Flu shot did poor job against worst bug in seniors

ATLANTA (AP) — For those 65 and older, this season's flu shot is only 9 percent effective against the most common and dangerous flu bug, according to a startling new government report.

Flu vaccine tends to protect younger people better than older ones and never works as well as other kinds of vaccines. But experts say the preliminary results for seniors are disappointing and highlight the need for a better vaccine.

For all age groups, the vaccine's effectiveness is moderate at 56 percent, which is nearly as well as other flu seasons, the Centers for Disease Control and Prevention said Thursday.

For those 65 and older, it is 27 percent effective against the three strains in the vaccine, the lowest in about a decade but not far below from what's expected. But the vaccine did a particularly poor job of protecting older people against the harshest flu strain, which is causing most of the illnesses this year. CDC officials say it's not clear why.

Vaccinations are now recommended for anyone over 6 months, and health officials stress that some vaccine protection is better than none at all. While it's likely that older people who were vaccinated are still getting sick, many of them may be getting less severe symptoms.

"Year in and year out, the vaccine is the best protection we have," said CDC flu expert Dr. Joseph Bresee.

To be sure, the preliminary data for seniors is less than definitive. It is based on fewer than 300 people scattered among five states.

But it will no doubt surprise many people that the effectiveness is that low, said Michael Osterholm, a University of Minnesota infectious disease expert who has tried to draw attention to the need for a more effective flu vaccine.

Among infectious diseases, flu is considered one of the nation's leading killers. On average, about 24,000 Americans die each flu season, according to the CDC.

This flu season started in early December, a month earlier than usual, and peaked by the end of year. Older people are most vulnerable to flu and its complications, and the nation has seen some of the highest hospitalization rates for people 65 and older in a decade.

Flu viruses tend to mutate more quickly than others, and it's not unusual for multiple strains to be spreading at the same time. A new vaccine is formulated each year targeting the three strains expected to be the major threats. But that involves guesswork.

Because of these challenges, scientists tend to set a lower bar for flu vaccine. While childhood vaccines against diseases like measles are expected to be 90 or 95 percent effective, a flu vaccine that's 60 to 70 percent effective in the U.S. is considered pretty good.

By that standard, this year's vaccine is OK. The 56 percent effectiveness figure means people have a 56 percent lower chance of winding up at the doctor for treatment of flu symptoms.

For seniors, a flu vaccine is considered pretty good if it's in the 30 to 40 percent range, said Dr. Arnold Monto, a University of Michigan flu expert.

Older people have weaker immune systems that don't respond as well to flu shots. That's why a high-dose version was recently made available for those 65 and older. The new study was too small to show whether that made a difference this year.

The CDC estimates are based on about 2,700 people who got sick in December and January. The researchers traced back to see who had gotten flu shots and who hadn't. An earlier study put the vaccine's overall effectiveness slightly higher, at 62 percent.

The CDC's Bresee said there's a danger in providing preliminary results because it may result in people doubting — or skipping — flu shots. But the data was released to warn older people who got shots that they may still get sick and shouldn't ignore any serious flu-like symptoms, he said.

The new data highlights an evolution in how experts are evaluating flu vaccine effectiveness. For years, it was believed that if the viruses in the vaccine matched the ones spreading around the country, then the vaccine would be effective. This year's shot was a good match to the bugs going around this winter, including the harsher H3N2 that tends to make people sicker.

But the season proved to be a moderately severe one, with many illnesses occurring in people who'd been vaccinated.

____

Online:

CDC report: http://www.cdc.gov/mmwr

Read More..

Doctor sexually assaulted unconscious patients, police say

An Orange County anesthesiologist convicted of sexually assaulting three unconscious female patients  has been sentenced to six months in jail and five years probation, despite the objections of prosecutors who wanted state prison time.

Yashwant Balgiri Giri, 60, pleaded guilty to a court offer to multiple felony counts related to the sexual battery of patients, including a 16-year-old, according to a statement from the Orange County district attorney's office.

Giri will have to register as a lifetime sex offender and will have his medical license revoked, in addition to the jail time and probation.

