New whooping cough strain in US raises questions


NEW YORK (AP) — Researchers have discovered the first U.S. cases of whooping cough caused by a germ that may be resistant to the vaccine.


Health officials are looking into whether cases like the dozen found in Philadelphia might be one reason the nation just had its worst year for whooping cough in six decades. The new bug was previously reported in Japan, France and Finland.


"It's quite intriguing. It's the first time we've seen this here," said Dr. Tom Clark of the Centers for Disease Control and Prevention.


The U.S. cases are detailed in a brief report from the CDC and other researchers in Thursday's New England Journal of Medicine.


Whooping cough is a highly contagious disease that can strike people of any age but is most dangerous to children. It was once common, but cases in the U.S. dropped after a vaccine was introduced in the 1940s.


An increase in illnesses in recent years has been partially blamed on a version of the vaccine used since the 1990s, which doesn't last as long. Last year, the CDC received reports of 41,880 cases, according to a preliminary count. That included 18 deaths.


The new study suggests that the new whooping cough strain may be why more people have been getting sick. Experts don't think it's more deadly, but the shots may not work as well against it.


In a small, soon-to-be published study, French researchers found the vaccine seemed to lower the risk of severe disease from the new strain in infants. But it didn't prevent illness completely, said Nicole Guiso of the Pasteur Institute, one of the researchers.


The new germ was first identified in France, where more extensive testing is routinely done for whooping cough. The strain now accounts for 14 percent of cases there, Guiso said.


In the United States, doctors usually rely on a rapid test to help make a diagnosis. The extra lab work isn't done often enough to give health officials a good idea how common the new type is here, experts said.


"We definitely need some more information about this before we can draw any conclusions," the CDC's Clark said.


The U.S. cases were found in the past two years in patients at St. Christopher's Hospital for Children in Philadelphia. One of the study's researchers works for a subsidiary of Johnson & Johnson, which makes a version of the old whooping cough vaccine that is sold in other countries.


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JournaL: http://www.nejm.org


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Armstrong May Testify Under Oath on Doping













Facing a federal criminal investigation and a deadline that originally was tonight to tell all under oath to anti-doping authorities or lose his last chance at reducing his lifetime sporting ban, Lance Armstrong now may cooperate.


His apparent 11th-hour about-face, according to the U.S. Anti Doping Agency (USADA), suggests he might testify under oath and give full details to USADA of how he cheated for so long.


"We have been in communication with Mr. Armstrong and his representatives and we understand that he does want to be part of the solution and assist in the effort to clean up the sport of cycling," USADA CEO Travis T. Tygart said in a written statement this evening. "We have agreed to his request for an additional two weeks to work on details to hopefully allow for this to happen."


Neither Armstrong nor his attorney responded to emails seeking comment on the USADA announcement.


The news of Armstrong's possible and unexpected cooperation came a day after ABC News reported he was in the crosshairs of federal criminal investigators. According to a high-level source, "agents are actively investigating Armstrong for obstruction, witness tampering and intimidation" for allegedly threatening people who dared tell the truth about his cheating.








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The case was re-ignited by Armstrong's confession last month to Oprah Winfrey that he doped his way to all seven of his Tour de France titles, telling Winfrey he used performance-enhancing drugs throughout his career and then lied about it. He made the confession after years of vehement denials that he cheated.


READ MORE: Armstrong Admits to Doping


READ MORE: Lance Armstrong May Have Lied to Winfrey: Investigators


WATCH: Armstrong's Many Denials Caught on Tape


If charges are ultimately filed, the consequences of "serious potential crimes" could be severe, ABC News legal analyst Dan Abrams said -- including "possible sentences up to five, 10 years."


Investigators are not concerned with the drug use, but Armstrong's behavior in trying to maintain his secret by allegedly threatening and interfering with potential witnesses.


Armstrong was previously under a separate federal investigation that reportedly looked at drug distribution, conspiracy and fraud allegations -- but that case was dropped without explanation a year ago. Sources at the time said that agents had recommended an indictment and could not understand why the case was suddenly dropped.


