Restored funding for prescription drug-monitoring program urged









California Atty. Gen. Kamala D. Harris on Thursday called on Gov. Jerry Brown to restore funding to a prescription drug-monitoring program that health experts say is key to combating drug abuse and overdose deaths in the state.


Harris' appeal to restore funding to CURES, as it is known, follows an article in The Times last month that reported that the system, once heralded as an invaluable tool, had been severely undermined by budget cuts and was not being used to its full potential.


The CURES database contains detailed information on prescription narcotics, including the names of patients, the doctors prescribing the drugs and the pharmacies that dispense them. The system was designed to help physicians detect "doctor-shopping" patients who dupe multiple physicians into prescribing drugs such as OxyContin, Vicodin and Xanax.








Harris' request followed Brown's unveiling of a proposed $97.7-billion budget, which projects a surplus — a feat that has been accomplished only one time in the last decade. With California's fiscal condition improving, Harris said it was up to the state to make sure the money was "spent wisely."


"This includes smart investments that benefit Californians, such as restoring funding for the state's prescription drug-monitoring program," she said in a statement.


Brown's office had no comment.


The governor's budget does increase Harris' Department of Justice general fund allocation by 4.5% to $174.3 million, but it does not earmark money for CURES. Harris could seek legislative authority to spend some of her budget on the program.


"We are going to have a discussion on the funding and where the money will come from," said Lynda Gledhill, a spokeswoman for Harris.


CURES is the nation's oldest and largest prescription drug-monitoring program and once served as a model for other states. Today, it has fallen behind similar programs elsewhere. CURES data could be used to monitor physicians whose prescribing puts patients at risk. But it is not.


The U.S. Centers for Disease Control recommends that states use such data to keep tabs on doctors, and at least half a dozen states do so.


As part of spending cuts aimed at maintaining the state's solvency amid a deep recession, Brown gutted the Bureau of Narcotics Enforcement, which ran CURES, in 2011, shortly after Harris succeeded him as attorney general. Harris kept the program alive with about $400,000 in revenue from the Medical Board of California and other licensing boards. But it is down to one employee and has no enforcement capacity.


State officials have estimated it would cost about $2.8 million to make CURES more accessible and easier to use, and $1.6 million more per year to keep it running. However, officials say the program — with little or no additional financial resources — could now be used to identify potentially rogue doctors.


Bob Pack, an Internet entrepreneur, has advocated using CURES more vigorously to track reckless physicians and pharmacies as well as doctor-shopping patients. He became active on the issue after a driver high on painkillers and alcohol struck and killed his two young children in the Bay Area suburb of Danville in 2003.


Pack, who helped design an online portal to give physicians and pharmacists immediate access to CURES, said he was happy to see Harris ask Brown to restore funds for the program.


"But that's only a request," he said. "No one knows if that's really going to happen. Meanwhile, doctors are continuing to over-prescribe and thousands of Californians are dying from prescription drug overdoses. I hope this … has some bite to it."


An aide to Harris said restoring the CURES program is a high priority.


"She's committed to fixing the database and making it as strong as possible," said Travis LeBlanc, special assistant attorney general. "When we have limited resources and in a budget crunch, we need to focus our resources and use it in smart, efficient ways, and [CURES] is one of those," he said.


lisa.girion@latimes.com


scott.glover@latimes.com


Times staff writer Hailey Branson-Potts contributed to this report.





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HP Cloud Ushers in 2013 and GA Compute Service with Reduced Pricing






HP Cloud Services is continuously working to increase efficiency in our datacenters, so we can pass these efforts along to our customers via enhanced enterprise-class service and/or lower prices.  As a result, HP Cloud Services is starting the New Year by permanently lowering the prices on Linux instances of HP Cloud Compute by 12.5% and Object Storage by as much as 25%. 


Furthermore, to celebrate our Compute service’s move to General Availability (GA), we are offering a time-limited 40% discount on all Windows and Linux instances until March 31st, 2013.  We’re doing this to make it even easier for new and existing customers to try our new GA service and perform their initial integration work. You can read more about our differentiated, industry-leading SLA at “Under the Hood of HP Cloud Services SLAs” and about what we’re doing behind the scenes to actually deliver on and surpass our SLAs at “How HP Cloud Services Became Enterprise Class.” 






It’s worth noting that we also recently moved HP Cloud Block Storage to public beta and added several major new features, including bootable persistent volumes and enhancements in volume backup to object storage, as detailed here.  HP Cloud Block Storage is being discounted by 50% while in public beta, so now is the perfect time to give it a test drive if you haven’t already!


You can sign up now to start exploring our enterprise-class cloud.  For ongoing news about our new services, pricing and special offers, follow us on Twitter @hpcloud, subscribe to this blog, and follow our Facebook page.


