Drug overdose deaths up for 11th consecutive year

CHICAGO (AP) — Drug overdose deaths rose for the 11th straight year, federal data show, and most of them were accidents involving addictive painkillers despite growing attention to risks from these medicines.

"The big picture is that this is a big problem that has gotten much worse quickly," said Dr. Thomas Frieden, head of the Centers for Disease Control and Prevention, which gathered and analyzed the data.

In 2010, the CDC reported, there were 38,329 drug overdose deaths nationwide. Medicines, mostly prescription drugs, were involved in nearly 60 percent of overdose deaths that year, overshadowing deaths from illicit narcotics.

The report appears in Tuesday's Journal of the American Medical Association.

It details which drugs were at play in most of the fatalities. As in previous recent years, opioid drugs — which include OxyContin and Vicodin — were the biggest problem, contributing to 3 out of 4 medication overdose deaths.

Frieden said many doctors and patients don't realize how addictive these drugs can be, and that they're too often prescribed for pain that can be managed with less risky drugs.

They're useful for cancer, "but if you've got terrible back pain or terrible migraines," using these addictive drugs can be dangerous, he said.

Medication-related deaths accounted for 22,134 of the drug overdose deaths in 2010.

Anti-anxiety drugs including Valium were among common causes of medication-related deaths, involved in almost 30 percent of them. Among the medication-related deaths, 17 percent were suicides.

The report's data came from death certificates, which aren't always clear on whether a death was a suicide or a tragic attempt at getting high. But it does seem like most serious painkiller overdoses were accidental, said Dr. Rich Zane, chair of emergency medicine at the University of Colorado School of Medicine.

The study's findings are no surprise, he added. "The results are consistent with what we experience" in ERs, he said, adding that the statistics no doubt have gotten worse since 2010.

Some experts believe these deaths will level off. "Right now, there's a general belief that because these are pharmaceutical drugs, they're safer than street drugs like heroin," said Don Des Jarlais, director of the chemical dependency institute at New York City's Beth Israel Medical Center.

"But at some point, people using these drugs are going to become more aware of the dangers," he said.

Frieden said the data show a need for more prescription drug monitoring programs at the state level, and more laws shutting down "pill mills" — doctor offices and pharmacies that over-prescribe addictive medicines.

Last month, a federal panel of drug safety specialists recommended that Vicodin and dozens of other medicines be subjected to the same restrictions as other narcotic drugs like oxycodone and morphine. Meanwhile, more and more hospitals have been establishing tougher restrictions on painkiller prescriptions and refills.

One example: The University of Colorado Hospital in Aurora is considering a rule that would ban emergency doctors from prescribing more medicine for patients who say they lost their pain meds, Zane said.

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Stobbe reported from Atlanta.

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Online:

JAMA: http://www.jama.ama-assn.org

CDC: http://www.cdc.gov

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

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Former Navy SEAL on Coming Out of Shadows

It used to be that Navy SEALs didn't just operate in the shadows. They trained in them too. Their whole story stayed shrouded in mystery. Their secret missions stayed secret to the rest of us.

But when they got Osama Bin Laden, snatched back an American cargo ship taken by pirates and rescued two air workers held hostage in Somalia, then suddenly, it seemed that SEALs were headline-makers.

Add to that some SEALs wrote books about SEAL adventures and even acted in a movie about the SEAL experience using live ammunition when they made "Act of Valor." They can't quite be called "the military unit that no one ever talked about" any longer.

Watch the full story on "Nightline" TONIGHT at 12:35 a.m. ET

Rorke Denver played Lt. Commander Rorke in "Act of Valor," a film that used dozens of SEALs and went on to gross $80 million at the box office. Now, with the help of a writer, Denver is doing some pretty decent storytelling in a new book, "Damn Few: Making the Modern SEAL Warrior."

He agrees that with SEALs like him telling their stories that these guys are out in the open like never before.

"We are, at this moment in our history, when the heat is on, the missions are getting press and coverage," Denver said.

Acts of Valor: Four Boyfriends Took Bullets to Save Girlfriends Watch Video

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When asked if it was a good thing, he said, "time will tell."

"We are in the public eye and I think that mythology is something that people are hugely, hugely interested in and they have an appetite for it," Denver said. "So for us with the movie and then also with 'Damn Few' I had an opportunity, I feel, to authentically represent and hopefully do it from an honorable point of view and accurately do so."

It's mostly his own story Denver tells in "Damn Few," how he joined the SEALs after college -- they didn't want him at first.

