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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Thousands Protest in Moscow Against Adoption Ban

Jan 13, 2013 10:37am

KIRILL KUDRYAVTSEV/AFP/Getty Images

MOSCOW — Thousands of Russians took to the streets on Sunday to protest Russia’s new ban on adoptions to the United States.

In what organizers called the “March Against Scoundrels” they paraded down a tree-lined boulevard in central Moscow chanting “Hands off our children” and “Russia will be free.” They also carried signs with the faces of Russian politicians who approved the ban and the word “Shame” written on them.

“I am not an apologist for the U.S. I am a patriot of this country. But this monstrous law must be canceled,” leftist protest leader Sergei Udaltsov told the crowd before the march began, according to the Interfax news agency.

As usual, organizers and police disagreed on the size of the crowd. Organizers estimated between 20,000 and 50,000 people turned out. Police put the figure much lower at about 7,000, but overhead photos of the protest appear to show a crowd larger than that.

Significantly smaller protests, some consisting of just a few dozen people, took place in other cities around the country, according to Interfax. A nationwide poll taken in December by the Public Opinion Foundation found 56 percent support for the ban.

But participants in Sunday’s protests accused the ban’s proponents of playing politics with the lives of children.

The adoption ban was a late amendment to a bill retaliating for a set of human rights sanctions that President Obama signed into law in December. It cut off adoptions to the United States, one of the most popular destinations for international adoptions from Russia, starting Jan. 1.

More than 60,000 Russian orphans have been adopted by Americans since the end of the Soviet Union, according to the State Department. Many of them are sick or suffer from disabilities.

READ: Unclear Russian Adoption Ban Frustrates US Families

But Russian officials have pointed to the cases of 19 children who died after being adopted by Americans. They also noted cases in which American parents accused of abusing their adopted children received, in their view, lenient sentences.

Since the law went into effect, Russian officials have struggled to explain whether the ban would cancel 52 adoption cases that had already received court approval and were within weeks of completion. Kremlin spokesman Dmitri Peskov said Thursday that at least some of those adoptions which had cleared the courts would be allowed to proceed, but did to say how many.

The ban was controversial even before it became law. Even though it received nearly unanimous approval from Russia’s rubber stamp parliament, prominent cabinet officials, including Russia’s Foreign Minister Sergei Lavrov, came out against the ban. Even President Vladimir Putin himself evaded questions about it when asked during an end of year press conference.

READ: Russians Rally to Help US Adoption Mom Fighting for Child

Since the ban was approved, top Russian officials have pledged to devote more resources to reforming the country’s dilapidated orphanages and to encourage more Russians to adopt.

Sunday’s protest was organized by some of the same opposition leaders who organized last year’s anti-Putin rallies. The last such protest, held without city approval and under heavy police presence, drew relatively few people in December, suggesting the protest movement had fizzled. Protest leader and anti-corruption blogger Alexy Navalny, however, told Interfax today that he hopes the adoption ban could rally more Russians to continue protesting.

SHOWS: World News

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Russia rejects Assad exit as precondition for Syria deal

MOSCOW/BEIRUT (Reuters) - Russia voiced support on Saturday for international peace envoy Lakhdar Brahimi but insisted Syrian President Bashar al-Assad's exit cannot be a precondition for a deal to end the country's conflict.

Some 60,000 Syrians have been killed during the 21-month-old revolt and world powers are divided over how to stop the escalating bloodshed. Government aircraft bombed outer districts of Damascus on Saturday after being grounded for a week by stormy weather, opposition activists in the capital said.

A Russian Foreign Ministry statement following talks on Friday in Geneva with the United States and Brahimi reiterated calls for an end to violence in Syria, but there was no sign of a breakthrough.

Brahimi said the issue of Assad, who the United States, European powers and Gulf-led Arab states insist must step down to end the civil war, appeared to be a sticking point.

Russia's Foreign Ministry said: "As before, we firmly uphold the thesis that questions about Syria's future must be decided by the Syrians themselves, without interference from outside or the imposition of prepared recipes for development."

Russia has been Assad's most powerful international backer, joining with China to block three Western- and Arab-backed U.N. Security Council resolutions aimed to pressure him or push him from power. Assad can also rely on regional powerhouse Iran.

