Hospitals Flooded With Flu Patients

U.S. emergency rooms have been overwhelmed with flu patients, turning away some of them and others with non-life-threatening conditions for lack of space.

Forty-one states are battling widespread influenza outbreaks, including Illinois, where six people -- all older than 50 -- have died, according to the state's Department of Public Health.

At least 18 children in the country have died during this flu season, according to the U.S. Centers for Disease Control and Prevention.

The proportion of people seeing their doctor for flu-like symptoms jumped to 5.6 percent from 2.8 percent in the past month, according to the CDC.

Northwestern Memorial Hospital in Chicago reported a 20 percent increase in flu patients every day. Northwestern Memorial was one of eight hospitals on bypass Monday and Tuesday, meaning it asked ambulances to take patients elsewhere if they could do so safely.

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Most of the hospitals have resumed normal operations, but could return to the bypass status if the influx of patients becomes too great.

"Northwestern Memorial Hospital is an extraordinarily busy hospital, and oftentimes during our busier months, in the summer, we will sometimes have to go on bypass," Northwestern Memorial's Dr. David Zich said. "We don't like it, the community doesn't like it, but sometimes it is necessary."

A tent outside Lehigh Valley Hospital in Salisbury Township, Pa., was set up to tend to the overflowing number of flu cases.

A hospital in Ohio is requiring patients with the flu to wear masks to protect those who are not infected.

State health officials in Indiana have reported seven deaths. Five of the deaths occurred in people older than 65 and two younger than 18. The state will release another report later today.

Doctors are especially concerned about the elderly and children, where the flu can be deadly.

"Our office in the last two weeks has exploded with children," Dr. Gayle Smith, a pediatrician in Richmond, Va., said

It is the earliest flu season in a decade and, ABC News Chief Medical Editor Dr. Besser says, it's not too late to protect yourself from the outbreak.

"You have to think about an anti-viral, especially if you're elderly, a young child, a pregnant woman," Besser said.

"They're the people that are going to die from this. Tens of thousands of people die in a bad flu season. We're not taking it serious enough."

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Tunisia frees man held over attack on U.S. consulate in Libya

Tunis (Reuters) - Tunisia has freed, for lack of evidence, a Tunisian man who had been suspected of involvement in an Islamist militant attack in Libya last year in which the U.S. ambassador was killed, his lawyer said on Tuesday.

Ali Harzi was one of two Tunisians named in October by the Daily Beast website as having been detained in Turkey over the violence in which Christopher Stevens, the U.S. ambassador to Libya, and three other American officials were killed.

"The judge decided to free Harzi and he is free now," lawyer Anouar Awled Ali told Reuters. "The release came in response to our request to free him for lack of evidence and after he underwent the hearing with American investigators as a witness in the case."

A Tunisian justice ministry spokesman confirmed the release of Harzi but declined to elaborate.

A month ago, Harzi refused to be interviewed by visiting U.S. FBI investigators over the September 11 assault on the U.S. consulate in the eastern Libyan city of Benghazi.

The Daily Beast reported that shortly after the attacks began, Harzi posted an update on an unspecified social media site about the fighting.

It said Harzi was on his way to Syria when he was detained in Turkey at the behest of U.S. authorities, and that he was affiliated with a militant group in North Africa.

(Reporting by Tarek Amara; Editing by Mark Heinrich)

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India says two soldiers killed in clash with Pakistan troops

SRINAGAR, India: Pakistani troops killed two Indian soldiers on Tuesday near the tense disputed border between the nuclear-armed neighbours in Kashmir and one of the bodies was badly mutilated, the Indian army said.

The firefight broke out at about noon on Tuesday (0630 GMT) after an Indian patrol discovered Pakistani troops about half a kilometre (1,600 feet) inside Indian territory, an army spokesman told AFP.

