Flu season puts businesses and employees in a bind

WASHINGTON (AP) — Nearly half the 70 employees at a Ford dealership in Clarksville, Ind., have been out sick at some point in the past month. It didn't have to be that way, the boss says.

"If people had stayed home in the first place, a lot of times that spread wouldn't have happened," says Marty Book, a vice president at Carriage Ford. "But people really want to get out and do their jobs, and sometimes that's a detriment."

The flu season that has struck early and hard across the U.S. is putting businesses and employees alike in a bind. In this shaky economy, many Americans are reluctant to call in sick, something that can backfire for their employers.

Flu was widespread in 47 states last week, up from 41 the week before, the Centers for Disease Control and Prevention said Friday. The only states without widespread flu were California, Mississippi and Hawaii. And the main strain of the virus circulating tends to make people sicker than usual.

Blake Fleetwood, president of Cook Travel in New York, says his agency is operating with less than 40 percent of its staff of 35 because of the flu and other ailments.

"The people here are working longer hours and it puts a lot of strain on everyone," Fleetwood says. "You don't know whether to ask people with the flu to come in or not." He says the flu is also taking its toll on business as customers cancel their travel plans: "People are getting the flu and they're reduced to a shriveling little mess and don't feel like going anywhere."

Many workers go to the office even when they're sick because they are worried about losing their jobs, says John Challenger, CEO of Challenger, Gray & Christmas, an employer consulting firm. Other employees report for work out of financial necessity, since roughly 40 percent of U.S. workers don't get paid if they are out sick. Some simply have a strong work ethic and feel obligated to show up.

Flu season typically costs employers $10.4 billion for hospitalization and doctor's office visits, according to the CDC. That does not include the costs of lost productivity from absences.

At Carriage Ford, Book says the company plans to make flu shots mandatory for all employees.

Linda Doyle, CEO of the Northcrest Community retirement home in Ames, Iowa, says the company took that step this year for its 120 employees, providing the shots at no cost. It is also supplying face masks for all staff.

And no one is expected to come into work if sick, she says.

So far, the company hasn't seen an outbreak of flu cases.

"You keep your fingers crossed and hope it continues this way," Doyle says. "You see the news and it's frightening. We just want to make sure that we're doing everything possible to keep everyone healthy. Cleanliness is really the key to it. Washing your hands. Wash, wash, wash."

Among other steps employers can take to reduce the spread of the flu on the job: holding meetings via conference calls, staggering shifts so that fewer people are on the job at the same time, and avoiding handshaking.

Newspaper editor Rob Blackwell says he had taken only two sick days in the last two years before coming down with the flu and then pneumonia in the past two weeks. He missed several days the first week of January and has been working from home the past week.

"I kept trying to push myself to get back to work because, generally speaking, when I'm sick I just push through it," says Blackwell, the Washington bureau chief for the daily trade paper American Banker.

Connecticut is the only state that requires some businesses to pay employees when they are out sick. Cities such as San Francisco and Washington have similar laws.

Challenger and others say attitudes are changing, and many companies are rethinking their sick policies to avoid officewide outbreaks of the flu and other infectious diseases.

"I think companies are waking up to the fact right now that you might get a little bit of gain from a person coming into work sick, but especially when you have an epidemic, if 10 or 20 people then get sick, in fact you've lost productivity," Challenger says.

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Associated Press writers Mike Stobbe in Atlanta, Eileen A.J. Connelly in New York, Paul Wiseman in Washington, Barbara Rodriguez in Des Moines, Iowa, and Jim Salter in St. Louis contributed to this report.

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Dreamliner Faces Scrutiny After More Mishaps

The Boeing 787 Dreamliner will face more scrutiny today as the Federal Aviation Administration is expected to order a comprehensive review of the plane's design, critical systems and manufacturing.

FAA officials have scheduled a news conference for today, during which they plan to announce the agency's intention to perform a special review of the carbon-fiber plane, according to sources.

The latest incident involving the 787 occurred overnight when a 3-foot-long crack appeared in the cockpit window of an All Nippon Airlines 787 flying in Japan.

In addition to that incident, another Dreamliner's electrical power system caught fire earlier this week at the gate at Boston's Logan airport on a Japan Airlines flight.

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"This is a newer type of a battery that hasn't been, basically, looked at in any terms of faults," Kevin Hiatt, president and CEO of the Flight Safety Foundation, said. "It's a very good battery, and we're not sure what happened there."

The 787 gets better fuel mileage than standard jetliners because it's made of carbon fiber instead of aluminum. Heavier hydraulic controls on the aircraft have also been replaced with light-weight electronics. It's more sophisticated, more powerful and more complicated.

