New whooping cough strain in US raises questions


NEW YORK (AP) — Researchers have discovered the first U.S. cases of whooping cough caused by a germ that may be resistant to the vaccine.


Health officials are looking into whether cases like the dozen found in Philadelphia might be one reason the nation just had its worst year for whooping cough in six decades. The new bug was previously reported in Japan, France and Finland.


"It's quite intriguing. It's the first time we've seen this here," said Dr. Tom Clark of the Centers for Disease Control and Prevention.


The U.S. cases are detailed in a brief report from the CDC and other researchers in Thursday's New England Journal of Medicine.


Whooping cough is a highly contagious disease that can strike people of any age but is most dangerous to children. It was once common, but cases in the U.S. dropped after a vaccine was introduced in the 1940s.


An increase in illnesses in recent years has been partially blamed on a version of the vaccine used since the 1990s, which doesn't last as long. Last year, the CDC received reports of 41,880 cases, according to a preliminary count. That included 18 deaths.


The new study suggests that the new whooping cough strain may be why more people have been getting sick. Experts don't think it's more deadly, but the shots may not work as well against it.


In a small, soon-to-be published study, French researchers found the vaccine seemed to lower the risk of severe disease from the new strain in infants. But it didn't prevent illness completely, said Nicole Guiso of the Pasteur Institute, one of the researchers.


The new germ was first identified in France, where more extensive testing is routinely done for whooping cough. The strain now accounts for 14 percent of cases there, Guiso said.


In the United States, doctors usually rely on a rapid test to help make a diagnosis. The extra lab work isn't done often enough to give health officials a good idea how common the new type is here, experts said.


"We definitely need some more information about this before we can draw any conclusions," the CDC's Clark said.


The U.S. cases were found in the past two years in patients at St. Christopher's Hospital for Children in Philadelphia. One of the study's researchers works for a subsidiary of Johnson & Johnson, which makes a version of the old whooping cough vaccine that is sold in other countries.


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JournaL: http://www.nejm.org


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Wall Street flat as rally runs out of steam, results eyed

NEW YORK (Reuters) - U.S. stocks were little changed in late morning trading on Wednesday as investors awaited fresh trading incentives after recent rallies took the S&P 500 to five-year highs.


Transportation stocks were among the worst performers, weighed down by a 10-percent drop in CH Robinson Worldwide to $60.49 after it reported fourth-quarter earnings.


The Dow Jones Transportation index <.djt> shed 0.5 percent after closing at a record high Tuesday for a gain of more than 10 percent in 2013.


A 6-percent advance this year so far has lifted the benchmark S&P 500 index to its highest since December 2007, while the Dow <.dji> briefly climbed above 14,000 recently, making it a challenge for investors to continue pushing the equity market upward in the absence of strong catalysts.


"Overall, we believe that the next near-term market dip should provide an opportunity to buy stocks ahead of rallies higher in the coming months, but we are skeptical about the long-term sustainability of these gains due to the maturing age of the bull market," said Ari Wald, equity research analyst at C&Co\PrinceRidge in New York.


The tech-heavy Nasdaq index was supported by Apple Inc , which rose 1.2 percent to $463.62.


Walt Disney Co was among the bright spots, up 0.9 percent at $54.77, after the company beat estimates for quarterly adjusted earnings and gave an optimistic outlook for the next few quarters.


According to Thomson Reuters data through Wednesday morning, of 301 companies in the S&P 500 <.spx> that have reported earnings, 68.1 percent have exceeded analysts' expectations, above a 62 percent average since 1994 and 65 percent over the past four quarters. In terms of revenue, 65.8 percent of companies have topped forecasts.


Looking ahead, fourth-quarter earnings for S&P 500 companies are expected to grow 4.7 percent, according to the data, above a 1.9 percent forecast at the start of the earnings season.


The Dow Jones industrial average <.dji> was down 11.25 points, or 0.08 percent, at 13,968.05. The Standard & Poor's 500 Index <.spx> was up 0.05 points, or 0.00 percent, at 1,511.34. The Nasdaq Composite Index <.ixic> was up 2.69 points, or 0.08 percent, at 3,174.27.


