: in

text: America

text: But

text: if

text: a

text: black

text: man

text: can

text: become

text: president

text: of

text: the

text: United

text: States

text: of

text: America

text: then

text: are

text: n't

text: all

text: Americans

text: now

text: free

text: to

text: believe

text: they

text: can

text: achieve

text: any

text: goal

text: they

text: set

text: for

text: themselves

text: So

text: on

text: this

text: day

text: let

text: us

text: all

text: rejoice

text: and

text: be

text: glad

text: Let

text: us

text: celebrate

text: this

text: moment

text: in

text: American

text: history

text: and

text: let

text: us

text: resolve

text: to

text: find

text: common

text: ground

text: Let

text: us

text: resolve

text: to

text: join

text: together

text: as

text: a

text: nation

text: to

text: ensure

text: that

text: racial

text: prejudice

text: in

text: America

text: as

text: well

text: as

text: an

text: ethic

text: of

text: non

text: achievement

text: based

text: on

text: excuses

text: and

text: low

text: expectations

text: dies

text: the

text: same

text: death

text: it

text: did

text: in

text: the

text: November

text: ballot

text: box

text: What

text: our

text: founders

text: envisioned

text: what

text: President

text: Lincoln

text: and

text: the

text: Rev.

text: King

text: fought

text: and

text: died

text: for

text: we

text: are

text: perhaps

text: finally

text: ready

text: to

text: achieve

text: This

text: is

text: a

text: remarkable

text: moment

text: Though

text: not

text: the

text: apex

text: we

text: need

text: to

text: reach

text: it

text: is

text: still

text: a

text: mountaintop

text: alive

text: with

text: possibilities

text: a

text: dream

text: no

text: longer

text: deferred

text: The

text: opinions

text: expressed

text: in

text: this

text: commentary

text: are

text: solely

text: those

text: of

text: Donna

text: Brazile

question: What did Brazile say hardly anyone did two years ago?

answer: Barack Obama's inauguration is a huge milestone in the fight for equal rights

text: Barack Obama's inauguration is a huge milestone in the fight for equal rights

question: Obama ran as a what?

answer: a Democratic candidate,

text: a Democratic candidate,

question: What did Donna Brazile say?

answer: Barack Obama's inauguration is a huge milestone in the fight for equal rights

text: Barack Obama's inauguration is a huge milestone in the fight for equal rights

question: What did Brazile say Obama ran as?

answer: as a Democratic candidate, a U.S. senator from Illinois, and a progressive.

text: as a Democratic candidate, a U.S. senator from Illinois, and a progressive.

question: What didn't Obama run as in the election?

answer: "the black candidate."

text: "the black candidate."

question: What did Donna Brazile say about Obama's inauguration?

answer: is a huge milestone in the fight for equal rights

text: is a huge milestone in the fight for equal rights


text:
(CNN)  -- LeBron James has been named the NBA's Most Valuable Player for the second year in a row after claiming 116 of a possible 123 first place votes.

It gave him a landslide win over the runner-up, Kevin Durant of the Oklahoma City Thunder, who had just four first place votes, with Kobe Bryant of the Los Angeles Lakers in third.

The media panel, who decide the prestigious award, had no hesitation in opting for James, whose outstanding play has lifted the Cleveland Cavaliers into the second second round of the playoffs.

They beat Boston Celtics in game one of the best-of-seven series with game two on Monday.

"To be MVP is definitely an honor. It's a humbling experience," James told the NBA official Web site.

"To receive that while you are trying to win a championship, you have to balance it out. I've been able to do that so far."

Orlando center Dwight Howard was fourth overall.

James, who is determined to finally land the NBA championship with the Cavs after a series of near-misses, has averaged just shy of 30 points per game, with 7.3 rebounds and 8.6 assists this season.

It helped Cleveland to a league-best 61 wins in the regular season and left him a near-certainty for the MVP honor.

He is only the 10th player to win it twice in consecutive seasons, joining greats such as Michael Jordan, Wilt Chamberlain and Magic Johnson.

"I'm just trying to do my job," James said. "Hopefully I can add onto that championship list of names and pass it on to someone when I'm done."

text: CNN

text: LeBron

text: James

text: has

text: been

text: named

text: the

text: NBA

text: 's

text: Most

text: Valuable

text: Player

text: for

text: the

text: second

text: year

text: in

text: a

text: row

text: after

text: claiming

text: of

text: a

text: possible

text: first

text: place

text: votes

text: It

text: gave

text: him

text: a

text: landslide

text: win

text: over

text: the

text: runner

text: up

text: Kevin

text: Durant

text: of

text: the

text: Oklahoma

text: City

text: Thunder

text: who

text: had

text: just

text: four

text: first

text: place

text: votes

text: with

text: Kobe

text: Bryant

text: of

text: the

text: Los

text: Angeles

text: Lakers

text: in

text: third

text: The

text: media

text: panel

text: who

text: decide

text: the

text: prestigious

text: award

text: had

text: no

text: hesitation

text: in

text: opting

text: for

text: James

text: whose

text: outstanding

text: play

text: has

text: lifted

text: the

text: Cleveland

text: Cavaliers

text: into

text: the

text: second

text: second

text: round

text: of

text: the

text: playoffs

text: They

text: beat

text: Boston

text: Celtics

text: in

text: game

text: one

text: of

text: the

text: best

text: of

text: seven

text: series

text: with

text: game

text: two

text: on

text: Monday

text: To

text: be

text: MVP

text: is

text: definitely

text: an

text: honor

text: It

text: 's

text: a

text: humbling

text: experience

text: James

text: told

text: the

text: NBA

text: official

text: Web

text: site

text: To

text: receive

text: that

text: while

text: you

text: are

text: trying

text: to

text: win

text: a

text: championship

text: you

text: have

text: to

text: balance

text: it

text: out

text: I

text: 've

text: been

text: able

text: to

text: do

text: that

text: so

text: far

text: Orlando

text: center

text: Dwight

text: Howard

text: was

text: fourth

text: overall

text: James

text: who

text: is

text: determined

text: to

text: finally

text: land

text: the

text: NBA

text: championship

text: with

text: the

text: Cavs

text: after

text: a

text: series

text: of

text: near

text: misses

text: has

text: averaged

text: just

text: shy

text: of

text: points

text: per

text: game

text: with

text: rebounds

text: and

text: assists

text: this

text: season

text: It

text: helped

text: Cleveland

text: to

text: a

text: league

text: best

text: wins

text: in

text: the

text: regular

text: season

text: and

text: left

text: him

text: a

text: near

text: certainty

text: for

text: the

text: MVP

text: honor

text: He

text: is

text: only

text: the

text: player

text: to

text: win

text: it

text: twice

text: in

text: consecutive

text: seasons

text: joining

text: greats

text: such

text: as

text: Michael

text: Jordan

text: Wilt

text: Chamberlain

text: and

text: Magic

text: Johnson

text: I

text: 'm

text: just

text: trying

text: to

text: do

text: my

text: job

text: James

text: said

text: Hopefully

text: I

text: can

text: add

text: onto

text: that

text: championship

text: list

text: of

text: names

text: and

text: pass

text: it

text: on

text: to

text: someone

text: when

text: I

text: 'm

text: done

question: How many votes did LeBron James receive?