"There were plenty of people, even within federal law enforcement, who felt like he was getting preferential treatment," said T.J. Quinn, an investigative reporter with ESPN.


The pressures against Armstrong today are immense and include civil claims that could cost him tens of millions of dollars.


Armstrong is currently serving a lifetime ban in sport handed down by the U.S. Anti-Doping Agency, and today was the deadline he was given to cooperate under oath if he ever wanted the ban lifted.


READ MORE: 10 Scandalous Public Confessions


PHOTOS: Olympic Doping Scandals: Past and Present


PHOTOS: Tour de France 2012


ABC News' Michael S. James contributed to this report.



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Stabbing at Ecuador campaign rally not politically motivated: Correa


QUITO (Reuters) - A knife attack in Ecuador that killed two government supporters was perpetrated by a man under the influence of drugs and alcohol and was not politically motivated, President Rafael Correa said on Tuesday.


The man killed two Correa supporters and injured five more at a campaign rally on Monday, about two weeks before a presidential election that the leftist leader is expected to win comfortably.


"There is no indication that this attack may have been politically motivated. It was a person who was temporarily insane and stabbed the people that he found in his way," Correa said at a press conference in Quito. "This person was under the influence of drugs and alcohol."


A 40-year-old man with a criminal record who had spent time at a drug rehab center was detained shortly after the attack and is in police custody.


Correa said that five people were injured, one more than the number previously given by authorities.


Such incidents are exceedingly rare in Ecuadorean political campaigns despite historically volatile politics in which presidents have been toppled during street protests.


It was the first significant act of violence in a presidential race that officially started on January 4.


In a chilling video broadcast on local TV networks, a man could be seen breaking through a rally of a few hundred Correa sympathizers and attacking them with a large knife. Dozens ran for their lives while some men tried to stop the attacker.


Correa said police at the event were caught off guard. He said the attack lasted less than 20 seconds.


The incident occurred ahead of a campaign rally in Quininde, a town in the western Esmeraldas province. The event was canceled following the attack and Correa suspended his campaign on Tuesday in solidarity with the victims.


Correa, an ally of socialist Venezuelan leader Hugo Chavez, is expected to win the February 17 vote. Polls give him between 50 percent and 60 percent of votes, at least 30 percentage points ahead of his nearest rival, Guillermo Lasso, a former banker.


The president is very popular in urban shanty towns and rural areas, where millions have seen their livelihoods improved thanks to record spending in roads, hospitals and schools.


(Writing By Eduardo Garcia; Editing by Stacey Joyce)



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Walking School Bus to ensure safe, enjoyable route for kids






SINGAPORE: Some pre-school children will be walking to and from school, in what's called the Walking School Bus.

They'll take a safe and enjoyable route, accompanied by adults.

The walk can be an informal affair or a structured arrangement with meeting points, a timetable and a schedule.

Children from PCF Tanjong Pagar-Tiong Bahru in Kim Tian Road are the first to try out the Walking School Bus - a free service by the Health Promotion Board (HPB) to get children to be physically active for up to three hours a day.

Walking School Buses are also practised in the United Kingdom, Europe, North America, Australia and New Zealand.

Walking can also help to save money, especially for those who use public transport when the pre-school centre is one or two bus stops away.

Pre-schools can apply to HPB for funding to organise their own Walking School Bus and activities that promote good health.

Besides walking, a series of fun dance routines with pre-school themes will be developed.

The first routine is ready and will be available on DVD to all childcare centres and kindergartens as well as parents.

These fun dance routines can be integrated into curriculum time to improve music and movement skills, or into subjects such as mathematics or numeracy to make lesson time more lively.

Over the next two years, HPB and KK Women's and Children's Hospital will jointly develop more fun dance routines.

- CNA/ck



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PM assured me all help, Narendra Modi says after meeting Manmohan Singh

NEW DELHI: Gujarat chief minister Narendra Modi called on Prime Minister Manmohan Singh here at 7RCR on Wednesday and sought parity on the gas pricing issue.

This was his first meeting with the Prime Minister after winning the last assembly elections in the state.

