Indian Army chief's statements "very hostile", says Pak foreign minister Hina Rabbani Khar

WASHINGTON: The disconnect between Pakistan's adrift and enfeebled civilian government and its out-of-control military was on show in the US last night when the country's foreign minister Hina Rabbani Khar insisted Islamabad wanted to resolve issues through dialogue rather than military actions despite the alleged depredations of its army resulting in the beheading of an Indian soldier.

The Indian leadership had to "catch up" with Pakistan in the matter of striving for peace with, Khar gratuitously told the Charlie Rose show, while presenting her country's version of what transpired at the LoC and denying the Indian account the soldier's beheading.

Khar arrived in the US to attend a special session of the UN Security Council of which Pakistan is the Chairman for the month of January even as her toxic country was imploding from a shadowy confrontation involving the judiciary, military, and clerical-political forces. But she presented the voice of sweet reason before American TV audience, maintaining that Islamabad was striving for peace and describing the Indian Army Chief's warning to Pakistan as "very hostile."

"After the comments by the army chief I am taken back by 20 years," Khar said on show aired on PBS.

Charlie Rose: What did he say?

Khar: Just very hostile comments.

The Indian Army Chief Gen Bikram Singh had warned Pakistan that India reserves the right to retaliate at the "time and place" of its choosing, suggesting that the border spat is not going to be buried anytime soon. India's political leadership too appeared to be responding with spine after initial timidity, following popular anger and media outcry.

Khar said Pakistan was "not very pleasantly surprised" by the comments it heard from India and gratuitously added "I think this is what has changed in Pakistan where India needs to catch up." Pakistan, she said, today presents a country "which is very clear in its head as to how it wants to operate with its neighbors."

"And the way we want to operate with our neighbors is to try and build on the trust to take care of and then build that trust enough to be able to build an environment in which we can take care of the disputes that we have on the dialogue table rather than through military statements and through military actions," she added.

While the Pakistan foreign minister's statements were mainly meant for western consumption, it is no great secret among analysts here that the country's civilian government has little control or leverage over the military, which plays by its own jihadi rule book both in its eastern and western front. There has been speculation in expert circles that the Pakistani military or sections of it could be turning up the heat on its eastern front with India to rein in and redirect some of the jihadi forces which are attacking the military.

On Tuesday, the regionalists were also riveted to the new power struggle in Islamabad with little attention paid to India's fulminations on the border incident.

In Khar's version of the border incident, it was Indian forces which came 400 meters inside Pakistani territory for an attack which resulted in the death of a Pakistani soldier. "Now just two days after that or three days after that, we had an allegation which was made that two Indian soldiers were killed by Pakistani fighting which we looked into and we could find no evidence that Pakistani troops had done that. And then of course, there were extremely conflicting statements that the heads were decapitated," Khar narrated, capitalizing on the initial mixed messages that came from India.

"The northern commander spokesperson who is the person on the ground said they weren't (beheaded). Others said they were," she added, suggesting that the issue had become embroiled in domestic politics.

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Risk to all ages: 100 kids die of flu each year

NEW YORK (AP) — How bad is this flu season, exactly? Look to the children.

Twenty flu-related deaths have been reported in kids so far this winter, one of the worst tolls this early in the year since the government started keeping track in 2004.

But while such a tally is tragic, that does not mean this year will turn out to be unusually bad. Roughly 100 children die in an average flu season, and it's not yet clear the nation will reach that total.

The deaths this year have included a 6-year-old girl in Maine, a 15-year Michigan student who loved robotics, and 6-foot-4 Texas high school senior Max Schwolert, who grew sick in Wisconsin while visiting his grandparents for the holidays.

"He was kind of a gentle giant" whose death has had a huge impact on his hometown of Flower Mound, said Phil Schwolert, the Texas boy's uncle.

Health officials only started tracking pediatric flu deaths nine years ago, after media reports called attention to children's deaths. That was in 2003-04 when the primary flu germ was the same dangerous flu bug as the one dominating this year. It also was an earlier than normal flu season.

The government ultimately received reports of 153 flu-related deaths in children, from 40 states, and most of them had occurred by the beginning of January. But the reporting was scattershot. So in October 2004, the government started requiring all states to report flu-related deaths in kids.

Other things changed, most notably a broad expansion of who should get flu shots. During the terrible 2003-04 season, flu shots were only advised for children ages 6 months to 2 years.

That didn't help 4-year-old Amanda Kanowitz, who one day in late February 2004 came home from preschool with a cough and died less than three days later. Amanda was found dead in her bed that terrible Monday morning, by her mother.

"The worst day of our lives," said her father, Richard Kanowitz, a Manhattan attorney who went on to found a vaccine-promoting group called Families Fighting Flu.