answer: 116

question: Who is determined to bring the NBA Championship?

answer: LeBron James

text: LeBron James

question: What was LeBron James named for the second year in a row?

answer: NBA's Most Valuable Player

text: NBA's Most Valuable Player

question: What is James determined to do?

answer: finally land the NBA championship

text: finally land the NBA championship

question: Who is determined to bring the NBA Championship to Cleveland?

answer: LeBron James

text: LeBron James

question: What Cleveland Cavs star gains?

answer: NBA's Most Valuable Player

text: NBA's Most Valuable Player

question: Who gains 116 out of a possible 123 first place votes?

answer: LeBron James

text: LeBron James


text:
(CNN) -- With more than 5 million people suffering from Alzheimer's disease in the United States, a number that's expected to rise to 16 million by 2050, the pressure is on to find better methods of diagnosis, treatment and prevention.

Around the world, Alzheimer's disease is the second most feared disease, behind cancer, according to a recent survey of five countries conducted by the Harvard School of Public Health.

Yet there is still a lot of misinformation: Only 61% of Americans who responded to the survey correctly identified Alzheimer's disease as a fatal illness. Many participants also mistakenly believe there are sure diagnostic methods and effective treatments to slow the disease, but most would seek medical attention if they became aware of their own early signs.

The research that came out of the Alzheimer's Association 2011 International Conference on Alzheimer's Disease, which took place in Paris last week, reflects a growing emphasis on early detection.

Research suggests the best targets for exploring treatments are patients who do not have full-blown Alzheimer's disease, but experience mild symptoms. Scientists have identified biological indicators called biomarkers that seem to be associated with Alzheimer's, although they are not perfect predictors.

Alzheimer's Association: 10 signs of Alzheimer's

"Things are heading earlier and earlier. And the use of biomarkers has been really essential for helping everybody move toward an understanding of what the earliest changes are and when they can be detected," said Dr. Allan Levey, chair of neurology at Emory University School of Medicine.

Early detection

So far, no drug has been developed to significantly slow the progression of the disease in all patients. And there's no way to halt or reverse the decline of memory and other cognitive abilities once Alzheimer's has been diagnosed. Since attempts to help patients who already have symptoms in these ways have failed, scientists must look to the earliest stages of Alzheimer's in hopes of stopping it before it begins.

Studies presented at the conference reinforced the notion that signs of Alzheimer's may develop in the brain 10 to 20 years before any symptoms begin.

A substance in the brain called beta-amyloid has been associated with dementia in people who have those kinds of symptoms. This is the main ingredient of plaques that build up in the brains of Alzheimer's patients.

People with a rare genetic form of Alzheimer's, whose specific genetic mutations guarantee that they will develop the disease, tended to show signs of amyloid plaques in PET scans and cerebrospinal fluid 10 to 20 years before the onset of symptoms. These results come from the Dominantly Inherited Alzheimer Network project.

But that represents only a small fraction of Alzheimer's patients -- 1% of cases worldwide, specifically. If you don't have the genetic form, there's no way to tell if you will go on to develop the disease, even if you have accumulation of amyloid plaques. There are some people who have them but do not show symptoms of Alzheimer's.

The kinds of tests that would detect beta-amyloid levels are not widely available. And it's not clear that pulling the amyloid plaques out of the brain reverses the process of cognitive decline; this is one area of research right now.

Another biomarker of interest is a protein called tau, implicated in the neurofibrillary tangles -- which basically take the shape of cells and destroy them -- that build up in the brains of Alzheimer's patients, particularly in the memory center called the hippocampus. But there's no scan to detect these tangles in a living patient.

A major focus of research on early detection is patients who have mild cognitive impairment, a collection of symptoms involving difficulty with memory, language and other mental functions, but which does not interfere with everyday life. It is not necessarily a precursor to Alzheimer's disease, but it does raise the risk of progressing into that more severe illness.

Understanding mild cognitive impairment is important in coming up with better treatments for dementia in general, because the brain hasn't deteriorated as much as in Alzheimer's, so it may not be too late to intervene, experts say.

The brain is the primary organ the disease attacks, but a small study presented at the conference suggests the eyes may also reveal signs of Alzheimer's. Researchers looked at photos of retinal blood vessels and found some differences in Alzheimer's patients, but further research is needed to confirm this idea of using an eye exam to help diagnose Alzheimer's. The same holds for a study suggesting that falling is indicative of Alzheimer's early stages: It's a preliminary idea that needs further investigation.

Identifying risk and prevention factors

Another area of focus is identifying risk factors for Alzheimer's disease. These are associations, not known direct causes.

"Age is a risk factor we can't modify, at least yet. Our genetics, we can't modify yet, which is another major risk factor," Levey said. "But certainly seeking clues about ones that are modifiable is an important" research area.

At the Paris conference, researchers said 3 million cases of Alzheimer's could be prevented worldwide if lifestyle-based, chronic disease risk factors were reduced by 25%. This estimate is based on a mathematical model.

In the United States, physical inactivity had the biggest association with Alzheimer's out of the risk factors studied, followed by depression and smoking. Midlife hypertension, midlife obesity, low educational attainment and diabetes are other risk factors.

"If we can demonstrate that these risk factors can be modified, and that it will lead to lower rates of Alzheimer's disease, the impact could be huge," Levey said.

People in their 40s and 50s have still got perhaps a couple of decades to modify lifestyle to potentially lower risk, he said.

There is also growing evidence that head trauma may increase the risk of dementia. One study presented at the conference in Paris found that traumatic brain injury was associated with dementia among older veterans.

A study of former NFL players suggests that football players also may be at increased risk for mild cognitive impairment or similar cognitive decline, perhaps as a result of repeated head injury during these former athletes' sports careers. In fact, 75 former professional football players are suing the NFL, alleging that the league concealed information about the harmful effects of concussions on the brain for decades.

There is also the idea of cognitive reserve: that keeping the mind active can at least delay the onset of dementia. It also seems that intelligence might help the brain stay in the mild phase of the disease longer, although more study needs to be done in this area as well.

"We know that highly intelligent people have more tolerance to plaque buildup and to loss of energy in their brains than people with lower levels of intelligence and less education," said Dr. Steven DeKosky, vice president and dean of the University of Virginia's School of Medicine, at an Alzheimer's forum at the National Press Foundation in May. "Their brain basically fights it off and finds some other ways to get the things done."

