Large dengue fever outbreak in Madeira spreads cases in Europe

LONDON (Reuters) – Europe is experiencing its first sustained transmission of dengue fever since the 1920s with more than 1,300 people infected with the mosquito-borne disease in the Portuguese archipelago of Madeira.

In a rapid risk assessment, the European Centre for Disease Prevention and Control (ECDC) said that 25 cases of the disease – which is also called “breakbone fever” because of the severe pain it can cause – have been found elsewhere in Europe in travelers returning from Madeira.

Such cases have so far been picked up in Portugal, Britain, Germany, Sweden and France, it said.

“Given the dramatic expansion of endemic dengue transmission globally over the last 20 to 30 years and the high number of visitors to Madeira, the outbreak is large and constitutes a significant public health event,” the ECDC said in an assessment issued late on Tuesday.

Since the outbreak began in early October, 1,357 cases of dengue fever have been reported by health workers in Madeira, including 669 laboratory-confirmed cases and 688 probable cases.

Eighty-nine people have received hospital treatment but there have been no deaths so far.

Dengue is a viral infection that can cause a range of symptoms, from mild flu-like illness to more serious illnesses including rashes and bone pain. Severe and potentially deadly forms develop in around 5 percent of patients.

The most efficient carriers of the disease, mosquitoes known as Aedes aegypti, have an established presence in Madeira, an archipelago north of the Canary Islands in the Atlantic Ocean.

The ECDC, which monitors disease in the region, said it was working with European Union member states and the European Commission to make sure cases in returning tourists were fully reported and tracked.

Local transmissions of dengue fever in Europe were recorded in France and Croatia in 2010, but the Madeira outbreak is the first sustained transmission of the disease since the 1920s and is expected to continue to the end of the year.

Beyond that, “mosquito density will probably decrease”, the ECDC said.

Earlier this year, Greek health officials attributed the death of an 80-year-old man to its first case of dengue since an outbreak there in 1927-28. Greece is suffering an upsurge in mosquito-borne diseases, including malaria.

The ECDC did not recommend any Madeira travel restrictions, but advised protection against mosquito bites, including disinfection and control of mosquitoes at ports and airports.

Since dengue-carrying mosquitoes are daytime biters, it said protection should be applied throughout the day.

The ECDC also advised authorities in geographical areas neighboring Madeira, such as the Canary Islands, to step up surveillance of Aedes mosquito populations to assess the risk that dengue fever might spread.

(Editing by Andrew Osborn)

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Map: Where the Emotionally Challenged Live

U.S. pollster Gallup conducted a survey in 152 countries to compare how people feel about their lives. Singapore ranks as the world’s most emotionless society, behind Georgia, Lithuania, and Russia. Singaporeans are unlikely to report feelings of anger, physical pain, or other negative emotions. They’re not laughing a lot, either. “If you measure Singapore by the traditional indicators, they look like one of the best-run countries in the world,” says Jon Clifton, a Gallup partner in Washington. “But if you look at everything that makes life worth living, they’re not doing so well.”

Some of Gallup’s questions are straightforward. Evaluate your life on a scale of zero to 10: ­Danes are the most satisfied and people from Togo in West Africa are the least. No surprises, too, when Gallup asked people to say whether life would be better or worse five years from now. The award for most pessimistic goes to the inhabitants of Greece, ground zero of the euro debt crisis. Last year, the people most likely to report feeling stress, anger, sadness, worry, or pain were Iraqis. The most emotional nation? The Philippines.

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Singer Fiona Apple cancels tour dates to be with ailing dog

LOS ANGELES (Reuters) – Grammy award-winning singer Fiona Apple said in a handwritten letter posted on her website on Tuesday that she has canceled upcoming tour dates in North and South America to be with her ailing dog.

Apple, who vowed to make up the concerts, called off three shows in Brazil between November 27 and 30, a Buenos Aires festival appearance on December 1-2 and a December 9 performance in Mexico City, according to her record label, Epic.

