Large study confirms flu vaccine safe in pregnancy


NEW YORK (AP) — A large study offers reassuring news for pregnant women: It's safe to get a flu shot.


The research found no evidence that the vaccine increases the risk of losing a fetus, and may prevent some deaths. Getting the flu while pregnant makes fetal death more likely, the Norwegian research showed.


The flu vaccine has long been considered safe for pregnant women and their fetus. U.S. health officials began recommending flu shots for them more than five decades ago, following a higher death rate in pregnant women during a flu pandemic in the late 1950s.


But the study is perhaps the largest look at the safety and value of flu vaccination during pregnancy, experts say.


"This is the kind of information we need to provide our patients when discussing that flu vaccine is important for everyone, particularly for pregnant women," said Dr. Geeta Swamy, a researcher who studies vaccines and pregnant women at Duke University Medical Center.


The study was released by the New England Journal of Medicine on Wednesday as the United States and Europe suffer through an early and intense flu season. A U.S. obstetricians group this week reminded members that it's not too late for their pregnant patients to get vaccinated.


The new study was led by the Norwegian Institute of Public Health. It tracked pregnancies in Norway in 2009 and 2010 during an international epidemic of a new swine flu strain.


Before 2009, pregnant women in Norway were not routinely advised to get flu shots. But during the pandemic, vaccinations against the new strain were recommended for those in their second or third trimester.


The study focused on more than 113,000 pregnancies. Of those, 492 ended in the death of the fetus. The researchers calculated that the risk of fetal death was nearly twice as high for women who weren't vaccinated as it was in vaccinated mothers.


U.S. flu vaccination rates for pregnant women grew in the wake of the 2009 swine flu pandemic, from less than 15 percent to about 50 percent. But health officials say those rates need to be higher to protect newborns as well. Infants can't be vaccinated until 6 months, but studies have shown they pick up some protection if their mothers got the annual shot, experts say.


Because some drugs and vaccines can be harmful to a fetus, there is a long-standing concern about giving any medicine to a pregnant woman, experts acknowledged. But this study should ease any worries about the flu shot, said Dr. Denise Jamieson of the Centers for Disease Control and Prevention.


"The vaccine is safe," she said.


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Medical journal: http://www.nejm.org


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FAA Grounds Boeing 787 Dreamliners













The Federal Aviation Administration has ordered the grounding of Boeing 787 Dreamliner jets until their U.S. operator proves that batteries on the planes are safe.


United is the only U.S. carrier flying the Boeing 787s, which have been touted as the planes of the future. However, several operated by overseas airlines have run into recent trouble, the latest because of a feared battery fire on a 787 today in Japan.


The FAA's so-called emergency airworthiness directive is a blow to Boeing, from the same government agency that only days ago at a news conference touted the Dreamliner as "safe." Even Secretary of Transportation Ray LaHood went so far as to say he would have no issue flying on the plane.


Now, United will need to prove to the FAA that there is no battery fire risk on its six Dreamliners. An emergency airworthiness directive is one that requires an operator to fix or address any problem before flying again.


"Before further flight, operators of U.S.-registered Boeing 787 aircraft must demonstrate to the Federal Aviation Administration (FAA) that the batteries are safe and in compliance," the FAA said in a statement today. "The FAA will work with the manufacturer and carriers to develop a corrective action plan to allow the U.S. 787 fleet to resume operations as quickly and safely as possible."


United Airlines responded tonight with a statement: "United will immediately comply with the airworthiness directive and will work closely with the FAA and Boeing on the technical review as we work toward restoring 787 service. We will begin reaccommodating customers on alternate aircraft."








787 Dreamliner Grounded, Passengers Forced to Evacuate Watch Video









Boeing 787 Dreamliner Deemed Safe Despite Mishaps Watch Video







Jim McNerney, Boeing's chairman, president and CEO, expressed regret about any scheduling disruptions in a written statement, adding that Boeing was "confident the 787 is safe and we stand behind its overall integrity."