Russia called for "a political transition process" based on an agreement by foreign powers last June.

Brahimi, who is trying to build on that agreement, has met three times with senior Russian and U.S. diplomats since early December and met Assad in Damascus.

Russia and the United States disagreed over what the June agreement meant for Assad, with Washington saying it sent a clear signal he must go and Russia contending it did not.

Qatar on Saturday made a fresh call for an Arab force to end bloodshed in Syria if Brahimi's efforts fail, according to the Doha-based al Jazeera television.

"It is not a question of intervention in Syria in favor of one party against the other, but rather a force to preserve security," Qatar's Prime Minister and Foreign Minister, Sheikh Hamad bin Jassim al-Thani, said in an al Jazeera broadcast.

CONFLICT INTENSIFIES

Moscow has been reluctant to endorse the "Arab Spring" popular revolts of the last two years, saying they have increased instability in the Middle East and created a risk of radical Islamists seizing power.

Although Russia sells arms to Syria and rents one of its naval bases, the economic benefit of its support for Assad is minimal. Analysts say President Vladimir Putin wants to prevent the United States from using military force or support from the U.N. Security Council to bring down governments it opposes.

However, as rebels gain ground in the war, Russia has given indications it is preparing for Assad's possible exit, while continuing to insist he must not be forced out by foreign powers.

Opposition activists say a military escalation and the hardship of winter have accelerated the death toll.

Rebel forces have acquired more powerful anti-tank and anti-aircraft weapons during attacks on Assad's military bases.

Assad's forces have employed increasing amounts of military hardware including Scud-type ballistic missiles in the past two months. New York-based Human Rights Watch said they had also used incendiary cluster bombs that are banned by most nations.

STALEMATE IN CITIES

The weeklong respite from aerial strikes has been marred by snow and thunderstorms that affected millions displaced by the conflict, which has now reached every region of Syria.

On Saturday, the skies were clear and jets and helicopters fired missiles and dropped bombs on a line of towns to the east of Damascus, where rebels have pushed out Assad's ground forces, the Syrian Observatory for Human Rights said.

The British-based group, which is linked to the opposition, said it had no immediate information on casualties from the strikes on districts including Maleiha and farmland areas.

Rebels control large swathes of rural land around Syria but are stuck in a stalemate with Assad's forces in cities, where the army has reinforced positions.

State TV said government forces had repelled an attack by terrorists - a term it uses for the armed opposition - on Aleppo's international airport, now used as a helicopter base.

Reuters cannot independently confirm reports due to severe reporting restrictions imposed by the Syrian authorities and security constraints.

On Friday, rebels seized control of one of Syria's largest helicopter bases, Taftanaz in Idlib province, their first capture of a military airfield.

Eight-six people were killed on Friday, including 30 civilians, the Syrian Observatory said.

(Writing by Oliver Holmes; Editing by Tom Pfeiffer and Doina Chiacu)

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Four police injured in fresh Northern Ireland clashes

BELFAST, United Kingdom: Four Northern Ireland police officers were injured while battling to quell sectarian clashes in Belfast on Saturday as the row over the flying of the British flag showed no sign of abating.

Police used water cannon and fired a plastic bullet during the clashes in Belfast, the latest to blight the British province after more than five weeks of violent disorder over the flag issue.

"Four officers have now been injured during disorder in the Castlereagh Street of east Belfast this afternoon," a police spokesman said.

"Water cannon has now been deployed. Police have fired one AEP round", the spokesman added, referring to so-called baton rounds, or rubber bullets.

Witnesses said rocks and fireworks were thrown as lines of police tried to keep loyalists -- the Protestant community's working-class hardcore -- apart from Catholic nationalists in the Short Strand area of Belfast.

Nearly 1,000 people earlier gathered outside Belfast City Hall to protest.

Northern Ireland has been swept with a wave of sometimes violent protests since December 3, when Belfast City Council voted to restrict the number of days the British flag is flown at City Hall to 18 per year.

Loyalists see the council's decision to restrict the flying of the flag as an attack on their identity and an unacceptable concession to republicans seeking a united Ireland.