Prosecutors sought a state prison sentence, citing a violation of his "position of power and trust" with the women at a particularly vulnerable time.

Giri, who lives in Cypress, was working at Placentia-Linda Hospital at the time of the crimes, prosecutors said. He previously worked at several hospitals in Anaheim and Lakewood.

Through a spokeswoman, Placentia-Linda Hospital declined to comment.

Prosecutors said that in February 2009,  while a 16-year-old was unconscious from medication, Giri assaulted the girl when a scrub nurse preparing surgery tools had her back turned. The nurse witnessed the assault, prosecutors said, and reported it immediately to a hospital official.

Prosecutors allege that the hospital did not report the incident to police at the time.

In March 2011, prosecutors said, a hospital employee witnessed Giri fondling the breasts of a 36-year-old woman while she was under anesthesia for an outpatient surgery procedure.

An employee allegedly witnessed the incident  Prosecutors said the fondling continued for an extended period of time, as his actions were concealed from the surgeon and nurse.

The alleged assault was reported to a hospital official and then to Placentia police, prosecutors said.

Soon after an investigation began, Giri resigned from his duties at the hospital.

After he was arrested in May 2011, a third alleged victim stepped forward, saying she had been assaulted by Giri.

In April 2010, prosecutors said, Giri assaulted a 27-year-old woman while she was being put under anesthesia but before she was unconscious. Prosecutors said he touched the woman under the pretense of performing an examination, although it had no legitimate medical purpose.

During a sentencing hearing, a statement from the then-36-year-old woman, who was fondled, was read by prosecutors.

"His actions make me question every single doctor, nurse, medical decision and procedure I encounter within my everyday life," she said. "I not only fear for myself, I fear for my child, my friends, my family. This is a burden caused by the perverted actions of this predator."

ALSO:

 O.C. shootings: Listen to frantic 911 call

Hollywood Park Casino might lay off all 600 workers

San Diego sheriff confident 2 wounded deputies will fully recover

-- Rick Rojas

Photo: Yashwant Balgiri Giri. Credit: Orange County district attorney's office.

Read More..

Tibetan Teenagers Die in Double Self-Immolation

Two Tibetan teenagers killed themselves by self-immolation on Tuesday to protest Chinese rule in Tibet, according to reports on Wednesday by a Tibet advocacy group and Radio Free Asia. The two were among the youngest Tibetans to kill themselves in protest, and the act was a rare instance in which Tibetans committed self-immolation together.

The teenagers were identified as Rinchen, 17, who went by only one name, and Sonam Dargye, 18. They had been elementary school classmates in Sichuan Province, in western China, according to Radio Free Asia, which is financed by the United States government. They killed themselves in Ngaba Prefecture, or Aba in Chinese, which has a large Tibetan population and has been at the epicenter of the self-immolation protests.

At least 104 Tibetans have self-immolated since 2009 in protests against China. Since a widespread Tibetan uprising against Chinese rule in 2008, tensions between Tibetans and Chinese officials have been high across the Tibetan plateau, and officials have deployed large numbers of security forces, mostly ethnic Han, who rule China, in the crucial areas of the region.

Twenty of the self-immolators have been 18 or younger, according to statistics compiled by the International Campaign for Tibet, an advocacy group based in Washington.

Free Tibet, an advocacy group based in London, said the two teenagers who killed themselves on Tuesday had died at the scene of their self-immolation at about 9:30 p.m., and that their families had retrieved the bodies.

On Sunday, a Tibetan man, Namlha Tsering, 49, set himself on fire in the main street of Labrang, an important monastery town in Gansu Province. A photograph released by Tibet advocacy groups shows a man aflame and sitting in the street. Another photo shows security troops in riot gear marching in a street in Labrang, known as Xiahe in Chinese. The reports said the man was from a nomadic area.

The self-immolations began with monks, mostly from Kirti Monastery, in Ngaba. Since then, the profile of Tibetans who have self-immolated has widened. They have included women, middle-aged parents and nomads. Tibetans have self-immolated together a handful of other times, including in Lhasa, the capital of Tibet, and in Ngaba.