"The safety of passengers and crew members who fly aboard Boeing airplanes is our highest priority," McNerney said. "Boeing is committed to supporting the FAA and finding answers as quickly as possible. The company is working around the clock with its customers and the various regulatory and investigative authorities. We will make available the entire resources of The Boeing Company to assist."


There are some 50 Dreamliners flying in the world, mostly for Japanese airlines, but also for Polish and Chilean carriers.


Overseas operators are not directly affected by the FAA's emergency airworthiness directive -- but Japanese authorities grounded all of their 787s overnight after All Nippon Airways (ANA) said a battery warning light and a burning smell were detected in the cockpit and the cabin, forcing a Dreamliner, on a domestic flight, to land at Takamatsu Airport in Japan.


The plane landed safely about 45 minutes after it took off and all 128 passengers and eight crew members had to evacuate using the emergency chutes. Two people sustained minor injuries on their way down the chute, Osamu Shinobe, ANA senior executive vice president, told a news conference in Tokyo.


ANA and its rival, Japan Airlines (JAL), subsequently grounded their Dreamliner fleets. ANA operates 17 Dreamliner planes, while JAL has seven in service.


Both airlines said the Dreamliner fleet would remain grounded at least through Thursday.


ANA said the battery in question during today's incident was the same lithium-ion type battery that caught fire on board a JAL Dreamliner in Boston last week. Inspectors found liquid leaking from the battery today, and said it was "discolored."


Japan's transport ministry categorized the problem as a "serious incident" that could have led to an accident.


Even more shaken up than the passengers on the Japanese flight may be the reputation of America's largest plane manufacturer, Boeing.


Since the 787 -- with a body mostly made of carbon fiber -- was introduced, it's had one small problem after another. But the nagging battery issue, which caused an onboard fire at Boston's Logan Airport last week, was serious enough for the FAA to ground the plane.


"It's a rough couple weeks for Boeing and ANA," said John Hansman, an MIT professor of aeronautics and astronautics. "I think clearly in the short term this type of bad press has been tough for Boeing. I think in the long haul, this is a good airplane. It's in a good market."






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Sahara hostage siege turns Mali war global


ALGIERS/BAMAKO (Reuters) - Islamist fighters have opened an international front in Mali's civil war by taking dozens of Western hostages at a gas plant in the Algerian desert just as French troops launched an offensive against rebels in neighboring Mali.


Nearly 24 hours after gunmen stormed the natural gas pumping site and workers' housing before dawn on Wednesday, little was certain beyond a claim by a group calling itself the "Battalion of Blood" that it was holding 41 foreign nationals, including Americans, Japanese and Europeans, at Tigantourine, deep in the Sahara.


British Foreign Secretary William Hague confirmed one Briton had been killed and "a number" of others were being held hostage. Algerian media said an Algerian was killed in the assault. Another local report said a Frenchman had died.


"This is a dangerous and rapidly developing situation," Hague told reporters in Sydney on Thursday, adding Britain's Prime Minister David Cameron had spoken with the Algerian President Abdelaziz Bouteflika.


"We have sent a rapid deployment team from our foreign office in order to reinforce our embassy and consulate staff there. The safety of those involved and their co-workers is our absolutely priority and we will work around the clock to resolve this crisis."


One thing is clear: as a headline-grabbing counterpunch to this week's French buildup in Mali, it presents French President Francois Hollande with a daunting dilemma and spreads fallout from Mali's war against loosely allied bands of al Qaeda-inspired rebels far beyond Africa, challenging Washington and Europe.


A French businessman with employees at the site said the foreigners were bound and under tight guard, while local staff, numbering 150 or more, were held apart and had more freedom.


Led by an Algerian veteran of guerrilla wars in Afghanistan, the group demanded France halt its week-old intervention in Mali, an operation endorsed by Western and African allies who fear that al Qaeda, flush with men and arms from the defeated forces of Libya's Muammar Gaddafi, is building a haven in the desert.


Hollande, who won wide praise for ordering air strikes and sending troops to the former French colony, said little in response. In office for only eight months, he has warned of a long, hard struggle in Mali and now faces a risk of attacks on more French and other Western targets in Africa and beyond.