Linux/Open Source News Headlines – Yahoo! News





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Top talent lined up for Obama's inaugural events


WASHINGTON (AP) — President Barack Obama is drawing an A-list of performers for his inaugural festivities, including a massive gala expected to draw more than 35,000 revelers.


Katy Perry, Smokey Robinson, Usher, Alicia Keys and Brad Paisley are among the stars planning to sing at Obama's inaugural galas Jan. 21 and a children's concert on Jan. 19. Also signed up are Marc Anthony, Stevie Wonder, John Legend and the cast of "Glee."


The concert and the two official inaugural balls are being held at the Washington Convention Center over the Martin Luther King holiday weekend when Obama begins his second term. The performers join top talent already announced for Obama's signing ceremony Jan. 21 on the West Front of the Capitol, including Beyonce, Kelly Clarkson and James Taylor.


Other event performers include pop-rap foursome Far East Movement, Grammy-nominated pop-rock trio fun., R&B boy band Mindless Behavior, rapper Nick Cannon and youth gospel choir Soul Children of Chicago. Inaugural organizers aren't saying yet which performances will be at which convention center event.


While Obama has cut the number of inaugural balls lower than any president since Dwight Eisenhower was first sworn into office in 1953, the two celebrations will be elaborate. The larger of the events, simply called The Inaugural Ball, is expected to draw more than 35,000 in a reflection of the quadrennial demand in Washington to toast the president in person on such a historic day.


The Inaugural Ball is being held across all 700,000 square feet of the Washington Convention Center's five exhibit halls, which four years ago held six separate balls.


The second event is the Commander In Chief's Ball, a tradition started by President George W. Bush to honor the military. Doubling in size from four years ago to about 4,000, it's being held on the third-floor ballroom of the convention hall a mile from the White House. Tickets are free for invitees, including active-duty and reserve troops, Medal of Honor recipients and wounded warriors.


Demand has been high for entry to the two official affairs. Inaugural planners offered a limited number of tickets to The Inaugural Ball for sale at $60, and they sold out quickly Sunday night when Ticketmaster accidentally sent out an email ahead of time announcing they were available. Inaugural organizers are trying to stop a swift scalping business for the tickets, which have been cropping up for sale online.


That's even though city officials are predicting a drop in attendance to 600,000 to 800,000 for the inauguration this year compared with 2009, when a record 1.8 million crowded onto the National Mall to see the first black president sworn into office.


Those who can't get into the convention hall with the Obamas can still carouse into the night at several unofficial balls across Washington. And members of the president's staff will get their own chance to celebrate with the president, with a staff ball planned for the day after the inauguration. Last year, the private affair was reportedly quite a bash, according to one attendee, with rap star Jay-Z singing a riff on one of his hit songs, "99 Problems but George Bush Ain't One," to the delight of the throngs of young staffers who worked so hard to turn the White House Democratic.


More tickets to The Inaugural Ball will be on sale, but not to the general public. They will go to campaign volunteers, community leaders, elected officials and other invitees, as well as donors being asked to contribute up to $250,000 individually or $1 million from corporations to pay for the festivities. Invitees will be sent an email in the next few days with personalized Ticketmaster account information they can use to purchase up to two tickets.


The Inaugural Ball's halls extend across two floors, so the president and first lady plan to spin on the dance floor of each level. At the Commander In Chief's Ball, the president and first lady plan to continue the tradition of dancing with members of the military.


Inaugural planners said the cut in the number of balls was to reflect tough economic times and minimize the burden on law enforcement, other security personnel and Washington residents. But could it also be an effort to give the president some relief from having to dance to the same song over and over again all across town on an already exhausting day?


President George W. Bush didn't hide his annoyance after his second inaugural at having to repeatedly sashay around to a musical medley that included "I Could Have Danced All Night." Could have, but did not: He and first lady Laura Bush danced for a cumulative total of just 8 minutes, 54 seconds across 10 galas.


___


AP music writer Mesfin Fekadu contributed to this report.


___


Online:


Presidential Inaugural Committee: http://www.2013pic.org


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Parental Consent Rule May Proceed for a Circumcision Ritual, a Judge Says





New York City health officials may proceed temporarily with a plan to require parental consent before an infant may undergo a particular Jewish circumcision ritual, a federal judge ruled Thursday.




City officials say 12 cases of herpes simplex virus have likely resulted from the procedure, known as metzitzah b’peh, since 2000, including one Brooklyn case reported this week. Two infants died, and two suffered permanent brain damage. Most Jews no longer practice metzitzah b’peh, in which the circumciser uses his mouth to suck blood from the wound, but it remains common among some ultra-Orthodox communities.


Citing the risk of infection, health officials in September introduced a regulation that would require parents to provide written consent stating that they were aware of the health risks.


But the Central Rabbinical Congress of the United States and Canada, Agudath Israel of America, and the International Bris Association sued in October to stop the rule from taking effect, calling it an infringement of their constitutional rights. They also denied the procedure posed a risk and asked a federal court to put the rule on hold while the litigation proceeded.