Caregiving

One of the underappreciated effects of Alzheimer's disease is how great a toll it takes on caregivers. Caregivers are much more frequently ill and die earlier than people who do not care for someone with the disease, studies have shown. The stress of taking care of someone chronically ill is sometimes called caregiver syndrome.

Caregiving is hazardous to health because of the stress of helping Alzheimer's patients, and because caregivers may ignore their own health, DeKosky said.

"Alzheimer's patients, when they get into moderate and severe stages, don't have some real sense of time," DeKosky said. "They have to be watched every minute."

Patients may hurt themselves or wander off if not under constant supervision. And it's common for patients to reverse their sleeping and waking cycles, so caregivers' daily habits are likewise disrupted.

The cost is staggering: Caregivers provide more than $200 billion in unpaid care, 17 billion hours each year, according to the Alzheimer's Association.

Gibbons' advice to Alzheimer's caregivers: Breathe, believe and receive

Why don't we know more?

Two of the biggest obstacles to finding treatments for Alzheimer's disease are lack of money and difficulty enrolling people in clinical trials, experts say.

The United States spends $450 million each year in Alzheimer's research money, compared to $6 billion for cancer, $4 billion for heart disease and $3 billion for HIV/AIDS research.

In spite of the money that does exist for research, Alzheimer's clinical trials are hard to fill with participants, said Dr. R. Scott Turner, director of the Georgetown University Memory Disorders Program.

Sometimes people believe they're just having "senior moments" and don't want to acknowledge their illness, Turner said. In other cases, patients don't want to go through the hassle of the trial if they're not guaranteed to receive an experimental drug; but, in order for a scientific study to be valid, patients must be randomly assigned to either the drug or a placebo.

Also, some trials don't test drugs at all, but simply look for those biomarkers that may help predict disease later or explore other early diagnostic methods. Such methods will be in high demand when an effective treatment is developed, DeKosky said.

"When the first drug is successful, let's say in symptomatic disease -- may it be so -- the crush to take advantage of what we know, while it's still in research format now, will be immense," DeKosky said.

If you or a loved one are interested in exploring clinical trials, the Alzheimer's Association runs a system called TrialMatch to assist in finding a trial near you.

Follow cnnhealth on Twitter

text: CNN

text: With

text: more

text: than

text: million

text: people

text: suffering

text: from

text: Alzheimer

text: 's

text: disease

text: in

text: the

text: United

text: States

text: a

text: number

text: that

text: 's

text: expected

text: to

text: rise

text: to

text: million

text: by

text: the

text: pressure

text: is

text: on

text: to

text: find

text: better

text: methods

text: of

text: diagnosis

text: treatment

text: and

text: prevention

text: Around

text: the

text: world

text: Alzheimer

text: 's

text: disease

text: is

text: the

text: second

text: most

text: feared

text: disease

text: behind

text: cancer

text: according

text: to

text: a

text: recent

text: survey

text: of

text: five

text: countries

text: conducted

text: by

text: the

text: Harvard

text: School

text: of

text: Public

text: Health

text: Yet

text: there

text: is

text: still

text: a

text: lot

text: of

text: misinformation

text: Only

text: of

text: Americans

text: who

text: responded

text: to

text: the

text: survey

text: correctly

text: identified

text: Alzheimer

text: 's

text: disease

text: as

text: a

text: fatal

text: illness

text: Many

text: participants

text: also

text: mistakenly

text: believe

text: there

text: are

text: sure

text: diagnostic

text: methods

text: and

text: effective

text: treatments

text: to

text: slow

text: the

text: disease

text: but

text: most

text: would

text: seek

text: medical

text: attention

text: if

text: they

text: became

text: aware

text: of

text: their

text: own

text: early

text: signs

text: The

text: research

text: that

text: came

text: out

text: of

text: the

text: Alzheimer

text: 's

text: Association

text: International

text: Conference

text: on

text: Alzheimer

text: 's

text: Disease

text: which

text: took

text: place

text: in

text: Paris

text: last

text: week

text: reflects

text: a

text: growing

text: emphasis

text: on

text: early

text: detection

text: Research

text: suggests

text: the

text: best

text: targets

text: for

text: exploring

text: treatments

text: are

text: patients

text: who

text: do

text: not

text: have

text: full

text: blown

text: Alzheimer

text: 's

text: disease

text: but

text: experience

text: mild

text: symptoms

text: Scientists

text: have

text: identified

text: biological

text: indicators

text: called

text: biomarkers

text: that

text: seem

text: to

text: be

text: associated

text: with

text: Alzheimer

text: 's

text: although

text: they

text: are

text: not

text: perfect

text: predictors

text: Alzheimer

text: 's

text: Association

text: signs

text: of

text: Alzheimer

text: 's

text: Things

text: are

text: heading

text: earlier

text: and

text: earlier

text: And

text: the

text: use

text: of

text: biomarkers

text: has

text: been

text: really

text: essential

text: for

text: helping

text: everybody

text: move

text: toward

text: an

text: understanding

text: of

text: what

text: the

text: earliest

text: changes

text: are

text: and

text: when

text: they

text: can

text: be

text: detected

text: said

text: Dr.