First Minister Peter Robinson and his deputy Martin McGuinness will join Northern Ireland Secretary Theresa Villiers and Ireland's Tanaiste (deputy leader) Eamonn Gilmore for talks next week on how to deal with the ongoing unrest.

"This violence is being orchestrated and those behind it are known criminals, intent on creating chaos," Gilmore said.

"This has nothing to do with real issues around flags and identity in a shared society, which are the subject of intensive political discussions at present."

Nationalist SDLP MLA lawmaker Conall McDevitt said "these are depraved acts which immediately dismiss any claim on a protest being peaceful."

A 1998 peace agreement brought an end to the three decades of sectarian violence between Protestants and Catholics known as the Troubles, but sporadic bomb threats and murders by dissident republicans continue.

-AFP/ac

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Had complained of being spied: General VK Singh

NAGPUR: A week after the drama at General VK Singh's residence when his family alleged being spied on, the former army chief now says he had a suspicion of being trailed much before the incident took place and had even taken up the issue with authorities. Singh, who was talking to newspersons in the city where he attended a farmers' convention, said, "I had written to somebody about what I had suspected. I was told that the matter was being investigated."

Singh, however, refused to divulge the name of the person he had written to. "Just leave it at that," he said, when TOI insisted for further revelation on the matter.

Last week, the former chief's family had alleged a bugging attempt at his residence, when a team led by a Major from the Signals entered their house at Mandir Marg in Delhi Cantonment. The team had come to remove the army telephone exchange at the former chief's home after his Z-plus security was removed.

Though it created ruckus at that time, Singh also said it was valid on part of the officer to come as he was only following the orders. But his conduct was not of that of a gentleman. "He entered from the rear gate. I was not at home, and my daughter had gone to work. The officer also entered the rooms other than where the exchange was installed. He was rude, he refused to sit, accept tea and lunch offered to him," alleged Singh.

However, he did not reply to a subsequent SMS by TOI, questioning whether he would like to leave the house provided by the army after this incident.

Reacting to the beheading incident at line of control (LOC), the General said that it should not evoke a knee-jerk sensationalizing of the issue. "This is not the first incident at the LOC. Such incidents keep happening after which there has been a counterattack from the Indian side too," he said.

It is not that episodes like the LOC beheading or Captain Saurav Kalia would be forgotten, but such issues have their own political and military solutions rather than being sensationalized, he said. He, however, added that the barbarism is instinctive in the Pakistan army. "It was seen in all the wars, including Kargil," he said.

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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 policikfriedenes 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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Poisoned Lottery Winner's Kin Were Suspicious

Urooj Khan had just brought home his $425,000 lottery check when he unexpectedly died the following day. Now, certain members of Khan's family are speaking publicly about the mystery -- and his nephew told ABC News they knew something was not right.

"He was a healthy guy, you know?" said the nephew, Minhaj Khan. "He worked so hard. He was always going about his business and, the thing is: After he won the lottery and the next day later he passes away -- it's awkward. It raises some eyebrows."

The medical examiner initially ruled Urooj Khan, 46, an immigrant from India who owned dry-cleaning businesses in Chicago, died July 20, 2012, of natural causes. But after a family member demanded more tests, authorities in November found a lethal amount of cyanide in his blood, turning the case into a homicide investigation.

"When we found out there was cyanide in his blood after the extensive toxicology reports, we had to believe that ... somebody had to kill him," Minhaj Khan said. "It had to happen, because where can you get cyanide?"

In Photos: Biggest Lotto Jackpot Winners

Authorities could be one step closer to learning what happened to Urooj Khan. A judge Friday approved an order to exhume his body at Rosehill Cemetery in Chicago as early as Thursday to perform further tests.

Lottery Winner Murdered: Widow Questioned By Police Watch Video

Moments after the court hearing, Urooj Khan's sister, Meraj Khan, remembered her brother as the kind of person who would've shared his jackpot with anyone. Speaking at the Cook County Courthouse, she hoped the exhumation would help the investigation.

"It's very hard because I wanted my brother to rest in peace, but then we have to have justice served," she said, according to ABC News station WLS in Chicago. "So if that's what it takes for him to bring justice and peace, then that's what needs to be done."

