Cricket: Warne faces new ban

SYDNEY: Australian veteran Shane Warne is facing a new ban for an alleged breach of the spirit of the game in a domestic Twenty20 match, Cricket Australia said Thursday.

The bowling great apologised last week after a foul-mouthed rant against West Indian all-rounder Marlon Samuels that earned him a ban and a fine in Australia's Big Bash League.

But in Wednesday night's semi-final Warne, the official Melbourne Stars skipper, was not listed as captain for the match they lost against Perth Scorchers.

Cricket Australia said they had recently sent a memo to BBL teams about the captaincy role.

"If a team's official captain is selected but not named as captain, this will be considered against the spirit of cricket and may attract a code of behaviour charge," CA said.

"Warne has been reported for breaching CA's code of behaviour," it said.

The time and date of Warne's hearing was yet to be fixed.

The 43-year-old spinner, who was banned for one match and fined A$4,500 over the Samuels row, claimed 708 Test wickets in a celebrated career.

But he has also courted controversy, notably when he was fined for accepting money from a bookmaker and sent home from the 2003 World Cup for taking a banned diuretic.

- AFP/jc

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Pak commerce minister’s India visit under cloud

NEW DELHI: Economic engagement can be carried forward in an environment of peace and stability and it is for Pakistan to realize where the well-being of its economy lies, commerce minister Anand Sharma said on Wednesday.

Sharma said the incident along the Line of Control was "horrific, unacceptable and highly provocative", but he did not announce any scrapping of trade ties or a pause in the trade dialogue.

India and Pakistan have made considerable progress in normalizing trade and economic relations. The two countries have held several rounds of discussions while Sharma has led a high profile business delegation to Pakistan. The two sides have also vowed to boost economic ties and Islamabad had promised to accord Most Favoured Nation status to India. Although it has missed the December deadline, expectations are that Pakistan will fulfil its promise shortly.

Pakistani trade minister Makhdoom Amin Fahim is expected to take part in a conference in Agra later this month. Officials say Pakistan is expected to announce full MFN status to India during his visit but the heightened tension between the two nuclear-armed neighbours has cast doubts on the trip.

"As of now, we have not given any consideration to this matter in a negative sense, because, yes what has happened is horrific, it is unacceptable, highly provocative," Sharma said. He added, "And this is for Pakistan to realize that where the well-being of the economies of the countries lies. Economic engagement can be enhanced in an environment of peace and stability and anything which undermines that environment is not conducive."

Sharma said economic engagement was the only way forward to peace and stability. "And there is no other way forward for this region. So it is for Pakistan to take action and hold those who are responsible for this horrific act not only accountable but to punish them. That would be in Pakistan's own interest, not only for bilateral relations but its global image as a responsible nation state," he added.

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NRA President Defends Ad Attacking Obama

Jan 16, 2013 6:40pm

Christian Gooden/St. Louis Post-Dispatch/AP Photo

In an interview with ABC News this evening, NRA President David Keene said the gun-rights lobby is aggressively preparing for “battle” with the White House and Congress over President Obama’s sweeping new proposals to curb gun violence.

Keene criticized Obama’s announcement today, surrounded by four children from around the country, for “using kids to advance an ideological agenda.” And he expressed cautious confidence that few of the legislative measures would ultimately pass.

“It’s going to be very tough for the president to accomplish some of these things, but that doesn’t mean he can’t do it if he really turns it on,” Keene told ABC.

“All bets are off when a president really wants to go to war with you,” he said. “We’re gonna be there and we’re gonna fight it.”

INFOGRAPHIC: Guns in America: By The Numbers

Keene said passage of the 1994 assault weapons ban remains fresh in the minds of NRA leaders, noting that initial widespread congressional opposition gradually gave way to a narrow margin in favor, thanks in part to pressure from then-President Bill Clinton.

NRA members would hold accountable any politicians who “sell them out to some pie-in-the-sky scheme such as the president is proposing,” he said.

The group launched a new “Stand and Fight” advocacy campaign Tuesday night, opposing Obama’s gun control measures, anchored by a controversial new TV ad that began airing online and on the Sportsman Channel.

The ad calls President Obama an “elitist hypocrite” for sending his daughters to a private school with armed guards while questioning whether all other U.S. schools should have the same security measures. The White House blasted the ad as “repugnant and cowardly.”

“When the question is the protection of children, which is what this is all about… it’s perfectly legitimate to ask why some children should be protected and other children should not be protected,” Keene said, defending the ad.