text: Allan

text: Levey

text: chair

text: of

text: neurology

text: at

text: Emory

text: University

text: School

text: of

text: Medicine

text: Early

text: detection

text: So

text: far

text: no

text: drug

text: has

text: been

text: developed

text: to

text: significantly

text: slow

text: the

text: progression

text: of

text: the

text: disease

text: in

text: all

text: patients

text: And

text: there

text: 's

text: no

text: way

text: to

text: halt

text: or

text: reverse

text: the

text: decline

text: of

text: memory

text: and

text: other

text: cognitive

text: abilities

text: once

text: Alzheimer

text: 's

text: has

text: been

text: diagnosed

text: Since

text: attempts

text: to

text: help

text: patients

text: who

text: already

text: have

text: symptoms

text: in

text: these

text: ways

text: have

text: failed

text: scientists

text: must

text: look

text: to

text: the

text: earliest

text: stages

text: of

text: Alzheimer

text: 's

text: in

text: hopes

text: of

text: stopping

text: it

text: before

text: it

text: begins

text: Studies

text: presented

text: at

text: the

text: conference

text: reinforced

text: the

text: notion

text: that

text: signs

text: of

text: Alzheimer

text: 's

text: may

text: develop

text: in

text: the

text: brain

text: to

text: years

text: before

text: any

text: symptoms

text: begin

text: A

text: substance

text: in

text: the

text: brain

text: called

text: beta

text: amyloid

text: has

text: been

text: associated

text: with

text: dementia

text: in

text: people

text: who

text: have

text: those

text: kinds

text: of

text: symptoms

text: This

text: is

text: the

text: main

text: ingredient

text: of

text: plaques

text: that

text: build

text: up

text: in

text: the

text: brains

text: of

text: Alzheimer

text: 's

text: patients

text: People

text: with

text: a

text: rare

text: genetic

text: form

text: of

text: Alzheimer

text: 's

text: whose

text: specific

text: genetic

text: mutations

text: guarantee

text: that

text: they

text: will

text: develop

text: the

text: disease

text: tended

text: to

text: show

text: signs

text: of

text: amyloid

text: plaques

text: in

text: PET

text: scans

text: and

text: cerebrospinal

text: fluid

text: to

text: years

text: before

text: the

text: onset

text: of

text: symptoms

text: These

text: results

text: come

text: from

text: the

text: Dominantly

text: Inherited

text: Alzheimer

text: Network

text: project

text: But

text: that

text: represents

text: only

text: a

text: small

text: fraction

text: of

text: Alzheimer

text: 's

text: patients

text: of

text: cases

text: worldwide

text: specifically

text: If

text: you

text: do

text: n't

text: have

text: the

text: genetic

text: form

text: there

text: 's

text: no

text: way

text: to

text: tell

text: if

text: you

text: will

text: go

text: on

text: to

text: develop

text: the

text: disease

text: even

text: if

text: you

text: have

text: accumulation

text: of

text: amyloid

text: plaques

text: There

text: are

text: some

text: people

text: who

text: have

text: them

text: but

text: do

text: not

text: show

text: symptoms

text: of

text: Alzheimer

text: 's

text: The

text: kinds

text: of

text: tests

text: that

text: would

text: detect

text: beta

text: amyloid

text: levels

text: are

text: not

text: widely

text: available

text: And

text: it

text: 's

text: not

text: clear

text: that

text: pulling

text: the

text: amyloid

text: plaques

text: out

text: of

text: the

text: brain

text: reverses

text: the

text: process

text: of

text: cognitive

text: decline

text: this

text: is

text: one

text: area

text: of

text: research

text: right

text: now

text: Another

text: biomarker

text: of

text: interest

text: is

text: a

text: protein

text: called

text: tau

text: implicated

text: in

text: the

text: neurofibrillary

text: tangles

text: which

text: basically

text: take

text: the

text: shape

text: of

text: cells

text: and

text: destroy

text: them

text: that

text: build

text: up

text: in

text: the

text: brains

text: of

text: Alzheimer

text: 's

text: patients

text: particularly

text: in

text: the

text: memory

text: center

text: called

text: the

text: hippocampus

text: But

text: there

text: 's

text: no

text: scan

text: to

text: detect

text: these

text: tangles

text: in

text: a

text: living

text: patient

text: A

text: major

text: focus

text: of

text: research

text: on

text: early

text: detection

text: is

text: patients

text: who

text: have

text: mild

text: cognitive

text: impairment

text: a

text: collection

text: of

text: symptoms

text: involving

text: difficulty

text: with

text: memory

text: language

text: and

text: other

text: mental

text: functions

text: but

text: which

text: does

text: not

text: interfere

text: with

text: everyday

text: life

text: It

text: is

text: not

text: necessarily

text: a

text: precursor

text: to

text: Alzheimer

text: 's

text: disease

text: but

text: it

text: does

text: raise

text: the

text: risk

text: of

text: progressing

text: into

text: that

text: more

text: severe

text: illness

text: Understanding

text: mild

text: cognitive

text: impairment

text: is

text: important

text: in

text: coming

text: up

text: with

text: better

text: treatments

text: for

text: dementia

text: in

text: general

text: because

text: the

text: brain

text: has

text: n't

text: deteriorated

text: as

text: much

text: as

text: in

text: Alzheimer

text: 's

text: so

text: it

text: may

text: not

text: be

text: too

text: late

text: to

text: intervene

text: experts

text: say

text: The

text: brain

text: is

text: the

text: primary

text: organ

text: the

text: disease

text: attacks

text: but

text: a

text: small

text: study

text: presented

text: at

text: the

text: conference

text: suggests

text: the

text: eyes

text: may

text: also

text: reveal

text: signs

text: of

text: Alzheimer

text: 's

text: Researchers

text: looked

text: at

text: photos

text: of

text: retinal

text: blood

text: vessels

text: and

text: found

text: some

text: differences

text: in

text: Alzheimer

text: 's

text: patients

text: but

text: further

text: research

text: is

text: needed

text: to

text: confirm

text: this

text: idea

text: of

text: using

text: an

text: eye

text: exam

text: to

text: help

text: diagnose

text: Alzheimer

text: 's

text: The

text: same

text: holds

text: for

text: a

text: study

text: suggesting

text: that

text: falling

text: is

text: indicative

text: of

text: Alzheimer

text: 's

text: early

text: stages

text: It

text: 's

text: a

text: preliminary

text: idea

text: that

text: needs

text: further

text: investigation

text: Identifying

text: risk

text: and

text: prevention

text: factors

text: Another

text: area

text: of

text: focus

text: is

text: identifying

text: risk

text: factors

text: for

text: Alzheimer

text: 's

text: disease

text: These

text: are

text: associations

text: not

text: known

text: direct

text: causes

text: Age

text: is

text: a

text: risk

text: factor

text: we

text: ca

text: n't

text: modify

text: at

text: least

text: yet

text: Our

text: genetics

text: we

text: ca

text: n't

text: modify

text: yet

text: which

text: is

text: another

text: major

text: risk

text: factor

text: Levey

text: said

text: But

text: certainly

text: seeking

text: clues

text: about

text: ones

text: that

text: are

text: modifiable

text: is

text: an

text: important

text: research

text: area