While the Dreamliner has had other minor glitches, the electrical hitch in the auxiliary power unit, or APU, was serious enough to catch the attention of the National Transportation Safety Board, the FAA and aviation experts.

"I'm concerned about the aircraft when it comes to this APU fire and battery situation," Hiatt said. "The rest of the issues are normal teething pains."

The plane will not be grounded and will continue to fly during the review, sources said.

United, which flies the only six 787s among domestic carriers, says it has no plans to take its Dreamliners out of service.

Boeing says it has "extreme confidence in the 787," and it is 100 percent "safe to fly."

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Shi'ite leader challenges Pakistan army chief over attacks

QUETTA, Pakistan (Reuters) - In a rare challenge, a Shi'ite leader publicly criticized powerful Pakistani army chief General Ashfaq Kayani over security in the country on Friday after bombings aimed at the minority sect killed 114 people.

"I ask the army chief: What have you done with these extra three years you got (in office). What did you give us except more death," Maulana Amin Shaheedi, who heads a national council of Shi'ite organizations, told a news conference.

The criticism of Kayani, arguably the most powerful man in Pakistan, highlighted Shi'ite frustrations with the state's failure to contain hard-line Sunni militant groups who have vowed to wipe out the sect.

Most of Thursday's deaths were caused by twin attacks aimed Shi'ites in the southwestern city of Quetta, near the Afghan border, where members of the minority have long accused the state of turning a blind eye to Sunni militant death squads.

Shi'ite leaders were so outraged at the latest bloodshed that they called for the military to take control of Quetta to shield them and said they would not allow the 82 victims of twin bomb attacks to be buried until their demands were met.

The burials had been scheduled to take place after Friday prayers but the bodies would remain in place until Shi'ites had received promises of protection.

Shaheedi said scores of bodies were still lying on a road. "They will not be buried until the army comes into Quetta," he said.

Violence against Pakistani Shi'ite Muslims is rising and some communities are living in a state of siege, a human rights group said on Friday.

"Last year was the bloodiest year for Shias in living memory," said Ali Dayan Hasan of Human Rights Watch. "More than 400 were killed and if yesterday's attack is any indication, it's just going to get worse."

A suicide bomber first targeted a snooker club in Quetta. A car bomb blew up nearby 10 minutes later after police and rescuers had arrived.

In all, 82 people were killed and 121 wounded. Nine police and 20 rescue workers were among the dead.

"It was like doomsday. Bodies were lying everywhere," said police officer Mir Zubair Mehmood.

The banned Sunni group Lashkar-e-Jangvi (LeJ) claimed responsibility for the attack in a predominantly Shi'ite neighborhood where the residents are ethnic Hazaras, Shi'ites who first migrated from Afghanistan in the nineteenth century.

While U.S. intelligence agencies have focused on al Qaeda and the Taliban, Pakistani intelligence officials say LeJ is emerging as a graver threat to Pakistan, a nuclear-armed, strategic U.S. ally.

It has stepped up attacks against Shi'ites across the country but has zeroed in on members of the sect who live in resource-rich Baluchistan province, of which Quetta is capital.

The paramilitary Frontier Corps is largely responsible for security in Baluchistan province but Shi'ites say it is unable or unwilling to protect them from the LeJ.

"STATE OF SIEGE"

The LeJ wants to impose a Sunni theocracy by stoking Sunni-Shi'ite violence. It bombs religious processions and shoots civilians in the type of attacks that pushed countries like Iraq close to civil war.

The latest attacks sparked an outpouring of grief, rage and fear among Shi'ites, many of whom have concluded that the state has left them at the mercy of the LeJ and other extremist groups who believe they are non-Muslims.

"The LeJ operates under one front or the other, and its activists go around openly shouting, 'infidel, infidel, Shi'ite infidel' and 'death to Shi'ites' in the streets of Quetta and outside our mosques," said Syed Dawwod Agha, a top official with the Baluchistan Shi'ite Conference.

"We have become a community of grave diggers. We are so used to death now that we always have shrouds ready."

The roughly 500,000-strong Hazara people in Quetta, who speak a Persian dialect, have distinct features and are an easy target, said Dayan of Human Rights Watch.

"They live in a state of siege. Stepping out of the ghetto means risking death," said Dayan. "Everyone has failed them - the security services, the government, the judiciary."

Earlier on Thursday, a separate bomb killed 11 people in Quetta's main market.

The United Baloch Army claimed responsibility for that blast. The group is one of several fighting for independence for Baluchistan, an arid, impoverished region with substantial gas, copper and gold reserves.

