Hospitals crack down on workers refusing flu shots


CHICAGO (AP) — Patients can refuse a flu shot. Should doctors and nurses have that right, too? That is the thorny question surfacing as U.S. hospitals increasingly crack down on employees who won't get flu shots, with some workers losing their jobs over their refusal.


"Where does it say that I am no longer a patient if I'm a nurse," wondered Carrie Calhoun, a longtime critical care nurse in suburban Chicago who was fired last month after she refused a flu shot.


Hospitals' get-tougher measures coincide with an earlier-than-usual flu season hitting harder than in recent mild seasons. Flu is widespread in most states, and at least 20 children have died.


Most doctors and nurses do get flu shots. But in the past two months, at least 15 nurses and other hospital staffers in four states have been fired for refusing, and several others have resigned, according to affected workers, hospital authorities and published reports.


In Rhode Island, one of three states with tough penalties behind a mandatory vaccine policy for health care workers, more than 1,000 workers recently signed a petition opposing the policy, according to a labor union that has filed suit to end the regulation.


Why would people whose job is to protect sick patients refuse a flu shot? The reasons vary: allergies to flu vaccine, which are rare; religious objections; and skepticism about whether vaccinating health workers will prevent flu in patients.


Dr. Carolyn Bridges, associate director for adult immunization at the federal Centers for Disease Control and Prevention, says the strongest evidence is from studies in nursing homes, linking flu vaccination among health care workers with fewer patient deaths from all causes.


"We would all like to see stronger data," she said. But other evidence shows flu vaccination "significantly decreases" flu cases, she said. "It should work the same in a health care worker versus somebody out in the community."


Cancer nurse Joyce Gingerich is among the skeptics and says her decision to avoid the shot is mostly "a personal thing." She's among seven employees at IU Health Goshen Hospital in northern Indiana who were recently fired for refusing flu shots. Gingerich said she gets other vaccinations but thinks it should be a choice. She opposes "the injustice of being forced to put something in my body."


Medical ethicist Art Caplan says health care workers' ethical obligation to protect patients trumps their individual rights.


"If you don't want to do it, you shouldn't work in that environment," said Caplan, medical ethics chief at New York University's Langone Medical Center. "Patients should demand that their health care provider gets flu shots — and they should ask them."


For some people, flu causes only mild symptoms. But it can also lead to pneumonia, and there are thousands of hospitalizations and deaths each year. The number of deaths has varied in recent decades from about 3,000 to 49,000.


A survey by CDC researchers found that in 2011, more than 400 U.S. hospitals required flu vaccinations for their employees and 29 hospitals fired unvaccinated employees.


At Calhoun's hospital, Alexian Brothers Medical Center in Elk Grove Village, Ill., unvaccinated workers granted exemptions must wear masks and tell patients, "I'm wearing the mask for your safety," Calhoun says. She says that's discriminatory and may make patients want to avoid "the dirty nurse" with the mask.


The hospital justified its vaccination policy in an email, citing the CDC's warning that this year's flu outbreak was "expected to be among the worst in a decade" and noted that Illinois has already been hit especially hard. The mandatory vaccine policy "is consistent with our health system's mission to provide the safest environment possible."


The government recommends flu shots for nearly everyone, starting at age 6 months. Vaccination rates among the general public are generally lower than among health care workers.


According to the most recent federal data, about 63 percent of U.S. health care workers had flu shots as of November. That's up from previous years, but the government wants 90 percent coverage of health care workers by 2020.


The highest rate, about 88 percent, was among pharmacists, followed by doctors at 84 percent, and nurses, 82 percent. Fewer than half of nursing assistants and aides are vaccinated, Bridges said.


Some hospitals have achieved 90 percent but many fall short. A government health advisory panel has urged those below 90 percent to consider a mandatory program.


Also, the accreditation body over hospitals requires them to offer flu vaccines to workers, and those failing to do that and improve vaccination rates could lose accreditation.


Starting this year, the government's Centers for Medicare & Medicaid Services is requiring hospitals to report employees' flu vaccination rates as a means to boost the rates, the CDC's Bridges said. Eventually the data will be posted on the agency's "Hospital Compare" website.