text: At

text: the

text: Paris

text: conference

text: researchers

text: said

text: million

text: cases

text: of

text: Alzheimer

text: 's

text: could

text: be

text: prevented

text: worldwide

text: if

text: lifestyle

text: based

text: chronic

text: disease

text: risk

text: factors

text: were

text: reduced

text: by

text: This

text: estimate

text: is

text: based

text: on

text: a

text: mathematical

text: model

text: In

text: the

text: United

text: States

text: physical

text: inactivity

text: had

text: the

text: biggest

text: association

text: with

text: Alzheimer

text: 's

text: out

text: of

text: the

text: risk

text: factors

text: studied

text: followed

text: by

text: depression

text: and

text: smoking

text: Midlife

text: hypertension

text: midlife

text: obesity

text: low

text: educational

text: attainment

text: and

text: diabetes

text: are

text: other

text: risk

text: factors

text: If

text: we

text: can

text: demonstrate

text: that

text: these

text: risk

text: factors

text: can

text: be

text: modified

text: and

text: that

text: it

text: will

text: lead

text: to

text: lower

text: rates

text: of

text: Alzheimer

text: 's

text: disease

text: the

text: impact

text: could

text: be

text: huge

text: Levey

text: said

text: People

text: in

text: their

text: and

text: have

text: still

text: got

text: perhaps

text: a

text: couple

text: of

text: decades

text: to

text: modify

text: lifestyle

text: to

text: potentially

text: lower

text: risk

text: he

text: said

text: There

text: is

text: also

text: growing

text: evidence

text: that

text: head

text: trauma

text: may

text: increase

text: the

text: risk

text: of

text: dementia

text: One

text: study

text: presented

text: at

text: the

text: conference

text: in

text: Paris

text: found

text: that

text: traumatic

text: brain

text: injury

text: was

text: associated

text: with

text: dementia

text: among

text: older

text: veterans

text: A

text: study

text: of

text: former

text: NFL

text: players

text: suggests

text: that

text: football

text: players

text: also

text: may

text: be

text: at

text: increased

text: risk

text: for

text: mild

text: cognitive

text: impairment

text: or

text: similar

text: cognitive

text: decline

text: perhaps

text: as

text: a

text: result

text: of

text: repeated

text: head

text: injury

text: during

text: these

text: former

text: athletes

text: sports

text: careers

text: In

text: fact

text: former

text: professional

text: football

text: players

text: are

text: suing

text: the

text: NFL

text: alleging

text: that

text: the

text: league

text: concealed

text: information

text: about

text: the

text: harmful

text: effects

text: of

text: concussions

text: on

text: the

text: brain

text: for

text: decades

text: There

text: is

text: also

text: the

text: idea

text: of

text: cognitive

text: reserve

text: that

text: keeping

text: the

text: mind

text: active

text: can

text: at

text: least

text: delay

text: the

text: onset

text: of

text: dementia

text: It

text: also

text: seems

text: that

text: intelligence

text: might

text: help

text: the

text: brain

text: stay

text: in

text: the

text: mild

text: phase

text: of

text: the

text: disease

text: longer

text: although

text: more

text: study

text: needs

text: to

text: be

text: done

text: in

text: this

text: area

text: as

text: well

text: We

text: know

text: that

text: highly

text: intelligent

text: people

text: have

text: more

text: tolerance

text: to

text: plaque

text: buildup

text: and

text: to

text: loss

text: of

text: energy

text: in

text: their

text: brains

text: than

text: people

text: with

text: lower

text: levels

text: of

text: intelligence

text: and

text: less

text: education

text: said

text: Dr.

text: Steven

text: DeKosky

text: vice

text: president

text: and

text: dean

text: of

text: the

text: University

text: of

text: Virginia

text: 's

text: School

text: of

text: Medicine

text: at

text: an

text: Alzheimer

text: 's

text: forum

text: at

text: the

text: National

text: Press

text: Foundation

text: in

text: May.

text: Their

text: brain

text: basically

text: fights

text: it

text: off

text: and

text: finds

text: some

text: other

text: ways

text: to

text: get

text: the

text: things

text: done

text: Caregiving

text: One

text: of

text: the

text: underappreciated

text: effects

text: of

text: Alzheimer

text: 's

text: disease

text: is

text: how

text: great

text: a

text: toll

text: it

text: takes

text: on

text: caregivers

text: Caregivers

text: are

text: much

text: more

text: frequently

text: ill

text: and

text: die

text: earlier

text: than

text: people

text: who

text: do

text: not

text: care

text: for

text: someone

text: with

text: the

text: disease

text: studies

text: have

text: shown

text: The

text: stress

text: of

text: taking

text: care

text: of

text: someone

text: chronically

text: ill

text: is

text: sometimes

text: called

text: caregiver

text: syndrome

text: Caregiving

text: is

text: hazardous

text: to

text: health

text: because

text: of

text: the

text: stress

text: of

text: helping

text: Alzheimer

text: 's

text: patients

text: and

text: because

text: caregivers

text: may

text: ignore

text: their

text: own

text: health

text: DeKosky

text: said

text: Alzheimer

text: 's

text: patients

text: when

text: they

text: get

text: into

text: moderate

text: and

text: severe

text: stages

text: do

text: n't

text: have

text: some

text: real

text: sense

text: of

text: time

text: DeKosky

text: said

text: They

text: have

text: to

text: be

text: watched

text: every

text: minute

text: Patients

text: may

text: hurt

text: themselves

text: or

text: wander

text: off

text: if

text: not

text: under

text: constant

text: supervision

text: And

text: it

text: 's

text: common

text: for

text: patients

text: to

text: reverse

text: their

text: sleeping

text: and

text: waking

text: cycles

text: so

text: caregivers

text: daily

text: habits

text: are

text: likewise

text: disrupted

text: The

text: cost

text: is

text: staggering

text: Caregivers

text: provide

text: more

text: than

text: billion

text: in

text: unpaid

text: care

text: billion

text: hours

text: each

text: year

text: according

text: to

text: the

text: Alzheimer

text: 's

text: Association

text: Gibbons

text: advice

text: to

text: Alzheimer

text: 's

text: caregivers

text: Breathe

text: believe

text: and

text: receive

text: Why

text: do

text: n't

text: we

text: know

text: more

text: Two

text: of

text: the

text: biggest

text: obstacles

text: to

text: finding

text: treatments

text: for

text: Alzheimer

text: 's

text: disease

text: are

text: lack

text: of

text: money

text: and

text: difficulty

text: enrolling

text: people

text: in

text: clinical

text: trials

text: experts

text: say

text: The

text: United

text: States

text: spends

text: million

text: each

text: year

text: in

text: Alzheimer

text: 's

text: research

text: money

text: compared

text: to

text: billion

text: for

text: cancer

text: billion

text: for

text: heart

text: disease

text: and

text: billion

text: for

text: HIV

text: AIDS

text: research

text: In

text: spite

text: of

text: the

text: money

text: that

text: does

text: exist

text: for

text: research

text: Alzheimer

text: 's

text: clinical

text: trials

text: are

text: hard

text: to

text: fill

text: with

text: participants

text: said

text: Dr.

text: R.