The benchmark S&P index rose 1.04 percent Tuesday, its biggest percentage gain since a 2.5-percent advance on January 2, when legislators sidestepped a "fiscal cliff" of spending cuts and tax hikes that could have hurt a fragile U.S. economic recovery.


Ralph Lauren Corp climbed 7.1 percent to $176.57 as the best performer on the S&P 500 after reporting renewed momentum in its holiday-quarter sales and profits.


Time Warner Inc jumped 4.1 percent to $51.99 after reporting higher fourth-quarter profit that beat Wall Street estimates, as growth in its cable networks offset declines in its film, TV entertainment and publishing units.


(Editing by Bernadette Baum)



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IHT Rendezvous: 'Rigoletto' in Vegas, 'Manon Lescaut' in the Metro

BRUSSELS—The day after the Metropolitan Opera in New York unveiled a production of Verdi’s “Rigoletto” set in Las Vegas during the 1960s, I was in Belgium, where another exercise in operatic updating is underway at the Théâtre royal de la Monnaie. Here, Mariusz Trelinski’s staging of Puccini’s “Manon Lescaut” — through Feb. 8 — situates the opera in the waiting room of a subway station.

Opera goers are often incensed by productions like these, yet updating is potentially a relatively mild device. Once the new setting is established, the action can play out coherently and essentially traditionally. This happened with “La Bohème” last summer at the Salzburg Festival, staged by Damiano Michieletto.

One could object to the hovel of the bohemians’ Parisian loft, but there was something touching about seeing Anna Netrebko as Mimì crouched in the snow behind a hotdog truck near the city’s peripheral expressway, as she overheard Rodolfo and Marcello discussing her fragile health.

By contrast, La Scala’s recent “Lohengrin” directed by Claus Guth, which focused on the repressiveness of German society at the time of the opera’s composition and, in Mr. Guth’s fanciful interpretation, its bizarre effects on the psyche of the title character, counts as truly radical.

The Met’s take on “Rigoletto” had a widely acknowledged antecedent in Jonathan Miller’s production of the opera for the English National Opera, which was set in New York’s Little Italy and seen in that city on a 1984 tour. The Met’s new production by Michael Mayer is reportedly less successful. Writing in The New York Times, Anthony Tommasini detected “dynamic elements in this colorful, if muddled and ill-defined ‘Rigoletto’” but noted that “there are big holes” in Mr. Mayer’s concept. The criticism is directed not so much at the updating itself but the lack of disciplined follow-through.

The updating of “Manon Lescaut,” which is specified to take place in the 18th century, comes off as inherently misguided. Boris Kudlicka’s chic-looking set is essentially all in black, although city lights are sometimes visible, as if seen from a moving train. A system map is on one wall, pay telephones on another.

The mismatch is apparent from the first measures of Puccini’s sparkling orchestral introduction to Act 1. This is music designed for the outdoors—a public square in Amiens—not a space underground. It announces something special is in the works, not dreary routine. It conveys youthful high spirits, not gloom. Also, the mores of pre-revolutionary France are important in the opera.

Whether Mr. Trelinski’s conception of Manon herself is an outgrowth of his updating, or the other way around, it robs her of her allure. When, early on, the smitten Des Grieux declares his love for her, Manon sits at the end of a bar wearing a red coat and dark glasses and smoking a cigarette—the very image of a prostitute. Manon is a material girl all right, but one with such irresistible femininity she gets what she wants from men without having to market herself. You never sense this here. Further, a demimonde element weighs on the first two acts. Manon’s benefactor, Geronte (the bass Giovanni Furlanetto, in excellent voice), is depicted as a crime figure, and there is some curious activity involving topless girls and golf clubs.

Mr. Trelinski’s approach also intensifies an acknowledged structural weakness of the opera. All the opera’s gaiety is concentrated in the first two acts, whereas Act 3 and 4—in which Manon is deported from France and then dies in the New World—are uniformly gloomy. But here, Acts 1 and 2 are gloomy too.