Several leading doctor groups support mandatory flu shots for workers. And the American Medical Association in November endorsed mandatory shots for those with direct patient contact in nursing homes; elderly patients are particularly vulnerable to flu-related complications. The American Nurses Association supports mandates if they're adopted at the state level and affect all hospitals, but also says exceptions should be allowed for medical or religious reasons.


Mandates for vaccinating health care workers against other diseases, including measles, mumps and hepatitis, are widely accepted. But some workers have less faith that flu shots work — partly because there are several types of flu virus that often differ each season and manufacturers must reformulate vaccines to try and match the circulating strains.


While not 100 percent effective, this year's vaccine is a good match, the CDC's Bridges said.


Several states have laws or regulations requiring flu vaccination for health care workers but only three — Arkansas, Maine and Rhode Island — spell out penalties for those who refuse, according to Alexandra Stewart, a George Washington University expert in immunization policy and co-author of a study appearing this month in the journal Vaccine.


Rhode Island's regulation, enacted in December, may be the toughest and is being challenged in court by a health workers union. The rule allows exemptions for religious or medical reasons, but requires unvaccinated workers in contact with patients to wear face masks during flu season. Employees who refuse the masks can be fined $100 and may face a complaint or reprimand for unprofessional conduct that could result in losing their professional license.


Some Rhode Island hospitals post signs announcing that workers wearing masks have not received flu shots. Opponents say the masks violate their health privacy.


"We really strongly support the goal of increasing vaccination rates among health care workers and among the population as a whole," but it should be voluntary, said SEIU Healthcare Employees Union spokesman Chas Walker.


Supporters of health care worker mandates note that to protect public health, courts have endorsed forced vaccination laws affecting the general population during disease outbreaks, and have upheld vaccination requirements for schoolchildren.


Cases involving flu vaccine mandates for health workers have had less success. A 2009 New York state regulation mandating health care worker vaccinations for swine flu and seasonal flu was challenged in court but was later rescinded because of a vaccine shortage. And labor unions have challenged individual hospital mandates enacted without collective bargaining; an appeals court upheld that argument in 2007 in a widely cited case involving Virginia Mason Hospital in Seattle.


Calhoun, the Illinois nurse, says she is unsure of her options.


"Most of the hospitals in my area are all implementing these policies," she said. "This conflict could end the career I have dedicated myself to."


__


Online:


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


CDC: http://www.cdc.gov


___


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


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Armstrong Admits Doping in Tour, Sources Say













Lance Armstrong today admitted to Oprah Winfrey that he used performance enhancing drugs to win the Tour de France, sources told ABC News.


A government source tells ABC News that Armstrong is now talking with authorities about paying back some of the US Postal Service money from sponsoring his team. He is also talking to authorities about confessing and naming names, giving up others involved in illegal doping. This could result in a reduction of his lifetime ban, according to the source, if Armstrong provides substantial and meaningful information.


Armstrong made the admission in what sources describe as an emotional interview with Winfrey to air on "Oprah's Next Chapter" on Jan. 17.


The 90-minute interview at his home in Austin, Texas, was Armstrong's first since officials stripped him of his world cycling titles in response to doping allegations.


Word of Armstrong's admission comes after a Livestrong official said that Armstrong apologized today to the foundation's staff ahead of his interview.


The disgraced cyclist gathered with about 100 Livestrong Foundation staffers at their Austin 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.






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











Lance Armstrong Doping Confession: Why Now? Watch Video









Lance Armstrong Stripped of Tour de France Titles Watch Video







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.


Armstrong, 41, was stripped of his seven Tour de France titles and banned from the sport for life by the U.S. Anti-Doping Agency in October 2012, after allegations that he benefited from years of systematic doping, using banned substances and receiving illicit blood transfusions.


"Lance Armstrong has no place in cycling and he deserves to be forgotten in cycling," Pat McQuaid, the president of the International Cycling Union, said at a news conference in Switzerland announcing the decision. "This is a landmark day for cycling."


The U.S. Anti-Doping Agency issued a 200-page report Oct. 10 after a wide-scale investigation into Armstrong's alleged use of performance-enhancing substances.


Armstrong won the Tour de France from 1999 to 2005.