The Centers for Disease Control and Prevention gradually expanded its flu shot guidance, and by 2008 all kids 6 months and older were urged to get the vaccine. As a result, the vaccination rate for kids grew from under 10 percent back then to around 40 percent today.

Flu vaccine is also much more plentiful. Roughly 130 million doses have been distributed this season, compared to 83 million back then. Public education seems to be better, too, Kanowitz observed.

The last unusually bad flu season for children, was 2009-10 — the year of the new swine flu, which hit young people especially hard. As of early January 2010, 236 flu-related deaths of kids had been reported since the previous August.

It's been difficult to compare the current flu season to those of other winters because this one started about a month earlier than usual.

Look at it this way: The nation is currently about five weeks into flu season, as measured by the first time flu case reports cross above a certain threshold. Two years ago, the nation wasn't five weeks into its flu season until early February, and at that point there were 30 pediatric flu deaths — or 10 more than have been reported at about the same point this year. That suggests that when the dust settles, this season may not be as bad as the one only two years ago.

But for some families, it will be remembered as the worst ever.

In Maine, 6-year-old Avery Lane — a first-grader in Benton who had recently received student-of-the-week honors — died in December following a case of the flu, according to press reports. She was Maine's first pediatric flu death in about two years, a Maine health official said.

In Michigan, 15-year-old Joshua Polehna died two weeks ago after suffering flu-like symptoms. The Lake Fenton High School student was the state's fourth pediatric flu death this year, according to published reports.

And in Texas, the town of Flower Mound mourned Schwolert, a healthy, lanky 17-year-old who loved to golf and taught Sunday school at the church where his father was a youth pastor.

Late last month, he and his family drove 16 hours to spend the holidays with his grandparents in Amery, Wis., a small town near the Minnesota state line. Max felt fluish on Christmas Eve, seemed better the next morning but grew worse that night. The family decided to postpone the drive home and took him to a local hospital. He was transferred to a medical center in St. Paul, Minn., where he died on Dec. 29.

He'd been accepted to Oklahoma State University before the Christmas trip. And an acceptance letter from the University of Minnesota arrived in Texas while Max was sick in Minnesota, his uncle said.

Nearly 1,400 people attended a memorial service for Max two weeks ago in Texas.

"He exuded care and love for other people," Phil Schwolert said.

"The bottom line is take care of your kids, be close to your kids," he said.

On average, an estimated 24,000 Americans die each flu season, according to the Centers for Disease Control and Prevention. People who are elderly and with certain chronic health conditions are generally at greatest risk from flu and its complications.

The current vaccine is about 60 percent effective, and is considered the best protection available. Max Schwolert had not been vaccinated, nor had the majority of the other pediatric deaths.

Even if kids are vaccinated, parents should be watchful for unusually severe symptoms, said Lyn Finelli of the CDC.

"If they have influenza-like illness and are lethargic, or not eating, or look punky — or if a parent's intuition is the kid doesn't look right and they're alarmed — they need to call the doctor and take them to the doctor," she advised.

___

CDC advice on kids: http://www.cdc.gov/flu/protect/children.htm

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Sandy Aid Clears Huge Hurdle in Congress

(ASSOCIATED PRESS)

Seventy-nine days after Hurricane Sandy slammed into the Northeast, the House of Representatives voted this evening to approve about $50 billion of additional relief for the region pounded by the storm.

The measure passed 241-180, mostly behind Democratic support, winning 49 votes from Republicans and 192 votes from Democrats. Just one Democrat opposed the legislation, while 179 Republicans voted against it.

The base bill, known as the Hurricane Sandy Disaster Relief Act, included about $17 billion to fund immediate and critical needs for Sandy victims and their communities. An amendment offered by New Jersey Republican Rep. Rodney Frelinghuysen to provide an additional $33 billion for disaster relief also passed, bringing the total amount of relief closer to the Obama administration’s emergency supplemental request, which called for $60.4 billion in total relief.

The Senate still must approve the legislation before President Obama can sign it into law.

An amendment offered by South Carolina Republican Rep. Mick Mulvaney to require all funding in the disaster package to be offset fell well short of the votes required to change the bill, 162-258.

Democrats and Republicans from the storm-ravaged region shared a common frustration over members who opposed to the relief package.

“To use this funding as a political pawn in a game over the role of government and budgetary debates is shameful,” New York Democratic Rep. Elliot Engel wrote in a statement shortly after the vote. “The first order of business for the federal government is to protect our citizens, and helping them recover from the tragedy of a natural disaster is one of those times.”

“I am pleased that the House of Representatives has finally passed legislation to help the victims of Hurricane Sandy,” Rep. Jon Runyan, R-N.J., stated after the vote. “I am hopeful that the Senate will quickly debate and pass this bipartisan legislation so that families in New Jersey and New York will not have to continue to wait for the aid they need.”