Baluchistan constitutes just less than half of Pakistan's territory and is home to about 8 million of the country's population of 180 million.

In a separate attack on Thursday, in Mingora, the largest city in the Swat valley in the northwest, at least 21 people were killed when an explosion targeted a public gathering of residents who had come to listen to a religious leader.

No one claimed responsibility for that bombing. Swat has been under army rule since a military offensive expelled Pakistani Taliban militants in 2009.

The LeJ has had historically close ties to elements in the security forces, who see the group as an ally in any potential war with neighboring India. Security forces deny any such links.

In a measure of the outrage, several Pakistani social media users posted Facebook comments urging the U.S. to expand its covert programme of drone warfare beyond Taliban strongholds on the Afghan border to target LeJ leaders in Baluchistan.

Among the dead in Quetta was Khudi Ali, a young activist who often wore a t-shirt with fake bloodstains during protests against the rising violence against Shi'ites.

Ali's Twitter profile said: "I am born to fight for human rights and peace."

(Reporting by Katharine Houreld; Editing by Jeremy Laurence)

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SIT hopes to make education system more robust

SINGAPORE : The Singapore Institute of Technology (SIT) hopes it can help to make the education system more robust and relevant by offering an industry-ready college education with good career prospects.

The institute's incoming president Professor Tan Thiam Soon said this will be its true challenge.

He was speaking at SIT's inaugural graduation ceremony.

Nearly 470 students received their degrees on Friday afternoon, after completing a two-year programme with partnering universities from the US, UK and Germany.

They include graduates of engineering, physiotherapy, game design and culinary arts.

Education Minister Heng Swee Keat said SIT, whose courses are designed with close links to the industry, has increased the diversity of programmes available in Singapore's university sector.

He said this is a mutually-beneficial model as its students are highly sought after, while the industry gains ready access to graduates with relevant skills.

Mr Heng said: "The industry support for this model is most evident in the 30 industry partners that currently offer scholarships across a range of areas, such as engineering and hospitality, with more than 10 per cent of the graduating cohort having won scholarships from the industry."

One of graduates studied IT at Ngee Ann Polytechnic but decided to pursue her interest in culinary arts at the Culinary Institute of America (CIA).

Nurfarzanah Binte Mohamed Shariff said: "I actually sent out information regarding the CIA in Hyde Park (New York), so I was actually about to go there when SIT actually came up with this course.

"They have joint work with CIA, and I thought that SIT actually allowed me this opportunity to study here in Singapore while still having the courses I want to take in CIA Hyde Park."

- CNA/ms

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Akhilesh gives Rs 20 lakh to Delhi gang-rape victim's kin

LUCKNOW: Uttar Pradesh chief minister Akhilesh Yadav Friday gave a cheque of Rs 20 lakh to the family of the young woman who died in Singapore after being gang-raped in Delhi.

Yadav told the woman's distraught family in Ballia that although money would never bring her back, it would help sustain them in times to come.

He also assured them that the government was doing its best to ensure women's safety.

"This brave woman has woken up the nation, and state governments are working to ensure better security for women," Yadav said.

The 13th day rituals after the woman's cremation will take place Saturday in Ballia, 380km from Lucknow.

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Flu season strikes early and, in some places, hard

NEW YORK (AP) — From the Rocky Mountains to New England, hospitals are swamped with people with flu symptoms. Some medical centers are turning away visitors or making them wear face masks, and one Pennsylvania hospital set up a tent outside its ER to deal with the feverish patients.

Flu season in the U.S. has struck early and, in many places, hard.

While flu normally doesn't blanket the country until late January or February, it is already widespread in more than 40 states, with about 30 of them reporting some major hot spots. On Thursday, health officials blamed the flu for the deaths of 20 children so far.

Whether this will be considered a bad season by the time it has run its course in the spring remains to be seen.

"Those of us with gray hair have seen worse," said Dr. William Schaffner, a flu expert at Vanderbilt University in Nashville.

The evidence so far points to a moderate season, Schaffner and others say. It looks bad in part because last year was unusually mild and because the main strain of influenza circulating this year tends to make people sicker and really lay them low.

David Smythe of New York City saw it happen to his 50-year-old girlfriend, who has been knocked out for about two weeks. "She's been in bed. She can't even get up," he said.

Also, the flu's early arrival coincided with spikes in a variety of other viruses, including a childhood malady that mimics flu and a new norovirus that causes vomiting and diarrhea, or what is commonly known as "stomach flu." So what people are calling the flu may, in fact, be something else.

"There may be more of an overlap than we normally see," said Dr. Joseph Bresee, who tracks the flu for the Centers for Disease Control and Prevention.

