Hospitals crack down on workers refusing flu shots


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


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


__


Online:


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


CDC: http://www.cdc.gov


___


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


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Armstrong Admits Doping in Tour, Sources Say













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


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


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


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


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


The disgraced cyclist gathered with about 100 Livestrong Foundation staffers at their Austin headquarters for a meeting that included social workers who deal directly with patients as part of the group's mission to support cancer victims.


Armstrong's "sincere and heartfelt apology" generated lots of tears, spokeswoman Katherine McLane said, adding that he "took responsibility" for the trouble he has caused the foundation.






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











Lance Armstrong Stripped of Tour de France Titles Watch Video











Lance Armstrong Doping Charges: Secret Tapes Watch Video





McLane declined to say whether Armstrong's comments included an admission of doping, just that the cyclist wanted the staff to hear from him in person rather than rely on second-hand accounts.


Armstrong then took questions from the staff.


Armstrong's story has never changed. In front of cameras, microphones, fans, sponsors, cancer survivors -- even under oath -- Lance Armstrong hasn't just denied ever using performance enhancing drugs, he has done so in an indignant, even threatening way.


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


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


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


Armstrong won the Tour de France from 1999 to 2005.


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


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


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






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


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


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


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


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


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


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


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


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



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Brunei to seek South China Sea code of conduct






BANDAR SERI BEGAWAN, Brunei: Brunei will pursue a binding code of conduct among competing South China Sea claimants as a top priority during its ASEAN chairmanship, officials said Monday.

The tiny, oil-rich sultanate has assumed the chair of the 10-member Association of Southeast Asian Nations (ASEAN) for 2013 at a time when tension over sweeping Chinese claims to the sea have rattled the region.

"Brunei sees this as a key threat to regional security and would like to resolve the issue through dialogue with all claimants, including China," said a foreign ministry official, who declined to be named.

ASEAN members Vietnam, the Philippines, Malaysia and Brunei, as well as Taiwan, also have claims to parts of the sea, one of the world's most important shipping lanes and believed to be rich in fossil fuels.

Simmering tensions over the issue have risen in the past two years, with the Philippines and Vietnam accusing China of becoming increasingly aggressive in staking its claims.

Cambodia's 2012 ASEAN chairmanship was marked by sharp regional discord over the affair.

The rancour led to unprecedented infighting at an ASEAN foreign ministers' meeting in Phnom Penh in July, which ended for the first time in the bloc's 45-year history without a joint communique.

As chair, Cambodia -- a close China ally -- was accused of resisting efforts by the Philippines and Vietnam to take a more aggressive position against the Chinese.

Efforts to secure a legally binding code of conduct involving ASEAN and China have floundered for years amid Beijing's insistence on handling disputes bilaterally with individual countries, while ASEAN wants to speak as a group.

China and ASEAN signed a broad declaration in 2002 pledging the parties would handle disputes peacefully and not take actions that threaten peace and stability.

During an ASEAN summit in November, the organisation called on China to get serious in working toward a binding code of conduct.

Brunei will host ASEAN leader summits in April and October.

- AFP/xq



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Martyr Hemraj's family calls off fast after UP CM Akhilesh Yadav's visit

KHAIRAIR: Martyred soldier Hemraj's family ended their six-day-old fast on Monday after the visit of Uttar Pradesh chief minister Akhilesh Yadav.

According to TV reports, the martyr's wife and mother agreed to end the fast after a meeting with Akhilesh.

UP chief minister Akhilesh Yadav met the family and promised to fulfill their demands. "We have already given Rs 25 lakh... Money is not a big thing but to support and respect the family is the duty of the government," Akhilesh said.

"The family has shown the strength to face this (tragedy). We have to stand by them. We should all support the family of Lance Naik Hemraj. We have assured that whatever demands they have made for village will be met," he told reporters.

He said the jawan's mother and wife were weak and in grief. "So this is the time to stand by the family," he said.

Hemraj's wife Dharamvati, mother Meena Devi and cousin Narender were on fast and had refused to take "even liquid" as they remained steadfast on their demand for getting back Hemraj's head, which was severed by Pakistani troops who raided Indian territory in Poonch sector on January 8.

Earlier on Monday, the family had sought a visit by Army chief Gen Bikram Singh as a precondition to end their fast.

"We are not going to call off our fast if a leader comes here and request us to do so. We want the Army chief to come here and assure us that he will get Hemraj's head back from Pakistan. Only then we will call off our fast," martyr's cousin Narendra told reporters.

The family's demands came as Army chief Gen Bikram Singh addressed a press conference in New Delhi and said the beheading of two Indian soldiers in Pakistan army attack was unacceptable.

The General said the Army understands the grief of the families of the brave soldiers who laid down their lives as they are "our families too" and they will make all attempts to ease the pain and suffering of Lance Naik Hemraj's family.

BJP president Gadkari and senior leaders Swaraj and Rajnath Singh reached Hemraj's residence, 160 kms from Delhi and 50 km from Mathura, on Monday afternoon while Congress MP Avtar Singh Badana met the family earlier in the day.