Mr. Trelinski, who is artistic director of the Teatr Wielki in Warsaw, where the production originated, is a respected director with some notable achievements. I have admired his double bill of Bartok’s “Bluebeard’s Castle” and Tchaikovsky’s “Iolanta,” which will be seen at the Met in a future season. His work here has some redeeming aspects, especially in Act 4. Puccini’s setting for this act—a vast desert near the outskirts of New Orleans—is one of opera’s most implausible, so it is no great loss to see it supplanted. Fascinatingly, Mr. Trelinski ensures that Des Grieux suffers here as much as Manon does, as he becomes delusional and, apparently, starts to see double. A second Manon appears, whom Des Grieux cannot seem to distinguish from the first.

Carlo Rizzi presides over a colorful reading of the score and a cast headed by an excellent pair of lovers in Eva-Maria Westbroek and Brandon Jovanovich. When the two sang their big duet in Act 2, you could forget about the production and become wrapped up in Puccini’s drama. Ms. Westbroek’s commanding soprano is a bit large for Manon, whose music can profit from greater tonal delicacy. Still, she offers some splendid singing, apart from some difficulty on top, and gives an especially gripping account of Manon’s final aria, “Solo, perduta, abbandonata.”

In this production Des Grieux emerges as the more emotionally vibrant lover, and Mr. Janovich’s clear, virile singing makes the most of the opportunity. Unfortunately, he was in ill health and departed the performance after Act 2, but the intervention of Hector Sandoval, the alternate Des Grieux, allowed the performance, which was streamed to movie theaters, to continue without a hitch. He sang well and knew intricacies of the staging, flaws and all.

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Nate Berkus Told His Dad That He Was Born Gay - It Wasn't a Choice




Design star Nate Berkus says gaining his father's trust and respect as he explained that he was born gay – and it wasn't a choice – changed their relationship and helped him move forward in his life.

Berkus, speaking candidly to his mentor, Oprah Winfrey on her Super Soul Sunday series, opened up in a two-part interview, sharing the emotional moments that came with discussing his sexuality.

"I asked my father: 'Do you trust me? Do you respect me? Do you think I'm smart?' He said, 'Yes,' " Berkus, 41, tells Winfrey.

"I said, 'Why would I choose to make my life more difficult – why would anyone choose to make their life more difficult? Do you think I would choose to have this hair? Do you think that I would choose to be 5'9"? I would have been 6'1". It's the exact same thing. The truth of the matter is being gay is the way I was born. I believe this to the core of my being.' "

Berkus continued: "I said, 'Dad, we are never going to have a real relationship if you don’t believe me.' He said, 'If you say you are born this way, and you didn't have a choice, then we are good.' That was really the moment. Then, I knew if I had this base level of respect that I could move forward."

The Chicago-based interior designer, whose latest book is The Things That Matter, rose to national prominence after he was invited in 2002 to do a makeover on a space for The Oprah Winfrey Show, where he become a frequent and charismatic guest. He was later given his own program, The Nate Berkus Show, which aired from 2010 to 2012.

Berkus also speaks to Oprah about the death of his longtime partner, Fernando Bengoechea, who was swept away from the beach resort where the couple was vacationing during the 2004 Indian Ocean tsunami.

The show, Oprah & Nate Berkus, The Things That Matter, will air on Feb. 10 and Feb. 17 on OWN: Oprah Winfrey Network.

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Critics seek to delay NYC sugary drinks size limit


NEW YORK (AP) — Opponents are pressing to delay enforcement of the city's novel plan to crack down on supersized, sugary drinks, saying businesses shouldn't have to spend millions of dollars to comply until a court rules on whether the measure is legal.


With the rule set to take effect March 12, beverage industry, restaurant and other business groups have asked a judge to put it on hold at least until there's a ruling on their lawsuit seeking to block it altogether. The measure would bar many eateries from selling high-sugar drinks in cups or containers bigger than 16 ounces.