Most people don't undergo lab tests to confirm flu, and the symptoms are so similar that it can be hard to distinguish flu from other viruses, or even a cold. Over the holidays, 250 people were sickened at a Mormon missionary training center in Utah, but the culprit turned out to be a norovirus, not the flu.

Flu is a major contributor, though, to what's going on.

"I'd say 75 percent," said Dr. Dan Surdam, head of the emergency department at Cheyenne Regional Medical Center, Wyoming's largest hospital. The 17-bed emergency room saw its busiest day ever last week, with 166 visitors.

The early onslaught has resulted in a spike in hospitalizations. To deal with the influx and protect other patients from getting sick, hospitals are restricting visits from children, requiring family members to wear masks and banning anyone with flu symptoms from maternity wards.

One hospital in Allentown, Pa., set up a tent this week for a steady stream of patients with flu symptoms. But so far "what we're seeing is a typical flu season," said Terry Burger, director of infection control and prevention for the hospital, Lehigh Valley Hospital-Cedar Crest.

On Wednesday, Boston declared a public health emergency, with the city's hospitals counting about 1,500 emergency room visits since December by people with flu-like symptoms.

All the flu activity has led some to question whether this year's flu shot is working. While health officials are still analyzing the vaccine, early indications are that it's about 60 percent effective, which is in line with what's been seen in other years.

The vaccine is reformulated each year, based on experts' best guess of which strains of the virus will predominate. This year's vaccine is well-matched to what's going around. The government estimates that between a third and half of Americans have gotten the vaccine.

In New York City, 57-year-old Judith Quinones skipped getting a flu shot this season and suffered her worst case of flu-like illness in years. She was laid up for nearly a month with fever and body aches. "I just couldn't function," she said.

But her daughter got the vaccine. "And she got sick twice," Quinones said.

Europe is also suffering an early flu season, though a milder strain predominates there. Flu reports are up, too, in China, Japan, the West Bank, the Gaza Strip, Algeria and the Republic of Congo. Britain has seen a surge in cases of norovirus.

On average, about 24,000 Americans die each flu season, according to the CDC. That's an estimate — the agency does not keep a running tally of adult flu deaths each year, only for children. Some state health departments do keep count, and they've reported dozens of flu deaths so far.

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 and can help themselves and protect others by staying home and resting. But people with severe symptoms should see a doctor. They may be given antiviral drugs or other medications to ease symptoms.

Flu vaccinations are recommended for everyone 6 months or older. Of the 20 children killed by the flu this season, only two were fully vaccinated.

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AP Medical Writer Maria Cheng in London contributed to this report.

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Online:

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

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NATO official says more missiles launched in Syria

BRUSSELS (Reuters) - A short-range ballistic missile was fired inside Syria on Wednesday, following similar launches last week, a NATO official said on Thursday.

The official condemned as "reckless" the missile launches, which U.S. officials called an escalation of the 21-month-old Syrian civil war when their use was first spotted last month.

"The use of such indiscriminate weapons shows utter disregard for the lives of the Syrian people," he said.

The official said NATO had detected the launch of an unguided, short-range ballistic missile inside Syria on Wednesday, following similar launches on January 2 and 3. All the missiles were fired from inside Syria and landed in northern Syria, he said.

The description of the missiles fits the Scuds that are in the Syrian military's armory, but the official said NATO could not confirm the type of missile used.

The NATO official was responding to a report from a Syrian opposition activist living near the Qaldoun army base, 50 km (30 miles) north of Damascus, who said four large rockets, apparently Scuds, were fired from the base overnight.

NATO has agreed to send Patriot anti-missile batteries to protect its member Turkey from possible missile attack from Syria.

(Reporting by Adrian Croft; editing by Rex Merrifield and Sebastian Moffett)

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Johor may review procedures for foreigners to buy houses

JOHOR BAHARU, Malaysia: Johor state will review procedures and conditions for foreigners to own houses due to spiralling house prices in the state, especially in Iskandar Malaysia.

Bernama news agency quoted Local Government, Housing, Arts, Culture and Heritage Committee chairman Ahmad Zahri Jamil as saying that the state Economic Planning Unit (UPEN) was studying ways to tighten the rules on foreign ownership.

He said this was to control spiralling house prices since locals are finding it difficult to buy houses.

"The price of property is determined by the market force. However, the prices also reflect on demand and supply or just because of extreme speculation. So, we have to conduct a detailed study," he told reporters at Kota Iskandar, Nusajaya, on Thursday.

Foreigners are currently allowed to purchase houses priced at a minimum of RM500,000, according to specific quota.

For example, for double-storey houses, only 30 per cent of the units are allocated for foreigners and the move was to attract foreign investment.