But it did little to console the family. Narender questioned the visit of politicians at the house days after the incident alleging that they were trying to capitalise on the issue.

(With inputs from PTI)

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Flu more widespread in US; eases off in some areas


NEW YORK (AP) — Flu is now widespread in all but three states as the nation grapples with an earlier-than-normal season. But there was one bit of good news Friday: The number of hard-hit areas declined.


The flu season in the U.S. got under way a month early, in December, driven by a strain that tends to make people sicker. That led to worries that it might be a bad season, following one of the mildest flu seasons in recent memory.


The latest numbers do show that the flu surpassed an "epidemic" threshold last week. That is based on deaths from pneumonia and influenza in 122 U.S. cities. However, it's not unusual — the epidemic level varies at different times of the year, and it was breached earlier this flu season, in October and November.


And there's a hint that the flu season may already have peaked in some spots, like in the South. Still, officials there and elsewhere are bracing for more sickness


In Ohio, administrators at Miami University are anxious that a bug that hit employees will spread to students when they return to the Oxford campus next week.


"Everybody's been sick. It's miserable," said Ritter Hoy, a spokeswoman for the 17,000-student school.


Despite the early start, health officials say it's not too late to get a flu shot. The vaccine is considered a good — though not perfect — protection against getting really sick from the flu.


Flu was widespread in 47 states last week, up from 41 the week before, the Centers for Disease Control and Prevention said on Friday. The only states without widespread flu were California, Mississippi and Hawaii.


The number of hard-hit states fell to 24 from 29, where larger numbers of people were treated for flu-like illness. Now off that list: Florida, Arkansas and South Carolina in the South, the first region hit this flu season.


Recent flu reports included holiday weeks when some doctor's offices were closed, so it will probably take a couple more weeks to get a better picture, CDC officials said Friday. Experts say so far say the season looks moderate.


"Only time will tell how moderate or severe this flu season will be," CDC Director Dr. Thomas Frieden said Friday in a teleconference with reporters.


The government doesn't keep a running tally of adult deaths from the flu, but estimates that it kills about 24,000 people in an average year. Nationally, 20 children have died from the flu this season.


Flu vaccinations are recommended for everyone 6 months or older. Since the swine flu epidemic in 2009, vaccination rates have increased in the U.S., but more than half of Americans haven't gotten this year's vaccine.


Nearly 130 million doses of flu vaccine were distributed this year, and at least 112 million have been used. Vaccine is still available, but supplies may have run low in some locations, officials said.


To find a shot, "you may have to call a couple places," said Dr. Patricia Quinlisk, who tracks the flu in Iowa.


In midtown Manhattan, Hyrmete Sciuto got a flu shot Friday at a drugstore. She skipped it in recent years, but news reports about the flu this week worried her.


During her commute from Edgewater, N.J., by ferry and bus, "I have people coughing in my face," she said. "I didn't want to risk it this year."


The vaccine is no guarantee, though, that you won't get sick. On Friday, CDC officials said a recent study of more than 1,100 people has concluded the current flu vaccine is 62 percent effective. That means the average vaccinated person is 62 percent less likely to get a case of flu that sends them to the doctor, compared to people who don't get the vaccine. That's in line with other years.


The vaccine is reformulated annually, and this year's is a good match to the viruses going around.


The flu's early arrival coincided with spikes in flu-like illnesses caused by other bugs, including a new norovirus that causes vomiting and diarrhea, or what is commonly known as "stomach flu." Those illnesses likely are part of the heavy traffic in hospital and clinic waiting rooms, CDC officials said.


Europeans also are suffering an early flu season, though a milder strain predominates there. China, Japan, the West Bank, the Gaza Strip, Algeria and the Republic of Congo have also reported increasing flu.


Flu usually peaks in midwinter. Symptoms can include fever, cough, runny nose, head and body aches and fatigue. Some people also suffer vomiting and diarrhea, and some develop pneumonia or other severe complications.


Most people with flu have a mild illness. But people with severe symptoms should see a doctor. They may be given antiviral drugs or other medications to ease symptoms.


Some shortages have been reported for children's liquid Tamiflu, a prescription medicine used to treat flu. But health officials say adult Tamiflu pills are available, and pharmacists can convert those to doses for children.


___


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


___


Online:


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


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Gun Control to Crowd Obama's Second Term


Jan 14, 2013 6:00am







gty barack obama gun control jt 130113 wblog Analysis: Gun Control Set to Crowd Out President Obamas Second Term Agenda

(Win McNamee/Getty Images)


WASHINGTON — President Obama is putting his chips on guns.


It wasn’t an issue he campaigned on — actually, it was almost the opposite of that. It did more to grab him than he did to grab it.


But a month after the unfathomable tragedy at Sandy Hook, the president has positioned himself to take on a fight with long odds as his biggest domestic-policy initiative this side of the never-ending fiscal fights.