The governors of New Jersey, New York and Connecticut, the three states  hit hardest by the storm, had all angrily criticized Republicans in the House for deciding not to vote on an aid package passed by the Senate in December, but after the measure’s passage tonight issued a joint statement thanking the House.

“We are grateful to those members of Congress who today pulled together in a unified, bipartisan coalition to assist millions of their fellow Americans in New Jersey, New York and Connecticut at their greatest time of need,” Gov. Chris Christie, N.J.; Gov. Andrew Cuomo, N.Y.; and Gov. Dannel Molloy, Conn., wrote in the statement.

“The tradition of Congress being there and providing support for Americans during times of crisis, no matter where they live across this great country, lives on in today’s vote in the House of Representatives,” they wrote. “We anticipate smooth passage when this package moves back to the Senate for final approval and for this long-awaited relief to finally make its way to our residents.”

Nevertheless, there were still many lawmakers who opposed the package because they felt it contained non-emergency spending.

“The final version passed here tonight includes billions in pork and unrelated spending that we cannot afford while Americans are struggling to make ends meet,” Rep. Steve Pearce, R-N.M., wrote in a statement. “Hurricane Sandy victims need a simple, responsible aid package, and nothing more.  Our nation is facing a debt crisis: it’s time for Washington to stop using important bills to fund its own political projects.”

Congress has already approved $9.7 billion for flood insurance on Jan. 4. The House also passed a separate bill without opposition Monday evening, the Sandy Recovery Improvement Act, to speed up and streamline federal disaster recovery programs.

After the House voted Jan. 1 on the “fiscal cliff” deal, House Speaker John Boehner decided not to vote on any relief during the 112^th Congress. Republicans and Democrats from the region revolted until Boehner held a private meeting with angry Republican members, during which he promised to make Sandy relief a priority in the 113^th Congress.

The legislation was opposed by numerous leading conservative interest groups, including Heritage Action, Americans for Tax Reform, and the Club for Growth, which all warned Republicans not to support the measure.

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West African army chiefs to approve Mali troops plan

BAMAKO (Reuters) - West African defense chiefs will on Tuesday approve plans to speed up the deployment of African troops against Islamist rebels in northern Mali, with some regional soldiers seen arriving next week.

France has already poured hundreds of troops into Mali and carried out days of air strikes in a vast desert area seized last year by an Islamist alliance that combines al Qaeda's north African wing AQIM with Mali's home-grown MUJWA and Ansar Dine rebel groups.

Western and regional powers are concerned the insurgents will use Mali's north as a launchpad for international attacks.

"On January 15, the committee of Chiefs of Defense Staff will meet in Bamako to approve the contingency plan," the mission head of the ECOWAS grouping of West African states, Aboudou Toure Cheaka, told Reuters.

"I can tell you that in one week, the troops will effectively be on the ground," he said, adding their immediate mission would be to help stop the rebel advance while preparations for a full intervention plan continued.

He did not say how many soldiers would arrive.

The original timetable for the 3,300-strong U.N.-sanctioned African force - backed by western logistics, money and intelligence services - did not initially foresee full deployment before September due to logistical constraints.

Senegal, Burkina Faso, Niger, Nigeria and Guinea have all offered troops. But regional powerhouse Nigeria, which is due to lead the mission, has cautioned that even if some troops arrive in Mali soon, training will take more time.

The plan is being fast-tracked after France rushed to respond to a plea for help by Mali's government after mobile columns of Islamist fighters last week threatened the central garrison towns of Mopti and Sevare, with its key airport.

The French defense ministry said on Monday it aimed to deploy some 2,500 soldiers to Mali to bolster the Malian army and the eventual West African force.

"SAFEGUARD MALI"

French Prime Minister Jean-Marc Ayrault said France's goals were to stop the Islamist rebels, to "safeguard the existence of Mali" and pave the way for the African-led military operation.

U.S. officials said Washington was sharing information with French forces in Mali and considering providing logistics, surveillance and airlift capability.

"We have made a commitment that al Qaeda is not going to find anyplace to hide," U.S. Defense Secretary Leon Panetta told reporters as he began a visit to Europe.

As French aircraft bombarded mobile columns of Islamist fighters, other insurgents launched a counter-attack further to the south, dislodging government forces from the town of Diabaly, 350 km (220 miles) from Bamako.

French intervention has raised the threat for eight French hostages held by al Qaeda allies in the Sahara and for 30,000 French expatriates living in neighboring, mostly Muslim states. Concerned about reprisals at home, France has tightened security at public buildings and on public transport.

The U.N. said an estimated 30,000 people had fled the latest fighting in Mali, joining more than 200,000 already displaced.

U.N. Secretary-General Ban Ki-moon on Monday welcomed the French-led military intervention in Mali and voiced the hope that it would halt the Islamist assault.

