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


NEW YORK (AP) — Twenty flu-related deaths have been reported in children so far this winter — one of the worst tolls this early in the year since health officials began keeping track.


Still, experts say that doesn't mean this year will turn out to be unusually deadly. Roughly 100 children die in an average flu season, and it's not clear that will happen this year.


The deaths have included a 6-year-old girl in Maine, a 15-year-old Michigan boy who loved robotics and a tall high school senior from Texas who got sick in Wisconsin while visiting his grandparents for the holidays.


On average, an estimated 24,000 Americans die each flu season. Elderly people with chronic health conditions are at greatest risk.


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Secret Revealed: Facebook Announces New Tool












How you search Facebook is about to change. In fact, just the act of searching Facebook is probably about to start.


Facebook is trying to give Google a run for its money, with a new product called "Graph Search." It turns some of the personal information people have shared on Facebook into a powerful searchable database.


For the social network's 170 million users in the U.S., it's bound to change the way people interact with their Facebook friends. It also could mean lots more time wasted at work.


Facebook allowed ABC News "Nightline" behind the scenes ahead of today's product launch, an event shrouded in secrecy and rife with speculation. Company officials had sent out a tantalizingly vague invitation: "Come and see what we're building."


IMAGES: Screenshots of Graph Search and the offices where it was built


CEO Mark Zuckerberg has long wanted to develop a social search engine, even hinting back in September that one might be in the works. The new feature gives users the ability to easily search across the network and their friends' information. Company officials say they believe it has the potential to transform the way people use Facebook.


Graph Search: What Is It?
Until now, the search bar you saw when you logged in to your Facebook page wasn't very powerful. You could only search for Timelines -- your friends' pages, other peoples' public pages and business or product pages.


But now, after close to a year and a half of development, the new "Graph Search" will allow you to search and discover more about your friends and other information that's been put on the world's largest social site.




Inside the Crucial 24 Hours Before Facebook's Graph Search Launch: Watch Tonight at 12:35 a.m. on ABC News "Nightline"


The new tool, available only to a limited set of U.S. users at first, turns key information that nearly a billion people have shared on the site -- including photos, places, and things they "like" -- into a searchable database tailored to your individual social network.


The new tool allows you to search across your friends' Timelines, without having to go to each of their Timeline pages to find out if they like a specific place or thing.


"I can just type in a short, simple phrase, like friends who like soccer and live nearby," Facebook product manager Kate O'Neill, told ABC News "Nightline" in an exclusive behind-the-scenes interview. "And now I'm getting the exact group of people that I'm looking for, so I can play soccer and ask them if they want to kick the ball around with me after work." O'Neill was able to narrow down the search in a demonstration only to show women.


MORE: Guide to Facebook's New Privacy Settings


The tool can search your friends' publicly shared interests, photos, places and connections. O'Neill showed ABC News how you can search for different musical artists and see which of your friends like them. She also showed how you can search a company and see which of your friends, or friends of your friends, work there. Additionally, you can search for photos of a specific place -- like Big Sur -- and the Graph Search will return images your friends might have taken of the location.


Right now, you can't search for things that were shared in a Timeline post or an event. However, O'Neill confirmed that this would be added to Graph Search later.


Privacy and Opting Out
The new product raises obvious privacy questions. Will personal information now pop up in the Graph Search, even if you never wanted to share it? How about those photos you never wanted to have on Facebook in the first place, or the ones you thought you were sharing only with your close friends?


"[Privacy] is something, of course, we care a lot about, and so from the very beginning we made it so that you can only search for the things that you can already see on Facebook," Tom Stocky, one of the lead Graph Search senior engineers, told "Nightline."


Stocky also pointed ABC News to Facebook's recent privacy tool changes, which allow you better to see what personal information your friends and others can see on Facebook. O'Neill showed the new Activity Log tools as well as the photo "untag" tool, which lets you contact others who might have a photo of you posted that you'd wish they'd take down.


When asked if users can opt out of the new search in general, Stocky said that they can choose to change the privacy settings on each of their pieces of content.






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Mali Islamists counter attack, promise France long war


BAMAKO/PARIS (Reuters) - Al Qaeda-linked Islamist rebels launched a counteroffensive in Mali on Monday after four days of French air strikes on their northern strongholds, seizing the central town of Diabaly and promising to drag France into a brutal Afghanistan-style war.