In denying the request for a preliminary injunction, Judge Naomi Reice Buchwald of the United States District Court for the Southern District wrote that the risks were clear.


“In light of the quality of the evidence presented in support of the regulation, we conclude that a continued injunction against enforcement of the regulation would not serve the public interest,” she wrote.


City lawyers said they were gratified by the ruling, but Andrew Moesel, a spokesman for the plaintiffs, said the groups would appeal. “We continue to believe that this case is a wrongful and unnecessary intrusion into the rights of freedom of religion and speech,” he said.


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Herbalife fires back at hedge fund giant









Herbalife Chief Executive Michael Johnson was tired of a powerful hedge fund manager bad-mouthing his company.


So he put on a show Thursday before hundreds of investors at the Four Seasons hotel in Manhattan, rebutting claims that the Los Angeles nutritional supplement company is a pyramid scheme. The presentation accused hedge fund giant Bill Ackman of lies and snobbery, compared Herbalife to the Girl Scouts and featured the company's president entreating that "the world needs more hugs."


Who says Wall Street is more boring these days?





The company's two-hour defense of itself is the latest in a battle since Ackman's Pershing Square Capital Management labeled Herbalife as "the best-managed pyramid scheme in the history of the world," during a similar presentation he made late last month. The outspoken fund manager has made a $1-billion bet that the stock would plunge in value.


"Just the very nature of the 'battle' has never been seen in the history of the Earth," said Tim Ramey, an analyst with D.A. Davidson and Co. "This was a very, very orchestrated attack."


Herbalife has hired a battalion of researchers to prove that it has a legitimate and stable business model. Executives held back no punches Thursday before a crowd of investors and analysts, labeling Ackman an elitist who made "false statements," "distortions" and "misrepresentations" about Herbalife and vowing to use "every means available to protect our reputation."


"In recent weeks, there's been a tremendous amount of misinformation about Herbalife," Johnson said. "This misinformation has found its way into the marketplace. Therefore we are sitting with you to correct some of this today."


In addition to outside experts brought in to bolster Herbalife's claims, company executives went through Pershing's presentation last month, disputing individual slides.


To the complaint that Herbalife is not focused on its products, Chief Operating Officer Rich Goudis showed figures indicating that the company spends millions on research and development.


To a Pershing slide that accused Herbalife of having a small distribution network, the company countered with a map of more than 300 company-run distribution points and showing its expansion in Indonesia and South Korea.


To a Pershing slide showing Herbalife products as more expensive than competitors' per 200-calorie servings, the company offered its own slide that compared the prices of the products per unit and showed costs in line with those of its competitors.


"Pershing intentionally used a misleading metric," Goudis said. "They did this to knowingly create a false impression."


They paraded out experts.


Kim Rory, representing Lieberman Research Worldwide, said distributors she surveyed had joined Herbalife because they wanted to get a discount on the products for personal use. Few signed up because they thought they'd make a large amount of money, and about two-thirds would recommend being a distributor to friends, she said.


Anne Coughlan, a professor at the Kellogg School of Management, defended Herbalife's marketing structure and disputed the allegation that it is a pyramid scheme.


"I didn't even see a scintilla of evidence that would suggest to me any hint that this company is running anything but a legitimate multi-level marketing program," she said.


Perhaps the most personal attacks came from Herbalife President Des Walsh, who said he was "highly offended" by Ackman's portrayal of Herbalife's nutrition clubs and defended the company for bringing nutritional products to poor neighborhoods.


After showing a video featuring happy distributors in crowded nutrition clubs, Walsh suggested that Ackman was out of touch with real America.


"This doesn't look like a country club in Westchester, Connecticut, but let me tell you, inside this club is real America," he said. (Earlier in the presentation, Walsh explained that people come to the club for a hug, adding, "the world needs more hugs.")


His comments echo a note sent out last week by D.A. Davidson analyst Ramey, who has a "buy" rating on Herbalife.


"Perhaps where Mr. Ackman lives he never sees a car with the 'Lose weight, ask me how' message across the rear window," he wrote. "I can tell Mr. Ackman that in my hometown, which is not quite Chappaqua, Herbalife is an iconic and widely recognized brand."


Ackman responded quickly Thursday, saying that Herbalife's presentation "distorted, mischaracterized and outright ignored large portions of our presentation," and that he had been contacted by people who provided more information into Herbalife's business practices, which he will soon reveal.


The unusual fight on Wall Street ramped up in December, when Ackman laid out his case against Herbalife in a three-hour, 200-plus slide presentation. He questioned whether the company was focused on recruiting new distributors, who pay to join the company, instead of on selling products. His announcement sent the company's stock down 36% and turned heads when analysts heard he'd sold short 20 million Herbalife shares.