Amnesty International said at least six civilians were killed in recent fighting in the town of Konna, where French aircraft had earlier bombarded rebel positions, and called on both sides to spare non-combatants.

France, which has repeatedly said it has abandoned its role as the policeman of its former African colonies, is among the toughest proponents of a speedier deployment of the African troops, and convened a U.N. Security Council meeting Monday to discuss the crisis.

French U.N. Ambassador Gerard Araud told reporters after the meeting that the U.S., Canada, Belgium, Denmark and Germany had also offered logistical support for France's Mali operation.

"I felt that all the members of the Security Council were expressing their support (for) and understanding of the French decision," Araud told reporters.

No Europeans or other African Union members will be allowed in the defense chiefs meeting in Bamako on Tuesday, a western diplomat told Reuters, requesting not to be named.

"They don't want any French pressure at the meeting," the diplomat said.

(Reporting by Bate Felix; Additional reporting by Michelle Nichols and Louis Charbonneau at the United Nations Richard Valdmanis in Dakar, Brian Love in Paris and David Alexander in Lisbon; Editing by Richard Valdmanis and Giles Elgood)

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Asian stocks rise after Fed comments

HONG KONG: Asian shares were mostly higher Tuesday after US Federal Reserve chief Ben Bernanke reassured markets that easing measures were set to stay in place, with Tokyo leading regional bourses higher.

Traders also mulled a warning from US President Barack Obama to Republican rivals not to delay raising the debt ceiling, as the next budget fight took shape in Washington following the battle to avert the "fiscal cliff".

Tokyo put on 1.25 per cent in early trade boosted by the weak yen, which makes exporters' products cheaper, and as dealers hoped for more aggressive easing from the Bank of Japan to lift the world's third-biggest economy.

"The declining yen continues to pull investors off the fence, while earnings expectations from US companies, as well as for a broader global economic rebound, remain relatively firm," said SMBC Nikko Securities general manager of equities Hiroichi Nishi.

Hong Kong was up 0.15 per cent and Shanghai rose 0.39 per cent, adding to strong gains on Monday. Sydney put on 0.16 per cent but Seoul slipped 0.52 per cent.

There was no clear lead from Wall Street, with the Dow Jones Industrial Average gaining 0.14 per cent, but the broad-based S&P 500 falling 0.09 per cent and the Nasdaq Composite shedding 0.26 per cent.

Bernanke indicated on Monday, after Asian markets had closed, that the Fed's latest round of quantitative easing would continue.

He told an audience at the University of Michigan that "while we've made some progress there is still quite a ways to go", in comments reported by Dow Jones Newswires.

His comments were a relief to markets, dealers said, after minutes from the December meeting of Fed policymakers showed they were divided over how long the central bank should continue its $85-billion-a-month bond-buying programme.

In Washington, the next stage of a drawn-out fiscal battle was taking shape as Obama warned Republican lawmakers against using the debt ceiling as a "bargaining chip".

He said a failure to raise the borrowing limit by late February would sow financial chaos and send markets into a tailspin, adding that: "Investors around the world will ask if the United States of America is in fact a safe bet."

Investors are also optimistic ahead of the release of fourth-quarter growth figures for China on Friday, which it is hoped will confirm that the world's number two economy has picked up following a slowdown, analysts said.

On foreign exchange markets, the dollar remained firm against the yen in early Asian trade, at 89.48 yen against 89.45 yen in New York Monday afternoon.

The euro fetched 119.72 yen and $1.3379, slightly up from 119.65 yen and $1.3376 in US trade.

Oil prices fell. New York's main contract, light sweet crude for delivery in February, shed nine cents to $94.05 a barrel and Brent North Sea crude for February delivery dipped nine cents to $111.79.

Gold was at $1,671.86 at 0300 GMT compared with $1,668.39 late Monday.

- AFP/ck

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National Conference may induct Congress MLAs in J&K Cabinet

NEW DELHI: Jammu and Kashmir chief minister Omar Abdullah can expand and reshuffle his ministry on Tuesday following a prod from AICC president Sonia Gandhi on Sunday evening. Congress leaders like Saifuddin Soz have been asking for more representation from their party in the Omar-led National Conference coalition government.

Abdullah had dropped two Congress ministers, G A Saroori and Peerzada Mohammad Sayeed, on charges of corruption. Saroori, a Congress MLA from Kishtwar, was charged for an impersonation fraud in the medical entrance test that his daughter gave and Peerzada was accused of helping his step-son copy in Class X exams. They were exonerated by the CBI and a state-level investigation team.