Later talking to reporters, Modi said he had very fruitful talks with the Prime Minister on a range of issues concerning the state.

The PM has promised to look into the gas price tussle, Modi said.

Modi said that the Prime Minister assured him of all possible help in programmes that will help the people of Gujarat.

The Gujarat chief minister said that he submitted a memorandum to the Prime Minister on issues related to Sardar Sarovar Dam.

Narendra Modi is scheduled to address students in the national capital later in the day.

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Critics seek to delay NYC sugary drinks size limit


NEW YORK (AP) — Opponents are pressing to delay enforcement of the city's novel plan to crack down on supersized, sugary drinks, saying businesses shouldn't have to spend millions of dollars to comply until a court rules on whether the measure is legal.


With the rule set to take effect March 12, beverage industry, restaurant and other business groups have asked a judge to put it on hold at least until there's a ruling on their lawsuit seeking to block it altogether. The measure would bar many eateries from selling high-sugar drinks in cups or containers bigger than 16 ounces.


"It would be a tremendous waste of expense, time, and effort for our members to incur all of the harm and costs associated with the ban if this court decides that the ban is illegal," Chong Sik Le, president of the New York Korean-American Grocers Association, said in court papers filed Friday.


City lawyers are fighting the lawsuit and oppose postponing the restriction, which the city Board of Health approved in September. They said Tuesday they expect to prevail.


"The obesity epidemic kills nearly 6,000 New Yorkers each year. We see no reason to delay the Board of Health's reasonable and legal actions to combat this major, growing problem," Mark Muschenheim, a city attorney, said in a statement.


Another city lawyer, Thomas Merrill, has said officials believe businesses have had enough time to get ready for the new rule. He has noted that the city doesn't plan to seek fines until June.


Mayor Michael Bloomberg and other city officials see the first-of-its-kind limit as a coup for public health. The city's obesity rate is rising, and studies have linked sugary drinks to weight gain, they note.


"This is the biggest step a city has taken to curb obesity," Bloomberg said when the measure passed.


Soda makers and other critics view the rule as an unwarranted intrusion into people's dietary choices and an unfair, uneven burden on business. The restriction won't apply at supermarkets and many convenience stores because the city doesn't regulate them.


While the dispute plays out in court, "the impacted businesses would like some more certainty on when and how they might need to adjust operations," American Beverage Industry spokesman Christopher Gindlesperger said Tuesday.


Those adjustments are expected to cost the association's members about $600,000 in labeling and other expenses for bottles, Vice President Mike Redman said in court papers. Reconfiguring "16-ounce" cups that are actually made slightly bigger, to leave room at the top, is expected to take cup manufacturers three months to a year and cost them anywhere from more than $100,000 to several millions of dollars, Foodservice Packaging Institute President Lynn Dyer said in court documents.


Movie theaters, meanwhile, are concerned because beverages account for more than 20 percent of their overall profits and about 98 percent of soda sales are in containers greater than 16 ounces, according to Robert Sunshine, executive director of the National Association of Theatre Owners of New York State.


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Syrian opposition chief says offers Assad peaceful exit


BEIRUT (Reuters) - Syrian opposition leader Moaz Alkhatib urged Syrian President Bashar al-Assad's government on Monday to start talks for its departure from power and save the country from greater ruin after almost two years of bloodshed.


Seeking to step up pressure on Assad to respond to his offer of talks - which dismayed some in his own opposition coalition, Alkhatib said he would be ready to meet the president's deputy.


"I ask the regime to send Farouq al-Shara - if it accepts the idea - and we can sit with him," he said, referring to Syria's vice president who has implicitly distanced himself from Assad's crackdown on mass unrest that became an armed revolt.


Speaking after meeting senior Russian, U.S. and Iranian officials, Alkhatib said none of them had an answer to the 22-month-old crisis and Syrians must solve it themselves.


"The issue is now in the state's court...to accept negotiations for departure, with fewer losses," the Syrian National Coalition leader told Al Arabiya television.


The moderate Islamist preacher announced last week he was prepared to talk to Assad's representatives. Although he set several conditions, the move broke a taboo on opposition contacts with Damascus and angered many in its ranks who insist on Assad's departure as a precondition for negotiation.