A ceasefire has been in place along the Line of Control that divides the countries since 2003, but it is periodically violated by both sides and Pakistan said Indian troops killed a Pakistani soldier on Sunday.

Relations had been slowly improving over the last few years following a rupture in their slow-moving peace process after the 2008 attacks on Mumbai, which were blamed by India on Pakistan-based militants.

"There was a firefight with Pakistani troops," army spokesman Rajesh Kalia told AFP from the mountainous Himalayan region.

"We lost two soldiers and one of them has been badly mutilated," he added, declining to give more details on the injuries.

"The intruders were regular (Pakistani) soldiers and they were 400-500 metres (1,300-1,600 feet) inside our territory," he said of the clash in Mendhar sector, 173 kilometres (107 miles) west by road from the city of Jammu.

In Islamabad, a Pakistan military spokesman denied what he called an "Indian allegation of unprovoked firing". He declined to elaborate.

On Sunday, Pakistan said Indian troops had crossed the Line of Control and stormed a military post. It said one Pakistani soldier was killed and another injured.

It lodged a formal protest with India on Monday over what it called an unprovoked attack.

India denied crossing the line, saying it had retaliated with small arms fire after Pakistani mortars hit a village home.

A foreign ministry spokesman said Indian troops had undertaken "controlled retaliation" on Sunday after "unprovoked firing" which damaged a civilian home.

The deaths are set to undermine recent efforts to improve relations, such as opening up trade and offering more lenient visa regimes which have been a feature of talks between senior political leaders from both sides.

Muslim-majority Kashmir is a Himalayan region which India and Pakistan both claim in full but rule in part. It was the cause of two of three wars between the neighbours since independence from Britain in 1947.

- AFP/fa

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SP leader Abu Azmi endorses RSS chief, says western culture to blame for rapes

MUMBAI: Samajwadi Party leader Abu Asim Azmi said on Tuesday that western culture had ruined Indian culture and led to increasing atrocities on women including rapes.

"Young girls and women must not roam around with any men except their parents, brothers or husband," Azmi said here.

"Having boyfriends and girlfriends has become a fashion in cities. This is why incidence of rapes is higher in urban areas compared to rural parts of the country," he added.

Azmi endorsed RSS leader Mohan Bhagwat, who last week expressed similar sentiments.

Asked if he supported the RSS chief's views, Azmi said: "When he is saying is something right. I cannot say he is wrong.

"If he calls the sun the sun or the moon the moon, I cannot say he is wrong just because of our political differences."

Saying that "we are all proud of our Indian culture and values", Azmi added that women in Rajasthan were always veiled. But when young women go out skimpily dressed, they attract attention and face risks.

"Such nudity must be banned. The censor board must not clear movies having explicit scenes which embarrass families watching them together.

"Women from rural India with knowledge of Indian culture must be inducted into the censor board," Azmi said.

Azmi felt that capital punishment for rape could be "misused by girls and innocent men could be hanged".

"Even if there is a consensual relationship and it turns sour later, girls could resort to blackmail and men would still be punished."

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Report: Death rates from cancer still inching down

WASHINGTON (AP) — Death rates from cancer are continuing to inch down, researchers reported Monday.

Now the question is how to hold onto those gains, and do even better, even as the population gets older and fatter, both risks for developing cancer.

"There has been clear progress," said Dr. Otis Brawley of the American Cancer Society, which compiled the annual cancer report with government and cancer advocacy groups.

But bad diets, lack of physical activity and obesity together wield "incredible forces against this decline in mortality," Brawley said. He warned that over the next decade, that trio could surpass tobacco as the leading cause of cancer in the U.S.

Overall, deaths from cancer began slowly dropping in the 1990s, and Monday's report shows the trend holding. Among men, cancer death rates dropped by 1.8 percent a year between 2000 and 2009, and by 1.4 percent a year among women. The drops are thanks mostly to gains against some of the leading types — lung, colorectal, breast and prostate cancers — because of treatment advances and better screening.