The Algerian government ruled out negotiating and the United States and other Western governments condemned what they called a terrorist attack on a facility, now shut down, that produces 10 percent of Algeria's gas, much of which is pumped to Europe.


The militants, communicating through established contacts with media in neighboring Mauritania, said they had dozens of men at the base, near the town of In Amenas close to the Libyan border, and that they were armed with mortars and anti-aircraft missiles.


They said they had repelled a raid by Algerian forces after dark on Wednesday. There was no government comment on that. Algerian officials said earlier about 20 gunmen were involved.


LIVES AT RISK


The militants issued no explicit threat but made clear the hostages' lives were at risk: "We hold the Algerian government and the French government and the countries of the hostages fully responsible if our demands are not met and it is up to them to stop the brutal aggression against our people in Mali," read one statement carried by Mauritanian media.


The group also said its fighters had rigged explosives around the site and any attempt to free the hostages would lead to a "tragic end." The large numbers of gunmen and hostages involved pose serious problems for any rescue operation.


Smaller hostage-taking incidents have been common in the Sahara and financial gain plays a part in the actions of groups whose members mingle extremist religious aims with traditional smuggling and other pursuits in the lawless, borderless region.


Algerian Interior Minister Daho Ould Kablia said the raid was led by Mokhtar Belmokhtar, who fought Soviet forces in Afghanistan in the 1980s and recently set up his own group in the Sahara after falling out with other local al Qaeda leaders.


A holy warrior-cum-smuggler dubbed "The Uncatchable" by French intelligence and "Mister Marlboro" by some locals for his illicit cigarette-running business, Belmokhtar's links to those who seized towns across northern Mali last year are unclear.


French media said the militants were also demanding that Algeria, whose government fought a bloody war against Islamists in the 1990s, release dozens of prisoners from its jails.


AMERICANS


The militants said seven Americans were among the 41 foreign hostages - a figure U.S. officials said they could not confirm.


Norwegian energy company Statoil, which operates the gas field in a joint venture with Britain's BP and the Algerian state company Sonatrach, said nine of its Norwegian employees and three of its Algerian staff were being held.


Also reported kidnapped, according to various sources, were five Japanese working for the engineering firm JGC Corp, a French national, an Austrian, an Irishman and the Britons.


U.S. Defense Secretary Leon Panetta said: "I want to assure the American people that the United States will take all necessary and proper steps that are required to deal with this situation."


He said he lacked firm information on whether there were links to the situation in Mali. Analysts pointed to shifting alliances and rivalries among Islamists in the region to suggest the hostage-takers may have a range of motives.


In their own statements, they condemned Algeria's secularist government for "betraying" its predecessors in the bloody anti-colonial war against French rule half a century ago by letting French warplanes fly over its territory to Mali. They also accused Algeria of shutting its border to Malian refugees.


Panetta said Washington was still studying legal and other issues before providing more help to France in the war in Mali.


Hollande has called for international support against rebels who France says pose a threat to Africa and the West, and admits it faces a long struggle against well-equipped fighters who seized Timbuktu and other oasis towns in northern Mali and have imposed Islamic law, including public amputations and beheading.


Islamists have warned Hollande that he has "opened the gates of hell" for all French citizens.


Some of those held at the facility, about 1,300 km (800 miles) inland, had sporadic contact with the outside world.


The head of a French catering company said he had information from a manager who supervises some 150 Algerian employees at the site. Regis Arnoux of CIS Catering told BFM television the local staff was being prevented from leaving but was otherwise free to move around inside and keep on working.


"The Westerners are kept in a separate wing of the base," Arnoux said. "They are tied up and are being filmed. Electricity is cut off, and mobile phones have no charge.


"Direct action seems very difficult. ... Algerian officials have told the French authorities as well as BP that they have the situation under control and do not need their assistance."


MALI OFFENSIVE


French army chief Edouard Guillaud said ground forces were stepping up their operation to engage directly "within hours" the alliance of Islamist fighters, grouping al Qaeda's North African wing AQIM and Mali's home-grown Ansar Dine and MUJWA.