Alkhatib said it was not "treachery" to seek dialogue to end a conflict in which more than 60,000 people have been killed, 700,000 have been driven from their country and millions more are homeless and hungry.


"The regime must take a clear stand (on dialogue) and we say we will extend our hand for the interest of people and to help the regime leave peacefully," he said in separate comments to Al Jazeera television.


Assad announced last month what he said were plans for reconciliation talks to end the violence but - in a speech described by U.N. Syria envoy Lakhdar Brahimi as narrow and uncompromising - he said there would be no dialogue with people he called traitors or "puppets made by the West".


Syria's defense minister said the army had proved it would not be defeated in its confrontation with rebels but declined to say whether it would respond to an Israeli air strike last week.


Security sources said the Israelis bombed a convoy of arms destined for Assad's ally Hezbollah, a sworn enemy of Israel, in neighboring Lebanon. Syria said the attack struck vehicles and buildings at a military research center near Lebanon's border.


Syria's uprising erupted in March 2011 with largely peaceful protests, escalating into a civil war pitting mainly Sunni Muslim rebels against Assad, who is from Syria's Alawite minority. His family has ruled Syria for 42 years.


ANGER AT IRAN


The violence has divided major powers, with Russia and China blocking U.N. Security Council draft resolutions backed by the United States, European Union and Sunni Muslim Gulf Arab states that could have led to U.N. sanctions isolating Assad. Shi'ite Iran has remained his strongest regional supporter.


Alkhatib met Iranian Foreign Minister Ali Akbar Salehi, Russian Foreign Minister Sergei Lavrov and U.S. Vice President Joe Biden at a security conference in Germany at the weekend.


"Iran's stance is unacceptable and I mentioned to the foreign minister that we are very angry with Iran's support for the regime," Alkhatib said.


He said he asked Salehi to pass on his offer of negotiations - based on the acceptance of the Assad government's departure - to Damascus. The two men also discussed the need to prevent Syria's crisis spreading into a regional conflict between Sunni and Shi'ite Muslims, he said.


"We will find a solution, there are many keys. If the regime wants to solve (the crisis), it can take part in it. If it wants to get out and get the people out of this crisis, we will all work together for the interest of the people and the departure of the regime."


One proposal under discussion was the formation of a transitional government, Alkhatib said, without specifying how he thought that could come about. World powers agreed a similar formula seven months ago but then disagreed over whether that could allow Assad to stay on as head of state.


Activists reported clashes between the army and rebel fighters to the east of Damascus on Monday and heavy shelling of rebel-held areas of the central city of Homs. The Jobar neighborhood, on the southwestern edge of Homs, was hit by more than 100 rockets on Monday morning, an opposition activist said.


The Syrian Observatory for Human Rights said at least 90 people were killed by dusk on Monday.


It said 180 people were killed across the country on Sunday, including 114 rebel fighters and soldiers. Sunday's death toll included 28 people killed in the bombardment of a building in the Ansari district of the northern city of Aleppo.


Assad has described the rebels as foreign-backed Islamist terrorists and said a precondition for any solution is that Turkey and Sunni-ruled Gulf Arab states stop funding, sheltering and arming his foes.


The majority of the insurgents are Islamists but those affiliated with al Qaeda are smaller in number, although their influence is growing. For that reason, Western states have been loath to arm the rebels despite their calls for Assad's ouster.


Rebels and activists say that Iran and the Lebanese Shi'ite militant movement Hezbollah have sent fighters to reinforce Assad's army - an accusation that both deny.


ECONOMIC SUPPORT


"The army of Syria is big enough, they do not need fighters from outside," Iran's Salehi said in Berlin on Monday.


"We are giving them economic support, we are sending gasoline, we are sending wheat. We are trying to send electricity to them through Iraq; we have not been successful."


Iranian President Mahmoud Ahmadinejad said later on Monday that Syria's crisis could not be solved by military means and he called for a national accord leading to elections.


"War is not the solution...A government that rules through war - its work will be very difficult. A sectarian war should not be launched in Syria," he told Al Mayadeen television.