The Chinese government has blamed outside forces for the self-immolations, particularly the Dalai Lama, the exiled spiritual leader of the Tibetans, who is regarded by China as a subversive. The Dalai Lama’s supporters have denied such accusations.

“Beijing should stop playing blame game,” Lobsang Sangay, the prime minister of the Tibetan government in exile, which is based in Dharamsala, India, said in an e-mail last week. “Instead, it should thoroughly overhaul its failed hard-line policies, which are the main cause of the self-immolations.”

Read More..

Scarlett Johansson Is Not Engaged to Romain Dauriac

Buzz

By Maggie Coughlan

02/20/2013 at 01:50 PM EST

Scarlett Johansson and Romain Dauriac

Elder Ordonez/INF

Is Scarlett Johansson headed down the aisle?

After the Hitchcock actress, 28, was spotted wearing a pear-shaped diamond ring in New York City on Monday, rumors began to swirl that Johansson and her French journalist beau, Romain Dauriac, may have taken their relationship to the next level.

But a rep for Johansson says she's not walking down the aisle.

"Scarlett is absolutely not engaged," her rep tells PEOPLE.

Even Johansson has said she isn't rushing to tie the knot, as she recently told ELLE UK that marriage is "really not important" to her.

"The only time I ever think about it is when people ask me, 'Would I get married again?' " she said at the time.

But Johansson – who was married to Ryan Reynolds for just over two years before divorcing in 2010 – recalled fond memories of her previous relationship.

She explained, "I got married when I was young and it was incredibly romantic and I liked being married, actually. But it is different. It's hard to put into words."

Read More..

Drug overdose deaths up for 11th consecutive year

CHICAGO (AP) — Drug overdose deaths rose for the 11th straight year, federal data show, and most of them were accidents involving addictive painkillers despite growing attention to risks from these medicines.

"The big picture is that this is a big problem that has gotten much worse quickly," said Dr. Thomas Frieden, head of the Centers for Disease Control and Prevention, which gathered and analyzed the data.

In 2010, the CDC reported, there were 38,329 drug overdose deaths nationwide. Medicines, mostly prescription drugs, were involved in nearly 60 percent of overdose deaths that year, overshadowing deaths from illicit narcotics.

The report appears in Tuesday's Journal of the American Medical Association.

It details which drugs were at play in most of the fatalities. As in previous recent years, opioid drugs — which include OxyContin and Vicodin — were the biggest problem, contributing to 3 out of 4 medication overdose deaths.

Frieden said many doctors and patients don't realize how addictive these drugs can be, and that they're too often prescribed for pain that can be managed with less risky drugs.

They're useful for cancer, "but if you've got terrible back pain or terrible migraines," using these addictive drugs can be dangerous, he said.

Medication-related deaths accounted for 22,134 of the drug overdose deaths in 2010.

Anti-anxiety drugs including Valium were among common causes of medication-related deaths, involved in almost 30 percent of them. Among the medication-related deaths, 17 percent were suicides.

The report's data came from death certificates, which aren't always clear on whether a death was a suicide or a tragic attempt at getting high. But it does seem like most serious painkiller overdoses were accidental, said Dr. Rich Zane, chair of emergency medicine at the University of Colorado School of Medicine.

The study's findings are no surprise, he added. "The results are consistent with what we experience" in ERs, he said, adding that the statistics no doubt have gotten worse since 2010.

Some experts believe these deaths will level off. "Right now, there's a general belief that because these are pharmaceutical drugs, they're safer than street drugs like heroin," said Don Des Jarlais, director of the chemical dependency institute at New York City's Beth Israel Medical Center.

"But at some point, people using these drugs are going to become more aware of the dangers," he said.

Frieden said the data show a need for more prescription drug monitoring programs at the state level, and more laws shutting down "pill mills" — doctor offices and pharmacies that over-prescribe addictive medicines.