Ackman's biggest beef with Herbalife focused on its so-called multi-level marketing model, which he said led to only those at the top of the company making money. More than 90% of distributors break even or lose money, he said. Ackman even drew UCLA into the controversy, saying Herbalife mentioned a lab at the university multiple times during each investor presentation to lend itself legitimacy.


Herbalife shares recovered some of their losses in the weeks after Ackman's presentation as some investors expressed confidence in the company. Hedge fund Third Point said it was taking an 8.2% stake in Herbalife, betting that the company would survive Ackman's assault.


Analysts at Thursday's meeting seemed supportive of Herbalife, with some expressing their belief in the company during a question-and-answer period after the presentation. One analyst urged the company to fight back against Pershing Square's method of "slandering" the company.


"It was a good, thorough presentation that certainly accomplished the job of defending the legitimacy of their business model," Ramey said.


Still, not all investors were convinced by the presentation. Herbalife's stock closed down 71 cents, or 1.8%, at $39.24. That may be because on Wednesday the Securities and Exchange Commission opened an investigation into Herbalife, according to published reports.


alana.semuels@latimes.com





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Irvine City Council overhauls oversight, spending on Great Park









Capping a raucous eight-hour-plus meeting, the Irvine City Council early Wednesday voted to overhaul the oversight and spending on the beleaguered Orange County Great Park while authorizing an audit of the more than $220 million that so far has been spent on the ambitious project.


A newly elected City Council majority voted 3 to 2 to terminate contracts with two firms that had been paid a combined $1.1 million a year for consulting, lobbying, marketing and public relations. One of those firms — Forde & Mollrich public relations — has been paid $12.4 million since county voters approved the Great Park plan in 2002.


"We need to stop talking about building a Great Park and actually start building a Great Park," council member Jeff Lalloway said.





The council, by the same split vote, also changed the composition of the Great Park's board of directors, shedding four non-elected members and handing control to Irvine's five council members.


The actions mark a significant turning point in the decade-long effort to turn the former El Toro Marine base into a 1,447-acre municipal park with man-made canyons, rivers, forests and gardens that planners hoped would rival New York's Central Park.


The city hoped to finish and maintain the park for years to come with $1.4 billion in state redevelopment funds. But that money vanished last year as part of the cutbacks to deal with California's massive budget deficit.


"We've gone through $220 million, but where has it gone?" council member Christina Shea said of the project's initial funding from developers in exchange for the right to build around the site. "The fact of the matter is the money is almost gone. It can't be business as usual."


The council majority said the changes will bring accountability and efficiencies to a project that critics say has been larded with wasteful spending and no-bid contracts. For all that has been spent, only about 200 acres of the park has been developed and half of that is leased to farmers.


But council members Larry Agran and Beth Krom, who have steered the course of the project since its inception, voted against reconfiguring the Great Park's board of directors and canceling the contracts with the two firms.


Krom has called the move a "witch hunt" against her and Agran. Feuding between liberal and conservative factions on the council has long shaped Irvine politics.


"This is a power play," she said. "There's a new sheriff in town."


The council meeting stretched long into the night, with the final vote coming Wednesday at 1:34 a.m. Tensions were high in the packed chambers with cheering, clapping and heckling coming from the crowd.


At one point council member Lalloway lamented that he "couldn't hear himself think."


During public comments, newly elected Orange County Supervisor Todd Spitzer chastised the council for "fighting like schoolchildren." Earlier this week he said that if the Irvine's new council majority can't make progress on the Great Park, he would seek a ballot initiative to have the county take over.


And Spitzer angrily told Agran that his stewardship of the project had been a failure.


"You know what?" he said. "It's their vision now. You're in the minority."


mike.anton@latimes.com


rhea.mahbubani@latimes.com





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Could Alex Jones’s “revolution” actually happen?






Piers Morgan had it easy. Radio show host and author Alex Jones threatened the rest of us with a ”revolution” if the government decides to confiscate guns from the homes and glove compartments of law-abiding Americans. It’s almost too easy to dismiss Jones as a fringe figure, especially since fringe ideas make their way into the mainstream with (exciting? alarming?) frequency these days. So let’s take him seriously.


Let’s accept his premise. Actually, let’s dismiss it first but then turn around and accept it for the sake of argument. The government has not the means nor the mechanism nor the credibility to confiscate 100,000 guns, much less 600,000,000. And those in the government doing the confiscating would be neighbors and relatives of the confiscatory victims: police officers, national guard members, Army reservists. Of course, Jones might say that their intent is bad enough. But “they” — the Obama administration, I assume — have no such intentions, and never did.