Sonia asked for the inclusion of more Congress legislators in the J&K House. State governor NN Vohra rushed to Jammu from New Delhi to make arrangements for the oath ceremony of new ministers at 4pm on Tuesday. Soz and Ghulam Nabi Azad had briefed Sonia about the unrest in the Congress camp after berths meant for them were not filled.

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Hospitals crack down on workers refusing flu shots

CHICAGO (AP) — Patients can refuse a flu shot. Should doctors and nurses have that right, too? That is the thorny question surfacing as U.S. hospitals increasingly crack down on employees who won't get flu shots, with some workers losing their jobs over their refusal.

"Where does it say that I am no longer a patient if I'm a nurse," wondered Carrie Calhoun, a longtime critical care nurse in suburban Chicago who was fired last month after she refused a flu shot.

Hospitals' get-tougher measures coincide with an earlier-than-usual flu season hitting harder than in recent mild seasons. Flu is widespread in most states, and at least 20 children have died.

Most doctors and nurses do get flu shots. But in the past two months, at least 15 nurses and other hospital staffers in four states have been fired for refusing, and several others have resigned, according to affected workers, hospital authorities and published reports.

In Rhode Island, one of three states with tough penalties behind a mandatory vaccine policy for health care workers, more than 1,000 workers recently signed a petition opposing the policy, according to a labor union that has filed suit to end the regulation.

Why would people whose job is to protect sick patients refuse a flu shot? The reasons vary: allergies to flu vaccine, which are rare; religious objections; and skepticism about whether vaccinating health workers will prevent flu in patients.

Dr. Carolyn Bridges, associate director for adult immunization at the federal Centers for Disease Control and Prevention, says the strongest evidence is from studies in nursing homes, linking flu vaccination among health care workers with fewer patient deaths from all causes.

"We would all like to see stronger data," she said. But other evidence shows flu vaccination "significantly decreases" flu cases, she said. "It should work the same in a health care worker versus somebody out in the community."

Cancer nurse Joyce Gingerich is among the skeptics and says her decision to avoid the shot is mostly "a personal thing." She's among seven employees at IU Health Goshen Hospital in northern Indiana who were recently fired for refusing flu shots. Gingerich said she gets other vaccinations but thinks it should be a choice. She opposes "the injustice of being forced to put something in my body."

Medical ethicist Art Caplan says health care workers' ethical obligation to protect patients trumps their individual rights.

"If you don't want to do it, you shouldn't work in that environment," said Caplan, medical ethics chief at New York University's Langone Medical Center. "Patients should demand that their health care provider gets flu shots — and they should ask them."

For some people, flu causes only mild symptoms. But it can also lead to pneumonia, and there are thousands of hospitalizations and deaths each year. The number of deaths has varied in recent decades from about 3,000 to 49,000.

A survey by CDC researchers found that in 2011, more than 400 U.S. hospitals required flu vaccinations for their employees and 29 hospitals fired unvaccinated employees.

At Calhoun's hospital, Alexian Brothers Medical Center in Elk Grove Village, Ill., unvaccinated workers granted exemptions must wear masks and tell patients, "I'm wearing the mask for your safety," Calhoun says. She says that's discriminatory and may make patients want to avoid "the dirty nurse" with the mask.

The hospital justified its vaccination policy in an email, citing the CDC's warning that this year's flu outbreak was "expected to be among the worst in a decade" and noted that Illinois has already been hit especially hard. The mandatory vaccine policy "is consistent with our health system's mission to provide the safest environment possible."

The government recommends flu shots for nearly everyone, starting at age 6 months. Vaccination rates among the general public are generally lower than among health care workers.

According to the most recent federal data, about 63 percent of U.S. health care workers had flu shots as of November. That's up from previous years, but the government wants 90 percent coverage of health care workers by 2020.

The highest rate, about 88 percent, was among pharmacists, followed by doctors at 84 percent, and nurses, 82 percent. Fewer than half of nursing assistants and aides are vaccinated, Bridges said.

Some hospitals have achieved 90 percent but many fall short. A government health advisory panel has urged those below 90 percent to consider a mandatory program.

Also, the accreditation body over hospitals requires them to offer flu vaccines to workers, and those failing to do that and improve vaccination rates could lose accreditation.

Starting this year, the government's Centers for Medicare & Medicaid Services is requiring hospitals to report employees' flu vaccination rates as a means to boost the rates, the CDC's Bridges said. Eventually the data will be posted on the agency's "Hospital Compare" website.

Several leading doctor groups support mandatory flu shots for workers. And the American Medical Association in November endorsed mandatory shots for those with direct patient contact in nursing homes; elderly patients are particularly vulnerable to flu-related complications. The American Nurses Association supports mandates if they're adopted at the state level and affect all hospitals, but also says exceptions should be allowed for medical or religious reasons.