Foreigners may only be allowed to purchase houses above RM1 million.

Mr Ahmad Zahri said Singaporeans accounted for 90 per cent of foreigners who bought houses in Johor state, followed by Britain, United States and China.

- Bernama/de

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Teach Pakistan a lesson like 1965: Hazare

RALEGAN-SIDDHI (Maharashtra): Social activist Anna Hazare Thursday demanded that India should "teach Pakistan a lesson" like it did in 1965 for the brutal killing of two Indian soldiers by Pakistani troops in Jammu and Kashmir.

"What they have done is simply unacceptable. How can they mutilate and take away the head of our soldier? This cannot be tolerated by any person," Hazare told reporters here.

"Pakistan seems to have forgotten the beating it took in the 1965 war with India. Don't they remember how they begged for mercy when Lahore was bombed during that war? But on and off, it keeps raising its head against India. We want a repeat of 1965. Pakistan should be taught a lesson again," Hazare said.

The 75-year-old also expressed his willingness to go to the border and fight enemy soldiers.

Hazare served in the Indian Army for 12 years before he was honourably discharged from service in 1975.

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Retooling Pap test to spot more kinds of cancer

WASHINGTON (AP) — For years, doctors have lamented that there's no Pap test for deadly ovarian cancer. Wednesday, scientists reported encouraging signs that one day, there might be.

Researchers are trying to retool the Pap, a test for cervical cancer that millions of women get, so that it could spot early signs of other gynecologic cancers, too.

How? It turns out that cells can flake off of tumors in the ovaries or the lining of the uterus, and float down to rest in the cervix, where Pap tests are performed. These cells are too rare to recognize under the microscope. But researchers from Johns Hopkins University used some sophisticated DNA testing on the Pap samples to uncover the evidence — gene mutations that show cancer is present.

In a pilot study, they analyzed Pap smears from 46 women who already were diagnosed with either ovarian or endometrial cancer. The new technique found all the endometrial cancers and 41 percent of the ovarian tumors, the team reported Wednesday in the journal Science Translational Medicine.

This is very early-stage research, and women shouldn't expect any change in their routine Paps. It will take years of additional testing to prove if the so-called PapGene technique really could work as a screening tool, used to spot cancer in women who thought they were healthy.

"Now the hard work begins," said Hopkins oncologist Dr. Luis Diaz, whose team is collecting hundreds of additional Pap samples for more study and is exploring ways to enhance the detection of ovarian cancer.

But if it ultimately pans out, "the neat part about this is, the patient won't feel anything different," and the Pap wouldn't be performed differently, Diaz added. The extra work would come in a lab.

The gene-based technique marks a new approach toward cancer screening, and specialists are watching closely.

"This is very encouraging, and it shows great potential," said American Cancer Society genetics expert Michael Melner.

"We are a long way from being able to see any impact on our patients," cautioned Dr. Shannon Westin of the University of Texas MD Anderson Cancer Center. She reviewed the research in an accompanying editorial, and said the ovarian cancer detection would need improvement if the test is to work.

But she noted that ovarian cancer has poor survival rates because it's rarely caught early. "If this screening test could identify ovarian cancer at an early stage, there would be a profound impact on patient outcomes and mortality," Westin said.

More than 22,000 U.S. women are diagnosed with ovarian cancer each year, and more than 15,000 die. Symptoms such as pain and bloating seldom are obvious until the cancer is more advanced, and numerous attempts at screening tests have failed.

Endometrial cancer affects about 47,000 women a year, and kills about 8,000. There is no screening test for it either, but most women are diagnosed early because of postmenopausal bleeding.

The Hopkins research piggybacks on one of the most successful cancer screening tools, the Pap, and a newer technology used along with it. With a standard Pap, a little brush scrapes off cells from the cervix, which are stored in a vial to examine for signs of cervical cancer. Today, many women's Paps undergo an additional DNA-based test to see if they harbor the HPV virus, which can spur cervical cancer.

So the Hopkins team, funded largely by cancer advocacy groups, decided to look for DNA evidence of other gynecologic tumors. It developed a method to rapidly screen the Pap samples for those mutations using standard genetics equipment that Diaz said wouldn't add much to the cost of a Pap-plus-HPV test. He said the technique could detect both early-stage and more advanced tumors. Importantly, tests of Paps from 14 healthy women turned up no false alarms.

The endometrial cancers may have been easier to find because cells from those tumors don't have as far to travel as ovarian cancer cells, Diaz said. Researchers will study whether inserting the Pap brush deeper, testing during different times of the menstrual cycle, or other factors might improve detection of ovarian cancer.

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