But OK. Let’s say that the government tries to confiscate guns and “the people” attempt to revolt.  No doubt that civil disobedience can spring up rather spontaneously and even be organized very quickly, but if rioting were to somehow break out in American cities, it would be isolated and theoretically containable. Organizing a “revolt” would require extensive planning, including the massive transportation of citizens from their homes to wherever the rally points were, a communications infrastructure, and leaders. The same Open Source culture that would make it difficult for the government to plan a confiscation in secret makes it just as unlikely for citizens to plan a feasible response to that confiscation in secret.


One of Jones’s obsessions, which, I confess, I share, is the militarization of the American homeland, and he is not promulgating a conspiracy here. The military has expanded its presence on American soil, and crucially, has expanded the way it is organized to respond to mass contingency events of any kind, including natural disasters and rioting. The U.S. Northern Command does receive intelligence briefings about domestic disturbances from the FBI and DHS, so commanders would be somewhat prepared to deploy troops. Thousands would come from the standing Army, but the bulk would be drawn from state National Guard detachments. It is exceedingly difficult to picture weekend warriors following blind orders en masse to detain or harm U.S. citizens when local police resources are stretched. The government has the power of command and control, but the people have the power of fellow-feeling. The government’s response to any real revolt would probably be quite restrained. There’d be too much attention paid to every movement of every tank to act harshly. The strategy to contain any “revolt” might therefore depend on a period of people letting out their energies and then returning to their normal business. 


Ah, but what if the government controls the communication nodes?  Well, corporations do; I assume Jones would have them immediately bend to a secret executive order shutting down serves and clouds and services like Twitter, but even if corporations agreed to do this, together, it would take days to get even a fraction of the telecom infrastructure offline. Maybe the government would order a mass power outage. But that’s why so many Americans have generators in the first place!  Although government “boards” comprising major telecom and infrastructure executives do exist, the most they’ve ever contemplated doing is to shut down a narrow slice of an infected communications node. These days, they’re focused on the cyber threat.  In the early days of civil defense planning, when there were a few television networks an AT&T had its monopoly, the threat of a government takeover of TV, radio and telephones was technically feasible. Today it is not. Actually, it does not make sense. What’s turned on really cannot be turned off.


But wait. if Jones’s “revolution” is to succeed, he needs to take over the government, because he’d need to dominate communications as well, unless he assumes that his movement would be organic and immune to arguments from elected officials asking for stability and calm.


An objective of anyone who wants to take over the government would be a seizure of the Emergency Broadcast System, which allows the President to speak to the nation through almost any mechanism of communication at any time. The EBS lives at Mt. Weather, the massive FEMA bunker in Virginia, but it can be activated and controlled from at least a dozen other places, including the briefcase of the Emergency Actions officer who travels with the President.  A coordinated violent action to seize control of this key portal would require an incredible amount of prior planning.


Assuming even that the government’s response to isolated-turned-mass rioting is uneven, the President would be able to address Americans anytime he wants. In theory, Jones’s followers could try to take over every broadcast entity in America, or could try and jam the broadcasts using sophisticated electronic warfare technology available to the military, but once again, the practicalities are not possible.


Because there will be no revolt over gun control, because there will not be and cannot be a mass confiscation of guns, playing with these ideas is fanciful and fodder for a sequel to Seven Days in May. Heck, we haven’t even addressed the FEMA concentration camps (which don’t exist).  But that isn’t to say that nothing discussed above will ever be relevant. It is much easier to imagine a small-scale revolt, a series of pre-planned violent protests against the powers that be, perhaps because the political system seems so non-responsive to the worries of people who listen to Alex Jones.  It would not take much to make Americans nervous about the government’s ability to restore law and order. And that frission itself is probably the most unknowable of all these factors.


Patriotic citizens aren’t supposed to speculate about these extremely unlikely events, but the government certainly thinks about them. So maybe we should too.


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'Lincoln,' 'Les Miz' look for big Oscar haul


BEVERLY HILLS, Calif. (AP) — Crusaders for good, old-fashioned Western democracy look to be the key figures vying for this year's Academy Awards.


Best-picture favorites for Thursday morning's Oscar nominations include "Lincoln," Steven Spielberg's portrait of the great emancipator who abolished slavery and reunified the United States; "Zero Dark Thirty," Kathryn Bigelow's chronicle of the hunt for U.S. public enemy No. 1, Osama bin Laden; and "Les Miserables," Tom Hooper's musical epic set against an uprising of freedom fighters in 19th century France.


Among other prospects are "Argo," Ben Affleck's thriller about a CIA scheme to save Americans from Iran amid the 1979 hostage crisis; "Django Unchained," Quentin Tarantino's bloody revenge saga about a former slave hunting white oppressors just before the Civil War; and "Life of Pi," Ang Lee's story of a free-thinking Indian youth cast adrift on a lifeboat with a Bengal tiger while traveling to a new life in North America.


This year's nominations come earlier than usual in Hollywood's long awards season, leaving the awards picture a bit murkier. By the time Oscar nominations come out most years, the Golden Globes already have given their trophies, helping to sort out prospective front-runners for show business' biggest night.