Mandates for vaccinating health care workers against other diseases, including measles, mumps and hepatitis, are widely accepted. But some workers have less faith that flu shots work — partly because there are several types of flu virus that often differ each season and manufacturers must reformulate vaccines to try and match the circulating strains.

While not 100 percent effective, this year's vaccine is a good match, the CDC's Bridges said.

Several states have laws or regulations requiring flu vaccination for health care workers but only three — Arkansas, Maine and Rhode Island — spell out penalties for those who refuse, according to Alexandra Stewart, a George Washington University expert in immunization policy and co-author of a study appearing this month in the journal Vaccine.

Rhode Island's regulation, enacted in December, may be the toughest and is being challenged in court by a health workers union. The rule allows exemptions for religious or medical reasons, but requires unvaccinated workers in contact with patients to wear face masks during flu season. Employees who refuse the masks can be fined $100 and may face a complaint or reprimand for unprofessional conduct that could result in losing their professional license.

Some Rhode Island hospitals post signs announcing that workers wearing masks have not received flu shots. Opponents say the masks violate their health privacy.

"We really strongly support the goal of increasing vaccination rates among health care workers and among the population as a whole," but it should be voluntary, said SEIU Healthcare Employees Union spokesman Chas Walker.

Supporters of health care worker mandates note that to protect public health, courts have endorsed forced vaccination laws affecting the general population during disease outbreaks, and have upheld vaccination requirements for schoolchildren.

Cases involving flu vaccine mandates for health workers have had less success. A 2009 New York state regulation mandating health care worker vaccinations for swine flu and seasonal flu was challenged in court but was later rescinded because of a vaccine shortage. And labor unions have challenged individual hospital mandates enacted without collective bargaining; an appeals court upheld that argument in 2007 in a widely cited case involving Virginia Mason Hospital in Seattle.

Calhoun, the Illinois nurse, says she is unsure of her options.

"Most of the hospitals in my area are all implementing these policies," she said. "This conflict could end the career I have dedicated myself to."

__

Online:

R.I. union lawsuit against mandatory vaccines: http://www.seiu1199ne.org/files/2013/01/FluLawsuitRI.pdf

CDC: http://www.cdc.gov

___

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

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Armstrong Admits Doping in Tour, Sources Say

Lance Armstrong today admitted to Oprah Winfrey that he used performance enhancing drugs to win the Tour de France, sources told ABC News.

A goverment source tells ABC News that Armstrong is now talking with authorities about paying back some of the US Postal Service money from sponsoring his team. He is also talking to authorities about confessing and naming names, giving up others involved in illegal doping. This could result in a reduction of his lifetime ban, according to the source, if Armstrong provides substantial and meaningful information.

Armstrong made the admission in what sources describe as an emotional interview with Winfrey to air on "Oprah's Next Chapter" on Jan. 17.

The 90-minute interview at his home in Austin, Texas, was Armstrong's first since officials stripped him of his world cycling titles in response to doping allegations.

Word of Armstrong's admission comes after a Livestrong official said that Armstrong apologized today to the foundation's staff ahead of his interview.

The disgraced cyclist gathered with about 100 Livestrong Foundation staffers at their Austin headquarters for a meeting that included social workers who deal directly with patients as part of the group's mission to support cancer victims.

Armstrong's "sincere and heartfelt apology" generated lots of tears, spokeswoman Katherine McLane said, adding that he "took responsibility" for the trouble he has caused the foundation.

Riccardo S. Savi/Getty Images|Ray Tamarra/Getty Images

Lance Armstrong Stripped of Tour de France Titles Watch Video

Lance Armstrong Doping Charges: Secret Tapes Watch Video

McLane declined to say whether Armstrong's comments included an admission of doping, just that the cyclist wanted the staff to hear from him in person rather than rely on second-hand accounts.

Armstrong then took questions from the staff.

Armstrong's story has never changed. In front of cameras, microphones, fans, sponsors, cancer survivors -- even under oath -- Lance Armstrong hasn't just denied ever using performance enhancing drugs, he has done so in an indignant, even threatening way.

Armstrong, 41, was stripped of his seven Tour de France titles and banned from the sport for life by the U.S. Anti-Doping Agency in October 2012, after allegations that he benefited from years of systematic doping, using banned substances and receiving illicit blood transfusions.

"Lance Armstrong has no place in cycling and he deserves to be forgotten in cycling," Pat McQuaid, the president of the International Cycling Union, said at a news conference in Switzerland announcing the decision. "This is a landmark day for cycling."

The U.S. Anti-Doping Agency issued a 200-page report Oct. 10 after a wide-scale investigation into Armstrong's alleged use of performance-enhancing substances.

Armstrong won the Tour de France from 1999 to 2005.

According to a source, speaking to ABC News, a representative of Armstrong's once offered to make a donation estimated around $250,000 to the agency, as "60 Minutes Sports" on Showtime first reported.