Khan reportedly did not have a will. With the investigation moving forward, his family is waging a legal fight against his widow, Shabana Ansari, 32, over more than $1 million, including Urooj Khan's lottery winnings, as well as his business and real estate holdings.

Khan's brother filed a petition Wednesday to a judge asking Citibank to release information about Khan's assets to "ultimately ensure" that [Khan's] minor daughter from a prior marriage "receives her proper share."

Ansari may have tried to cash the jackpot check after Khan's death, according to court documents, which also showed Urooj Khan's family is questioning if the couple was ever even legally married.

Ansari, Urooj Khan's second wife, who still works at the couple's dry cleaning business, has insisted they were married legally.

She has told reporters the night before her husband died, she cooked a traditional Indian meal for him and their family, including Khan's daughter and Ansari's father. Not feeling well, Khan retired early, Ansari told the Chicago Sun-Times, falling asleep in a chair, waking up in agony, then collapsing in the middle of the night. She said she called 911.

"It has been an incredibly hard time," she told ABC News earlier this week. "We went from being the happiest the day we got the check. It was the best sleep I've had. And then the next day, everything was gone.

"I am cooperating with the investigation," Ansari told ABC News. "I want the truth to come out."

Ansari has not been named a suspect, but her attorney, Steven Kozicki, said investigators did question her for more than four hours.

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U.S. forces to move to Afghan support role in spring: Obama

WASHINGTON (Reuters) - President Barack Obama on Friday said U.S. and coalition forces will move to a support role in the Afghan conflict this spring.

Obama, during a news conference with Afghan President Hamid Karzai, said he will announce the next steps in the U.S. troop drawdown in Afghanistan in coming months.

(Reporting By White House team)

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Football: West Ham sign Brazilian striker Wellington

LONDON: West Ham on Friday signed Brazilian forward Wellington Paulista on loan from Cruzeiro until the end of the season.

Wellington had been a long-term target for Hammers manager Sam Allardyce and the Premier League club have an option to sign him on a three-year contract if his loan spell proves successful.

The 28-year-old, who has yet to make his Brazil debut, finished last season as Cruzeiro's top scorer with 27 goals and has also played for the likes of Santos, Botafogo and Palmeiras during a much-travelled career.

Wellington is Allardyce's fourth January signing following deals for Joe Cole, Sean Maguire and Marouane Chamakh.

The Sao Paulo-born forward will compete with Chamakh, Andy Carroll and Carlton Cole for a berth in West Ham's attack and insists he is not worried by the pressure of playing in the Premier League.

"I think I can do my best here and I am coming to England to prove to everyone that I am one of the best strikers in Brazil and to get better and better," he told West Ham TV.

"I am strong, I am a fighter and I can score with both feet. I run a lot on the pitch and I can play as either a first or second striker.

"The pressure will not be a problem for me because I am used to it from my time in Brazil, where the fans were really addicted to the club. The manager also put pressure on the players too, so it will be the same playing here."

West Ham co-chairman David Sullivan admits the signing is something of a gamble, but he believes Wellington could have a similar impact to Chelsea's Senegal striker Demba Ba, who made his name with a brief spell at Upton Park.

"He is another exciting player to add to our squad and although he may not be that well-known on these shores, he comes with an excellent track record in Brazil," Sullivan said.

"His arrival is similar to some of the other 'wildcard' players we have signed before like Demba Ba."

-AFP/ac

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NSA Shiv Shankar Menon briefs PM Manmohan Singh on LoC situation

NEW DELHI: National security advisor Shiv Shankar Menon on Friday briefed Prime Minister Manmohan Singh over the latest situation on the Line of Control as Pakistani troops again targeted Indian posts in Jammu and Kashmir, leading to exchange of fire.

"NSA briefed the Prime Minister as he is doing regularly since the situation began," an official said.

Informed sources said before meeting the Prime Minister, Menon discussed the situation with top Army and defence ministry officials.

The sources said that the Indian army had sought a flag meeting but had not got a response as yet from Pakistan.

They said Pakistan opened fire at posts close to the LoC in the Krishna Ghati sector, around 250 km from Jammu in the afternoon and the army offered a "calibrated" response.

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