According to a source, speaking to ABC News, a representative of Armstrong's once offered to make a donation estimated around $250,000 to the agency, as "60 Minutes Sports" on Showtime first reported.


Lance Armstrong's attorney Tim Herman denied it. "No truth to that story," Herman said. "First Lance heard of it was today. He never made any such contribution or suggestion."


Armstrong, who himself recovered from testicular cancer, created the Lance Armstrong Foundation (now known as the LIVESTRONG Foundation) to help people with cancer cope, as well as foster a community for cancer awareness. Armstrong resigned late last year as chairman of the LIVESTRONG Foundation, which raised millions of dollars in the fight against cancer.






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Decision on immunity for U.S. troops by year-end: Karzai


KABUL (Reuters) - A decision on immunity for U.S. troops staying in Afghanistan after the 2014 planned withdrawal will be made by the end of the year, Afghan President Hamid Karzai said on Monday.


"The issue of immunity is under discussion (and) it is going to take eight to nine months before we reach agreement," Karzai told a news conference in the capital, Kabul, after returning from meetings with U.S. President Barack Obama in Washington.


The Afghan government rejected an initial U.S. proposal regarding the question of immunity and a second round of negotiations will take place this year in Kabul, he said.


Those negotiations could involve Afghanistan's Loya Jirga, a "grand assembly" of political and community leaders convened for issues of national importance, he added.


When asked if security would deteriorate in Afghanistan after the withdrawal of the NATO-led force, Karzai replied: "By no means... Afghanistan will be more secure and a better place."


The Obama administration has been considering a residual force of between 3,000 and 9,000 troops in Afghanistan to conduct counterterrorism operations while providing training and assistance for Afghan forces. But the administration said last week it did not rule out a complete withdrawal after 2014.


The United States is insisting on immunity from prosecution for any U.S. troops that remain.


(Reporting By Hamid Shalizi, writing by Amie Ferris-Rotman and Dylan Welch; Editng by Robert Birsel)



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Football: Ronaldo wants to see out contract at Real






MADRID: Cristiano Ronaldo says he wants to stay with Real Madrid until the end of his contract with the club.

The 27-year-old Portuguese striker's contract with Real runs out in June 2015 but Spanish media have reported that he is unhappy at the club and may leave at the end of the season.

The player has been linked to a move to Paris Saint-Germain or back to Manchester United.

"I want to see out my contract at Real Madrid: I'm very clear about that. After that, well, I don't know what will happen in the future," he said in an interview published on Fifa.com.

Ronaldo, who joined Real Madrid from Manchester United in 2009, said he still believes it is possible for the club to win La Liga despite falling 18 points behind leaders and arch-rivals Barcelona.

"We haven't started the championship very well for sure. We know that La Liga's an uphill struggle for us now, but nothing is impossible in football," he said.

"We're going to work hard, win games and see what happens. And of course, there's the Champions League and the Copa del Rey too. There's plenty for us to win this season."

Real Madrid are in third place in the Spanish league, four points behind second-placed Atletico Madrid and have dropped even further behind Barcelona after they were held to a 0-0 draw at lowly Osasuna on Saturday.

They looked a shadow of the team that romped to the Liga title last season.

Real Madrid will face Premier League leaders Manchester United in the first leg of their Champions League last 16 clash on February 13.

"No team's unbeatable, but when we're at our best we're a really good side. Manchester United have started the English championship race very well and are a long way ahead of the rest, but still, if we play the way we're capable of, we can beat them," Ronaldo said.

"To do that we need to pull together and play as a team, like we've done in so many matches before."

- AFP/fa



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Telangana state soon; Congress leaders get "signals" from Centre

HYDERABAD: Congress leaders from Telangana region of Andhra Pradesh today claimed that they have received "signals" from the Centre on creation of a separate state.

Two ministers and an MP came out with the claim today even as the deadline set by Union home minister Sushilkumar Shinde for a decision on the statehood demand is just a fortnight away.

"We have indications from the Centre that AP is going to be bifurcated. Going by what the Centre is thinking, Hyderabad could be the common capital of the two (new) states for some 10 years," State Labour Minister Danam Nagender Danam told reporters after greeting veteran Congress leader M Satyanarayana Rao on his 80th birthday here.