France, which has poured hundreds of troops into the capital Bamako in recent days, carried out more air strikes on Monday in the vast desert area seized last year by an Islamist alliance grouping al Qaeda's north African wing AQIM alongside Mali's home-grown MUJWA and Ansar Dine militant groups.


"France has opened the gates of hell for all the French," said Oumar Ould Hamaha, a spokesman for MUJWA, which has imposed strict sharia, Islamic law, in its northern fiefdom of Gao. "She has fallen into a trap which is much more dangerous than Iraq, Afghanistan or Somalia," he told Europe 1 radio.


Paris is determined to shatter Islamist domination of the north of its former colony, an area many fear could become a launchpad for terrorism attacks on the West and a base for coordination with al Qaeda in Yemen, Somalia and North Africa.


The French defense ministry said it aimed to deploy 2,500 soldiers in the West African state to bolster the Malian army and work with a force of 3,300 West African troops from the immediate region foreseen in a U.N.-backed intervention plan.


The United States, which has operated a counter-terrorism training program in the region, said it was sharing information with French forces and considering providing logistics, surveillance and airlift capability.


"We have a responsibility to go after al Qaeda wherever they are," Defense Secretary Leon Panetta told reporters heading with him on a week-long tour of European capitals.


As French aircraft bombarded mobile columns of Islamist fighters, other fighters launched a counter-attack to the southwest of recent clashes, dislodging government forces from the town of Diabaly, just 350 km (220 miles) northeast of Bamako. French and Malian troops attempting to retake the town were battling Islamists shouting 'Allahu akbar', residents said.


The rebels infiltrated the town overnight from the porous border region with Mauritania, home to AQIM camps housing well-equipped and trained foreign fighters. A spokesman for Ansar Dine said its fighters took Diabaly, working with AQIM members.


Dozens of Islamist fighters died on Sunday when French rockets hit a fuel depot and a customs house being used as a headquarters. The U.N. said an estimated 30,000 people had fled the fighting, joining more than 200,000 already displaced.


France, which has repeatedly said it has abandoned its role as the policeman of its former African colonies, convened a U.N. Security Council meeting for Monday to discuss the Mali crisis.


The European Union announced it would hold an extraordinary meeting of its foreign ministers in Brussels this week to discuss speeding up a EU training mission to help the Malian army and other direct support for the Bamako government.


French Foreign Minister Laurent Fabius said France would do everything to ensure that regional African troops were deployed quickly to follow up on the French military action, which was launched to block a push southwards by the Islamist rebels.


"ORGANISED AND FANATICAL"


"We knew that there would be a counter-attack in the west because that is where the most determined, the most organized and fanatical elements are," French Defense Minister Jean-Yves Le Drian told France's BFM TV.


France has said its sudden intervention on Friday, responding to an urgent appeal from Mali's president, stopped the Islamists from seizing the dusty capital of Bamako.


President Francois Hollande says Operation Serval - named after an African wildcat - is solely aimed at supporting the 15-nation West African bloc ECOWAS which received U.N. backing in December for a military intervention to dislodge the rebels.


Hollande's robust intervention has won plaudits from Western leaders and has also shot down domestic criticism which portrayed him as spineless and indecisive.


Under pressure from Paris, regional states have said they hope to send in their forces this week. Military chiefs from ECOWAS nations will meet in Bamako on Tuesday but regional powerhouse Nigeria, which is due to lead the mission, has cautioned that training and deploying troops will take time.


Two decades of peaceful elections had earned Mali a reputation as a bastion of democracy in turbulent West Africa but that image unraveled after a military coup in March left a power vacuum for MNLA Tuareg rebels to seize the desert north.


MUJWA, an AQIM splinter group drawing support from Arabs and other ethnic groups, took control of Gao, the main city of the north, from the Tuaregs in June, shocking Mali's liberal Muslim majority with amputation of hands for theft under sharia.


Malian Foreign Minister Tyeman Coulibaly said the situation had become "untenable" in the north. "Every day, we were hearing about feet and hands being cut off, girls being raped, cultural patrimony being looted," he told the French weekly Paris Match.


ISLAMISTS DESTROY TIMBUKTU SHRINES


Last week's drive toward Bamako appeared to have been led by Ansar Dine, founded by renegade Tuareg separatist commander Iyad ag Ghali in his northern fiefdom of Kidal.


The group has said that the famed shrines of ancient desert trading town Timbuktu - a UNESCO world heritage site - were un-Islamic and idolatrous. Much of the area's religious heritage has now been destroyed, sparking international outrage.