“We were not talking about the president’s kids. We were talking about an elite class who criticizes others in their desire to be safe while making sure that they and their families and their children are always protected.

“We’re not talking about the Secret Service protection the president’s children enjoy — they ought to have that wherever they go,” he added.

PHOTOS: Sandy Hook Elementary School Shooting

Keene also ribbed Obama for using children as “props” for his announcement:  “We didn’t line them up on a stage and pat them on the shoulder while we were urging somebody to take our position,” he said.

The NRA has acknowledged some areas of common ground for curbing gun violence included the Obama proposal — namely beefed up resources for mental health care, better background check data and increased presence of school resource officers (police) at public schools.

But Keene said many of those steps were just “fig leaves.”

“What the president did is say … ‘I care about armed security.’ He can check off that box on the Gallup polls. He can say to the people concerned about it, ‘It’s part of my package.’ … He said the problem of severely, mentally ill — we’re going to study it.”

Obama called for federal aid to states for the hiring of up to 1,000 new resource officers and school counselors.  Currently, there are armed resource officers at 28,000 U.S. schools.

“That’s a drop in the ocean in terms of the problem,” Keene said. “It’s simply a fig leaf so he can pursue an anti-gun agenda. It has less to do with security and more to do with gun.”

SHOWS: Good Morning America World News

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ER visits tied to energy drinks double since 2007

SAN FRANCISCO (AP) — A new government survey suggests the number of people seeking emergency treatment after consuming energy drinks has doubled nationwide during the past four years, the same period in which the supercharged drink industry has surged in popularity in convenience stores, bars and on college campuses.

From 2007 to 2011, the government estimates the number of emergency room visits involving the neon-labeled beverages shot up from about 10,000 to more than 20,000. Most of those cases involved teens or young adults, according to a survey of the nation's hospitals released late last week by the Substance Abuse and Mental Health Services Administration.

The report doesn't specify which symptoms brought people to the emergency room but calls energy drink consumption a "rising public health problem" that can cause insomnia, nervousness, headache, fast heartbeat and seizures that are severe enough to require emergency care.

Several emergency physicians said they had seen a clear uptick in the number of patients suffering from irregular heartbeats, anxiety and heart attacks who said they had recently downed an energy drink.

More than half of the patients considered in the survey who wound up in the emergency room told doctors they had downed only energy drinks. In 2011, about 42 percent of the cases involved energy drinks in combination with alcohol or drugs, such as the stimulants Adderall or Ritalin.

"A lot of people don't realize the strength of these things. I had someone come in recently who had drunk three energy drinks in an hour, which is the equivalent of 15 cups of coffee," said Howard Mell, an emergency physician in the suburbs of Cleveland, who serves as a spokesman for the American College of Emergency Physicians. "Essentially he gave himself a stress test and thankfully he passed. But if he had a weak heart or suffered from coronary disease and didn't know it, this could have precipitated very bad things."

The findings came as concerns over energy drinks have intensified following reports last fall of 18 deaths possibly tied to the drinks — including a 14-year-old Maryland girl who died after drinking two large cans of Monster Energy drinks. Monster does not believe its products were responsible for the death.

Two senators are calling for the Food and Drug Administration to investigate safety concerns about energy drinks and their ingredients.

The energy drink industry says its drinks are safe and there is no proof linking its products to the adverse reactions.

Late last year, the FDA asked the U.S. Health and Human Services to update the figures its substance abuse research arm compiles about emergency room visits tied to energy drinks.

The Substance Abuse and Mental Health Services Administration's survey was based on responses it receives from about 230 hospitals each year, a representative sample of about 5 percent of emergency departments nationwide. The agency then uses those responses to estimate the number of energy drink-related emergency department visits nationwide.

The more than 20,000 cases estimated for 2011 represent a small portion of the annual 136 million emergency room visits tracked by Centers for Disease Control and Prevention.

The FDA said it was considering the findings and pressing for more details as it undertakes a broad review of the safety of energy drinks and related ingredients this spring.

"We will examine this additional information ... as a part of our ongoing investigation into potential safety issues surrounding the use of energy-drink products," FDA spokeswoman Shelly Burgess said in a statement.

Beverage manufacturers fired back at the survey, saying the statistics were misleading and taken out of context.

"This report does not share information about the overall health of those who may have consumed energy drinks, or what symptoms brought them to the ER in the first place," the American Beverage Association said in a statement. "There is no basis by which to understand the overall caffeine intake of any of these individuals — from all sources."