The nominations this time precede the Golden Globes ceremony, which follows on Sunday.


The Globes and other honors presented in late January and February by directors, actors, writers and producers guilds will clear up the best-picture race for the Oscars. Right now, "Lincoln," ''Les Miserables" and "Zero Dark Thirty" appear the most likely contenders for the top prize.


All three films come from directors who delivered best-picture winners in the past: Spielberg with 1993's "Schindler's List," Bigelow with 2009's "The Hurt Locker" and Hooper with 2010's "The King's Speech." Bigelow also won the directing Oscar, the first woman ever to earn that honor, Hooper earned the same prize a year later, and Spielberg has received the directing trophy twice, for "Schindler's List" and 1998's "Saving Private Ryan."


"Lincoln" also has good chances on acting nominations for three past winners: two-time Oscar recipients Daniel Day-Lewis as Abraham Lincoln and Sally Field as Mary Todd Lincoln, and supporting actor recipient Tommy Lee Jones as abolitionist firebrand Thaddeus Stevens.


"Zero Dark Thirty" star Jessica Chastain, a supporting-actress nominee last season for "The Help," is in the running for a best-actress slot this time as a CIA operative relentlessly pursuing bin Laden.


Two past Oscar ceremony hosts have strong shots at nominations for "Les Miserables": Hugh Jackman for best actor as Victor Hugo's tragic hero Jean Valjean and Anne Hathaway for supporting actress as a doomed single mother forced into prostitution.


Other acting possibilities include Jennifer Lawrence, Bradley Cooper and Robert De Niro for the oddball romance "Silver Linings Playbook; Jamie Foxx, Leonardo DiCaprio and Christoph Waltz for "Django Unchained"; Affleck and Alan Arkin for "Argo"; John Hawkes and Helen Hunt for the sex-surrogate story "The Sessions"; Joaquin Phoenix, Philip Seymour Hoffman and Amy Adams for the 1950s cult tale "The Master"; Bill Murray for the Franklin Roosevelt comic drama "Hyde Park on Hudson"; Anthony Hopkins and Helen Mirren for the filmmaking chronicle "Hitchcock"; Marion Cotillard for the French-language drama "Rust and Bone"; and Denzel Washington for the airliner-crash saga "Flight."


Winners for the 85th Oscars will be announced Feb. 24 at a ceremony aired live on ABC from Hollywood's Dolby Theatre.


"Family Guy" creator and vocal star Seth MacFarlane — a versatile performer whose work includes directing and voicing for the title character of last summer's hit "Ted" and a Frank Sinatra-style album of standards — is the Oscar host.


Thursday's nominees will be announced at 8:40 a.m. EST by "The Amazing Spider-Man" star Emma Stone and MacFarlane, the first time that an Oscar show host has joined in the preliminary announcement since 1972, when Charlton Heston participated on nominations day.


___


Online:


http://www.oscars.org


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Flu Widespread, Leading a Range of Winter’s Ills





It is not your imagination — more people you know are sick this winter, even people who have had flu shots.




The country is in the grip of three emerging flu or flulike epidemics: an early start to the annual flu season with an unusually aggressive virus, a surge in a new type of norovirus, and the worst whooping cough outbreak in 60 years. And these are all developing amid the normal winter highs for the many viruses that cause symptoms on the “colds and flu” spectrum.


Influenza is widespread, and causing local crises. On Wednesday, Boston’s mayor declared a public health emergency as cases flooded hospital emergency rooms.


Google’s national flu trend maps, which track flu-related searches, are almost solid red (for “intense activity”) and the Centers for Disease Control and Prevention’s weekly FluView maps, which track confirmed cases, are nearly solid brown (for “widespread activity”).


“Yesterday, I saw a construction worker, a big strong guy in his Carhartts who looked like he could fall off a roof without noticing it,” said Dr. Beth Zeeman, an emergency room doctor for MetroWest Medical Center in Framingham, Mass., just outside Boston. “He was in a fetal position with fever and chills, like a wet rag. When I see one of those cases, I just tighten up my mask a little.”


Massachusetts General Hospital in Boston started asking visitors with even mild cold symptoms to wear masks and to avoid maternity wards. The hospital has treated 532 confirmed influenza patients this season and admitted 167, even more than it did by this date during the 2009-10 swine flu pandemic.


At Brigham and Women’s Hospital, 100 patients were crowded into spaces licensed for 53. Beds lined halls and pressed against vending machines. Overflow patients sat on benches in the lobby wearing surgical masks.


“Today was the first time I think I was experiencing my first pandemic,” said Heidi Crim, the nursing director, who saw both the swine flu and SARS outbreaks here. Adding to the problem, she said, many staff members were at home sick and supplies like flu test swabs were running out.