The news isn't all good. Deaths still are rising for certain cancer types including liver, pancreatic and, among men, melanoma, the most serious kind of skin cancer.

Preventing cancer is better than treating it, but when it comes to new cases of cancer, the picture is more complicated.

Cancer incidence is dropping slightly among men, by just over half a percent a year, said the report published by the Journal of the National Cancer Institute. Prostate, lung and colorectal cancers all saw declines.

But for women, earlier drops have leveled off, the report found. That may be due in part to breast cancer. There were decreases in new breast cancer cases about a decade ago, as many women quit using hormone therapy after menopause. Since then, overall breast cancer incidence has plateaued, and rates have increased among black women.

Another problem area: Oral and anal cancers caused by HPV, the sexually transmitted human papillomavirus, are on the rise among both genders. HPV is better known for causing cervical cancer, and a protective vaccine is available. Government figures show just 32 percent of teen girls have received all three doses, fewer than in Canada, Britain and Australia. The vaccine was recommended for U.S. boys about a year ago.

Among children, overall cancer death rates are dropping by 1.8 percent a year, but incidence is continuing to increase by just over half a percent a year. Brawley said it's not clear why.

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Giffords, Kelly Say 'Enough' to Gun Violence

After she was gravely wounded by gunfire two years ago in Tucson, Ariz., former Rep. Gabrielle Giffords and her husband, Mark Kelly, imagined a life out of the public eye, where she would continue therapy surrounded by the friends, family and the Arizona desert she loves so much.

Gabby Giffords and Mark Kelly Speak Exclusively to Diane Sawyer

But after the slaughter of 20 first-graders and six adults at Sandy Hook Elementary School in Newtown, Conn., last month, Giffords and Kelly knew they couldn't stay silent.

"Enough," Giffords said.

The couple marked the second anniversary of the Tucson shooting by sitting down with Diane Sawyer to discuss their recent visit to Newtown and their new initiative to curb gun violence, "Americans for Responsible Solutions."

"After the shooting in Tucson, there was talk about addressing some of these issues, [and] again after [a movie theater massacre in] Aurora," Colo., Kelly said. "I'm hopeful that this time is different, and I think it is. Twenty first-graders' being murdered in their classrooms is a very personal thing for everybody."

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During their trip to Newtown, Giffords and Kelly met with families directly affected by the tragedy.

"[The] first couple that we spoke to, the dad took out his cell phone and showed us a picture of his daughter and I just about lost it, just by looking at the picture," Kelly said. "It was just very tough and it brought back a lot of memories about what that was like for us some two years ago."

Full Coverage: Tragedy in Newtown

"Strength," Giffords said she told the families in Newtown.

"Gabby often told them, 'You got to have strength. You got to fight for something,'" Kelly said.

The innocent faces of the children whose lives were abruptly taken reminded the couple, they said, of 9-year-old Christina-Taylor Green, the youngest victim to die in the Tucson shooting at a Giffords constituent event.

"I think we all need to try to do something about [gun violence]," Kelly said. "It's obvious to everybody we have a problem. And problems can be solved."

Giffords, Kelly Call for 'Common Sense' Solutions

Giffords, 42, and Kelly, 48, are both gun owners and supporters of the 2nd Amendment, but Kelly had strong words for the National Rifle Association after the group suggested the only way to stop gun violence is to have a "good guy with a gun."

There was a good guy with a gun, Kelly said, the day Jared Loughner shot Giffords and 18 other people, six fatally, at her "Congress on Your Corner" event.

"[A man came out] of the store next door and nearly shot the man who took down Jared Loughner," Kelly said. "The one who eventually wrestled [Loughner] to the ground was almost killed himself by a good guy with a gun, so I don't really buy that argument."

Instead, Giffords and Kelly are proposing "common sense" changes through "Americans for Responsible Solutions."

