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World/Nation

| July 25, 2014 9:00 PM

• Doctor: Patient killed caseworker before gunfight

DARBY, Pa. - A doctor told police that a patient fatally shot a caseworker at their hospital complex before the doctor pulled out his own gun and exchanged fire with him and wounded him, a prosecutor said Thursday night.

Dr. Lee Silverman, a psychiatrist, was grazed in the temple during the gunfight in his office with patient Richard Plotts, Delaware District Attorney Jack Whelan said.

Whelan identified the caseworker killed Thursday afternoon at Mercy Fitzgerald Hospital as Theresa Hunt, 53. Hunt, who was from Philadelphia, had accompanied Plotts to an appointment with Silverman at a psychiatric crisis center next to the hospital in Darby, just southwest of Philadelphia, authorities said.

"When the caseworker was shot, (Silverman) crouched down behind the desk to avoid him being shot," Whelan said. "He was able to reach for his weapon, and realizing it was a life or death situation, was able to engage the defendant in the exchange of gunfire."

A struggle ensued and spilled out into the hallway, Whelan said. Another doctor and a caseworker jumped in to help Silverman and secure Plotts' weapon, he said.

The motive for the shooting remained unclear late Thursday, although Whelan said Plotts, of Upper Darby, might have had issues with the doctor over his treatment plan. However, it's unclear if that's why Silverman was armed, apparently against hospital policy.

• Air Algerie jet with 116 people on board crashes

OUAGADOUGO, Burkina Faso - An Air Algerie jetliner carrying 116 people crashed Thursday in a rainstorm over restive Mali, and its wreckage was found near the border of neighboring Burkina Faso - the third major international aviation disaster in a week.

The plane, owned by Spanish company Swiftair and leased by Algeria's flagship carrier, disappeared from radar less than an hour after it took off from Burkina Faso's capital of Ouagadougou for Algiers.

French fighter jets, U.N. peacekeepers and others hunted for the wreckage of the MD-83 in the remote region, where scattered separatist violence may hamper an eventual investigation into what happened.

It was found about 31 miles from the border of Burkina Faso near the village of Boulikessi in Mali, a Burkina Faso presidential aide said.

• Palestinians in Gaza take shelter in U.N. school

GAZA CITY, Gaza Strip - A U.N. school in Gaza crowded with hundreds of Palestinians seeking refuge from fierce fighting came under fire Thursday, killing at least 15 civilians and leaving a sad tableau of blood-spattered pillows, blankets and children's clothing scattered in the courtyard.

Palestinian officials blamed Israel for the shelling, which wounded dozens and came on the deadliest day so far of the current round of fighting. However, the Israeli military said the school "was not a target in any way" and raised the possibility the compound was hit by Hamas rockets.

Ominously, meanwhile, violence spread to the West Bank, where thousands of Palestinians protesting the Gaza fighting clashed with Israeli soldiers late Thursday in Qalandia, near the West Bank city of Ramallah. At least one Palestinian was killed and dozens were injured, a Palestinian doctor said.

U.N. Secretary-General Ban Ki-moon angrily denounced the Gaza attack, saying the killing must "stop now." But the frantic diplomatic efforts spanning the region were running into a brick wall: Israel demands that Hamas stop firing rockets without conditions, while Gaza's Islamic militant rulers insist the seven-year Israeli-Egyptian blockade of the territory must end first.

• Fine for no health insurance set at $2,448 per person

MIAMI - Federal officials have capped the amount of money scofflaws will be forced to pay if they don't buy insurance this year at $2,448 per person and $12,240 for a family of five.

The amount is equal to the national average annual premium for a bronze level health plan. But only those with an income above about a quarter of a million dollars would benefit from the cap. Those making less would still have to pay as much as 1 percent of their annual income.

The penalty for the first year starts at $95 per adult or $47.50 per child younger than 18. The penalty for not buying insurance increases to 2 percent of income or $325, whichever is higher, for 2015. The fines are due when people file their 2014 taxes.

- The Associated Press