France's intervention raises 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.


However, top anti-terrorist judge, Marc Trevidic, played down the imminence of the risk, telling French media: "They're not very organized right now ... It could be a counter attack later on after the defeat on the ground. It's often like that."


Military analysts warn that if French action was not followed up by a robust deployment of ECOWAS forces, with logistical and financial support from NATO, then the whole U.N.-mandated Mali mission was unlikely to succeed.


"The French action was an ad-hoc measure. It's going to be a mess for a while, it depends on how quickly everyone can come on board," said Hussein Solomon, a professor at the University of the Free State, South Africa.


(Additional reporting by Emmanuel Jarry, Brian Love and Catherine Bremer in Paris, Justyna Pawlak and Adrian Croft in Busssels and Louis Charbonneau in New York; writing by Daniel Flynn; editing by Pascal Fletcher)



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Lance Armstrong apologises in person to Livestrong staff






AUSTIN: Fallen cycling hero Lance Armstrong personally apologised Monday to staff members of the Livestrong cancer charity ahead of his much anticipated interview with talk show diva Oprah Winfrey.

"Lance came to the Livestrong Foundation's headquarters today for a private conversation with our staff and offered a sincere and heartfelt apology for the stress they've endured because of him," Livestrong spokeswoman Rae Bazzarre told AFP.

She added that Armstrong -- a cancer survivor who founded the charity in 1997 -- urged Livestrong staffers "to keep up their great work fighting for people affected by cancer."

Journalists staked out Armstrong's home in Austin earlier Monday ahead of his interview with Winfrey, during which the disgraced cyclist is reportedly planning to admit to doping.

For years he has repeatedly denied taking performance enhancing drugs to win the Tour de France and other big cycling events.

Reporters, photographers and TV crews took up positions Monday across the street from Armstrong's opulent Austin home, which is surrounded by a 2.4-metre stone wall.

The interview with Winfrey is scheduled to be taped at Armstrong's home on Monday and is to air on her OWN cable network on Thursday.

The announcement that Armstrong had agreed to an interview has sparked widespread speculation that he might finally confess to being a drug cheat after years of strenuous denials.

According to USA Today, Armstrong plans to confess in the interview to doping throughout his career, but will not go into great detail about specific cases and events.

It will be Armstrong's first interview since he was stripped in October of his seven Tour de France titles after the US Anti-Doping Agency (USADA) said he helped orchestrate the most sophisticated doping program in sports history.

Any confession by Armstrong could have legal or financial ramifications, particularly among big-name corporate sponsors such as Nike that had loyally stood by him even as doping allegations grew.

Since the International Cycling Union effectively erased him from the record books, Britain's The Sunday Times has sued Armstrong for more than £1 million over a libel payment made to him in 2006.

It had paid Armstrong £300,000 to settle a libel case after publishing a story suggesting he may have cheated, and now wants that money plus interest and legal costs repaid.

On Sunday, the Sunday Times took out an ad in the Chicago Tribune newspaper setting out 10 questions that Winfrey, whose OWN media network is based in the Midwestern metropolis, should ask Armstrong.

"Is it your intention to return the prize money you earned from Sept. 1998 to July 2010?" read one question. "Did you sue the Sunday Times to shut us up?" went another.

A Texas insurance company has also threatened legal action to recoup millions of dollars in bonuses it paid him for multiple Tour victories.

Armstrong's years of dominance in the sport's greatest race raised cycling's profile in the United States to new heights.

It also gave the Texan -- diagnosed in 1996 with late-stage testicular cancer that had spread to his brain and lungs -- a unique platform to promote cancer awareness and research.

The Lance Armstrong Foundation has raised almost US$500 million since its creation in 1997.

In the wake of the allegations, several top sponsors dumped Armstrong and on November 14 the Livestrong Foundation dropped his name from the non-profit organisation he founded.

- AFP/jc



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Sangam of 82 lakh devotees for holy dip

SANGAM (Allahabad): Mist envelopes a stretch of sand-bed cordoned off to create an expanse the size of five football fields. Down below, the waters of Sangam appear black under a 4.30am sky. Drenched under sodium vapour lights, the vast area is fenced off for tens of thousands of people with barricades of horizontal wooden beams.