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Five accused of rape in India appear in court for charges

NEW DELHI (Reuters) - Five men accused of the rape and murder of an Indian student appeared in court on Monday to hear charges against them after two of them offered evidence possibly in return for a lighter sentence in the case that has provoked widespread anger.

The five men, along with a teenager, are accused of raping the 23-year-old physiotherapy student after she boarded their bus on the way home from a movie in New Delhi on December 16. She died two weeks later in a Singapore hospital.

The attack on the student has ignited protests against the government and anger towards the police for their perceived failure to protect women. It has also provoked a rare national debate about rising violence against women.

A police guard said the men had their faces covered when they entered the courtroom, which had been closed to the public minutes earlier.

The five had already been charged with murder, rape and abduction along with other offences and the magistrate gave them copies of the charges, a prosecutor in the case told Reuters.

The court has yet to assign them defense lawyers or legal aid, said public prosecutor Rajiv Mohan. Most lawyers are unwilling to defend them because of the brutality of the crime.

Reuters video images showed the men stepping out of a blue police van that brought them from Tihar jail, and walking through a metal detector into the South Delhi court, across the street from the cinema where the victim watched a film before boarding the bus with a male friend on December 16.

Following shouting and angry scenes in the packed court, the magistrate, Namrita Aggarwal, closed the hearing to the media and the public. The court was cleared and police were posted at its doors before the accused were brought in.

"Keeping in view the sensitivity of this case that has risen, the proceedings including the inquiry and trial are to be held in camera," Aggarwal said, before ordering people not connected with the case out of the courtroom.

Aggarwal said the next hearing would be on January 10. She did not say when the case would go to trial in a separate, fast-track court, set up after the attack on the woman.

Two of the accused, Vinay Sharma and Pawan Gupta, moved an application on Saturday requesting they be made "approvers", or informers, against the other accused, Mukesh Kumar, Ram Singh and Akshay Thakura, prosecutor Mohan said.

Mohan said he was seeking the death sentence given the "heinous" crime.

"The five accused persons deserve not less than the death penalty," he said, echoing public sentiment and calls from the victim's family.

Most members of the bar association in Saket district, where the case is being heard, have vowed not to represent the accused.

GROUNDS FOR APPEAL?

But on Monday, lawyers Manohar Lal Sharma and V. K. Anand stood up to offer representation to the men. They were heckled by other lawyers who said the accused did not deserve representation.

"We are living in a modern society. We all are educated. Every accused, including those in brutal offences like this, has the legal right to represent his or her case to defend themselves," Lal Sharma said.

The court asked Anand to get the approval of the accused to represent them. If the men, most of them from a slum neighborhood, cannot arrange their own lawyers, the court will offer them legal aid before the trial begins.

Police have conducted extensive interrogations and say they have recorded confessions, even though the five have no lawyers.

Legal experts say their lack of representation could give grounds for appeal should they be found guilty. Similar cases have resulted in acquittals years after convictions.

Last week, chief justice Altamas Kabir inaugurated six fast-track courts to help reduce a backlog of sex crime cases in Delhi.

But some legal experts have warned that previous attempts to fast-track justice in India in some cases led to imperfect convictions that were later challenged.

The sixth member of the gang that lured the student and a male friend into the private bus is under 18 and will be tried in a separate juvenile court.

The government is aiming to lower the age teenagers can be tried as an adult, given widespread public anger that the boy will face a maximum three-year sentence.

The victim, who died on December 29 in hospital in Singapore, where she had been taken for treatment, was identified by a British newspaper on the weekend but Reuters has opted not to name her.

Indian law generally prohibits the identification of victims of sex crimes. The law is intended to protect victims' privacy and keep them from the media glare in a country where the social stigma associated with rape can be devastating.

But her father repeated on Monday his wish that she be identified and said he would be happy to release a photograph of her.

"We don't want to hide her identity, there is no reason for that. The only condition is it should not be misused," he told Reuters.