The “Criminal” singer and pianist said her 13-year-old pit bull Janet has been suffering from a tumor in her chest among other ailments and appears to be dying.

“She’s my best friend and my mother and my daughter, my benefactor and she’s the one who taught me what love is,” Apple wrote in the four-page letter she penned last week but did not release until Tuesday. “I can’t come to South America. Not now.”

Apple, 35, said that she wants to appreciate the final days with her dog. “I will not be the woman who puts her career ahead of love and friendship,” Apple wrote.

The singer-songwriter, who is touring in support of “The Idler Wheel … ” album, was arrested in September in Texas and charged with felony drug possession for having four grams of hashish, a form of cannabis.

(Reporting By Eric Kelsey; editing by Patricia Reaney and Todd Eastham)

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U.S. fiscal impact of great concern to Canada: Canada’s Harper

TORONTO (Reuters) – Any fiscal problems that would significantly slow the U.S. economy would be of great concern to Canada, Canadian Prime Minister Stephen Harper said on Monday.

The United States needed a credible medium-term fiscal plan, Harper said at a business forum in Ottawa, adding that he was following the U.S. fiscal debate with “great interest.”

(Reporting by Solarina Ho)

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Denver man accused of threatening to kill Obama mentally ill: judge

DENVER (Reuters) – A 20-year-old Colorado man charged with threatening to kill President Barack Obama during a visit to the state is severely mentally ill and must remain in custody, a federal judge ruled on Monday.

Mitchell Kusick was arrested this month by the U.S. Secret Service at his parents’ suburban Denver home after his mental health therapist told police last month that Kusick had revealed to the therapist that he wanted to kill the president, and had been trying to keep track of his visits to the Denver area.

A U.S. Secret Service affidavit showed that Kusick also “made credible threats and took steps” toward shooting and killing children at a trick-or-treat Halloween event sponsored by a Denver-area high school.

“It’s clear to the court that the defendant has a severe mental illness,” U.S. District Court Magistrate Judge Kristin Mix said in denying a request from Kusick’s attorney to allow him to be released on bond.

Mix said Kusick had been diagnosed as having bipolar disorder and posed a “risk to the community.”

Kusick’s attorney, Marci Gilligan, argued that Kusick should be released under electronic monitoring pending trial and be required to live with his parents and to take medications to control his illness.

She said he had “a breakdown” on October 28 and sought help by calling his therapist for an emergency appointment.

Kusick was hospitalized for mental disorders from October 29 to November 9, when mental health providers decided he was not then a threat, Gilligan told the judge.

The Secret Service, who had interviewed Kusick in a mental ward, arrested him because “they were concerned for the community’s safety,” Assistant U.S. Attorney Richard Hosley said.

The Secret Service agent’s affidavit said Kusick had told his therapist he had had daily homicidal fantasies for years. An agent testified on Monday that books about assassinations were found during a search of the home of Kusick’s parents, where he had been living.

(This story has been corrected to fix headline to say “man accused of threatening” instead of “man who threatened”; also corrects paragraphs 1-2 to show death threat was not tied to a specific visit; removes timing of diagnosis in paragraph 5)

(Editing by Cynthia Johnston and Mohammad Zargham)

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Energy tariff plan to be outlined

20 November 2012 Last updated at 03:00 ET

The government will detail later how it intends to force energy firms to offer customers the lowest suitable tariff.

Energy Secretary Ed Davey will set out plans for fulfilling the PM’s pledge last month to bring in legislation.

He will say that companies will have to reduce the number of tariffs to four each for gas and electricity, in a bid to cut the confusing array on offer.

However, Labour said the cheapest deal in an uncompetitive market will still not be a good deal.

David Cameron’s pledge appeared to be a surprise to the energy department at the time.