The faithful wait breathlessly for the day's royalty, an army of sadhus from 14 akharas, to march in, their devotees holding up caparisoned umbrellas over the sect leaders' heads. All for Monday's Makar Sankranti shahi snaan. A few hundred worshippers throw themselves desperately into the waist-deep water as mounted policemen canter in to clear the ground. Cops blowing whistles reach a crescendo as rapid action force personnel with AK-47s slung from their shoulders arrive in what seems an over-explicit signal that the business end of the day is here. The ground is ready for the hermits.

And then it begins. After hours of wait for tens of thousands of people through the winter night, the moment of the day arrives with the energetic dash of the sadhus towards the confluence of the Ganga, Yamuna and the mythical Saraswati amid cries of Har Har Mahadev and Bum Bhole.

From sadhus in sack-cloth and ashes to mahamandaleshwars in their silken finery, from women and children to Indian and foreign nationals, and from dancing Nagas with swords to dandiswamis with their tall wooden staffs, all rush into the Sangam in waves after human waves, a sight captured eagerly by hundreds of photographers, their movements scribbled by scrums of reporters all around.

Soon the main ghat is fragrant with sandalwood with sadhus emerging from the water and rubbing themselves with its powder. Garlands of marigold are tossed at devotees. Worshipped by people from villages as Lord Shiva's regal children, or as the Trinetra's incarnates themselves, the Nagas celebrate with a zealous display of calisthenics and mock sword fights.

It's a medley of songs, slogans and slokas, as more than 82 lakh people wade into the water throughout the day — which hasn't been without its fears of a stampede when hundreds of people surge ahead to reach for the waters where the snaan is on. The pressure from surging crowds leads to a wooden beam snapping, and a photographer perched on it falls to the ground. Alert policemen may well have prevented things from going awry.

The public address system crackles to life, asking bathers to leave the ghats after their holy dips immediately. Allahabad IG Alok Sharma, while pointing out that the snaan went off peacefully, admitted there were a few anxious moments.

Asked what the holy dip meant to him, Jeevanand Yogi from Andhra Pradesh said, "There is an invisible power today between the earth and the moon. This energy helps cure disease and clears all mental blocks."

Devendra Giri from Noida said, "Ganga jitni nirmal honi chaahiye, utni nahi hai. Hamey dukh hai iska (Ganga's water isn't as clean as it should be. It's sad." But a banker from Lucknow, Ashok Khanna, wasn't affected. "The event gives us a chance to revive our faith in spirituality, which is essential to keep humanity alive. I think our ancestors were very far-sighted to have thought of such a ritual," he said.

For the next 50-odd days, the Sangam city won't sleep. With crores of people expected to pour into Prayag every day, the largest gathering of humanity on earth under makeshift tents and open air with people from the world over, will celebrate India's deep and abiding connection with one of its greatest traditions, the Mahakumbh.

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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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Lance Armstrong Apologizes to Livestrong Staff













Lance Armstrong apologized today to the Livestrong staff ahead of his interview with Oprah Winfrey, a foundation official said.


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


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


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


Armstrong then took questions from the staff.


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






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













Lance Armstrong Doping Charges: Secret Tapes Watch Video









Lance Armstrong's Winfrey Interview: Expected to Admit to Doping Watch Video





Today, sources tell ABC News, will be different. Today Armstrong is expected to rewrite his own, now infamous story, to Winfrey. So what should she ask? There are enough questions to fill a book, but here's our shot at five, for starters, all based on the belief that his first words will be an admission. Feel free to comment and add your own.


1) Witnesses have told the U.S. Anti Doping Agency that after recovering from cancer, you increased your use of performance enhancing drugs, but swore off one of them—Human Growth Hormone—specifically noting your cancer as a reason to avoid it. Do you believe your cancer may have been caused by performance enhancing drug use?


2) Some people seem able to forgive or rationalize the use of performance enhancing drugs, but what troubles them is the vicious cover-up. Why did you feel it necessary to go beyond denials, to attack and even threaten and file legal claims against those who accused you of drug use, even to the point of causing serious harm to people's lives and reputations?


3) In 1996, while recovering from cancer, your former close friend Frankie Andreu and his wife Betsy say they were in the hospital room when you told doctors you'd used several different performance enhancing drugs during your career. They testified under oath about this, but you always denied it and vilified them. This caused the Andreus great harm. Did it happen?


4) What do you tell your kids?


5) Up until today, everything you've said and done—even that picture on twitter of you and your yellow jerseys—has said to the world that you're not sorry, and that you're the real winner of seven Tours. Aren't you just coming forward now to help yourself, rather than to come clean or set the record straight?