Nationally, deaths and hospitalizations are still below epidemic thresholds. But experts do not expect that to remain true. Pneumonia usually shows up in national statistics only a week or two after emergency rooms report surges in cases, and deaths start rising a week or two after that, said Dr. Gregory A. Poland, a vaccine specialist at the Mayo Clinic in Minnesota. The predominant flu strain circulating is an H3N2, which typically kills more people than the H1N1 strains that usually predominate; the relatively lethal 2003-4 “Fujian flu” season was overwhelmingly H3N2.


No cases have been resistant to Tamiflu, which can ease symptoms if taken within 48 hours, and this year’s flu shot is well-matched to the H3N2 strain, the C.D.C. said. Flu shots are imperfect, especially in the elderly, whose immune systems may not be strong enough to produce enough antibodies.


Simultaneously, the country is seeing a large and early outbreak of norovirus, the “cruise ship flu” or “stomach flu,” said Dr. Aron J. Hall of the C.D.C.’s viral gastroenterology branch. It includes a new strain, which first appeared in Australia and is known as the Sydney 2012 variant.


This week, Maine’s health department said that state was seeing a large spike in cases. Cities across Canada reported norovirus outbreaks so serious that hospitals were shutting down whole wards for disinfection because patients were getting infected after moving into the rooms of those who had just recovered. The classic symptoms of norovirus are “explosive” diarrhea and “projectile” vomiting, which can send infectious particles flying yards away.


“I also saw a woman I’m sure had norovirus,” Dr. Zeeman said. “She said she’d gone to the bathroom 14 times at home and 4 times since she came into the E.R. You can get dehydrated really quickly that way.”


This month, the C.D.C. said the United States was having its biggest outbreak of pertussis in 60 years; there were about 42,000 confirmed cases, the highest total since 1955. The disease is unrelated to flu but causes a hacking, constant cough and breathlessness. While it is unpleasant, adults almost always survive; the greatest danger is to infants, especially premature ones with undeveloped lungs. Of the 18 recorded deaths in 2012, all but three were of infants under age 1.


That outbreak is worst in cold-weather states, including Colorado, Washington, Wisconsin, Minnesota and Vermont.


Although most children are vaccinated several times against pertussis, those shots wear off with age. It is possible, the authorities said, that a new, safer vaccine introduced in the 1990s gives protection that does not last as long, so more teenagers and adults are vulnerable.


And, Dr. Poland said, if many New Yorkers are catching laryngitis, as has been reported, it is probably a rhinovirus. “It’s typically a sore, really scratchy throat, and you sometimes lose your voice,” he said.


Though flu cases in New York City are rising rapidly, the city health department has no plans to declare an emergency, largely because of concern that doing so would drive mildly sick people to emergency rooms, said Dr. Jay K. Varma, deputy director for disease control. The city would prefer people went to private doctors or, if still healthy, to pharmacies for flu shots. Nursing homes have had worrisome outbreaks, he said, and nine elderly patients have died. Homes need to be more alert, vaccinate patients, separate those who fall ill and treat them faster with antivirals, he said.


Dr. Susan I. Gerber of the C.D.C.’s respiratory diseases branch, said her agency has not seen any unusual spike of rhinovirus, parainfluenza, adenovirus, coronavirus or the dozens of other causes of the “common cold,” but the country is having its typical winter surge of some, like respiratory syncytial virus “that can mimic flulike symptoms, especially in young children.”


The C.D.C. and the local health authorities continue to advocate getting flu shots. Although it takes up to two weeks to build immunity, “we don’t know if the season has peaked yet,” said Dr. Joseph Bresee, chief of prevention in the agency’s flu division.


Flu shots and nasal mists contain vaccines against three strains, the H3N2, the H1N1 and a B. Thus far this season, Dr. Bresee said, H1N1 cases have been rare, and the H3N2 component has been a good match against almost all the confirmed H3N2 samples the agency has tested.


About a fifth of all flus this year thus far are from B strains. That part of the vaccine is a good match only 70 percent of the time, because two B’s are circulating.


For that reason, he said, flu shots are being reformulated. Within two years, they said, most will contain vaccines against both B strains.


Joanna Constantine, 28, a stylist at the Guy Thomas Hair Salon on West 56th Street in Manhattan, said she recently was so sick that she was off work and in bed for five days — and silenced by laryngitis for four of them.


She did not have the classic flu symptoms — a high fever, aches and chills — so she knew it was probably something else.


Still, she said, it scared her enough that she will get a flu shot next year. She had not bothered to get one since her last pregnancy, she said. But she has a 7-year-old son and a 5-year-old daughter, “and my little guys get theirs every year.”


Jess Bidgood contributed reporting.



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Jacob J. Lew, White House chief of staff, to get Treasury nod









WASHINGTON — President Obama on Thursday will nominate his chief of staff, Jacob J. Lew, a fiscal policy expert with deep Washington roots, as his new Treasury secretary to help lead the administration through budget battles ahead.