"I put in my first application and they said no, and I am glad it went that way. I think the community really values resiliency and toughness and focus and a 'never quit' attitude. For me, when they said no I thought, that ain't going to cut it."

Denver didn't quit. He reapplied and went on to survive the SEALs brutal Hell Week and training, joined the team and deployed all over the world, including the deadly Al Anbar province in Iraq when the war there was at its hottest. His family waited for him to return stateside.

"The families, I feel, are the ones who pay the price of our choices," Denver said. "But I didn't appreciate how much I was asking my family to bear and experience it with me. They really are every bit a part of our experience and frankly they are the ones who are back home and praying and believing that you are going to come home."

But even his family didn't quite know what Denver did at work every day.

"I never ask questions about what he does," said his wife, Tracy.

But "Act of Valor" was revealing in that way, and Denver's wife watched the film.

"For me it was incredibly eye-opening to actually see a submarine mission or running around in the jungle, jumping out of a plane, shooting his weapons," she said. "For me, it was like, oh, so this is what you are doing when you are away. I appreciated it actually."

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Chavez back in Venezuela, on Twitter with four million followers

CARACAS (Reuters) - After Hugo Chavez spent two months out of the public eye for cancer surgery in Cuba, the Venezuelan government hailed his homecoming on Monday and said the president had achieved another milestone - four million followers on Twitter.

The 58-year-old flew back from Havana before dawn and was taken to a military hospital. No new details were given on his health, and there were no images of his arrival. Officials say his condition remains delicate.

The normally loquacious socialist leader, who is struggling to speak as he breathes through a tracheal tube, took to Twitter with a passion back in April 2010, tweeting regularly and encouraging other leftist Latin American leaders to do likewise.

His @chavezcandanga account quickly drew a big mixed following of fans, critics and others just curious to see how his famously long speeches and fiery anti-U.S. invective would work within the social media network's 140-character limit.

But as he fought the cancer and underwent weeks of grueling chemotherapy and radiation therapy, he began to tweet less and less frequently, before stopping altogether on November 1.

Early on Monday morning, he made his reappearance.

"It was 4:30, 5 a.m. He got to his room and surprised everyone: rat-tat-tat, he sent three or four messages, and at that moment fireworks began to go off around the country," Vice President Nicolas Maduro said in a televised cabinet meeting.

During the day, Maduro added, the president's number of followers had shot up to well over four million.

"It's incredible, in just a few hours ... he's the second most-followed president in the world (after Barack Obama), and the first if we make the comparison by per capita," he said.

Obama has more than 27 million Twitter followers and is No. 5 most followed globally. Chavez is Twitter's No. 190 globally.

4TH MILLION FOLLOWER

Maduro said Chavez's four millionth follower was a 20-year-old single Venezuelan woman named Alemar Jimenez from the gritty San Juan neighborhood in downtown Caracas, near the military hospital where the president arrived earlier in the day.

"She's one of the golden generation of youth who support the fatherland and have been waiting with growing love for commander Hugo Chavez," Maduro said, before presenting a dazzled-looking Jimenez to the cameras and giving her a bunch of flowers.

"We were really emotional" she said, recounting how she was with her mother when they heard Chavez had returned. "I sent him a message on Twitter saying he must get better."

There are still big questions over the president's health. He could have come back to govern from behind the scenes, or he may be hoping to ease political tensions and pave the way for a transition to Maduro, his preferred successor.

Chavez has often ordered followers to fight back against opposition critics of his self-styled revolution by using social media, leading from the front himself on Twitter and referring to the Internet as a "battle trench."

As his ranks of followers grew, Chavez said he hired 200 assistants to help him respond to messages - which he said were a great way to receive first-hand the requests, demands, complaints and denunciations of citizens in the thousands.

During his re-election campaign last year, the government launched an SMS text message service that forwards his tweets to cellphones that lack Internet service, broadening their reach to the poorest corners of the South American country.

"He's a communication revolution!" Maduro said, later unbuttoning his shirt on TV to show he was wearing a T-shirt bearing Chavez's eyes emblazoned across his chest.

For the tens of thousands who signed up on Monday to follow Chavez on Twitter, it is unclear how much will be posted there in the weeks and months ahead. Venezuela's 29 million people are mostly wondering something similar.

(Additional reporting by Diego Ore; Editing by Todd Eastham)

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Local furniture makers urged to adopt green practices

SINGAPORE: More furniture manufacturers in Singapore will be encouraged to adopt green practices with the aim of being awarded green certifications.