Energy drinks remain a small part of the carbonated soft drinks market, representing only 3.3 percent of sales volume, according to the industry tracker Beverage Digest. Even as soda consumption has flagged in recent years, energy drinks sales are growing rapidly.

In 2011, sales volume for energy drinks rose by almost 17 percent, with the top three companies — Monster, Red Bull and Rockstar — each logging double-digit gains, Beverage Digest found. The drinks are often marketed at sporting events that are popular among younger people such as surfing and skateboarding.

From 2007 to 2011, the most recent year for which data was available, people from 18 to 25 were the most common age group seeking emergency treatment for energy drink-related reactions, the report found.

"We were really concerned to find that in four years the number of emergency department visits almost doubled, and these drinks are largely marketed to younger people," said Al Woodward, a senior statistical analyst with the Substance Abuse and Mental Health Services Administration who worked on the report.

Emergency physician Steve Sun said he had seen an increase in such cases at the Catholic hospital where he works on the edge of San Francisco's Golden Gate Park.

"I saw one young man who had mixed energy drinks with alcohol and we had to admit him to the hospital because he was so dehydrated he had renal failure," Sun said. "Because he was young he did well in the hospital, but if another patient had had underlying coronary artery disease, it could have led to a heart attack."

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Follow Garance Burke on Twitter at http://twitter.com/garanceburke

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France to stay in Mali until stability restored

BAMAKO/DUBAI (Reuters) - France pledged on Tuesday to keep troops in Mali until stability returned to the West African country, raising the specter of a long campaign against al Qaeda-linked rebels who held their ground despite a fifth day of air strikes.

Paris has poured hundreds of soldiers into Mali and carried out 50 bombing raids since Friday in the Islamist-controlled northern half of the country, which Western and regional states fear could become a base for terrorist attacks in Africa and Europe.

Defense Minister Jean-Yves Le Drian said that, despite French air support, Malian forces had not been able to dislodge Islamist fighters from the central Malian towns of Konna or Diabaly, just 350 km (220 miles) northeast of Bamako.

A column of French armored vehicles rolled northward from the dusty riverside capital of Bamako towards rebel lines on Tuesday, the first major northward deployment of ground troops. A military official declined to comment on their objective.

Thousands of African soldiers are due to take over the offensive. Regional armies are scrambling to accelerate an operation which was initially not expected until September and has been brought forward by France's surprise bombing campaign aimed at stopping a rebel advance on a strategic town last week.

President Francois Hollande, on a visit to the United Arab Emirates during which he sought Gulf states' financial backing for the African-led mission, suggested France would retain a major role in its former colony for months to come.

"We have one goal. To ensure that when we leave, when we end our intervention, Mali is safe, has legitimate authorities, an electoral process and there are no more terrorists threatening its territory," Hollande told a news conference.

Paris has said it plans to deploy 2,500 soldiers to bolster the Malian army and work with the intervention force provided by West African states.

AFRICAN TROOPS

West African Defense chiefs met in Bamako on Tuesday to approve plans for the swift deployment of 3,300 regional troops, foreseen in a United Nations-backed intervention plan. After failing to reach a final agreement, they adjourned their talks until Wednesday.

Nigeria pledged to deploy soldiers within 24 hours, and Belgium said it was sending transport planes and helicopters to help, but West Africa's armies need time to become operational.

Mali's north, a vast and inhospitable area of desert and rugged mountains the size of Texas, was seized last year by an Islamist alliance combining al Qaeda's north African wing AQIM with splinter group MUJWA and the home-grown Ansar Dine rebels.

Any delay in following up on the French air bombardments of Islamist bases and fuel depots with a ground offensive could allow the insurgents to slip away into the desert and mountains, regroup and counter-attack.

The rebels, who French officials say are mobile and well armed, have shown they can hit back, dislodging government forces from Diabaly on Monday.

Residents said the town was still under Islamist control on Tuesday despite a number of air strikes that shook houses.

An eye witness near Segou, to the south, told Reuters he had seen 20 French Special Forces soldiers driving toward Diabaly.

In Konna, whose seizure on Thursday sparked French involvement, residents said Islamist fighters were camped just outside town. Army troops had also withdrawn after entering the town on Saturday.

Malians have largely welcomed the French intervention, having seen their army suffer a series of defeats by the rebels.

"With the arrival of the French, we have started to see the situation on the front evolve in our favor," said Aba Sanare, a resident of Bamako.

QUESTIONS OVER READINESS

Aboudou Toure Cheaka, a senior regional official in Bamako, said the West African troops would be on the ground in a week.

