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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Freed Iranians arrive in Damascus after prisoner swap

DAMASCUS/ISTANBUL (Reuters) - Forty-eight Iranians freed by Syrian rebels in exchange for more than 2,000 civilian prisoners held by the Syrian government arrived in central Damascus on Wednesday, a Reuters witness reported.

The Syrian government has not referred to the prisoner swap and the whereabouts of the civilian prisoners was not immediately known.

Opposition groups accuse it of detaining tens of thousands of political prisoners during his 12 years in office and say those numbers have spiked sharply during the 21-month-old civil war.

The Syrian rebel al-Baraa brigade seized the Iranians in early August and initially threatened to kill them, saying they were members of Iran's elite Islamic Revolutionary Guard Corps sent to fight for President Bashar al-Assad.

The Islamic Republic, one of his staunchest allies, denied this, saying they were Shi'ite Muslim pilgrims visiting shrines, and it asked Turkey and Qatar to use their connections with Syrian insurgents to help secure their release.

The freed Iranians arrived at a Damascus hotel in six small buses, looking tired but in good health, each carrying a white flower, and they were welcomed by Iranian Ambassador Mohammad Reza Sheibani. They did not speak to reporters.

Bulent Yildirim, head of the Turkish humanitarian aid agency IHH which helped broker the deal, told Reuters by telephone from Damascus shortly beforehand that the reciprocal release of 2,130 civilian prisoners - most of them Syrian but also including Turks and other foreign citizens - had begun.

Syrian government forces have struck local deals with rebel groups to trade prisoners but the release announced on Wednesday was the first time non-Syrians were freed in an exchange.

The Damascus government has periodically freed hundreds of prisoners during the conflict but always stressed such detainees "do not have blood on their hands."

Given the number of political prisoners held during the course of Assad's rule, missing persons became a key issue when street protests against him first erupted in March 2011.

Turkey is one of Assad's fiercest critics, a strong backer of his opponents and proponent of international intervention. It has denounced Iran's stance during the Syrian uprising, which has killed around 60,000 people according to a U.N. estimate.

Turkey, Gulf Arab states, the United States and European allies support the mainly Sunni Muslim Syrian rebels, while Shi'ite Iran supports Assad, whose Alawite minority is an offshoot of Shi'ite Islam.

A pro-government newspaper said on December 31 that Syrian forces arrested four Turkish fighter pilots who were trying to sneak into a military airport with an armed group in the northern province of Aleppo.

The Damascus-based al-Watan newspaper said the arrests at the Koers military base, 24 km (15 miles) east of Aleppo city, proved "scandalous Turkish involvement" in Syria's crisis.

TURKEY, QATAR INTERVENE

The al-Baraa brigade, part of the umbrella rebel organization, the Free Syrian Army, said in October it would start killing the Iranians unless Assad freed Syrian opposition detainees and stopped shelling civilian areas.

But Qatar, following a request from Iran, urged the rebels not to carry out the threat.

Insurgents fighting to topple Assad accuse Iran of sending fighters from the Revolutionary Guards to help his forces crush the revolt, a charge the Islamic Republic denies.

The rebels now control wide areas of northern and eastern Syria, most of its border crossings with Turkey and a crescent of suburbs around the capital Damascus.

But Assad's government is still firmly entrenched in the capital and controls most of the densely populated southwest, the Mediterranean coast and the main north-south highway.

The IHH has been involved in previous negotiations in recent months to release prisoners, including two Turkish journalists and Syrian citizens, held in Syria.

The humanitarian group came to prominence in May 2010 when Israeli marines stormed its Mavi Marmara aid ship to enforce a naval blockade of the Palestinian-run Gaza Strip and killed nine Turks in clashes with activists on board.

(Additional reporting by Oliver Holmes in Beirut and Marcus George in Dubai; Writing by Nick Tattersall)

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Hong Kong leader survives impeachment bid

HONG KONG: Hong Kong pro-democracy lawmakers failed in an unprecedented bid on Wednesday to impeach the city's embattled Beijing-backed leader, after they accused him of breaking housing laws and urged him to quit.