He said he was confident the trial would be quick and reiterated a call that those responsible be hanged.

(Writing by Frank Jack Daniel; Editing by Robert Birsel)

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Boom expected in mobile app industry

SINGAPORE: The rising use of mobile applications has been a boon for the industry.

The mobile appplication industry recorded a 68 per cent rise in global sales last year, from US$8.5 billion to US$14.3 billion.

With the growing shipment of tablets and smartphones, experts say sales growth may increase by almost four times by 2017.

Cooliris, a photo sharing and browsing application, has become the top-ranked iPad app in 75 countries.

The application has been installed two million times and there have been 300 million photo views in the past five months.

It has also distinguished itself from over 700,000 applications available in app stores across the iPhone and Android operating system.

For the company that develops Cooliris, the installations have translated to growing revenue, and it expects this growth to continue into 2013.

Meanwhile, its downloads increased by 30 times since it launched a localised version of the app in China through an integration with China's social networking platform Renren last month.

With Asia constituting 30 per cent of Cooliris' downloads, the app developer has plans to grow its presence in markets like China and Japan.

"We do see a better trend in Asia compared to Europe, in terms of engagement and consumers using the application. The affinity for consumers in Asia towards photos has always been higher and we see that translated in the engagements with the app," said Soujanya Bhumkar, CEO of Cooliris.

"The consumers are much more open when it comes to trying new things and in terms of partnership, companies understand the velocity and momentum of a Silicon Valley based startup."

Experts say Asia is fast becoming an important market for mobile application developers.

"China makes up 50 per cent of all installed base of users in Asia when we look at the smartphone market. It's really Asia where the high growth of devices and the access to app stores and apps is coming from. Also currently, Asia is where people do have money to spend," said Rachel Lashford, managing director at Canalys.

The number of smartphone users in China is growing to over 300 million.

This growth momentum has prompted more industry players to focus on Asia to expand.

Jake Saunders from ABI Research said: "We see the Asia Pacific market being the fastest growing and this is just simply due to adoption rates of people adopting and upgrading their smartphones, growth in population so for total application downloads, we're looking at from 9 billion to 70 billion downloads in 2017."

Looking ahead, experts say start-up developers will find it harder to survive in the industry.

They will have to look for more creative ways to monetise their products and beat the growing competition from free downloads.

- CNA/xq

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Water rationing in Bangalore, Mysore not ruled out

BANGALORE: The state government is likely to go in for rationing of water in Bangalore and Mysore cities till the end of summer to meet the demand.

The storage level has drastically reduced in KRS following release of water to Tamil Nadu. While the maximum capacity of the dam is 124.80 feet, storage has reduced to 80 feet. With summer expected to be severe this year, water level is further expected to dip in the reservoir. The present water storage -- including live and dead storage -- in KRS and Kabini reservoirs is expected to last only till April end, water resources minister Basavaraj Bommai told reporters here on Monday.

Modalities of rationing the water are yet to be worked out. Allaying fears of a severe water scarcity, Bommai said: "There is sufficient water to meet drinking requirement for coming summer. There is no need to panic. A meeting of dam engineers of KRS has been convened on Tuesday in this regard. Bangalore Water Supply and Sewerage Board (BWSSB) officials will also attend the meeting.''

Farmers in Cauvery basin have been told to adopt crop pattern that is less water intensive. "In the meeting, an idea may be evolved on rationing system besides looking at the possibility of exploiting ground water," Bommai said.

On desilting the dams, the minister said the department has planned to remove only the annual accumulation of silt. "A report is being prepared by the experts in this regard. Once it is ready we will approach the Centre for financial assistance," Bommai said.

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Your medical chart could include exercise minutes

CHICAGO (AP) — Roll up a sleeve for the blood pressure cuff. Stick out a wrist for the pulse-taking. Lift your tongue for the thermometer. Report how many minutes you are active or getting exercise.