Echoing his colleague's statement, Civil Supplies Minister D Sridhar Babu said that "The dreams of Telangana people will come true very soon. We have clear signals from the Centre on the formation of a new state,".

When asked about the status of the state capital, he said, "Hyderabad is very much a part of Telangana and it will be on the region's map,".

Incidentally, Danam was not known to be an overt supporter of Telangana demand and had previously favoured Union Territory status for Hyderabad in the event of division of Andhra Pradesh.

But, today, he ruled out the possibility of Hyderabad being made a Union Territory.

"It's too early. If we make more claims, we will only be confusing the Centre. Let them come out with a decision," Danam added.

Separately, Rajya Sabha member Palvai Govardhan Reddy too hinted that Telangana state would be formed soon.

"The Centre is seriously considering the issue. The Congress party is going to deliberate on this on 18th Jan," Palvai, who claims to be in constant touch with top leaders of AICC, said.

He also claimed that the Telangana Rashtra Samiti was ready to merge with Congress once Telangana state was created.

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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.


___


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


___


Online:


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


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Big Winners, Best Golden Globe Moments






Let's finally bury this idea that women can't be funny once and for all. Fey and Poehler were undeniably hilarious throughout the Globes, so much so that many fans on Twitter demanded more of them during the ceremony. From their opening bit -- Poehler: "Meryl Streep is not here tonight, she has the flu. And I hear she's amazing in it." -- to their pseudo drunk heckling of best TV comedy actress winner Lena Dunham, they were radiant, energetic, and above all, funny. More please.



Foster made her acceptance of the Cecil B. DeMille lifetime achievement award a coming out, of sorts. She first shocked the audience by leading them to think that she was about to make a huge public statement about her sexuality. Instead, she said she was single, adding "I already did my coming out in the stone age."


"Now, apparently, I'm told that every celebrity is expected to honor the details of their private life with a press conference ... You guys might be surprised, but I'm not Honey Boo Boo child," she said, to a flurry of laughter and applause.


"If you had been a public figure from the time that you were a toddler ... then maybe you too might value privacy above all else," she said. "Privacy."


But Foster did specifically thank her ex-partner Cydney Bernard, with whom she has two kids. Both boys gestured to her from the audience.


She also implied that she was retiring from acting when she said she would not be returning to the Globes stage or any stage. "It's just that from now on, I may be holding a different talking stick," Foster said, bringing many in the audience to tears.


But backstage, Foster clarified to reporters that she was not retiring from acting. "Oh that's so funny," she responded to reporters. "You couldn't drag me away. And I'd like to be directing tomorrow."



It takes a lot to make Hollywood star struck. Bill Clinton did it when he strutted on stage to introduce a clip of "Lincoln," which was up for best drama. He brought the crowd of A-listers to its feet and commended the 16th president. "We're all here tonight because he did it," he said of Lincoln's battle to end slavery.



If there was any doubt that Lena Dunham wasn't Hollywood's next big thing, it was obliterated Sunday night. The star and creator of HBO's "Girls" went home with two awards, best actress in a TV comedy and best TV comedy. Her heartfelt acceptance speech for best actress struck a chord: "This award is for everyone who feels like there wasn't a place for her," she said. "This show made a space for me."



Jessica Chastain won the Globe for best actress in a drama for "Zero Dark Thirty." She offered a moving tribute to director Kathryn Bigelow, the first woman to win a best director Oscar who failed to get a nomination for that award this year, though "ZDT" was up for a slew of other awards, including best picture. "I can't help but compare my character of Maya to you," Chastain said to Bigelow. "When you make a film that allows your character to disobey the conventions of Hollywood, you've done more for women in cinema than you take credit for."



Blame it on nerves, the spirit of spontaneity, or the a-a-a-a-alcohol (apologies to Jamie Foxx), but Jennifer Lawrence's acceptance speech was a tad insulting to a Hollywood icon, if totally hilarious. "Oh what does it say?" she asked, looking at her trophy. "I beat Meryl." She meant Meryl Streep, who was also up for the award.


