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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Arias Called Boyfriend 4 Times After Killing Him

Jodi Arias tried to cover her tracks after killing her ex-boyfriend, Travis Alexander, by making a flurry of phone calls to his cell phone and hacking into his voice mailbox, prosecutors alleged today.

Phone records presented in court today showed Arias persistently calling Alexander in the days before the killing. Ten calls were made from Arias' cell phone to Alexander's cell phone in the days leading up to his death, Verizon Wireless records expert Jody Citizen testified. Many of the calls were forwarded by Alexander straight to voice mail, Citizen said.

After Arias killed Alexander around 5:30 p.m. on June 4, 2008. , Arias called his phone four more times. The first call was made just hours after the killing at 11:37 p.m., the records showed. At least one of the calls was made as late as June 15, nearly a week after Alexander's body was found by friends.

At one point, Arias dialed into his voice mail system for 16 minutes, which indicated she was accessing his voice mail messages, Citizen said.

"If a person is in his phone for 16 minutes and they're not leaving a message what is going on?" prosecutor Juan Martinez asked.

Jodi Arias Trial: Jurors See Photos of Bloody Handprint Watch Video

"Somebody is listening to messages," Citizen answered.

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Arias' attorneys, who argue that she killed her ex-boyfriend out of self-defense, said that she could have been recording a message, and then listening to it and deleting it before recording again, accounting for the 16 minutes spent on the voice mail system.

"On Verizon, is it possible to change your voice mail, to erase it and do it over again?" defense attorney Kirk Nurmi asked Citizen. "Could someone have been doing that for a 16 minute phone call?"

"Yes," Citizen said.

Nurmi pointed out that phone records showed that two days before his death Alexander also called Arias, initiating two phone calls that lasted nearly 20 minutes and more than 40 minutes in the middle of the night.

The defense has said that Alexander was controlling and abusive toward Arias and was a "sexual deviant" whom she had to kill in self defense.

The prosecution, however, alleges that Arias was obsessed with Alexander, stalked him, and killed him out of jealousy after spending the afternoon having sex with him and taking naked photos of one another. She is accused of stabbing Alexander 27 times, slashing his throat, and shooting him in the head.

Arias could face the death penalty if convicted.

The jury returned to court today for the seventh day of testimony in the murder trial, after watching a series of graphic sexual photos of Arias and Alexander displayed on Monday, including the last photos of Alexander alive. The photos show both individuals lying naked on Alexander's bed, separately, and then Alexander naked in the shower.

The final photo shows a body part covered in blood around 5:30 p.m., which the prosecution alleges is when the attack on Alexander began and the camera fell to the floor.

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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 town 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, but regional armies are scrambling to accelerate the operation, which was initially not expected for months 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.

West African defense chiefs met in Bamako on Tuesday to approve plans for speeding up the deployment of 3,300 regional troops, foreseen in a United Nations-backed intervention plan.

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 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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US student could "doodle" way to college money

SAN FRANCISCO: Google on Monday launched a competition that will let a US student "doodle" his or her way to cash for college along with landing grant money to fund technology education at their grade school.

The California-based Internet titan announced its sixth annual "Doodle 4 Google" contest in which students from kindergarten to 12th grade vie to create a winning "doodle," a creative design playing off the search page logo.

The doodle contest theme is "My best day ever".

"Each year we have a broad theme to provide some inspiration while letting young artists' imagination roam free," Google said in a blog post.

"We hope to give kids a chance to explore themes that could be imaginary, exploratory or even sentimental, past, present or future."

The winning artwork will be displayed for the Internet world to see at Google.com and its creator will get US$30,000 in scholarship money to help pay for college. Their school will get a US$50,000 technology grant.

Doodles can be submitted between Tuesday and March 22, with judges selecting a top contender from each US state and public voting online to help determine national finalists.

The panel of judges includes puppeteer and Jim Henson company chairman Brian Henson; journalist and author Katie Couric, and graphic novel author and illustrator Kabu Kibuishi.

The winning doodle will be appear on the Google search page a day after an awards ceremony in New York City on May 22 and an exhibit of top entries will go on temporary display at the American Museum of Natural History there.

More than 114,000 doodles were submitted in last year's contest, which was won by a seven-year-old boy's pirate-themed artwork.

- AFP/jc

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Cold wave persists in Himachal

SHIMLA: Cold wave persisted in most parts of Himachal Pradesh even as mercury rose marginally across the state and stayed close to normal level.

The high-altitude tribal areas and other higher hills had mild snowfall while some places in mid and lower hills had light rains with Nadaun in Hamirpur district recording 3 mm of rainfall.