Wait, what?

If the last item isn't part of the usual drill at your doctor's office, a movement is afoot to change that. One recent national survey indicated only a third of Americans said their doctors asked about or prescribed physical activity.

Kaiser Permanente, one of the nation's largest nonprofit health insurance plans, made a big push a few years ago to get its southern California doctors to ask patients about exercise. Since then, Kaiser has expanded the program across California and to several other states. Now almost 9 million patients are asked at every visit, and some other medical systems are doing it, too.

Here's how it works: During any routine check of vital signs, a nurse or medical assistant asks how many days a week the patient exercises and for how long. The number of minutes per week is posted along with other vitals at the top the medical chart. So it's among the first things the doctor sees.

"All we ask our physicians to do is to make a comment on it, like, 'Hey, good job,' or 'I noticed today that your blood pressure is too high and you're not doing any exercise. There's a connection there. We really need to start you walking 30 minutes a day,'" said Dr. Robert Sallis, a Kaiser family doctor. He hatched the vital sign idea as part of a larger initiative by doctors groups.

He said Kaiser doctors generally prescribe exercise first, instead of medication, and for many patients who follow through that's often all it takes.

It's a challenge to make progress. A study looking at the first year of Kaiser's effort showed more than a third of patients said they never exercise.

Sallis said some patients may not be aware that research shows physical inactivity is riskier than high blood pressure, obesity and other health risks people know they should avoid. As recently as November a government-led study concluded that people who routinely exercise live longer than others, even if they're overweight.

Zendi Solano, who works for Kaiser as a research assistant in Pasadena, Calif., says she always knew exercise was a good thing. But until about a year ago, when her Kaiser doctor started routinely measuring it, she "really didn't take it seriously."

She was obese, and in a family of diabetics, had elevated blood sugar. She sometimes did push-ups and other strength training but not anything very sustained or strenuous.

Solano, 34, decided to take up running and after a couple of months she was doing three miles. Then she began training for a half marathon — and ran that 13-mile race in May in less than three hours. She formed a running club with co-workers and now runs several miles a week. She also started eating smaller portions and buying more fruits and vegetables.

She is still overweight but has lost 30 pounds and her blood sugar is normal.

Her doctor praised the improvement at her last physical in June and Solano says the routine exercise checks are "a great reminder."

Kaiser began the program about three years ago after 2008 government guidelines recommended at least 2 1/2 hours of moderately vigorous exercise each week. That includes brisk walking, cycling, lawn-mowing — anything that gets you breathing a little harder than normal for at least 10 minutes at a time.

A recently published study of nearly 2 million people in Kaiser's southern California network found that less than a third met physical activity guidelines during the program's first year ending in March 2011. That's worse than results from national studies. But promoters of the vital signs effort think Kaiser's numbers are more realistic because people are more likely to tell their own doctors the truth.

Dr. Elizabeth Joy of Salt Lake City has created a nearly identical program and she expects 300 physicians in her Intermountain Healthcare network to be involved early this year.

"There are some real opportunities there to kind of shift patients' expectations about the value of physical activity on health," Joy said.

NorthShore University HealthSystem in Chicago's northern suburbs plans to start an exercise vital sign program this month, eventually involving about 200 primary care doctors.

Dr. Carrie Jaworski, a NorthShore family and sports medicine specialist, already asks patients about exercise. She said some of her diabetic patients have been able to cut back on their medicines after getting active.

Dr. William Dietz, an obesity expert who retired last year from the Centers for Disease Control and Prevention, said measuring a patient's exercise regardless of method is essential, but that "naming it as a vital sign kind of elevates it."

Figuring out how to get people to be more active is the important next step, he said, and could have a big effect in reducing medical costs.

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Online:

Exercise: http://1.usa.gov/b6AkMa

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AP Medical Writer Lindsey Tanner can be reached at http://www.twitter.com/LindseyTanner

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