Last month, a federal panel of drug safety specialists recommended that Vicodin and dozens of other medicines be subjected to the same restrictions as other narcotic drugs like oxycodone and morphine. Meanwhile, more and more hospitals have been establishing tougher restrictions on painkiller prescriptions and refills.

One example: The University of Colorado Hospital in Aurora is considering a rule that would ban emergency doctors from prescribing more medicine for patients who say they lost their pain meds, Zane said.

___

Stobbe reported from Atlanta.

___

Online:

JAMA: http://www.jama.ama-assn.org

CDC: http://www.cdc.gov

___

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

Read More..

Tourist's body found stuffed in hotel water tank; guest horrified

There were few details Wednesday on how the body of a missing Canadian tourist ended up at the bottom of a water tank on the roof of a downtown hotel.

For days, residents of the Cecil Hotel thought something was amiss. At least one said there was flooding in one of the fourth-floor rooms, while others complained about weak water pressure.
One of those complaints led a hotel maintenance worker to check Tuesday on one of the large metal water cisterns on the roof, where he discovered the body of an unidentified woman in her 20s at the bottom of the tank.

Authorities said late Tuesday the body was that of Elisa Lam, 21, a Vancouver, Canada, woman last seen at the hotel Jan. 31.

"We're not ruling out foul play," said LAPD Sgt. Rudy Lopez, noting that the location of the remains "makes it suspicious."

Los Angeles police investigators searched the roof of the Cecil with the aid of dogs when Lam was reported missing about three weeks ago. Lopez said he didn't know if the tanks were examined.

"We did a very thorough search of the hotel," he said. "But we didn't search every room; we could only do that if we had probable cause" that a crime had been committed.

Once a destination for the rich and famous in the 1930s and '40s, the Cecil has gradually deteriorated, mirroring the decay of downtown Los Angeles, particularly in the skid row area. With rock-bottom rents and flexible stays, the historic 1927 building attracted those who were a step away from homelessness.

The Cecil also became a magnet for criminal activity. Most notably it was the occasional home to infamous serial killers Jack Unterweger and Richard "Night Stalker" Ramirez. Even after a multimillion-dollar makeover in 2008, police said they frequently respond to the Cecil for calls relating to domestic abuse and narcotics.

In 2010, the hotel was the scene of a bizarre incident in which a Los Angeles city firefighter who had been honored as paramedic of the year said he was stabbed while responding to a distress call. But police found inconsistencies in the story and no assailant was ever located.

On Tuesday, the Cecil grappled with a deeper mystery.
According to detectives with the LAPD's Robbery-Homicide Division, Lam came to Los Angeles from Vancouver on Jan. 26. While they did not discuss her exact movements or whether she visited anyone here, they believe her ultimate destination was Santa Cruz. Lam's reasons for visiting California were unclear, detectives said.

She was last seen Jan. 31 inside the elevator of the hotel. In surveillance footage, Lam is seen pushing buttons for multiple floors and at one point stepping out of the elevator, waving her arms.
A cause of death is still to be determined by county coroner’s officials, Lopez said.

A locked door that only employees have access to and a fire escape are the only ways to get to the roof. The door is equipped with an alarm system that notifies  hotel personnel if someone is up there, Lopez said.

ALSO:

O.C. shootings: Killings occurred during morning routines

Body found in hotel water tank identified as Canadian tourist

Woman who ran surrogate parenting firm pleads guilty in fraud case

— Andrew Blankstein and Adolfo Flores

Read More..

U.S. General Picked for Top NATO Military Post Will Retire

WASHINGTON — General John R. Allen, who served until earlier this month as the top United States commander in Afghanistan, will retire from the military to focus on “health issues within his family,” President Obama said Tuesday.

In January, General Allen was officially cleared of misconduct by the Pentagon after an investigation into his exchange of e-mails with a socialite in Tampa, Fla., and Mr. Obama had nominated him to be the supreme commander of NATO.

“I told General Allen that he has my deep, personal appreciation for his extraordinary service over the last 19 months in Afghanistan, as well as his decades of service in the United States Marine Corps,” Mr. Obama said in a statement. “John Allen is one of America’s finest military leaders, a true patriot, and a man I have come to respect greatly.”