Automatic switch

In an appearance before Parliament’s energy select committee, Mr Davey is expected to say that firms will offer just four core tariffs for both gas and electricity – a fixed price for a fixed term and a standard variable rate, with two others based on different criteria such as payment method or whether renewable energy is a factor.

Under the plans, companies would be forced to switch customers automatically to the lowest suitable tariff unless they objected.

BBC deputy political editor James Landale says Downing Street insists this means Mr Cameron will have fulfilled his promise.

“But the real test will be whether people actually see smaller bills at a time when energy prices are rising,” our correspondent adds.

Energy regulator Ofgem had been looking into pricing for some time, and published its proposals just days after Mr Cameron’s pledge, but it did not go as far as the government intends to.

Ofgem’s proposals included banning complex multi-tier tariffs, new personalised information to help consumers find their best deal, and ensuring customers default to the cheapest option at the end of a fixed-term contract.

Currently most people buy their gas and electricity from just six big suppliers, although there are smaller suppliers, amid a vast selection of tariffs.

Last month business groups warned that forcing companies to give customers the cheapest tariffs could damage competition in the market.

Renewable targets

The structure of the charges can vary depending on payment method (by direct debit, pre-payment meter, or credit transfer such as cheque), on whether it is an internet-only tariff, which part of the country the customer lives in, if the deal involves a fixed price, when the deal was launched, how long it lasts, and so on.

Commenting ahead of the government’s expected announcement, Labour’s Caroline Flint MP, accused ministers of a “complete breakdown in energy and climate change policy”.

The shadow energy secretary said: “David Cameron’s promises to get tough with the energy giants and to lead the greenest government are lying in tatters.

“Over a month ago David Cameron promised to force the energy companies to put all customers on the cheapest tariff, but since then millions of families have seen their bills go up.”

She warned that “the cheapest deal in an uncompetitive market will still not be a good deal”.

“Unless David Cameron stands up to vested interests in the energy market and creates a tough new watchdog with powers to force energy companies to pass on price cuts his warm words will be cold comfort to people worried about paying their fuel bill this winter,” she said.

Meanwhile, MPs have urged Mr Cameron to end uncertainty for investors and set clear targets for clean energy in 2030.

The Environmental Audit Committee says firms will only invest enough in new renewables if the 2030 target is fixed in the forthcoming Energy Bill.

But Chancellor George Osborne rejects the target – and BBC News understands he is now being backed by the prime minister.

The coalition is seeking a compromise to allow the Liberal Democrats to retain pride in their flagship Bill.

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Why Oscar’s “Simple” Date-Change Is a Ticking Time Bomb

LOS ANGELES (TheWrap.com) – The press release didn’t look as if it contained big news.

“Key Dates Announced for the 85th Academy Awards,” read the headline on the September 18 announcement, which came significantly later than usual for the Academy and contained one seemingly innocuous line:

“In an effort to provide members and the public a longer period of time to see the nominated films, the Academy will reveal the 85th Academy Awards nominations on January 10, five days earlier than previously announced.”

But that little change – those five days, which moved the nominations from what was already an unusually early slot to the Thursday before the Golden Globes – has shaken all things Oscar, essentially detonating a time bomb across the Academy Awards landscape.

As advertised, the move will give members of the Academy and prospective viewers extra time to see the 35 or so features that will be nominated (plus another 10 documentaries and foreign-language films) – but it’ll give them significantly less time to see the 250 to 300 films that are eligible to be nominated.

“As an Academy member, I’m not happy about it,” said one voter, who was typical of those TheWrap has spoken to. “It’s short-sighted and unfair to members, and they’re limiting the number of movies that might get nominated because members won’t see as many. And as a marketer, it hampers you in every way and forces you to flood people with emails and mailings and screenings and screeners to get all your stuff out by January 1.”

Grumbling, moaning and the occasional gnashing of teeth over the compressed timeline has been almost constant since the announcement. One commonly heard phrase is, “What were they thinking?” Another is, “I know what they were thinking, and it has nothing to do with what they say they were thinking.”