West African military chiefs said the French would soon be supported by about 2,000 troops from Nigeria, Chad, Niger and other states - part of a U.N.-mandated deployment that had been expected to start in September before Hollande intervened.


Chad's foreign minister, Moussa Faki Mahamat, told Radio France International his country alone would send 2,000 troops, suggesting plans for the regional force were already growing.


In Mali, residents said a column of some 30 French Sagaie armored vehicles had set off toward rebel positions from the town of Niono, 300 km (190 miles) from the capital, Bamako.


A Malian military source said French special forces units were taking part in the operation. Guillaud said France's strikes, involving Rafale and Mirage jet fighters, were being hampered because militants were sheltering among civilians.


Many inhabitants of northern Mali have welcomed the French attacks, although some also fear being caught in the cross-fire.


Hollande said on Tuesday that French forces would remain in Mali until stability returned to the West African nation.


The conflict, in a landlocked state of 15 million twice the size of France, has displaced an estimated 30,000 people and raised concerns across mostly Muslim West Africa of a radicalization of Islam in the region.


But many who have lived for many months under harsh and violent Islamist rule said they welcomed the French.


"There is a great hope," one man said from Timbuktu, where he said Islamist fighters were trying to blend into civilian neighborhoods. "We hope that the city will be freed soon."


(Additional reporting by Pascal Fletcher and Andrew Callus in London, Balazs Koranyi in Oslo, Laurent Prieur in Nouakchott, Daniel Flynn in Dakar, John Irish, Catherine Bremer and Nick Vinocur in Paris, David Alexander in Rome, Andrew Quinn in Washington and Jane Wardell in Sydney; Writing by Alastair Macdonald; Editing by Peter Cooney and Michael Perry)



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Several 'slight injuries' in Dreamliner evacuation: police






TOKYO: Several people were slightly injured during the evacuation of an All Nippon Airways Dreamliner that made an emergency landing in Japan on Wednesday, police said.

"We have reports that several people were slightly injured," said a spokesman at Kagawa police, which covers the Takamatsu area in western Japan.

"We heard they sustained injuries -- minor ones such as scratches -- when they were getting out of the plane," he said.

Broadcaster NHK quoted a passenger saying he had feared the plane was going to crash as it flew over Japan's fourth largest island of Shikoku.

"I smelled something strange when the plane was going into a cruising altitude after take-off," he told the broadcaster. "I didn't see smoke."

"The plane then started descending rapidly and I thought 'this could crash'. I was surprised as there was an announcement that it was making an emergency landing at Takamatsu airport."

- AFP/ck



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Pak FM Hina Rabbani Khar says India is 'war-mongering', maintains no beheading took place

WASHINGTON: Pakistan's foreign minister Hina Rabbani Khar went on a strident diplomatic offensive in the US on Tuesday, accusing India of "war-mongering" and embarking on a "narrative of hostility," while presenting her country as a paragon of peace and amity in the context of border tensions between the two countries.

"I thought war-mongering was a thing of yesteryears and we had put it behind us," the foreign minister of a country that is recognized as having initiated three wars against India said at an Asia Society talk, artfully glossing over her country's well-chronicled record of hostilities to change status-quo. Pakistan, she said, was "deeply disappointed" with statements coming from the highest levels of the Indian government, but it would not give up on its "deep abiding commitment to pursue peace with India."

"I am happy we are not responding in kind either by word or by action," Khar added, speaking of the reaction (or non-reaction) in Pakistan, where national attention is focused on the shadow war between the feeble civilian government, an assertive judiciary, and the domestically powerful military. "We should not close the door. The dialogue should be uninterrupted and uninterruptible. That is what mature countries do."

Khar was ostensibly responding to the familiar story-line evident in a New York Times headline that cited Prime Minister Manmohan Singh accusing Pakistan of restarting hostilities in Kashmir and amid reports of New Delhi once again considering downgrading ties. Singh is widely praised in the US for pursuing a peace agenda with Pakistan despite what even American interlocutors say is the country's unremitting use of terrorism as a state policy.