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France bombs Mali rebels, African states ready troops


BAMAKO/PARIS (Reuters) - French aircraft pounded Islamist rebels in Mali for a second day on Saturday and neighboring West African states sped up their plans to deploy troops in an international campaign to prevent groups linked to al Qaeda expanding their power base.


France, warning that the control of northern Mali by the militants posed a security threat to Europe, intervened dramatically on Friday as heavily armed Islamist fighters swept southwards towards Mali's capital Bamako.


Under cover from French fighter planes and attack helicopters, Malian troops routed a rebel convoy and drove the Islamists out of the strategic central town of Konna, which they had seized on Thursday. A senior army officer in the capital Bamako said more than 100 rebel fighters had been killed.


A French pilot died on Friday when rebels shot down his helicopter near the town of Mopti. Hours after opening one front against al Qaeda-linked Islamists, France mounted a commando raid to try to rescue a French hostage held by al Shabaab militants in Somalia, also allied to al Qaeda, but failed to prevent the hostage being killed.


French President Francois Hollande made clear that France's aim in Mali was to support the West African troop deployment, which is also endorsed by the United Nations, the European Union and the United States.


Western countries in particular fear that Islamists could use Mali as a base for attacks on the West and expand the influence of al Qaeda-linked militants based in Yemen, Somalia and North Africa.


"We've already held back the progress of our adversaries and inflicted heavy losses on them," Hollande said. "Our mission is not over yet."


A resident in the northern city of Gao, one of the Islamists' strongholds, reported scores of rebel fighters were retreating northward in pickup trucks on Saturday.


"The hospital here is overwhelmed with injured and dead," he said, asking not to be identified for fear of reprisals.


In Konna, a shopkeeper reported seeing scores of dead Islamist fighters piled in the streets, as well as the bodies of dozens of uniformed soldiers.


A senior official with Mali's presidency announced on state television that 11 Malian soldiers had been killed in the battle for Konna, with around 60 others injured.


Human Rights Watch said around 10 civilians had died in the violence, including three children who drowned trying to cross a river to safety. It said other children recruited to fight for the Islamists had been injured.


With Paris urging West African nations to send in their troops quickly, Ivory Coast President Alassane Ouattara, chairman of the regional bloc ECOWAS, kick-started a U.N.-mandated operation to deploy some 3,300 African soldiers.


TROOPS BY MONDAY


The mission had not been expected to start until September.


"By Monday at the latest, the troops will be there or will have started to arrive," said Ali Coulibaly, Ivory Coast's African Integration Minister. "Things are accelerating ... The reconquest of the north has already begun."


The multinational force is expected to be led by Nigerian Major-General Shehu Abdulkadir and draw heavily on troops from West Africa's most populous state. Burkina Faso, Niger and Senegal each announced they would send 500 soldiers.


French army chief Edouard Guillaud said France had no plan to chase the Islamists into the north with land troops, and was waiting for ECOWAS forces. France has deployed some special forces units to the central town of Mopti and sent hundreds of soldiers to Bamako in "Operation Serval" - named after an African wildcat.


Concerned about reprisals on French soil, Hollande announced he had instructed Prime Minister Jean-Marc Ayrault to tighten security in public buildings and on public transport in France.


Hollande's intervention in Mali could endanger eight French nationals being held by Islamists in the Sahara. A spokesman for one of Mali's rebel groups, Ansar Dine, said there would be repercussions.


"There are consequences, not only for French hostages, but also for all French citizens, wherever they find themselves in the Muslim world," Sanda Ould Boumama told Reuters. "The hostages are facing death."


The French Defense Ministry said its failed bid on Friday night to rescue a French intelligence officer held hostage in Somalia since 2009 was unrelated to events in Mali.


The ministry said it believed the officer had been killed by his captors along with at least one French commando. But the Harakat Al-Shabaab Al-Mujahideen insurgent group that was holding Denis Allex said he was alive and being held at a location far from the raid.


RED ALERT


The French Foreign Ministry stepped up its security alert on Mali and parts of neighboring Mauritania and Niger on Friday, extending its red alert - the highest level - to include Bamako.


France advised its 6,000 citizens in Mali to leave. Thousands more French live across West Africa, particularly in Senegal and Ivory Coast.