"We believe that (deciding) whoever stays or goes is the right of the Syrian people. How can we interfere in that? We must strive to achieve national understanding, and free elections."


Another Iranian official, speaking in Damascus after talks with Assad, said Israel would regret an air strike against Syria last week, without spelling out whether Iran or its ally planned a military response.


Salehi, Russian Foreign Minister Sergei Lavrov and U.S. Vice President Joe Biden all met Alkhatib in Munich at the weekend and portrayed his willingness to talk with Syrian authorities as a major step towards resolving the war.


But Alkhatib is under pressure from other members of the exiled leadership in Cairo for saying he would be willing to talk to Assad. Walid al-Bunni, a member of the Coalition's 12-member politburo, dismissed Alkhatib's meeting with Salehi.


"It was unsuccessful. The Iranians are unprepared to do anything that could help the causes of the Syrian Revolution," Bunni, a former political prisoner, told Reuters from Budapest.


(Additional reporting by Yeganeh Torbati in Dubai and Stephen Brown in Berlin; Editing by Mark Heinrich)



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Third world is swamped with fake TB drugs: study

 





PARIS: Africa, India and other developing countries are awash in fake or sub-standard drugs for tuberculosis, fuelling the rise of treatment-resistant strains of TB, according to a survey published on Tuesday.

Investigators in the United States asked local people in 19 cities in 17 countries to purchase isoniazid and rifampicin, the frontline antibiotics for TB, from a private-sector pharmacy.

The samples were then examined by chromatography, a technique that detects chemical signature, for their active ingredient.

They were also tested for disintegration, to see if they properly broke up in water at body temperature within 30 minutes.

Out of 713 samples, 9.1 percent failed these basic quality control tests, according to the probe, published in the International Journal of Tuberculosis and Lung Disease.

Around half of the failed samples had zero active ingredients, "making them likely to contribute to drug resistance," it said.

Resistance to TB drugs develops when treatment fails to kill the bacteria that causes it -- either because the patient fails to follow their prescribed dosages or, as in this case, the drug doesn't work.

It can also be contracted through rare forms of the disease that are directly transmissible from person to person.

Dud drugs were manufactured by legitimate companies and criminal fraudsters, said the report.

The pharmacies where the drugs were purchased were in Luanda, Angola; Sao Paulo, Brazil; Beijing, China; Lubumbashi, Democratic Republic of Congo; Cairo, Egypt; Addis Ababa, Ethiopia; Accra, Ghana; Chennai, Delhi and Kolkata, India; Nairobi, Kenya; Lagos, Nigeria; Moscow, Russia; Kigali, Rwanda; Dar-es-Salaam, Tanzania; Bangkok, Thailand; Istanbul, Turkey; Kampala, Uganda; and Lusaka, Zambia.

The failure rate was 16.6 percent in Africa, 10.1 percent in India and 3.9 percent in Brazil, China, Thailand, Turkey and Russia.

Nearly nine million people around the world have TB, including more than 400,000 with a multidrug-resistant form of the disease, according to estimates for 2011 compiled by the World Health Organisation (WHO).

TB is one of the world's deadliest diseases. It is spread from person to person through the air and usually affects the lungs, but it can also affect other parts of the body such as the brain and kidneys.

-AFP/gn




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Sri Lankan president rules out autonomy for Tamils

COLOMBO: Sri Lankan president on Monday ruled out giving Tamils greater political autonomy, appearing to back away from his long-stalled promise to empower the ethnic minority as part of the country's reconciliation process following a bloody quarter-century civil war.

President Mahinda Rajapaksa made his about-face despite growing international pressure to compromise with the minority and to investigate allegations of war crimes.

Sri Lanka is expected to face questions from the UN Human Rights Council in March on its progress in implementing its own war commission report, which also recommends investigating alleged human rights violations and giving autonomy to Tamils.

The United States has said it will sponsor a resolution at the council for a second straight year on the implementation of the war commission report.