While her talk — and her earlier interview on the Charlie Rose show — was mainly centered on the domestic turmoil in Pakistan, Khar used the platforms to glibly portray Pakistan's civilian government as being committed to peace with India, although the country is widely seen to be run by its jihadist military whose chief has articulated ceaseless hostility toward India, insisting he sees it as Pakistan's principle enemy.

But Khar relentlessly beat the peace drum before a mainly western audience in New York City, insisting Pakistan was the one pressing for amity and it was India that was upping the ante. "We don't take political mileage through hostile narrative," she said, suggesting that the border spat had become fodder for domestic politics in India. "The doors to dialogue should remain open rather us speaking through public and the media."

While platitudes flowed thick and fast from the foreign minister of a country seen across the world as sponsoring terrorism against its neighbors, she also brushed aside charges relating to the beheading of an Indian soldier, saying Pakistan had "looked intensely" and "found no evidence of an incident like this."

"There is no question of anyone every authorizing any beheading. It goes against our commitment to the peace process," she said. Besides, she added, there were mechanisms and processes to look into such charges. Khar also skirted a question about whether the alleged beheading indicated the Pakistani military had been infiltrated by Taliban and al-Qaida elements for whom beheading so-called infidels and kaffirs is a trademark.

Between the homilies, there was some disingenuous dissembling about the actions Pakistan had supposedly taken "at great political risk" to normalize trade, although the ground reality is that Islamabad has again reneged on a signed commitment on this matter. Instead, Khar accused India of going back on recent visa agreements.

Some of the mendacity was called out by the audience during searching questions about the Pakistani military establishment's ties to Osama bin Laden and the Haqqani terrorist group. Backed into a corner by a question about her army chief Pervez Ashfaq Kayani describing the Haqqani group as a "strategic asset," Khar bailed out of it by saying, "that is not his view now." And even though Pakistan has done little to rewrite the national curriculum of hate that sees anyone other than Muslims (and lately only Sunnis) as "infidels" and "kafirs" leading to large scale murder of minorities, Khar insisted on presenting Pakistan as epitome of moderation.

When questions finally turned to the ongoing domestic turmoil in Pakistan, she dismissed the cleric Tahir-ul Qadri as a troublemaker who was making "preposterous demands" for which he could be arrested. When asked about corruption in Pakistan, her response was to point out there was corruption in all countries, particularly in India where there had been many scams.

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Sandy Aid Clears Huge Hurdle in Congress


ap storm sandy damage tk 130102 wblog House Sends $50B Sandy Aid Package to Senate

(ASSOCIATED PRESS)


Seventy-nine days after Hurricane Sandy slammed into the Northeast, the House of Representatives voted this evening to approve about $50 billion of additional relief for the region pounded by the storm.


The measure passed 241-180, mostly behind Democratic support, winning 49 votes from Republicans and 192 votes from Democrats. Just one Democrat opposed the legislation, while 179 Republicans voted against it.


The base bill, known as the Hurricane Sandy Disaster Relief Act, included about $17 billion to fund immediate and critical needs for Sandy victims and their communities. An amendment offered by New Jersey Republican Rep. Rodney Frelinghuysen to provide an additional $33 billion for disaster relief also passed, bringing the total amount of relief closer to the Obama administration’s emergency supplemental request, which called for $60.4 billion in total relief.


The Senate still must approve the legislation before President Obama can sign it into law.


An amendment offered by South Carolina Republican Rep. Mick Mulvaney to require all funding in the disaster package to be offset fell well short of the votes required to change the bill, 162-258.


Democrats and Republicans from the storm-ravaged region shared a common frustration over members who opposed to the relief package.


“To use this funding as a political pawn in a game over the role of government and budgetary debates is shameful,” New York Democratic Rep. Elliot Engel wrote in a statement shortly after the vote. “The first order of business for the federal government is to protect our citizens, and helping them recover from the tragedy of a natural disaster is one of those times.”


“I am pleased that the House of Representatives has finally passed legislation to help the victims of Hurricane Sandy,” Rep. Jon Runyan, R-N.J., stated after the vote. “I am hopeful that the Senate will quickly debate and pass this bipartisan legislation so that families in New Jersey and New York will not have to continue to wait for the aid they need.”