Lance Armstrong's attorney Tim Herman denied it. "No truth to that story," Herman said. "First Lance heard of it was today. He never made any such contribution or suggestion."

Armstrong, who himself recovered from testicular cancer, created the Lance Armstrong Foundation (now known as the LIVESTRONG Foundation) to help people with cancer cope, as well as foster a community for cancer awareness. Armstrong resigned late last year as chairman of the LIVESTRONG Foundation, which raised millions of dollars in the fight against cancer.

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France bombs Islamist strongholds in north Mali

BAMAKO/PARIS (Reuters) - French fighter jets pounded Islamist rebel strongholds deep in northern Mali on Sunday as Paris poured more troops into the capital Bamako, awaiting a West African force to dislodge al Qaeda-linked insurgents from the country's north.

The attacks on Islamist positions near the ancient desert trading town of Timbuktu and Gao, the largest city in the north, marked a decisive intensification on the third day of the French mission, striking at the heart of the vast area seized by rebels in April.

France is determined to end Islamist domination of northern Mali, which many fear could act as a base for attacks on the West and for links with al Qaeda in Yemen, Somalia and North Africa.

Defense Minister Jean-Yves Le Drian said France's sudden intervention on Friday had prevented the advancing rebels from seizing Bamako. He vowed that air strikes would continue.

"The president is totally determined that we must eradicate these terrorists who threaten the security of Mali, our own country and Europe," he told French television.

Residents and rebel leaders had reported air raids early on Sunday in the towns of Lere and Douentza in central Mali, forcing Islamists to withdraw. As the day progressed, French jets struck targets further to the north, including near the town of Kidal, the epicenter of the rebellion.

In Gao, a dusty town on the banks of the Niger river where Islamists have imposed an extreme form of sharia law, residents said French jets pounded the airport and rebel positions. A huge cloud of black smoke rose from the militants' camp in the city's north, and trucks ferried dead and wounded to hospital.

"The planes are so fast you can only hear their sound in the sky," resident Soumaila Maiga said by telephone. "We are happy, even though it is frightening. Soon we will be delivered."

Paris said four Rafale jets flew from France to strike rebel training camps, logistics depots and infrastructure around Gao with the aim of weakening the rebels and preventing them from returning southward.

"We blocked the terrorists' advance and from today what we've started to do is to destroy the terrorists' bases behind the front line," French Foreign Minister Laurent Fabius told LCI television.

France has deployed about 550 soldiers to Mali under "Operation Serval" -- named after an African wildcat -- split between Bamako and the town of Mopti, 500 km (300 miles) north.

In Bamako, a Reuters cameraman saw more than 100 French troops disembark on Sunday from a military cargo plane at the international airport, on the outskirts of the capital.

The city's streets were calm, with the sun streaking through the dusty air as the seasonal Harmattan wind blew from the Sahara. Many cars had French flags draped from the windows to celebrate Paris's intervention.

"We thank France for coming to our aid," said resident Mariam Sidibe. "We hope it continues till the north is free."

AFRICAN TROOPS EXPECTED

More than two decades of peaceful elections had earned Mali a reputation as a bulwark of democracy, but that image unraveled in a matter of weeks after a military coup in March which left a power vacuum for the Islamist rebellion.

France convened a U.N. Security Council meeting for Monday to discuss Mali. French President Francois Hollande's intervention has won plaudits from leaders in Europe, Africa and the United States but it is not without risks.

It raised the threat level for eight French hostages held by al Qaeda allies in the Sahara and for the 30,000 French expatriates living in neighboring, mostly Muslim states.

Concerned about reprisals, France has tightened security at public buildings and on public transport. It advised its 6,000 citizens to leave Mali as spokesmen for Ansar Dine and al Qaeda's north Africa wing AQIM promised to exact revenge.

In its first casualty of the campaign, Paris said a French pilot was killed on Friday when rebels shot down his helicopter.

Hours earlier, a French intelligence officer held hostage in Somalia by al Shabaab extremists linked to al Qaeda was killed in a failed commando raid to free him.

Hollande says France's aim is simply to support a mission by West African bloc ECOWAS to retake the north, as mandated by a U.N. Security Council resolution in December.

With Paris pressing West African nations to send their troops quickly, Ivory Coast President Alassane Ouattara, who holds the rotating ECOWAS chairmanship, kick-started the operation to deploy 3,300 African soldiers.

Ouattara, installed in power with French military backing in 2011, convened a summit of the 15-nation bloc for Saturday in Ivory Coast to discuss the mission.

"The troops will start arriving in Bamako today and tomorrow," said Ali Coulibaly, Ivory Coast's African Integration Minister. "They will be convoyed to the front."

The United States is providing transportation and communications support for the push against the Islamist rebels, a U.S. official told Reuters, speaking on condition of anonymity.