The pressure comes nearly four years after the government, dominated by the ethnic Sinhalese majority, defeated the separatist Tamil Tiger rebels, who had been demanding an independent Tamil nation after decades of perceived discrimination. According to a United Nations' estimate, 80,000 to 100,000 people were killed during the war, which ended in 2009, but other reports suggest it could be much higher.

"When the people live together in unity there are no racial or religious differences," Rajapaksa said in his independence day speech.

"Therefore, it is not practical for this country to have different administrations based on ethnicity. The solution is to live together in this country with equal rights for all communities," he said.

Rajapaksa has long promised the United Nations and other countries that he would offer power sharing as an alternative to the insurgent's fight for secession.

Rajapaksa in his speech called on the international community not to believe in propaganda and to visit Sri Lanka to see the country's human rights record.

He said the UN charter does not allow the world body to intervene in the domestic affairs of its member states.

Meanwhile, the main ethnic Tamil political party said in a statement that the UN Human Rights Council must take "stern action" against the Sri Lankan government, saying it has not been sincere in investigating abuses and sharing power.

Talks between the government and Tamil National Alliance have stalled for more than a year, and the party says the government is militarizing the north and settling majority ethnic Sinhalese.

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Bullying study: It does get better for gay teens


CHICAGO (AP) — It really does get better for gay and bisexual teens when it comes to being bullied, although young gay men have it worse than their lesbian peers, according to the first long-term scientific evidence on how the problem changes over time.


The seven-year study involved more than 4,000 teens in England who were questioned yearly through 2010, until they were 19 and 20 years old. At the start, just over half of the 187 gay, lesbian and bisexual teens said they had been bullied; by 2010 that dropped to 9 percent of gay and bisexual boys and 6 percent of lesbian and bisexual girls.


The researchers said the same results likely would be found in the United States.


In both countries, a "sea change" in cultural acceptance of gays and growing intolerance for bullying occurred during the study years, which partly explains the results, said study co-author Ian Rivers, a psychologist and professor of human development at Brunel University in London.


That includes a government mandate in England that schools work to prevent bullying, and changes in the United States permitting same-sex marriage in several states.


In 2010, syndicated columnist Dan Savage launched the "It Gets Better" video project to encourage bullied gay teens. It was prompted by widely publicized suicides of young gays, and includes videos from politicians and celebrities.


"Bullying tends to decline with age regardless of sexual orientation and gender," and the study confirms that, said co-author Joseph Robinson, a researcher and assistant professor of educational psychology at the University of Illinois in Urbana-Champaign. "In absolute terms, this would suggest that yes, it gets better."


The study appears online Monday in the journal Pediatrics.


Eliza Byard, executive director of the Gay, Lesbian & Straight Education Network, said the results mirror surveys by her anti-bullying advocacy group that show bullying is more common in U.S. middle schools than in high schools.


But the researchers said their results show the situation is more nuanced for young gay men.


In the first years of the study, gay boys and girls were almost twice as likely to be bullied as their straight peers. By the last year, bullying dropped overall and was at about the same level for lesbians and straight girls. But the difference between men got worse by ages 19 and 20, with gay young men almost four times more likely than their straight peers to be bullied.


The mixed results for young gay men may reflect the fact that masculine tendencies in girls and women are more culturally acceptable than femininity in boys and men, Robinson said.


Savage, who was not involved in the study, agreed.


"A lot of the disgust that people feel when you bring up homosexuality ... centers around gay male sexuality," Savage said. "There's more of a comfort level" around gay women, he said.


Kendall Johnson, 21, a junior theater major at the University of Illinois, said he was bullied for being gay in high school, mostly when he brought boyfriends to school dances or football games.


"One year at prom, I had a guy tell us that we were disgusting and he didn't want to see us dancing anymore," Johnson said. A football player and the president of the drama club intervened on his behalf, he recalled.


Johnson hasn't been bullied in college, but he said that's partly because he hangs out with the theater crowd and avoids the fraternity scene. Still, he agreed, that it generally gets better for gays as they mature.


"As you grow older, you become more accepting of yourself," Johnson said.


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Online:


Pediatrics: http://www.pediatrics.org


It Gets Better: http://www.itgetsbetter.org


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


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