"It would be a tremendous waste of expense, time, and effort for our members to incur all of the harm and costs associated with the ban if this court decides that the ban is illegal," Chong Sik Le, president of the New York Korean-American Grocers Association, said in court papers filed Friday.


City lawyers are fighting the lawsuit and oppose postponing the restriction, which the city Board of Health approved in September. They said Tuesday they expect to prevail.


"The obesity epidemic kills nearly 6,000 New Yorkers each year. We see no reason to delay the Board of Health's reasonable and legal actions to combat this major, growing problem," Mark Muschenheim, a city attorney, said in a statement.


Another city lawyer, Thomas Merrill, has said officials believe businesses have had enough time to get ready for the new rule. He has noted that the city doesn't plan to seek fines until June.


Mayor Michael Bloomberg and other city officials see the first-of-its-kind limit as a coup for public health. The city's obesity rate is rising, and studies have linked sugary drinks to weight gain, they note.


"This is the biggest step a city has taken to curb obesity," Bloomberg said when the measure passed.


Soda makers and other critics view the rule as an unwarranted intrusion into people's dietary choices and an unfair, uneven burden on business. The restriction won't apply at supermarkets and many convenience stores because the city doesn't regulate them.


While the dispute plays out in court, "the impacted businesses would like some more certainty on when and how they might need to adjust operations," American Beverage Industry spokesman Christopher Gindlesperger said Tuesday.


Those adjustments are expected to cost the association's members about $600,000 in labeling and other expenses for bottles, Vice President Mike Redman said in court papers. Reconfiguring "16-ounce" cups that are actually made slightly bigger, to leave room at the top, is expected to take cup manufacturers three months to a year and cost them anywhere from more than $100,000 to several millions of dollars, Foodservice Packaging Institute President Lynn Dyer said in court documents.


Movie theaters, meanwhile, are concerned because beverages account for more than 20 percent of their overall profits and about 98 percent of soda sales are in containers greater than 16 ounces, according to Robert Sunshine, executive director of the National Association of Theatre Owners of New York State.


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Follow Jennifer Peltz at http://twitter.com/jennpeltz


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Wall Street extends gains; Nasdaq up 1 percent


NEW YORK (Reuters) - U.S. stocks rose on Tuesday, with the Nasdaq gaining more than 1 percent, as investors sought bargains following the market's worst daily session since November and more companies reported results that beat Wall Street's expectations.


The Dow Jones industrial average <.dji> was up 114.81 points, or 0.83 percent, at 13,994.89. The Standard & Poor's 500 Index <.spx> was up 13.63 points, or 0.91 percent, at 1,509.34. The Nasdaq Composite Index <.ixic> was up 30.81 points, or 0.98 percent, at 3,161.98.


(Reporting By Angela Moon; Editing by Kenneth Barry)



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At War Blog: Remembering Chris Kyle, a Deadly American Sniper

In the fall of 2006, my infantry platoon gathered in a dusty patrol base in Baghdad to watch our own being killed in fuzzy, pixilated video clips. An insurgent sniper named Juba was terrorizing Baghdad with precise and methodical shots at allied troops, and it was all captured on film. A soldier in a turret falls in a puff of smoke. Another soldier standing along a road is shot in the head.

“Don’t let this be you,” our platoon sergeant said, and we headed out for another patrol.

No one knew if Juba was real or a myth. He was a European mercenary or a Syrian jihadist, depending on whom you asked. For American troops, Juba was a terror, but for the insurgents, he must have been a comforting legend.

Chris Kyle, a former Navy SEAL who was killed Saturday along with another man at a gun range in Texas, was our Juba. Mr. Kyle, 38, wasn’t just a legend. He was The Legend, with four tours in Iraq, two Purple Hearts and a hand in every major battle during the conflict.

Mr. Kyle earned the title of America’s deadliest sniper, something not lost on the Iraqi insurgency. They put a bounty on his head and called him Al Shaitan Ramadi: the Devil of Ramadi. Mr. Kyle’s book, “American Sniper: The Autobiography of the Most Lethal Sniper in U.S. Military History,” was published last year.