Whatever the answers, a small army of lawyers and even criminal investigators will be listening closely. Will Armstrong's interview be the start of his redemption or the beginning of even bigger problems?



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France bombs Islamist stronghold in north Mali


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


The attack on Gao, the largest city in the desert region controlled by the Islamist alliance, marked a decisive intensification on the third day of French air raids, striking at the heart of the vast territory seized by rebels in April.


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


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


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


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


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


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


A spokesman for Ansar Dine, one of the main Islamist factions, said the French had also bombed targets in the towns of Lere and Douentza. Residents said rebel fighters had fled from Douentza aboard pick-up trucks.


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


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


The city itself was calm, with the sun streaking through the dust enveloping the city as the seasonal Harmattan wind blew from the Sahara. Some cars drove around with French flags draped from the windows to celebrate Paris's intervention.


AFRICAN TROOPS EXPECTED


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


French President Francois Hollande's intervention in Mali has won plaudits from leaders in Europe, Africa and the United States but it is not without risks.


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


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


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


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


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


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


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


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


The United States is considering sending a small number of unarmed surveillance drones to Mali as well as providing logistics support, a U.S. official told Reuters. Britain and Canada have also promised logistical support.


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


HOUSE-TO-HOUSE SEARCHES


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


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


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


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


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


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


Human Rights Watch said at least 11 civilians, including three children, had been killed in the fighting.


A spokesman for Doctors Without Borders in neighboring Mauritania said about 200 Malian refugees had fled across the border to a camp at Fassala and more were on their way.


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


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


(Additional reporting by Adama Diarra, Tiemoko Diallo and Rainer Schwenzfeier in Bamako, Joe Bavier in Abidjan, Leila Aboud in Paris and Phil Stewart in Washington; Writing by Daniel Flynn; Editing by Will Waterman)



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Urgent CO2 cuts may spare millions hardship: report






PARIS: Tens of millions of people may be spared droughts and floods by 2050 if Earth-warming carbon emissions peak in 2016 rather than 2030, scientists said on Sunday.

Climate researchers in Britain and Germany said emission cuts now would delay some crippling impacts by decades and prevent some altogether.

By 2050, an Earth heading for warming of 2-2.5 degrees Celsius by 2100 could have two very different faces, depending on the route taken to get there, said their study published in the journal Nature Climate Change

Policies that cap Earth-warming carbon emissions in 2016 and then reduce them by five per cent per year could see between 39 and 68 million people spared exposure to a higher risk of water shortages by 2050, Nigel Arnell of the University of Reading told AFP.

This is the best-case scenario, though.

In contrast, if emissions peak in 2030 and fall by five per cent annually, the number of people who escape this risk drops to between 17 and 48 million.

Similarly, about 100-161 million people would avoid a higher risk of river flooding on the 2016-peak scenario.

This compares to 52-120 million people if emissions peak 14 years later, said Arnell, director of the university's Walker Institute on climate change.

"Basically in 2050, the 2030-peaking policy has about half to two-thirds of the benefit than the best (2016) policy," even though both lead to a similar temperature peak of about 2-2.5 deg C by 2100, he said.

"You may hit the same (temperature) point at the end of the century but... the mayhem that's been caused on the way to that point is different under the different pathways."

Under a scenario without any emissions curbs, temperatures could rise as much as 4-5.5 deg C, said the new paper which claimed to be the broadest assessment yet of the benefits of avoiding climate change impacts.

Global average warming of 4 degrees Celsius would see almost a billion people have less water in 2100 than they have now, and 330 million will be at greater risk of river flooding, Arnell told a pre-release press conference.

A peak in 2016 seems unlikely, with the world's nations aiming to adopt a new global climate pact by 2015 for entry into force only five years later.

The latest round of UN climate talks that concluded in Doha, Qatar in December failed to set pre-2020 emissions cuts for countries that have not signed up to the Kyoto Protocol that seeks to curb warming, even as scientists warned the concentration of carbon in the atmosphere continues to rise.

Three of the world's four biggest polluters -- China, the United States and India -- are among those with no binding emission limits, which cover countries responsible for only about 15 per cent of the world's carbon pollution.

Many scientists believe that Earth is set for warming that will be far above the United Nations' 2 degrees Celsius target on pre-industrial levels.

"Reducing greenhouse gas emissions won't avoid the impacts of climate change altogether of course, but our research shows it will buy time to make things like buildings, transport systems and agriculture more resilient to climate change," said Arnell.