text: Scott

text: Turner

text: director

text: of

text: the

text: Georgetown

text: University

text: Memory

text: Disorders

text: Program

text: Sometimes

text: people

text: believe

text: they

text: 're

text: just

text: having

text: senior

text: moments

text: and

text: do

text: n't

text: want

text: to

text: acknowledge

text: their

text: illness

text: Turner

text: said

text: In

text: other

text: cases

text: patients

text: do

text: n't

text: want

text: to

text: go

text: through

text: the

text: hassle

text: of

text: the

text: trial

text: if

text: they

text: 're

text: not

text: guaranteed

text: to

text: receive

text: an

text: experimental

text: drug

text: but

text: in

text: order

text: for

text: a

text: scientific

text: study

text: to

text: be

text: valid

text: patients

text: must

text: be

text: randomly

text: assigned

text: to

text: either

text: the

text: drug

text: or

text: a

text: placebo

text: Also

text: some

text: trials

text: do

text: n't

text: test

text: drugs

text: at

text: all

text: but

text: simply

text: look

text: for

text: those

text: biomarkers

text: that

text: may

text: help

text: predict

text: disease

text: later

text: or

text: explore

text: other

text: early

text: diagnostic

text: methods

text: Such

text: methods

text: will

text: be

text: in

text: high

text: demand

text: when

text: an

text: effective

text: treatment

text: is

text: developed

text: DeKosky

text: said

text: When

text: the

text: first

text: drug

text: is

text: successful

text: let

text: 's

text: say

text: in

text: symptomatic

text: disease

text: may

text: it

text: be

text: so

text: the

text: crush

text: to

text: take

text: advantage

text: of

text: what

text: we

text: know

text: while

text: it

text: 's

text: still

text: in

text: research

text: format

text: now

text: will

text: be

text: immense

text: DeKosky

text: said

text: If

text: you

text: or

text: a

text: loved

text: one

text: are

text: interested

text: in

text: exploring

text: clinical

text: trials

text: the

text: Alzheimer

text: 's

text: Association

text: runs

text: a

text: system

text: called

text: TrialMatch

text: to

text: assist

text: in

text: finding

text: a

text: trial

text: near

text: you

text: Follow

text: cnnhealth

text: on

text: Twitter

question: What is the second most feared disease?

answer: Alzheimer's

text: Alzheimer's

question: What are risk factors in the US?

answer: depression and smoking. Midlife hypertension, midlife obesity, low educational attainment and diabetes

text: depression and smoking. Midlife hypertension, midlife obesity, low educational attainment and diabetes

question: what disease is the second most feared disease?

answer: Alzheimer's

text: Alzheimer's

question: what is Emphasis in research?

answer: early detection.

text: early detection.

question: What are risk factors for Alzheimer's disease?

answer: genetics,

text: genetics,

question: what are the risk factors in the U.S?

answer: "Age

text: "Age

question: What is emphasized in Alzheimer's research?

answer: early detection.

text: early detection.


text:
This year marks the 150th anniversary of the Battle of Solferino which led to the creation of the International Committee of the Red Cross. The ICRC is using the date to launch an awareness campaign of its work in conflict-affected countries, featuring photos taken by five award-winning photojournalists. This week we're bringing you stories from some of the world's most troubled countries, as told by the ICRC.

CITÃ SOLEIL, Haiti (ICRC) -- Roudeline Lamy was 23 when she was shot in the stomach. The impact of the bullet sent the small baby she was holding tumbling to the ground.

Roudeline Lamy shows the scar from her bullet wound. At 26, she's a widow after losing her husband to gangland violence.

Roudeline still suffers from stomach pains and her daughter, now three years old, is paralyzed from the waist down.

The mother and child sleep on the concrete floor of a shack that floods every time it rains. Since Roudeline's husband was killed by the gangs, she has had to rely on the charity of friends and her faith that God will not abandon her.

With very few State services, God is all the poor in Haiti's sprawling seaside slum of CitÃ© Soleil can believe in. Two schools and one state hospital serve the ever-expanding population, with aid agencies and religious groups trying to plug the gap.

The International Committee of the Red Cross (ICRC) has been in Haiti since 1994 and in CitÃ© Soleil since 2003. Rob Drouen, head of the ICRC delegation, explains, "Haiti is a fragile state where armed gangs can be used to stir up trouble for political reasons and abject poverty fuels discontent."   See photos taken by award-winning photojournalist Ron Haviv Â»

Even among the children. In CitÃ© Soleil, a dozen street children start pummeling a young girl. It's not known why. But within seconds word has spread that a fight is on. Hordes of children with matted hair and ragged clothes race to the scene, glad of anything to relieve the monotony of yet another day with nothing to do. Weary parents pull their children away, leaving the shaken girl to escape.

This is a far cry from the days when families ran for cover from daily gun battles. A few years ago, CitÃ© Soleil was one of the most dangerous and destitute places on earth -- a shanty town torn apart by a vicious gang war for control of the area.

United Nations troops have stabilized the security situation in Haiti, the western world's poorest country, and many gang members are either dead or behind bars. Nevertheless, violence still surrounds the 300,000 residents of CitÃ© Soleil, fueled by hunger and the frustration of trying to survive on less than a dollar a day.

I sidestep the brawling children and enter the home of a woman who has suffered more than most. A long-standing resident of CitÃ© Soleil, 83 year old Elevanise Tidor was first caught in gangland crossfire in 1993. In 2004 she stepped into harm's away again when she was shot in the breast and stomach. As she undoes her faded dress to show the scars from her mastectomy, she tells me she was later hit by a car and now can hardly walk.  Watch Elevanise Tidor tell her story Â»

Confined to a sparsely furnished corrugated iron shack, she worries about how her children and grandchildren are going to make ends meet.

"My body took the bullets, but my family has been hit the hardest," she says. "I can't work or do anything for them. My grandchildren often go to bed crying with hunger."

That the victims of violence can suffer for years after the event is well-known, but in CitÃ© Soleil the suffering can last a lifetime.

With the help of the ICRC, a group of victims of the violence is aiding fellow sufferers. In 2007, Pierre Wilber founded REVICIS (Regroupement des victimes de CitÃ© Soleil) after gang members beat him up for political reasons. REVICIS has already identified 300 victims and is now trying to get funds for social, psychological and legal help.

"There are so many social problems in CitÃ© Soleil that everyone here is a victim," he says. "But we give priority to people visibly scarred by violence, because they have suffered a double blow."

Brice Osmer is one of the rare victims who can still work. In April 2005, he was caught in a shoot-out between UN troops and gang members. He was hit three times and lost an arm. Since then he walks the streets selling mobile phone time cards and bags of water.

"On a good day I earn a dollar, but it's thanks to my wife who sells food from dawn to dusk that my children don't starve."

In 2004, at the height of the gang warfare, the Red Cross ensured that people had safe access to water. Previously, they had been risking their lives crossing frontlines to fill up their buckets.

Today, the ICRC works with the water board, maintaining and running 53 communal water points across CitÃ© Soleil, turning them on for a couple of hours 20 days a month.

Prospere Borgelin works with the ICRC on its water project. He also works with other international organizations to improve living conditions in Ti-Haiti where he lives (Ti-Haiti is Creole for Petit Haiti, or Little Haiti.)

Like other community leaders, he has seen the benefits of working closely with the humanitarian agencies and with the Brazilian troops from the U.N. stabilization mission responsible for security in CitÃ© Soleil.

"The troops have brought security. Communities are beginning to organize themselves. We see the results in that roads are being built, rubbish collected and sewage removed," he says.