The valuable run-up to the inauguration — traditionally a White House’s best chance to put forward a bold new policy initiative — is being dominated by the polarizing debate over gun control. The coming fight has broad implications on virtually every other Washington priority in 2013 and beyond.


Vice President Joe Biden’s guns task force is strongly signaling recommending a robust menu of policy options, spanning executive actions and legislative initiatives. Each piece is sure to require the full force of presidential leadership to turn into action.


“The public demands we speak to it,” Biden said last week, referencing the emotions that followed a tragedy involving young children.


It may yet be a solid bet that this moment is different than past shootings. Powerful allies including New York City Mayor Michael Bloomberg and former Rep. Gabrielle Giffords are lending their considerable political weight to the efforts, prodding action along.


Already, the fact that Washington hasn’t lost interest bodes well for a major legislative push that includes more background checks and a renewed assault weapons ban.


But the gun lobby has been explicit that it won’t be giving in. The fight will consume valuable political oxygen, perhaps all of what’s available to a reelected president whose party controls only half of Capitol Hill.


That means other ambitious subject areas — immigration reform, energy and environmental policy, a major infrastructure initiative — will have to wait. Moreover, the coming brinksmanship over spending and budget issues could further poison the chances of action, potentially grinding Washington to an effective halt.


President George W. Bush found out the hard way that political capital doesn’t last long into a second term, even if the president tries to spend it with a friendly Congress. Bush’s push for Social Security reform not only went nowhere, it helped sow the seeds of the Democratic takeover of Congress in 2006.


This fight over guns has the potential to be more than that for Obama, though. After a campaign devoid of much inspiration, a passionate debate that gets to the heart of the nation’s culture may be what the recently reelected president needs.


The fight will mobilize and energize those on both sides — even if it tires everyone out before discussions begin in other areas.


But if the president walks away with something substantial, at the very time that major progress on any front is so illusory in Washington, the moment won’t have been wasted.



SHOWS: World News







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France bombs Mali rebels, African states ready troops


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


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


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


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


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


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


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


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


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


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


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


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


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


TROOPS BY MONDAY


The mission had not been expected to start until September.


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


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


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


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


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


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


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


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


RED ALERT


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


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


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


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


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


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


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


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


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


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


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


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


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


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



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Tens of thousands rally against Ma in Taiwan






TAIPEI: Tens of thousands of slogan-chanting Taiwanese took to Taipei's streets Sunday to protest at the government's economic record in one of the biggest rallies organised by the main opposition in recent years.

The march, which stretched for miles, began after Su Tseng-chang, chairman of the Democratic Progressive Party, led the crowd in shouting: "People are furious at Ma".

Other slogans and banners also took aim at President Ma Ying-jeou from the China-friendly Kuomintang party, who was elected in 2008.

"Down with Ma Ying-jeou!" "Cabinet reshuffle!" the protesters chanted during the peaceful march.

The demonstrators were cordoned off by barbed wire and riot police after marching through the city centre and assembling in the square in front of the presidential office.

The opposition party claimed the turnout totalled 150,000. No police estimate was immediately available.

The trade-dependent economy contracted in the second quarter of 2012 for the first time in nearly three years, while its exports shrank for six months in a row until swinging back into positive territory in September.

The government has forecast growth of 1.13 percent for the whole of last year.

The China-sceptical opposition party also objects to controversial plans for expanded investment in local media by Taiwanese billionaire Tsai Eng-meng, who has substantial business interests in China.

Next Media, controlled by Hong Kong's vocal China critic Jimmy Lai, in November signed agreements with various buyers including Tsai to sell the Taiwan editions of Apple Daily and Next magazine, as well as Taiwan Sharp Daily and Next TV.

Concerns have been raised that the deals could create a pro-China media monopoly.

Such issues are still sensitive in Taiwan more than six decades after it split from China following a civil war. Beijing views the island as part of its territory awaiting reunification, through force if necessary.

- AFP/fa



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Pakistani artistes in India on peace mission

KOLKATA: Amidst the growing tension between India and Pakistan after the brutal killing of two Indian jawans along the LoC in Kashmir, a troupe of artistes from Karachi are on a peace mission in the country to strengthen people-to-people relations.

"The tension is political in nature and the people have nothing to do with it. People from both sides of the border want peace. We want regular cultural exchanges with India and a hassle-free visa process so that we can meet each other," Pakistani theatre director Zain Ahmed told PTI here today.

He rued that whenever political tension builds up between the two countries, cultural relations are made the first hostage.

"Many barriers like delaying visa process are created so that the people of the two countries cannot meet each other," he said.

Ahmed is leading a seven-member team of the National Academy of Performing Arts (NAPA) of Karachi which presented 'Manto aur Ghalib : Ek Guftagu' at the Apeejay Kolkata Literary Festival which ended during the day.

The play, which is replete with soulful songs and lively music, is a fictional conversation between Manto and Ghalib.

A team of 25 artistes of NAPA Repertory Theatre is scheduled to present a theatre 'Manto Rama' at the National School of Drama in New Delhi on Thursday after the other artistes from that country join.

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