To this latter camp, which includes both outsiders and AMPAS members, the clear intent of the move was to hurt the Golden Globes, the tacky show whose importance on the awards calendar has always rankled the Academy.

The governors were said to be determined to make the Globes (and its presenting body, the much-maligned Hollywood Foreign Press Association) irrelevant by announcing Oscar nominations before the Globes even happen … as if that would stop people from tuning in or persuade NBC, Dick Clark Productions or the HFPA to pull the plug on a multimillion-dollar cash cow that they would no doubt move to Thanksgiving weekend before they’d ever consider giving it up.

Yes, the move will put the Globes in the awkward position of taking place at a point where trade ads are more likely to proudly trumpet “six Oscar nominations!” than “Golden Globe winner!” And by the time Academy members are able to vote, the Globes results will most likely forgotten by anybody casting an Oscar ballot.

The move won’t impact the Globes ratings, but it could conceivably reduce attendance at the show: If a star hoping to use a fabulous Globes acceptance speech to boost an Oscar candidacy winds up not being nominated, will he or she still feel inclined to show up for the HFPA’s dog-and-pony show?

Among other awards shows, the real casualty could be the Broadcast Film Critics Association‘s Critics’ Choice Movie Awards, a reliable Oscar precursor that this year is scheduled to take place the evening of the day on which Oscar noms are announced.

It’s hard to imagine too many actors wanting to put on a brave face and mingle with nominated colleagues only a few hours after learning that Oscar voters have ignored them; I’m guessing the BFCA may find itself with at least a few last-minute cancellations and lame excuses.

But the move’s repercussions go far beyond other awards shows.

A voting window that ends on January 3, immediately after the Christmas/New Year’s holidays, will mean more pressure to book early screenings, more of a push to get parties and Q&As done before the holidays, and outright desperation to have screeners in voters’ hands before they head to Aspen or Hawaii for the break.

And for films released in December – a typical Oscar slot that has been utilized quite effectively in the past by the likes of “Million Dollar Baby” and “Shakespeare in Love” – the new calendar could be a killer: With nominating ballots due so soon after the holidays, films had better be must-sees if they want to get voters to check them out before casting their ballots.

Obviously, that won’t hurt the December releases “Django Unchained,” “Zero Dark Thirty,” “Les Miserables” and “The Hobbit” – those are no-brainers for any Academy member who wants to be the slightest bit thorough. But what about a lower-profile film like Michael Haneke’s “Amour,” which Sony Classics is releasing on December 19?

The Cannes Palme d’Or winner is strong enough to escape the foreign-language category and become a viable Best Picture contender if enough members see it, but SPC may have to push awfully hard to get it in front of voters already facing a year-end crunch.

The move also puts a hit on the Palm Springs International Film Festival, whose annual Awards Gala, which typically honors an array of Oscar hopefuls, now falls three days after polls close.

And the late-January Santa Barbara International Film Festival now sits in the 29-day no-man’s-land between the nominations and the opening of final voting, long enough after nominations that some potential honorees might want to wait for the Academy’s verdict before committing to an SBIFF tribute.

Still, it’ll make things easier for Oscar-watchers who also want to go to the Sundance Film Festival; rather than noms coming in the middle of that fest, they will happen two weeks before Park City kicks off.

And yes, the new calendar will, as advertised, give viewers and voters more time to watch the nominated films.

The same voter who slammed the move as unfair for members and terrible for marketers did concede one thing: “From the exhibition point of view, I think it’s a good thing. You get an additional two weeks in theaters with the films that have been nominated, and we all know that’s where the money is made.”

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Canada pledges again to balance budget by 2015

OTTAWA/NEW YORK (Reuters) – The Canadian government on Friday reiterated its intention to balance its budget by 2015, three days after projecting there would be deficits until 2016-17.