At considerable personal risk, Borgelin has helped the U.N. and the Haitian police arrest gang members in his neighborhood and continues to be vigilant.

Like many in CitÃ© Soleil, he fears that the U.N. will pull out before the Haitian police are ready to take over and that the streets will again echo to the sound of gunfire.

"Misery," he says, "breeds violence. And there's still plenty of misery in CitÃ© Soleil."

For more about this topic go to the ICRC Website.

Have you been affected by conflict? Send your photos and stories to iReport.

text: This

text: year

text: marks

text: the

text: anniversary

text: of

text: the

text: Battle

text: of

text: Solferino

text: which

text: led

text: to

text: the

text: creation

text: of

text: the

text: International

text: Committee

text: of

text: the

text: Red

text: Cross

text: The

text: ICRC

text: is

text: using

text: the

text: date

text: to

text: launch

text: an

text: awareness

text: campaign

text: of

text: its

text: work

text: in

text: conflict

text: affected

text: countries

text: featuring

text: photos

text: taken

text: by

text: five

text: award

text: winning

text: photojournalists

text: This

text: week

text: we

text: 're

text: bringing

text: you

text: stories

text: from

text: some

text: of

text: the

text: world

text: 's

text: most

text: troubled

text: countries

text: as

text: told

text: by

text: the

text: ICRC

text: CITÃ

text: SOLEIL

text: Haiti

text: ICRC

text: Roudeline

text: Lamy

text: was

text: when

text: she

text: was

text: shot

text: in

text: the

text: stomach

text: The

text: impact

text: of

text: the

text: bullet

text: sent

text: the

text: small

text: baby

text: she

text: was

text: holding

text: tumbling

text: to

text: the

text: ground

text: Roudeline

text: Lamy

text: shows

text: the

text: scar

text: from

text: her

text: bullet

text: wound

text: At

text: she

text: 's

text: a

text: widow

text: after

text: losing

text: her

text: husband

text: to

text: gangland

text: violence

text: Roudeline

text: still

text: suffers

text: from

text: stomach

text: pains

text: and

text: her

text: daughter

text: now

text: three

text: years

text: old

text: is

text: paralyzed

text: from

text: the

text: waist

text: down

text: The

text: mother

text: and

text: child

text: sleep

text: on

text: the

text: concrete

text: floor

text: of

text: a

text: shack

text: that

text: floods

text: every

text: time

text: it

text: rains

text: Since

text: Roudeline

text: 's

text: husband

text: was

text: killed

text: by

text: the

text: gangs

text: she

text: has

text: had

text: to

text: rely

text: on

text: the

text: charity

text: of

text: friends

text: and

text: her

text: faith

text: that

text: God

text: will

text: not

text: abandon

text: her

text: With

text: very

text: few

text: State

text: services

text: God

text: is

text: all

text: the

text: poor

text: in

text: Haiti

text: 's

text: sprawling

text: seaside

text: slum

text: of

text: CitÃ

text: Soleil

text: can

text: believe

text: in

text: Two

text: schools

text: and

text: one

text: state

text: hospital

text: serve

text: the

text: ever

text: expanding

text: population

text: with

text: aid

text: agencies

text: and

text: religious

text: groups

text: trying

text: to

text: plug

text: the

text: gap

text: The

text: International

text: Committee

text: of

text: the

text: Red

text: Cross

text: ICRC

text: has

text: been

text: in

text: Haiti

text: since

text: and

text: in

text: CitÃ

text: Soleil

text: since

text: Rob

text: Drouen

text: head

text: of

text: the

text: ICRC

text: delegation

text: explains

text: Haiti

text: is

text: a

text: fragile

text: state

text: where

text: armed

text: gangs

text: can

text: be

text: used

text: to

text: stir

text: up

text: trouble

text: for

text: political

text: reasons

text: and

text: abject

text: poverty

text: fuels

text: discontent

text: See

text: photos

text: taken

text: by

text: award

text: winning

text: photojournalist

text: Ron

text: Haviv

text: Â

text: Even

text: among

text: the

text: children

text: In

text: CitÃ

text: Soleil

text: a

text: dozen

text: street

text: children

text: start

text: pummeling

text: a

text: young

text: girl

text: It

text: 's

text: not

text: known

text: why

text: But

text: within

text: seconds

text: word

text: has

text: spread

text: that

text: a

text: fight

text: is

text: on

text: Hordes

text: of

text: children

text: with

text: matted

text: hair

text: and

text: ragged

text: clothes

text: race

text: to

text: the

text: scene

text: glad

text: of

text: anything

text: to

text: relieve

text: the

text: monotony

text: of

text: yet

text: another

text: day

text: with

text: nothing

text: to

text: do

text: Weary

text: parents

text: pull

text: their

text: children

text: away

text: leaving

text: the

text: shaken

text: girl

text: to

text: escape

text: This

text: is

text: a

text: far

text: cry

text: from

text: the

text: days

text: when

text: families

text: ran

text: for

text: cover

text: from

text: daily

text: gun

text: battles

text: A

text: few

text: years

text: ago

text: CitÃ

text: Soleil

text: was

text: one

text: of

text: the

text: most

text: dangerous

text: and

text: destitute

text: places

text: on

text: earth

text: a

text: shanty

text: town

text: torn

text: apart

text: by

text: a

text: vicious

text: gang

text: war

text: for

text: control

text: of

text: the

text: area

text: United

text: Nations

text: troops

text: have

text: stabilized

text: the

text: security

text: situation

text: in

text: Haiti

text: the

text: western

text: world

text: 's

text: poorest

text: country

text: and

text: many

text: gang

text: members

text: are

text: either

text: dead

text: or

text: behind

text: bars

text: Nevertheless

text: violence

text: still

text: surrounds

text: the

text: residents

text: of

text: CitÃ

text: Soleil

text: fueled

text: by

text: hunger

text: and

text: the

text: frustration

text: of

text: trying

text: to

text: survive

text: on

text: less

text: than

text: a

text: dollar

text: a

text: day

text: I

text: sidestep

text: the

text: brawling

text: children

text: and

text: enter

text: the

text: home

text: of

text: a

text: woman

text: who

text: has

text: suffered

text: more

text: than

text: most

text: A

text: long

text: standing

text: resident

text: of

text: CitÃ

text: Soleil

text: year

text: old

text: Elevanise

text: Tidor

text: was

text: first

text: caught

text: in

text: gangland

text: crossfire

text: in

text: In

text: she

text: stepped

text: into

text: harm

text: 's

text: away

text: again

text: when

text: she

text: was

text: shot

text: in

text: the

text: breast

text: and

text: stomach

text: As

text: she

text: undoes

text: her

text: faded

text: dress

text: to

text: show

text: the

text: scars

text: from

text: her