The governors of New Jersey, New York and Connecticut, the three states  hit hardest by the storm, had all angrily criticized Republicans in the House for deciding not to vote on an aid package passed by the Senate in December, but after the measure’s passage tonight issued a joint statement thanking the House.


“We are grateful to those members of Congress who today pulled together in a unified, bipartisan coalition to assist millions of their fellow Americans in New Jersey, New York and Connecticut at their greatest time of need,” Gov. Chris Christie, N.J.; Gov. Andrew Cuomo, N.Y.; and Gov. Dannel Molloy, Conn., wrote in the statement.


“The tradition of Congress being there and providing support for Americans during times of crisis, no matter where they live across this great country, lives on in today’s vote in the House of Representatives,” they wrote. “We anticipate smooth passage when this package moves back to the Senate for final approval and for this long-awaited relief to finally make its way to our residents.”


Nevertheless, there were still many lawmakers who opposed the package because they felt it contained non-emergency spending.


“The final version passed here tonight includes billions in pork and unrelated spending that we cannot afford while Americans are struggling to make ends meet,” Rep. Steve Pearce, R-N.M., wrote in a statement. “Hurricane Sandy victims need a simple, responsible aid package, and nothing more.  Our nation is facing a debt crisis: it’s time for Washington to stop using important bills to fund its own political projects.”


Congress has already approved $9.7 billion for flood insurance on Jan. 4. The House also passed a separate bill without opposition Monday evening, the Sandy Recovery Improvement Act, to speed up and streamline federal disaster recovery programs.


After the House voted Jan. 1 on the “fiscal cliff” deal, House Speaker John Boehner decided not to vote on any relief during the 112th Congress. Republicans and Democrats from the region revolted until Boehner held a private meeting with angry Republican members, during which he promised to make Sandy relief a priority in the 113th Congress.


The legislation was opposed by numerous leading conservative interest groups, including Heritage Action, Americans for Tax Reform, and the Club for Growth, which all warned Republicans not to support the measure.

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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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Tilted jack-up rig in Jurong Shipyard restored






SINGAPORE: Jurong Shipyard has restored and floated the jack-up rig that tilted in 2012 to its original upright position.

Eighty-nine workers were injured in the incident at the shipyard on 3 December.

Sembcorp Marine said on Tuesday that with the rig now back to its upright position, Jurong Shipyard and the authorities will focus on investigations into what caused it to tilt.

Repairs and restoration work will start when the stop-work is lifted.

The three-legged rig was scheduled for delivery in the first quarter of 2013 but this has been rescheduled.

The rig is expected to be delivered by the end of third quarter of 2013.

Sembcorp Marine said the repairs and change in the delivery date are not expected to have any material impact on its net tangible assets and earnings per share for the year ending 31 December 2013.

- CNA/ck



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National Conference may induct Congress MLAs in J&K Cabinet

NEW DELHI: Jammu and Kashmir chief minister Omar Abdullah can expand and reshuffle his ministry on Tuesday following a prod from AICC president Sonia Gandhi on Sunday evening. Congress leaders like Saifuddin Soz have been asking for more representation from their party in the Omar-led National Conference coalition government.

Abdullah had dropped two Congress ministers, G A Saroori and Peerzada Mohammad Sayeed, on charges of corruption. Saroori, a Congress MLA from Kishtwar, was charged for an impersonation fraud in the medical entrance test that his daughter gave and Peerzada was accused of helping his step-son copy in Class X exams. They were exonerated by the CBI and a state-level investigation team.

Sonia asked for the inclusion of more Congress legislators in the J&K House. State governor NN Vohra rushed to Jammu from New Delhi to make arrangements for the oath ceremony of new ministers at 4pm on Tuesday. Soz and Ghulam Nabi Azad had briefed Sonia about the unrest in the Congress camp after berths meant for them were not filled.

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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."


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Online:


R.I. union lawsuit against mandatory vaccines: http://www.seiu1199ne.org/files/2013/01/FluLawsuitRI.pdf


CDC: http://www.cdc.gov


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


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