The original timetable for the 3,300-strong U.N.-sanctioned African force - to be 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. Col. Mohammed Yerima, spokesman for Nigeria's Defense ministry, said the first 190 soldiers would be dispatched within 24 hours.

But Nigeria, which is due to lead the mission, has already cautioned that even if some troops arrive in Mali soon, their training and equipping will take more time.

Sub-Saharan Africa's top oil producer, which already has peacekeepers in Sudan's Darfur and is fighting a bloody and difficult insurgency at home against Islamist sect Boko Haram, could struggle to deliver on its troop commitment of 900 men.

One senior government adviser in Nigeria said the Mali deployment was stretching the country's military.

"The whole thing's a mess. We don't have any troops with experience of those extreme conditions, even of how to keep all that sand from ruining your equipment. And we're facing battle-hardened guys who live in those dunes," said the adviser, who asked not to be named.

FRENCH LINING UP SUPPORT

France, which has repeatedly said it has abandoned its role as policeman of its former African colonies, said on Monday that the U.S., Canada, Denmark and Germany had also offered logistical support.

Fabius has said Gulf Arab states would help the Mali campaign, while Belgium said on Tuesday it would send two C130 transport planes and two medical helicopters following a request from Paris.

A meeting of donors for the operation was expected to be held in Addis Ababa at the end of January.

Security experts have warned that the multinational intervention in Mali, couched in terms of a campaign by governments against "terrorism", could provoke a jihadist backlash against France and the West, and African allies.

U.S. officials have warned of links between AQIM, Boko Haram in Nigeria and al Shabaab Islamic militants fighting in Somalia.

Al Shabaab, which foiled a French effort at the weekend to rescue a French secret agent it was holding hostage, urged Muslims around the world to rise up against what it called "Christian" attacks against Islam.

"Our brothers in Mali, show patience and tolerance and you will win. War planes never liberate a land," Sheikh Ali Mohamud Rage, al Shabaab's spokesman, said on a rebel-run website.

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 any place to hide," U.S. Defense Secretary Leon Panetta told reporters as he began a visit to Europe. Panetta later said the U.S. had no plans to send troops to Mali.

One U.S. military source said the haphazard nature of French involvement reminded him of the U.S. entry into Afghanistan.

"I don't know what the French endgame is for this," the source said. "Air strikes are fine, but pretty soon you run out of easy targets. Then what do you do? What do you do when they head up into the mountains?"

(Additional reporting by Elizabeth Pineau and Raissa Kasolowsky in Abu Dhabi, Felix Onuah in Abuja and Tim Cocks in Lagos, Abdi Sheikh in Mogadishu, Michelle Nichols and Louis Charbonneau at the United Nations,; Richard Valdmanis in Dakar, Joe Bavier in Abidjan, Jan Vermeylen in Brussels; Writing by Pascal Fletcher, Daniel Flynn and David Lewis; editing by Richard Valdmanis, Giles Elgood and Will Waterman)

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Serbia hints willing to talk about UN seat for Kosovo

BELGRADE: Serbia, which fiercely opposes independence for Kosovo, hinted for the first time on Tuesday that it may give up its opposition to the breakaway territory's bid to join the United Nations.

Serbian Prime Minister Ivica Dacic said Belgrade was looking for a "comprehensive settlement" with its former southern province, which may include talking about a seat for Kosovo at the UN.

Since Kosovo unilaterally proclaimed independence from Serbia in 2008 -- a move Belgrade persistently rejects -- Kosovan authorities have repeatedly said their ultimate goal is UN membership.

Backed by its traditional ally Russia, which wields a veto on the UN Security Council, Serbia had vowed never to allow Kosovo to join the UN and other related international organisations.

But Dacic on Tuesday for the first time hinted at a change in Belgrade's attitude.

"We can agree on everything," Dacic told reporters.

"We are seeking a comprehensive settlement, but for that to happen something has to be given," he said ahead a new round of talks with Kosovo counterpart Hashim Thaci in Brussels later this week.

Serbia's parliament on Sunday adopted a resolution calling for autonomy for the Serb minority in Kosovo as a part of ongoing EU-backed talks with Pristina.

In return, Serbia would finally recognise Pristina's authority over the entire territory, including the Serb-populated north of Kosovo, currently under Belgrade's control.

Improvement of relations with Pristina is a key condition for Serbia to move toward eventual membership in the European Union.

"They (Kosovo) are pressuring us through the European Union, and we are not letting them into the United Nations. Are we supposed to be spiteful like that for years?" Dacic said.