text: mastectomy

text: she

text: tells

text: me

text: she

text: was

text: later

text: hit

text: by

text: a

text: car

text: and

text: now

text: can

text: hardly

text: walk

text: Watch

text: Elevanise

text: Tidor

text: tell

text: her

text: story

text: Â

text: Confined

text: to

text: a

text: sparsely

text: furnished

text: corrugated

text: iron

text: shack

text: she

text: worries

text: about

text: how

text: her

text: children

text: and

text: grandchildren

text: are

text: going

text: to

text: make

text: ends

text: meet

text: My

text: body

text: took

text: the

text: bullets

text: but

text: my

text: family

text: has

text: been

text: hit

text: the

text: hardest

text: she

text: says

text: I

text: ca

text: n't

text: work

text: or

text: do

text: anything

text: for

text: them

text: My

text: grandchildren

text: often

text: go

text: to

text: bed

text: crying

text: with

text: hunger

text: That

text: the

text: victims

text: of

text: violence

text: can

text: suffer

text: for

text: years

text: after

text: the

text: event

text: is

text: well

text: known

text: but

text: in

text: CitÃ

text: Soleil

text: the

text: suffering

text: can

text: last

text: a

text: lifetime

text: With

text: the

text: help

text: of

text: the

text: ICRC

text: a

text: group

text: of

text: victims

text: of

text: the

text: violence

text: is

text: aiding

text: fellow

text: sufferers

text: In

text: Pierre

text: Wilber

text: founded

text: REVICIS

text: Regroupement

text: des

text: victimes

text: de

text: CitÃ

text: Soleil

text: after

text: gang

text: members

text: beat

text: him

text: up

text: for

text: political

text: reasons

text: REVICIS

text: has

text: already

text: identified

text: victims

text: and

text: is

text: now

text: trying

text: to

text: get

text: funds

text: for

text: social

text: psychological

text: and

text: legal

text: help

text: There

text: are

text: so

text: many

text: social

text: problems

text: in

text: CitÃ

text: Soleil

text: that

text: everyone

text: here

text: is

text: a

text: victim

text: he

text: says

text: But

text: we

text: give

text: priority

text: to

text: people

text: visibly

text: scarred

text: by

text: violence

text: because

text: they

text: have

text: suffered

text: a

text: double

text: blow

text: Brice

text: Osmer

text: is

text: one

text: of

text: the

text: rare

text: victims

text: who

text: can

text: still

text: work

text: In

text: April

text: he

text: was

text: caught

text: in

text: a

text: shoot

text: out

text: between

text: UN

text: troops

text: and

text: gang

text: members

text: He

text: was

text: hit

text: three

text: times

text: and

text: lost

text: an

text: arm

text: Since

text: then

text: he

text: walks

text: the

text: streets

text: selling

text: mobile

text: phone

text: time

text: cards

text: and

text: bags

text: of

text: water

text: On

text: a

text: good

text: day

text: I

text: earn

text: a

text: dollar

text: but

text: it

text: 's

text: thanks

text: to

text: my

text: wife

text: who

text: sells

text: food

text: from

text: dawn

text: to

text: dusk

text: that

text: my

text: children

text: do

text: n't

text: starve

text: In

text: at

text: the

text: height

text: of

text: the

text: gang

text: warfare

text: the

text: Red

text: Cross

text: ensured

text: that

text: people

text: had

text: safe

text: access

text: to

text: water

text: Previously

text: they

text: had

text: been

text: risking

text: their

text: lives

text: crossing

text: frontlines

text: to

text: fill

text: up

text: their

text: buckets

text: Today

text: the

text: ICRC

text: works

text: with

text: the

text: water

text: board

text: maintaining

text: and

text: running

text: communal

text: water

text: points

text: across

text: CitÃ

text: Soleil

text: turning

text: them

text: on

text: for

text: a

text: couple

text: of

text: hours

text: days

text: a

text: month

text: Prospere

text: Borgelin

text: works

text: with

text: the

text: ICRC

text: on

text: its

text: water

text: project

text: He

text: also

text: works

text: with

text: other

text: international

text: organizations

text: to

text: improve

text: living

text: conditions

text: in

text: Ti

text: Haiti

text: where

text: he

text: lives

text: Ti

text: Haiti

text: is

text: Creole

text: for

text: Petit

text: Haiti

text: or

text: Little

text: Haiti

text: Like

text: other

text: community

text: leaders

text: he

text: has

text: seen

text: the

text: benefits

text: of

text: working

text: closely

text: with

text: the

text: humanitarian

text: agencies

text: and

text: with

text: the

text: Brazilian

text: troops

text: from

text: the

text: U.N.

text: stabilization

text: mission

text: responsible

text: for

text: security

text: in

text: CitÃ

text: Soleil

text: The

text: troops

text: have

text: brought

text: security

text: Communities

text: are

text: beginning

text: to

text: organize

text: themselves

text: We

text: see

text: the

text: results

text: in

text: that

text: roads

text: are

text: being

text: built

text: rubbish

text: collected

text: and

text: sewage

text: removed

text: he

text: says

text: At

text: considerable

text: personal

text: risk

text: Borgelin

text: has

text: helped

text: the

text: U.N.

text: and

text: the

text: Haitian

text: police

text: arrest

text: gang

text: members

text: in

text: his

text: neighborhood

text: and

text: continues

text: to

text: be

text: vigilant

text: Like

text: many

text: in

text: CitÃ

text: Soleil

text: he

text: fears

text: that

text: the

text: U.N.

text: will

text: pull

text: out

text: before

text: the

text: Haitian

text: police

text: are

text: ready

text: to

text: take

text: over

text: and

text: that

text: the

text: streets

text: will

text: again

text: echo

text: to

text: the

text: sound

text: of

text: gunfire

text: Misery

text: he

text: says

text: breeds

text: violence

text: And

text: there

text: 's

text: still

text: plenty

text: of

text: misery

text: in

text: CitÃ

text: Soleil

text: For

text: more

text: about

text: this

text: topic

text: go

text: to

text: the

text: ICRC

text: Website

text: Have

text: you

text: been

text: affected

text: by

text: conflict

text: Send

text: your

text: photos

text: and

text: stories

text: to

text: iReport

question: Where are residesnts still bearing scars of gang related warfare?

answer: CITÃ SOLEIL, Haiti

text: CITÃ SOLEIL, Haiti

question: Who has stabilized the situation?

answer:
a.

United Nations t

text:
a.

United Nations t

question: Where was the violence?

answer: CitÃ© Solei

text: CitÃ© Solei

question: Which city suffered hardest from gang related warfare?

answer: ago, CitÃ© S

text: ago, CitÃ© S

question: What have UN troops done?

answer: have stabilized the security situation in H

text: have stabilized the security situation in H