In separate appearances in Quebec City and New York, Prime Minister Stephen Harper and Finance Minister Jim Flaherty were at pains to say they still intended to end the red ink by 2015.

“It remains the government’s plan, intention, to balance the budget prior to the next federal election. The recent economic and fiscal update by the minister indicates we are actually very close to that objective,” Harper told reporters in Quebec City. The next election is in October 2015.

Flaherty’s fall fiscal update on Tuesday had pushed back the target date for eliminating the deficit by a year, to 2016-17, citing a weak global economy.

But the minister said in a speech in New York that the government was on track to balance the budget in the next two to three years, barring major external events, and he later clarified that he intended a balanced budget by 2015.

“The prime minister’s always correct,” he chuckled.

He sought to explain the discrepancy by saying the fiscal update had built in a C$ 3 billion ($ 3 billion) contingency cushion, meaning there was an underlying surplus of C$ 1.2 billion for 2015-16. He said the projection of a C$ 1.8 billion deficit amounted to about half a percent of the C$ 275 billion federal budget.

“There’s lots of water to go under the bridge between now and then,” he said.

The opposition New Democratic Party noted the discrepancy in a release headlined: “Stephen Harper makes stuff up about balancing the budget.”

It pointed out that balancing the budget by the next election was not the same as balancing it by 2016-17.

As it is, even the 2015-16 timetable is a year later than offered in the Conservative campaign for reelection in May 2011. They had promised a balanced budget by 2014-15, followed by major personal income tax relief before the 2015 election.

Flaherty’s timetable drew criticism this week from the Canadian Taxpayers Federation, which said the minister had become expert at kicking the can down the road.

The projections could be thrown out of whack if the United States goes off the fiscal cliff, a set of automatic tax hikes and spending cuts that are to be triggered on January 2 if legislators and the White House cannot agree on a more nuanced budget deal.

Flaherty said U.S. failure to avert the fiscal cliff would cause a significant and immediate decline in Canada’s gross domestic product, and he would counter it.

Referring to a possible economic shock from Europe or the United States, he said: “If that were to happen and if the Canadian economy were to be pushed back into recession with the resulting danger for higher unemployment and the danger always of a prolonged recession, then we would act.”

He added: “We would not stand by and let that happen. The kinds of measure we can take: there are various tax measures we can take, there are measures with respect to stimulus we can take, these are things that we have done before and we can do again.”

On Tuesday, Flaherty spoke of having prepared various contingency plans.

(Additional reporting by Louse Egan; Editing by David Gregorio)

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One in 20 youth has used steroids to bulk up: study

NEW YORK (Reuters Health) – About five percent of middle and high school students have used anabolic steroids to put on muscle, according to a new study from Minnesota.

In addition to steroid use, more than one-third of boys and one-fifth of girls in the study said they had used protein powder or shakes to gain muscle mass, and between five and 10 percent used non-steroid muscle-enhancing substances, such as creatine.

Researchers said a more muscular body ideal in the media may be one factor driving teens to do anything possible to get toned, as well as pressure to perform in sports.

“Really the pressure to start using (steroids) is in high school,” said Dr. Linn Goldberg, from Oregon Health & Science University in Portland.

“You get the influence of older teens in high school, so when you’re a 14-year-old that comes in, you have 17-year-olds who are the seniors, and they can have great influence as you progress into the next stage of your athletic career.”

The new data came from close to 2,800 kids and teens at 20 different middle and high schools in the Minneapolis/St. Paul area. During the 2009-2010 school year, those students completed a survey on food and weight-related behaviors, including activities tied to muscle gain.

The majority of kids surveyed were poor or middle-class.

Almost all of them had engaged in at least one muscle-building activity in the past year, most often working out more to get stronger. But up to one-third of kids and teens used what the researchers deemed to be unhealthy means to gain muscle mass, including taking steroids and other muscle-building substances or overdoing it on protein shakes, dieting and weight-lifting.