Lew, 57, would replace Timothy F. Geithner, who has been planning to leave the administration this month, according to a White House official. The official announcement is expected to come at 10:30 a.m. Pacific time.

“Throughout his career, Jack Lew has proven a successful and effective advocate for middle-class families who can build bipartisan consensus to implement proven economic policies,” the White House said.

Though he was a Citigroup Inc. executive for three years before joining the administration in 2009, Lew has far less experience dealing with Wall Street than Geithner had when he was nominated.


Quiz: How well do you remember 2012?


But Lew knows Washington. His skills honed in many years in the nation's capital are what Obama needs now for the coming budget fights, including a controversial increase in the debt ceiling, experts said.





"Over the past more than quarter of a century, Jack Lew has been an integral part of some of the most important budgetary, financial and fiscal agreements — bipartisan agreements — in Washington," said White House Press Secretary Jay Carney, who would not comment on a potential nomination.


Lew's experience dates to the 1970s when he began working as a House Democratic aide. Lew then spent eight years as a top advisor to former House Speaker Thomas P. "Tip" O'Neill Jr. (D-Mass.).


Lew is steeped in the mechanics of budget-making, having served as White House budget director under Presidents Clinton and Obama. The decision to tap him as Treasury secretary reflects the different economic landscape heading into a second Obama term.


In late 2008, the financial system was in turmoil. Obama turned to Geithner, who had been a key player in responding to the crisis as president of the Federal Reserve Bank of New York.


Now the financial system has healed. But the nation has huge budget deficits and, within weeks, must raise the $16.4 trillion debt limit or face a default.


So someone with a long history dealing with budget and spending issues is needed, said Chris Krueger, a senior policy analyst in Washington at financial services firm Guggenheim Partners.


"Jack Lew would not have been the right choice in 2009, but he's certainly a reflection of the times," Krueger said. "Lew is a creature of Washington. He's not a creature of Wall Street."


Lew lacks significant experience in financial regulatory issues and relationships in the industry, which would be crucial in another financial crisis, said Brian Gardner, an analyst at investment bank Keefe, Bruyette & Woods.


Lew has been chief of staff since early last year, and Obama has not yet decided on a replacement. As reports of his pending nomination circulated Wednesday, the Internet was abuzz with images of Lew's unusual signature, which would be stamped on all paper currency if he were to become Treasury secretary.


The signature — a childlike scrawl of small curlicues found on his Office of Management and Budget memos — is at odds with Lew's low-key personality.


An orthodox Jew, Lew observes the Sabbath, so from sundown Friday to sundown Saturday he doesn't drive, use electricity or work on his BlackBerry. But he has been available during that time if Obama has needed him and sometimes has walked to work at the White House.


University of Michigan law professor Michael Barr, who worked with Lew in the Clinton administration, described him as "very methodical, very careful."


Lew is a veteran of partisan battles on Capitol Hill, helping O'Neill craft compromises with former President Reagan in the 1980s on major changes to Social Security and the tax code and playing a key role for Clinton in budget negotiations with congressional Republicans in the late 1990s.


"He negotiated a series of balanced budgets with a heavily Republican Congress under President Clinton," Barr said. "He understands how tax and budget policy work. He understands the Congress."


Barr, who was an assistant Treasury secretary under Geithner in 2009-10, said Lew would be "exceptionally good at the job."


"It certainly makes a lot of sense to have someone come in now who is very steeped in the budget process and fiscal issues and is an effective negotiator with the Congress because so much attention is likely to be focused in that area," Barr said.


In the partisan gridlock following the Republican takeover of the House in 2010, Lew has had a more difficult task in navigating Congress. His hard-nosed negotiations over raising the debt limit in 2011 angered some Republicans. And although he's likely to be confirmed if nominated, it won't be without some Republican criticism, Krueger said.


"It's no secret that Lew and congressional Republicans don't have a fantastic relationship," Krueger said.


The confirmation process is "going to be a forum for the Senate to have a debate on the president's fiscal and economic and deficit positions," Krueger said.


Geithner was well-connected on Wall Street from years in the Treasury Department and at the New York Fed. But Lew has private-sector experience that many top Obama administration officials have lacked.


Lew was managing director and chief operating officer at Citi Alternative Investments in 2008-09. And he held the same position at Citi Global Wealth Management from 2006 to 2008.


That experience led to criticism when Lew was elevated in 2010 to White House budget director from his position as a top aide to Secretary of State Hillary Rodham Clinton.


Some liberals were concerned that Citi Alternative Investments, which manages private equity, hedge funds and real estate investments, reportedly profited from the collapse of the subprime housing market.


Lew earned $1.1 million in salary and other compensation from Citigroup in 2009, according to his government financial disclosure.


jim.puzzanghera@latimes.com


christi.parsons@latimes.com





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