Snipers have enjoyed a disproportionate amount of influence on the battlefield since colonial sharpshooters began targeting British officers in the Revolutionary War — an act regarded as ungentlemanly at the time. They have bogged down invading forces and shredded morale into ribbons. When the Soviet Union invaded Finland during the Winter War of 1939-40, the Finnish sniper Simo Hayha took on entire units by himself, racking up more than 500 confirmed kills in less than 100 days. The Soviets called him White Death. It seems that only snipers and generals earn nicknames and respect from their enemies.

A vital job of Mr. Kyle’s was to provide overwatch for American soldiers and Marines as they maneuvered during patrols and raids — an angel of sorts for coalition troops. Mr. Kyle took that idea to form Fitco Cares Foundation, a nonprofit organization that helps veterans cope with post-traumatic stress disorder. Mr. Kyle often took veterans struggling with PTSD to gun ranges for a therapy of sorts, and in a tragic twist, the former Marine accused of killing Mr. Kyle was a veteran who may have been struggling with the disorder.

Mr. Kyle’s impact on troops and veterans was apparent when news of his death spread quickly on Facebook and Twitter. “In Memory of Chris Kyle, American Hero,” said one image posted to a page for war veterans on Facebook. A tribute page for him was set up within hours of his death, which posted a picture of Mr. Kyle against a black background. “Chris Kyle, 1974-2013, U.S. Navy SEAL, 160 confirmed kills. Gone,” the accompanying text says, “but not forgotten.”

Troops and veterans understand that snipers are not simply precise killers, but watchers of men, on both sides. They spot for artillery and scan for enemy movement. They disrupt enemy snipers, harass enemy troops and haunt the dreams of their generals. For that, they are pursued relentlessly.

But Mr. Kyle’s grim talent of killing the enemy was not a source of guilt for him. What did seem to bother him were the things that he couldn’t do.

“It was my duty to shoot the enemy, and I don’t regret it,” he told Texas Monthly last year. “My regrets are for the people I couldn’t save: Marines, soldiers, buddies.”

A profound dedication to the safety of fellow troops will always mark snipers generally, and Mr. Kyle in particular, both in and out of war. And for the battle to return home that can last decades, veterans everywhere lost a good man watching over them.

I’m willing to bet Iraqi insurgents had the same debates and fears about the Devil of Ramadi that we did about Juba. Was he even real? Could he ever be killed? For both sides, only one thing was certain: he was more than a man and a rifle.

Thanks for looking out, Chris.

Alex Horton is a public affairs specialist at the Department of Veterans Affairs, where he writes for the department’s blog, Vantage Point. He served for 15 months as an infantryman in Iraq with the Third Stryker Brigade, Second Infantry Division. Follow him on Twitter.


Related Coverage:

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Somalia’s al Shabaab rebels back on Twitter after suspension






MOGADISHU (Reuters) – Somalia‘s Islamist al Shabaab militants, who have used Twitter to announce assassinations and bombings, are back on the microblog service two weeks after their account was suspended.


“[Our new account] will function like the one they closed,” a spokesman who declined to be named said on Tuesday.






Al Shabaab’s previous official Twitter account was suspended around January 24, days after group, which is aligned with al Qaeda, used the social media site to threaten to kill two Kenyan hostages.


The group tweeted a link to a video of the abducted civil servants and threatened to kill them unless the Kenyan government released all Muslim prisoners in its jails.


Twitter rules say threats of violence are forbidden but the site declined at the time to comment on why al Shabaab’s account, which had thousands of followers, had been suspended.


Al Shabaab’s Somali- and Arabic-language Twitter accounts were never closed.


The new account, using the handle @HSMPRESS1, has attracted over 1,100 followers within two days.


Al Shabaab wants to impose its strict version of sharia, or Islamic law, across Somalia. However, it has lost significant territory in the southern and central parts of the country in the face of an offensive by African Union troops.