European Union foreign policy chief Catherine Ashton on Friday urged an "accelerated international engagement" and said the bloc would speed up plans to deploy 200 troops to train Malian forces.


A U.S. official said the Pentagon was weighing options such as intelligence-sharing with France and logistics support. French officials suggest U.S. surveillance capacity, including unmanned drones, would prove valuable in vast northern Mali.


In Britain, a spokesman said Prime Minister David Cameron had spoken to Hollande to express support for France's intervention and to offer two C-17 transport planes to assist the mission.


He said both men discussed "the need to work with the Malian government, regional neighbors and international partners to prevent a new terrorist haven developing on Europe's doorstep and to reinvigorate the U.N.-led political process once the rebel advance has been halted".


Military analysts voiced doubt, however, about whether Friday's action was the start of a swift operation to retake northern Mali - a harsh, sparsely populated terrain the size of France - as neither equipment nor ground troops were ready.


"We're not yet at the big intervention," said Mark Schroeder, of the risk and security consultancy Stratfor.


More than two decades of peaceful elections had earned Mali a reputation as a bulwark of democracy - but that image unraveled in a matter of weeks after a military coup last March that paved the way for the Islamist rebellion.


Interim President Dioncounda Traore, under pressure for bolder action from Mali's military, declared a state of emergency on Friday. Traore cancelled a long-planned official trip to Paris on Wednesday because of the violence.


"Every Malian must henceforth consider themselves a soldier," he said on state TV.


On the streets of Bamako, some cars were driving around with French flags draped from the windows to celebrate Paris's intervention.


"It's thanks to France that Mali will emerge from this crisis," said student Mohamed Camera. "This war must end now."


(Additional reporting Adama Diarra, Tiemoko Diallo and Rainer Schwenzfeier in Bamako, Mathieu Bonkoungou in Ouagadougou, Joe Bavier in Abidjan and Elizabeth Pineau in Paris; Editing by Daniel Flynn and Kevin Liffey)



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Lions Befrienders charity race raises S$215,000 for senior activity centres






SINGAPORE: Call it a race to make a difference.

About 250 people took part in a car race organised by the Lions Befrienders to raise awareness about vulnerable seniors.

Acting Minister for Social and Family Development Chan Chun Sing flagged them off at the former Tanjong Pagar Railway Station

Participants were required to make pit stops at 12 islandwide checkpoints.

These included four activity centres run by Lions Befrienders where they played games and interacted with seniors there.

About S$215,000 was raised for senior activity centres.

Winners of the race received NTUC and car-grooming vouchers.

Outreach programme are conducted through six Senior Activity Centres (SACs) located in Ang Mo Kio, Bendemeer, Tampines, Ghim Moh, Clementi and Mei Ling.

At these SACs, Lions Befrienders promotes active ageing and continuous learning by engaging about 3,000 seniors activities and courses.

- CNA/fa



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BJP slams PM's 'silence' on LoC killings

NEW DELHI: The BJP has attacked the Prime Minister for his "silence" on the issue of killing of Indian soldiers on the line of control and said there was no clarity in the government's response.

"This country has never been insulted in such a manner," leader of the opposition in the Rajya Sabha Arun Jaitley said at a rally here on Sunday referring to last week's brutal killing of soldiers by Pakistani troops.

"And what it regrettable is that it has been six days since the incident, the Prime Minister is one of the tallest leaders of the country in a democracy. There has been no statement from him," he said.

The BJP leader said there was no clarity on the government's response to the incident.

"Which way will the relations with Pakistan go? Should the talks with Pakistan continue? What will be India's response? There is no word from the government," Jaitley said.

He said Pakistan had unleashed terror activities in India after losing a number of wars.

"But look at the guts of that country, India keeps extending a hand of friendship, refrains from use of harsh language and their soldiers come into our territory, kill two soldiers, take the severed head of one of the soldiers back with them. This country has never been insulted in such a manner," Jaitley said.

BJP has already demanded suspension of peace talks with Pakistan following the attack.

The soldiers were killed by Pakistani troops on January 8 after intruding deep into Indian territory along line of control (LoC) in Poonch district.

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