The city's first impeachment motion, which accused Leung Chun-ying of lying, dereliction of duty and serious breaches of the law in a row stemming from illegal structures at his luxury home, was denied after eight hours of debate.

The 27 pro-democracy lawmakers who signed the joint motion -- which they said was a symbolic move -- voted in favour, while 37 voted against in the 70-seat legislature which is dominated by pro-Beijing members.

Wednesday's vote followed a protest on New Year's Day in which tens of thousands took to the streets to urge Leung to quit and to press for greater democracy, 15 years after the city returned to Chinese rule.

The former British colony maintains a semi-autonomous status, with its own legal and judicial system, but cannot choose its leader through the popular vote.

Leung took office in July after he was picked by a 1,200-strong election committee dominated by pro-Beijing elites, amid rising anger over what many perceive to be China's meddling in local affairs.

China has said the chief executive could be directly elected in 2017 at the earliest, with the legislature following by 2020.

Unauthorised structures are a politically sensitive issue in the space-starved city of seven million and demonstrators have used the scandal to press for universal suffrage in choosing Hong Kong's leader.

Leung secured the chief executive role after criticising his rival Henry Tang over illegal structures at Tang's home.

But he has since acknowledged and apologised for structures at his own home which were built without planning permission.

Maverick lawmaker "Long Hair" Leung Kwok-hung, wearing a T-shirt reading "We topple a tyrant", accused the new leader of lying about his own structures during campaigning when he presented the impeachment motion earlier on Wednesday.

"He has used dishonest ways to win the election," he said.

Chief Secretary Carrie Lam, second in command in Leung's administration, said the motion was unnecessary and urged lawmakers to work together on policy and livelihood issues.

But Democratic Party chairwoman Emily Lau said the motion was a symbolic gesture to show the deepening public mistrust toward Leung, claiming the leader had "cheated his way to power".

"This is the first time we have a motion in the legislature to impeach a cheating chief executive," she said.

If the motion had been passed, the city's highest court would have had to initiate an investigation. At least two-thirds of the legislature would need to endorse a guilty finding before Leung could be removed from office.

Earlier, rival protesters traded barbs outside the legislature and security personnel had to step in at one point when an angry pro-government supporter charged towards the rival group, TV footage showed.

Leung's popularity ratings have fallen since the controversy, with discontent over issues including sky-high property prices and anti-Beijing sentiment remaining high.

- AFP/xq

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CPM, Trinamool workers clash in West Bengal

KOLKATA: A number of people were injured on Tuesday in firing and stone-pelting in clashes between the workers of ruling Trinamool Congress and the opposition CPM in West Bengal, leaders from rival parties claimed.

The clashes took place in South 24-Parganas district, about 30 km from here, in which over a dozen cars were reportedly torched.

When contacted, superintendent of police Pravin Tripathi conceded that there was a law and order issue, but could not provide any figures or details. "I don't have any data right now," Tripathi said.

CPM leaders alleged that 15 of their cadres were attacked with firearms at Bamanghata by Trinamool leader Arabul Islam and his men. The activists were among a large number of workers and leaders coming in a convoy of 60 vehicles to join a proposed demonstration at district headquarters Alipore against the attack on former minister Abdur Rezzak Mollah, party leaders said.

"Fifteen of our workers were injured. Three of them have bullet injuries. Two were hit by stones. Several are serious," said Communist Party of India-Marxist (CPM) Bhangar zonal committee secretary Sattar Mollah.

On the other hand, Arabul Islam alleged that his car came under fire from the convoy carrying CPM workers.

"I have chest and leg injury. When they started firing, I fell under the car. They continued to fire. Then my workers rescued me," said Arabul, who was taken to a hospital.

Trouble flared up at Bhangar since late last week as one party office each of the CPM and Trinamool were damaged and set afire respectively.