(Writing By Drazen Jorgic; Editing by James Macharia and Kevin Liffey)


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Kate Winslet Shows Off Her Wedding Ring From Ned Rocknroll







Style News Now





02/05/2013 at 11:22 AM ET












Kate Winslet Wedding Ring
Bauer-Griffin


When Kate Winslet married Ned Rocknroll in December, she got a killer new family name — and it turns out the ring that came with it isn’t half-bad either!


While grocery shopping in Hampshire, England, the actress, 37, gave the first glimpse of her engagement ring since Rocknroll, 34, proposed last summer — plus the wedding band she received from him in early December. It appears to be a simple yellow-gold setting with a solitaire stone and a matching band.


It would seem that Winslet has a preference for bold, chunky rings; her previous wedding ring (from her marriage to Sam Mendes) consisted of thick silver-colored bands with inlaid stones.


Tell us: What do you think of Winslet’s rings from Ned Rocknroll?
–Alex Apatoff


PHOTOS: SEE MORE STAR MEMBERS OF THE ‘GINORMOUS CARAT CLUB!’




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Bullying study: It does get better for gay teens


CHICAGO (AP) — It really does get better for gay and bisexual teens when it comes to being bullied, although young gay men have it worse than their lesbian peers, according to the first long-term scientific evidence on how the problem changes over time.


The seven-year study involved more than 4,000 teens in England who were questioned yearly through 2010, until they were 19 and 20 years old. At the start, just over half of the 187 gay, lesbian and bisexual teens said they had been bullied; by 2010 that dropped to 9 percent of gay and bisexual boys and 6 percent of lesbian and bisexual girls.


The researchers said the same results likely would be found in the United States.


In both countries, a "sea change" in cultural acceptance of gays and growing intolerance for bullying occurred during the study years, which partly explains the results, said study co-author Ian Rivers, a psychologist and professor of human development at Brunel University in London.


That includes a government mandate in England that schools work to prevent bullying, and changes in the United States permitting same-sex marriage in several states.


In 2010, syndicated columnist Dan Savage launched the "It Gets Better" video project to encourage bullied gay teens. It was prompted by widely publicized suicides of young gays, and includes videos from politicians and celebrities.


"Bullying tends to decline with age regardless of sexual orientation and gender," and the study confirms that, said co-author Joseph Robinson, a researcher and assistant professor of educational psychology at the University of Illinois in Urbana-Champaign. "In absolute terms, this would suggest that yes, it gets better."


The study appears online Monday in the journal Pediatrics.


Eliza Byard, executive director of the Gay, Lesbian & Straight Education Network, said the results mirror surveys by her anti-bullying advocacy group that show bullying is more common in U.S. middle schools than in high schools.


But the researchers said their results show the situation is more nuanced for young gay men.


In the first years of the study, gay boys and girls were almost twice as likely to be bullied as their straight peers. By the last year, bullying dropped overall and was at about the same level for lesbians and straight girls. But the difference between men got worse by ages 19 and 20, with gay young men almost four times more likely than their straight peers to be bullied.


The mixed results for young gay men may reflect the fact that masculine tendencies in girls and women are more culturally acceptable than femininity in boys and men, Robinson said.


Savage, who was not involved in the study, agreed.


"A lot of the disgust that people feel when you bring up homosexuality ... centers around gay male sexuality," Savage said. "There's more of a comfort level" around gay women, he said.


Kendall Johnson, 21, a junior theater major at the University of Illinois, said he was bullied for being gay in high school, mostly when he brought boyfriends to school dances or football games.


"One year at prom, I had a guy tell us that we were disgusting and he didn't want to see us dancing anymore," Johnson said. A football player and the president of the drama club intervened on his behalf, he recalled.


Johnson hasn't been bullied in college, but he said that's partly because he hangs out with the theater crowd and avoids the fraternity scene. Still, he agreed, that it generally gets better for gays as they mature.


"As you grow older, you become more accepting of yourself," Johnson said.


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Online:


Pediatrics: http://www.pediatrics.org


It Gets Better: http://www.itgetsbetter.org


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


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