Ever since the 1998-1999 war, when its forces were driven out of Kosovo by NATO, Serbia has had no control over the territory, except in areas dominated by the Serb minority.

However, Dacic recently told parliament that "Serbia's sovereignty (in Kosovo) is almost non-existent," the first time a top Serbian official admitted so.

More than 90 countries, including the United States and 22 out of 27 EU member states, have recognised Kosovo as an independent state.

- AFP/jc

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10 new faces inducted into Omar’s cabinet

JAMMU: In a major cabinet reshuffle, Jammu and Kashmir's chief minister Omar Abdullah inducted 10 new ministers in the state cabinet, who were administrated oath by governor N N Vohra on Tuesday.

This is the first reshuffle carried out by Omar after he was sworn-in as chief minister on 5 January, 2009. They included six cabinet ministers and four ministers of state with independent charge. Mohammad Akbar Lone (National Conference), Choudhary Mohamamd Ramzan (National Conference), Ajay Sadhotra (National Conference), Ghulam Ahmad Mir (Congress), Abdul Majid Wani (Congress) and Mir Saif-ul-lah (National Conference) have been inducted as cabinet ministers.

Mohammad Akbar Lone is the state assembly speaker and has often been in the thick of controversy over repeated verbal duels with the opposition, PDP. Ghulam Ahmed Mir, a Congress MLA from Dooru in South Kashmir, staged a comeback after he was acquitted of all the charges by a CBI court in connection with the 2006 sex scandal as all prosecution witnesses turned hostile.

Apart from them, Sajjad Ahmad Kichloo (National Conference), Feroz Ahmed (National Conference), Nazir Ahmed Gurezi (National Conference) and Viqar Rasool (Congress) have been inducted as MoS with independent charge. Besides chief minister Omar Abdullah, deputy chief minister Tara Chand along with state congress president Saifuddin Soz were also present at the oath taking ceremony.

Earlier, the governor accepted the resignations of seven ministers recommended and forwarded to him by Abdullah.

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NY Passes Nation's Toughest Gun Law

Today New York became the first state to pass a gun control law -- the toughest in the nation -- since the Sandy Hook Elementary School shooting massacre last month.

Acting one month and a day since the rampage killing that left 20 first-graders and six educators dead, Gov. Andrew Cuomo signed the bill into law shortly after 5 p.m.

Called the New York Safe Act, the law includes a tougher assault weapons ban that broadens the definition of what constitutes an assault weapon, and limits the capacity of magazines to seven bullets, down from 10. The law also requires background checks of ammunition and gun buyers, even in private sales, imposes tougher penalties for illegal gun use, a one-state check on all firearms purchases, and programs to cut gun violence in high-crime neighborhoods.

As he signed the bill into law, Cuomo said it was not only "the first bill" but the "best bill."

"I'm proud to be a New Yorker, because New York is doing something, because we are fighting back, because, yes, we've had tragedies, and yes, we've had too many innocent people lose their lives, and yes, it's unfortunate that it took those tragedies to get us to this point, but let's at least learn from what's happened, let's at least be able to say to people, yes, we went through terrible situations, but we saw, we learned, we responded, and we acted, and we are doing something about it," Cuomo said. "We are not victims.

'The View' on NRA Shooting App: Think It Out Watch Video

"You can overpower the extremists with intelligence and with reason and with commonsense," Cuomo continued, "and you can make this state a safer state."

New York's law also aims to keep guns out of the hands of those will mental illness. The law gives judges the power to require those who pose a threat to themselves or others get outpatient care. The law also requires that when a mental health professional determines a gun owner is likely to do harm, the risk must be reported and the gun removed by law enforcement.

The legislation also includes what is called a "Webster provision," named for the two firefighters ambushed on Christmas Eve in Webster, N.Y. The measure would mandate a life sentence with no chance of parole for anyone who kills a first responder.

The National Rifle Association issued a statement after the bill's signing, saying it was "outraged at the draconian gun control bill that was rushed through ... late Monday evening."

"Gov. Andrew Cuomo and the New York State Legislature orchestrated a secretive end-run around the legislative and democratic process and passed sweeping anti-gun measures with no committee hearings and no public input," the statement read. "These gun control schemes have failed in the past and will have no impact on public safety and crime. Sadly, the New York Legislature gave no consideration to that reality. While lawmakers could have taken a step toward strengthening mental health reporting and focusing on criminals, they opted for trampling the rights of law-abiding gun owners in New York, and they did it under a veil of secrecy in the dark of night. The legislature caved to the political demands of a governor and helped fuel his personal political aspirations."

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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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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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