When CPM legislator Mollah went to the area, he was allegedly attacked by Trinamool workers, led by former Trinamool lawmaker Arabul.

Mollah has been admitted to a private hospital with multiple injuries, and the incident has triggered a political uproar.

Chief minister Mamata Banerjee, who was indisposed and earlier cancelled all her programmes, rushed to the state secretariat Writers' Buildings and held a high-level meeting with senior administrative and police officials to take stock of the situation.

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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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Jodi Arias: Who Is the Admitted Killer?

Jodi Arias is a woman that many can't keep their eyes off of--a soft-spoken, small-framed 32-year-old who last year won a jailhouse Christmas caroling contest. But she is also an admitted killer who is now on trial in Arizona for the 2008 murder of her ex-boyfriend Travis Alexander.

Sitting in a Maricopa County court, Arias, whose trial resumes today, cries every time prosecutors describe what she admits she did -- stab her one-time boyfriend Travis Alexander 27 times, slit his throat and shoot him in the head.

Arias grew up in the small city of Yreka, Calif. She dropped out of high school, but received her GED while in jail a few years ago. She was an aspiring photographer; her MySpace page includes several albums of pictures, one of which was called "In loving memory of Travis Alexander."

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"Jodi wanted nothing but to please Travis," defense attorney Jennifer Wilmot said in her opening statements, but added that there was another reality – that Arias was Alexander's "dirty little secret."

Arias' attorneys want the jury to believe she killed Alexander in June of 2008 in self defense, that he abused her, and she feared for her life when she attacked him in the shower of his Mesa, Ariz., home.

Alexander's family and friends say Arias was a stalker who killed him in cold blood. They say the 30-year-old was a successful businessman who overcame all the odds. His parents were drug addicts, and he grew up occasionally homeless until he converted to Mormonism and turned his life around.

Jodi Arias Trial: A Timeline of Events in the Arizona Murder Case

"He actually had everything going for him," said Dave Hall, one of Alexander's friends. "A beautiful home, a beautiful car, a great income."

Alexander kept a blog, and in a haunting last entry, just two weeks before his murder, he wrote about trying to find a wife.

"This type of dating to me is like a very long job interview," he wrote. "Desperately trying to find out if my date has an axe murderer penned up inside of her."

Alexander did date a killer. It's now up to the jury to decide if she killed in self defense.

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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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JD(U) leader's remarks against RSS chief draw BJP's ire

NEW DELHI: A senior JD(U) leader sparked a row on Monday by describing RSS chief Mohan Bhagwat and MIM leader Akbaruddin Owaisi as "two sides of the same coin", drawing swift condemnation from the BJP and the RSS which said his comments were "totally unwarranted" and "reprehensible".

JD(U) general secretary and spokesperson Shivanand Tiwari said, "Bhagwat and Owaisi are two sides of the same coin. One provokes Hindus against Muslims and the other instigates Muslims against Hindus."

All this was done with an eye on the vote bank, he told reporters on being asked about Bhagwat's comments that women were bound by contract with their husbands to look after the household.

"It is a primitive mindset. They are reviving the past. The philosophy of his organization is that a lower caste person should be punished for sitting with a upper caste one and molten glass should be poured in his ears if he hears sanskrit," Tiwari said.

Reacting sharply, BJP Chief spokesperson Ravi Shankar Prasad said, "We condemn the totally unwarranted, baseless, and undignified comments made by Shivanand Tiwari against the RSS Chief".

His observations linking Bhagwat to Owaisi is not only reprehensible but highly condemnable, he said while asking the top leadership of JD(U) to rein in Tiwari.

BJP's Hindutva face Uma Bharti also criticized Tiwari, saying,"Only somebody who has lost his mind can compare the RSS chief and Owaisi. I pity such people."

RSS leader Indresh Kumar was also miffed at this charge from the JD(U). "Bhagwat is a patriot while Owaisi is a traitor who has justified terrorism and violence. The mental treatment of those who have made these comments is very necessary. They should get cured. I will pray that they get cured," he 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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