General Allen, a highly decorated officer, was caught up in the scandal that led to the resignation of David H. Petraeus as the director of the Central Intelligence Agency. General Allen had gotten to know the socialite, Jill Kelley, when he was head of the Central Command in Tampa.

General Joseph F. Dunford Jr. succeeded General Allen as commander of both the American and intermational military forces in Afghanistan in a ceremony in Kabul on Feb. 10.

Read More..

Jenna Bush Hager Honors Her Grandfather for President's Day

Caught in the Act

02/19/2013 at 01:35 PM EST

Henry Hager and Jenna Bush Hager

Courtesy Sea Island

Both Jenna Bush Hager's father and grandfather served as Presidents of the United States, so it comes as no surprise that President's Day weekend holds special meaning for her.

This year, the NBC news correspondent – who will become a first-time mom this spring – headed to Sea Island, a five-star resort on the coast of Georgia, with her husband of nearly five years, Henry Hager, to honor her grandfather George H.W. Bush and his wife Barbara, who honeymooned there in 1945.

George H.W. and Barbara Bush

George Bush Presidential Library and Museum

On Saturday night, the former First Daughter and her husband represented her grandparents at a special President's Day dinner, featuring favorite dishes of U.S. Presidents who have visited Sea Island – and they even cut a cake reminiscent of the one her grandparents served at their wedding.

For the rest of their stay, the Hagers turned the trip into a mini-babymoon: while Jenna relaxed at the spa – and took a prenatal yoga class with a pal – Henry and his friends played golf on the resort grounds.

– Lesley Messer

Read More..

UK patient dies from SARS-like coronavirus

LONDON (AP) — A patient being treated for a mysterious SARS-like virus has died, a British hospital said Tuesday.

Queen Elizabeth Hospital in Birmingham, central England, said the coronavirus victim was also being treated for "a long-term, complex unrelated health problem" and already had a compromised immune system.

A total of 12 people worldwide have been diagnosed with the disease, six of whom have died.

The virus was first identified last year in the Middle East. Most of those infected had traveled to Qatar, Saudi Arabia, Jordan or Pakistan, but the person who just died is believed to have caught it from a relative in Britain, where there have been four confirmed cases.

The new coronavirus is part of a family of viruses that cause ailments including the common cold and SARS. In 2003, a global outbreak of SARS killed about 800 people worldwide.

Health experts still aren't sure exactly how humans are being infected. The new coronavirus is most closely related to a bat virus and scientists are considering whether bats or other animals like goats or camels are a possible source of infection.

Britain's Health Protection Agency has said while it appears the virus can spread from person to person, "the risk of infection in contacts in most circumstances is still considered to be low."

Officials at the World Health Organization said the new virus has probably already spread between humans in some instances. In Saudi Arabia last year, four members of the same family fell ill and two died. And in a cluster of about a dozen people in Jordan, the virus may have spread at a hospital's intensive care unit.

Read More..

Rapes may be tied to Christian dating website, officials say

Police in the San Diego suburb of La Mesa are investigating whether a 37-year-old man charged with raping a woman he met on the ChristianMingle website may have victimized other women he met on the dating website.

Sean Banks of Del Mar is charged with rape, burglary and penetration by force involving a woman in La Mesa, according to court records. He was arrested Feb. 11 and has pleaded not guilty.

Banks, a computer technician, worked in various locations across the United States. Police said they are investigating whether he may have lured other victims through ChristianMingle and other websites, possibly using pseudonyms, including Rylan Butterwood and Rylan Harbough.

In the La Mesa case, he used the name Rarity, police said. The alleged attack occurred in the woman's home the first time the two met in person after carrying on conversations over the Internet, police said.

Beverly Hills-based ChristianMingle is cooperating with the investigation, police said.

Anyone with information about Banks or other possible victims should call the La Mesa Police Department at (619) 667-7538.

-- Tony Perry in San Diego

Photo: Sean Banks. Credit: La Mesa Police Department

Read More..