Student-athletes were more likely than their peers to use most methods of muscle-building. Steroid use, however, was equally common among athletes and non-athletes.

According to findings published Monday in the journal Pediatrics, Asian students were three to four times more likely to have used steroids in the past year than white students. Most Asians in the study were Hmong, lead researcher Marla Eisenberg from the University of Minnesota in Minneapolis and her colleagues noted.

Their study shows higher adolescent use of steroids and other muscle-boosting substances than most other recent research and “is cause for concern,” according to the researchers. But it’s not clear whether the findings would apply to an area outside of the Twin Cities, or among wealthier students, they noted.

ROID RAGE?

Anabolic steroids are synthetic versions of testosterone, the male sex hormone. Steroids are prescribed legally to treat conditions involving hormone deficiency or muscle loss, but when they’re used for non-medical purposes, it’s typically at much higher doses, according to the National Institute on Drug Abuse.

In those cases, steroids can cause mood swings – sometimes known as roid rage – and for adolescents, stunted growth and accelerated puberty.

Anabolic steroids have become pervasive in professional sports, including baseball, football and boxing. (Another example of performance-enhancing drug use is “blood doping” with erythropoietin or EPO, which is behind the Lance Armstrong cycling controversy that caused him to be stripped of his Tour de France titles last month.)

Experts have worried that the drive to get ahead of competitors at any cost could trickle down to college and high school athletes, as well.

Goldberg, co-developer of the ATLAS and ATHENA programs to prevent steroid and other substance use on high school teams, said it’s important to give teens healthier alternatives to build muscle.

“I would stay away from all supplements, because you don’t know what’s in them,” Goldberg, who wasn’t involved in the new study, told Reuters Health.

“What’s important is to teach kids how to eat correctly,” he said. Goldberg said getting enough protein through food, eating breakfast and avoiding muscle toxins like alcohol and marijuana can all help young athletes get stronger without shakes or supplements.

Eisenberg’s team did not find clustering of steroid use and other muscle-enhancing behaviors within particular schools.

“Rather than being driven by a particular school sports team coach or other features of a school’s social landscape, this diffusion suggests that muscle-enhancing behaviors are widespread and influenced by factors beyond school, likely encompassing social and cultural variables such as media messages and social norms of behavior more broadly,” the researchers wrote.

SOURCE: http://bit.ly/jsoh2P Pediatrics, online November 19, 2012.

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One in 10 shops empty, says BRC

19 November 2012 Last updated at 02:48 ET

More than one in 10 shops are empty, according to the British Retail Consortium (BRC), the highest since it began collecting data on occupancy levels of High Street premises.

The BRC said the town centre vacancy rate of 11.3% was the worst figure since its nationwide survey began in July 2011.

The figures come as the failed retailer Comet prepares to close stores.

The BRC said the worst affected region was Northern Ireland.

The vacancy rate there was 20%.

The two next worst regions, Wales and the North and Yorkshire, each had about 15% of retail premises lying empty.

The BRC’s director general, Stephen Robertson, said the new figures would set “alarm bells ringing”.

Other big branded chains that have either gone under or cut back their number of outlets include JJB Sports, Clinton Cards, Blacks Leisure, Game and Peacocks.

The BRC survey also said that overall footfall – which attempts to measure the number of shoppers – dropped by 0.4% on a year ago in the three months to October, with a big drop-off in numbers in October itself, when numbers fell by 2.6%.

The findings echo those from the Office for National Statistics, which last week showed retail sales fell 0.8% in October.

Mr Robertson said that retailers were also being hurt by higher prices and overheads: “Many retailers are battling stagnating sales and rising costs, and next year’s threatened business rates increase can only make matters worse.

“If the government wants to breathe life back into our town centres and ensure the retail industry can play its full role in job creation it needs to freeze rates in 2013.”

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