While tourist spot Manali recorded minimum temperature of minus 0.4 deg C, Mandi and Bhuntar recorded a low of 1.6 deg C and 2.6 deg C, followed by Shimla and Solan at 3.5 deg C each, Sundernagar 4.6 deg C, Una 6.2 deg C and Nahan 7.4 deg C respectively.

Keylong and Kalpa in tribal districts of Lahaul and Spiti and Kinnaur recorded a low of minus 8.6 deg C and minus 3.2 deg C. The high altitude areas reeled under bone chilling cold wave with mercury staying between minus 15 deg C and minus 23 deg C.

The maximum temperature at Una was 22.8 deg C while Sundernagar and Solan recorded a high of 19.8 deg C and 19.5 deg C followed by Bhunter 19 deg C, Nahan 18 deg C, Dharamshala 17.2 deg C, Shimla 15 deg C and Kalpa 9.5 deg C.

The MeT office has predicted dry weather in the region tomorrow but said a fresh western disturbance as an upper air system will affect the western Himalayan region from January 16 onwards. PTI

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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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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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Tennis: Australian Open to start in Melbourne

MELBOURNE: Novak Djokovic will seek an unprecedented third straight title and Serena Williams is hot favourite for the women's trophy when the Australian Open gets under way in Melbourne on Monday.

Play starts at 11:00 am local time at Melbourne Park tennis complex for the year's first Grand Slam, with Djokovic in action on day one.

The Serb takes to centre court, the Rod Laver Arena, where he faces France's Paul-Henri Mathieu as he seeks to become the first man in the professional era to win the Australian Open three times in a row, with record prize money of US$2.56 million awaiting the singles winners.

"I feel this is a point where everybody starts from the same line, so I don't really put myself in a position to have more pressure than the others have, to be honest," Djokovic said.

"I've been faced with this particular kind of pressure, defending the title in major events, a few times. So I know how it feels like, what I need to do.

"As I said, I'm trying to keep it very simple, take it day to day, see how far I can go."

Andy Murray is considered Djokovic's biggest threat after winning his maiden Grand Slam at the US Open last year, but the Briton must battle through a difficult draw including a possible semi-final with Roger Federer.

Last year, Djokovic won a titanic final against Rafael Nadal which clocked in at 5hr 53mins, the longest Grand Slam decider in history. But Nadal is a no-show this year, extending a six-month absence through injury and illness.

In the women's draw, Williams is the clear favourite after sweeping to the Wimbledon, Olympic, US Open and WTA Championships titles last year and losing just twice since April.

Williams, tipped for the first calendar-year Grand Slam since 1988, did her best to dampen expectations before she begins her bid for a sixth Australian Open title, and 16th major win, against Edina Gallovits-Hall on Tuesday.

"Well, for me, my goal is just to do the best I can. Like I love playing. I want to be out there on centre court hopefully doing the best I can," said the American.

"I set my goals per tournament, go with it from there."

Top seed Victoria Azarenka is defending a Grand Slam title for the first time and Poland's Agnieszka Radwanska is on a hot streak after winning two titles already this year.

Maria Sharapova plays fellow Russian Olga Puchkova on Monday as she starts her bid for a fifth Grand Slam title, while China's former French Open winner Li Na, the 2011 runner-up in Melbourne, is also among the top contenders.

Despite weeks of hot weather and bushfires in Australia, cool temperatures are forecast for Monday's start, with 22 degrees C expected in Melbourne.

- AFP/jc

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President rejects mercy plea of man who killed wife, daughter

NEW DELHI: President Pranab Mukherjee has rejected the mercy petition of murder convict Saibanna Ningappa Natikar, making it the second mercy petition that he was rejected so far. Natikar was convicted of killing his wife and daughter. Mukherjee took the decision on January 4. The rejection comes at a time when there is growing concern over crimes against women after the December 16 gang-rape of a 23-year-old physiotherapist in Delhi.

Natikar murdered his wife and 18-month-old daughter and was sentenced to death. His sentence was confirmed by the Supreme Court in 2005.

In November 2012, Mukherjee rejected the mercy petition of Mumbai terror attack accused Ajmal Kasab. The rejection and hanging was done in secrecy with information about the death row prisoner being released only after the hanging.

The President has sent nine petitions including that of Mohammed Afzal Guru back to the home ministry for further consideration. Guru is listed at number eight in precedence.

Article 72 of the Constitution empowers the President to pardon, grant reprieve or suspend, remit, commute sentence of a person convicted for any offence. The President is guided and advised by the home minister and the council of ministers in his decision. There is no timeframe in which the President has to make the decision which is subject to judicial review.

Former President Pratibha Patil granted clemency to 35 convicts and rejected three pleas. Her disposal rate was about 200% unlike KR Narayanan who only disposed of one petition of the 10 he received and APJ Abdul Kalam who had a disposal rate of 12.5%.

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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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