The U.S. support also includes intelligence sharing, the official said, without elaborating. Earlier on Sunday, another U.S. official said Washington was considering sending a small number of unarmed surveillance drones.

Britain and Canada have also promised logistical support.

Former French colonies Senegal, Niger and Burkina Faso have all pledged to deploy 500 troops within days. In contrast, regional powerhouse Nigeria, due to lead the ECOWAS force, has suggested it would take time to train and equip the troops.

HOUSE-TO-HOUSE SEARCHES

France, however, appeared to have assumed control of the operation on the ground. Its air strikes allowed Malian troops to drive the Islamists out of the strategic town of Konna, which they had briefly seized this week in their southward advance.

Calm returned to Konna after three nights of combat as the Malian army crushed any remaining rebel fighters. A senior army official said more than 100 rebels had been killed.

"Soldiers are patrolling the streets and have encircled the town," one resident, Madame Coulibaly, told Reuters by phone. "They are searching houses for arms or hidden Islamists."

Analysts expressed doubt, however, that African nations would be able to mount a swift operation to retake north Mali -- a harsh, sparsely populated terrain the size of France -- as neither the equipment nor ground troops were prepared.

"My first impression is that this is an emergency patch in a very dangerous situation," said Gregory Mann, associate professor of history at Columbia University, who specializes in francophone Africa and Mali in particular.

While France and its allies may be able to drive rebel fighters from large towns, they could struggle to prise them from mountain redoubts in the region of Kidal, 300 km (200 miles) northeast of Gao.

Human Rights Watch said at least 11 civilians, including three children, had been killed in the fighting. A spokesman for Doctors Without Borders in neighboring Mauritania said about 200 Malian refugees had fled across the border to a camp at Fassala and more were on their way.

In Bamako, civilians tried to contribute to the war effort.

"We are very proud and relieved that the army was able to drive the jihadists out of Konna. We hope it will not end there, that is why I'm helping in my own way," said civil servant Ibrahima Kalossi, 32, one of over 40 people who queued to donate blood for wounded soldiers.

(Additional reporting by Adama Diarra, Tiemoko Diallo and Rainer Schwenzfeier in Bamako, Pascal Fletcher in Johannesburg, Joe Bavier in Abidjan, Catherine Bremer, Leila Aboud and John Irish in Paris and Phil Stewart in Washington; Writing by Daniel Flynn; Editing by Will Waterman and Roger Atwood)

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Venezuelan officials send mixed messages on Chavez

CARACAS: Officials sent mixed signals Sunday about the condition of cancer-stricken Venezuelan President Hugo Chavez, fueling growing political uncertainty in the oil-rich country.

Chavez, who has not been seen in public for more than a month, is "fighting for his life," former vice president Elias Jaua said.

"The situation is complex and delicate, but it is true that Hugo Chavez has fought and is fighting for his life," said Jaua, who was in office from January 2010 until October.

Communications Minister Ernesto Villegas, however, indicated that the usually outspoken and ever-present leftist leader, hospitalized in Cuba following his fourth cancer operation last month, was doing better.

"Despite his delicate health state since his complex surgery on December 11, his general health has improved in recent days," Villegas said in a statement read on radio and television.

He said the president's previously disclosed severe pulmonary infection was "under control" but that he still required treatment for "respiratory failure."

Chavez, whose OPEC-member nation controls the world's largest proven oil reserves, has been out of sight since leaving for Cuba for the latest round of treatment in the 18 months since his condition was made public.

Uncertainty about his status has fueled speculation about his prospects for a full recovery -- and his political future.

The latest updates followed a denial from Chavez's brother Adan Saturday that the 58-year-old was in a coma. Instead, he said the Venezuelan leader was responding "well" to treatment and making progress on a daily basis.

Chavez's anointed heir, Vice President Nicolas Maduro, met with his ailing boss late Saturday.

During his trip, Maduro also met with Cuban President Raul Castro along with Venezuelan Parliament President Diosdado Cabello, Energy Minister Rafael Ramirez and Attorney General Cilia Flores.

A slew of leftist leaders and Venezuelan officials have also come to Chavez's bedside, with Brazil's former president Luiz Inacio Lula da Silva planning a trip to Havana in late January, according to his spokesman.

During his 2003-2010 rule, Lula, himself a cancer survivor, built a strong relationship with the Chavez government in power since 1999.

On Thursday, the government was forced to postpone the president's scheduled inauguration, as it became clear that Chavez could not attend. Authorities insist the Venezuelan constitution allows him to take the oath of office at a later time.

But the opposition has objected, calling for a medical board to review the absent leader's health -- a demand rejected by the Supreme Court, which said the delayed swearing-in was constitutional.

- AFP/ck

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