- AFP/jc



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Flu more widespread in US; eases off in some areas


NEW YORK (AP) — Flu is now widespread in all but three states as the nation grapples with an earlier-than-normal season. But there was one bit of good news Friday: The number of hard-hit areas declined.


The flu season in the U.S. got under way a month early, in December, driven by a strain that tends to make people sicker. That led to worries that it might be a bad season, following one of the mildest flu seasons in recent memory.


The latest numbers do show that the flu surpassed an "epidemic" threshold last week. That is based on deaths from pneumonia and influenza in 122 U.S. cities. However, it's not unusual — the epidemic level varies at different times of the year, and it was breached earlier this flu season, in October and November.


And there's a hint that the flu season may already have peaked in some spots, like in the South. Still, officials there and elsewhere are bracing for more sickness


In Ohio, administrators at Miami University are anxious that a bug that hit employees will spread to students when they return to the Oxford campus next week.


"Everybody's been sick. It's miserable," said Ritter Hoy, a spokeswoman for the 17,000-student school.


Despite the early start, health officials say it's not too late to get a flu shot. The vaccine is considered a good — though not perfect — protection against getting really sick from the flu.


Flu was widespread in 47 states last week, up from 41 the week before, the Centers for Disease Control and Prevention said on Friday. The only states without widespread flu were California, Mississippi and Hawaii.


The number of hard-hit states fell to 24 from 29, where larger numbers of people were treated for flu-like illness. Now off that list: Florida, Arkansas and South Carolina in the South, the first region hit this flu season.


Recent flu reports included holiday weeks when some doctor's offices were closed, so it will probably take a couple more weeks to get a better picture, CDC officials said Friday. Experts say so far say the season looks moderate.


"Only time will tell how moderate or severe this flu season will be," CDC Director Dr. Thomas Frieden said Friday in a teleconference with reporters.


The government doesn't keep a running tally of adult deaths from the flu, but estimates that it kills about 24,000 people in an average year. Nationally, 20 children have died from the flu this season.


Flu vaccinations are recommended for everyone 6 months or older. Since the swine flu epidemic in 2009, vaccination rates have increased in the U.S., but more than half of Americans haven't gotten this year's vaccine.


Nearly 130 million doses of flu vaccine were distributed this year, and at least 112 million have been used. Vaccine is still available, but supplies may have run low in some locations, officials said.


To find a shot, "you may have to call a couple places," said Dr. Patricia Quinlisk, who tracks the flu in Iowa.


In midtown Manhattan, Hyrmete Sciuto got a flu shot Friday at a drugstore. She skipped it in recent years, but news reports about the flu this week worried her.


During her commute from Edgewater, N.J., by ferry and bus, "I have people coughing in my face," she said. "I didn't want to risk it this year."


The vaccine is no guarantee, though, that you won't get sick. On Friday, CDC officials said a recent study of more than 1,100 people has concluded the current flu vaccine is 62 percent effective. That means the average vaccinated person is 62 percent less likely to get a case of flu that sends them to the doctor, compared to people who don't get the vaccine. That's in line with other years.


The vaccine is reformulated annually, and this year's is a good match to the viruses going around.


The flu's early arrival coincided with spikes in flu-like illnesses caused by other bugs, including a new norovirus that causes vomiting and diarrhea, or what is commonly known as "stomach flu." Those illnesses likely are part of the heavy traffic in hospital and clinic waiting rooms, CDC officials said.


Europeans also are suffering an early flu season, though a milder strain predominates there. China, Japan, the West Bank, the Gaza Strip, Algeria and the Republic of Congo have also reported increasing flu.


Flu usually peaks in midwinter. Symptoms can include fever, cough, runny nose, head and body aches and fatigue. Some people also suffer vomiting and diarrhea, and some develop pneumonia or other severe complications.


Most people with flu have a mild illness. But people with severe symptoms should see a doctor. They may be given antiviral drugs or other medications to ease symptoms.


Some shortages have been reported for children's liquid Tamiflu, a prescription medicine used to treat flu. But health officials say adult Tamiflu pills are available, and pharmacists can convert those to doses for children.


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Associated Press writers Dan Sewell in Cincinnati, Catherine Lucey in Des Moines, and Malcolm Ritter in New York contributed to this report.


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Online:


CDC flu: http://www.cdc.gov/flu/index.htm


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