This is part of a three-year plan by the Singapore Furniture Industries Council (SFIC) and Singapore Environment Council (SEC) with the signing of a Memorandum of Understanding (MOU).

To date, 11 SFIC members have been awarded green certificates by local and international bodies. The SFIC aims to double this number by 2014.

Under the MOU, SFIC and SEC will work together to improve furniture manufacturers' expertise in environmental sustainability.

This will be done through various programmes like training seminars and conferences.

There will be programmes to help companies undertake the SEC's Singapore Green Labelling Scheme (SGLS), a leading environmental standard and certification mark.

President of SFIC, Mr Ernie Koh, said, "Our Singapore furniture companies are already well-recognised in the global market for their high quality and professional business management. This MOU will further enhance our standing and raise our competitiveness and reputation in the eco-friendly furniture market."

- CNA/fa

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We have nothing to hide on VVIP helicopter deal, ready to face Parliament: Antony

NEW DELHI: Defence minister A K Antony on Tuesday refuted reports about his resignation over alleged kickbacks in the over Rs 3600 crore VVIP helicopter deal and said he was getting ready for Parliament session.

"We have nothing to hide. We are prepared to face Parliament," Antony said.

"I am sad over the allegations of kickbacks despite taking all precautions at all stages," he added.

The defence minister said there was no political decision in defence procurement. He also clarified that there were no differences in government in dealing with the chopper deal issue. "The whole government is acting together," Antony said.

Earlier, sources said A K Antony is not part of Prime Minister Manmohan Singh's delegation that will hold talks with British Prime Minister David Cameron during which defence deals are expected to come up for discussion.

The defence minister is not part of the delegation, ministry sources said. However, no reasons were given for Antony not being part of the delegation.

During the talks, the British side is expected to take up the issue of Eurofighter combat aircraft for India's requirement of 126 multi-role fighter planes for the IAF.

The controversial chopper deal involving Anglo-Italian firm AgustaWestland may also come up for discussion.

Antony said it was still too early to cancel the multi-crore deal with Italian company Finmeccanica over charges it paid bribes in clinching the sale of 12 helicopters to India.

He said the government would not go by media reports but would wait for evidence of any wrongdoing before acting. India placed the contract on hold last week.

He said: "The government has nothing to hide. We will find the truth and punish the guilty."

The defense ministry ordered investigations into the deal after Finmeccanica's chief executive was arrested in Milan on charges he paid bribes to obtain the contract. Giuseppe Orsi denies wrongdoing.

India signed the contract with the company's helicopter division, AgustaWestland, in 2010. Three of the 12 helicopters were delivered in December.

(Inputs from PTI and AP)

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Hip implants a bit more likely to fail in women

CHICAGO (AP) — Hip replacements are slightly more likely to fail in women than in men, according to one of the largest studies of its kind in U.S. patients. The risk of the implants failing is low, but women were 29 percent more likely than men to need a repeat surgery within the first three years.

The message for women considering hip replacement surgery remains unclear. It's not known which models of hip implants perform best in women, even though women make up the majority of the more than 400,000 Americans who have full or partial hip replacements each year to ease the pain and loss of mobility caused by arthritis or injuries.

"This is the first step in what has to be a much longer-term research strategy to figure out why women have worse experiences," said Diana Zuckerman, president of the nonprofit National Research Center for Women & Families. "Research in this area could save billions of dollars" and prevent patients from experiencing the pain and inconvenience of surgeries to fix hip implants that go wrong.

Researchers looked at more than 35,000 surgeries at 46 hospitals in the Kaiser Permanente health system. The research, published Monday in JAMA Internal Medicine, was funded by the U.S. Food and Drug Administration.

After an average of three years, 2.3 percent of the women and 1.9 percent of the men had undergone revision surgery to fix a problem with the original hip replacement. Problems included instability, infection, broken bones and loosening.

"There is an increased risk of failure in women compared to men," said lead author Maria Inacio, an epidemiologist at Southern California Permanente Medical Group in San Diego. "This is still a very small number of failures."

Women tend to have smaller joints and bones than men, and so they tend to need smaller artificial hips. Devices with smaller femoral heads — the ball-shaped part of the ball-and-socket joint in an artificial hip — are more likely to dislocate and require a surgical repair.

That explained some, but not all, of the difference between women and men in the study. It's not clear what else may have contributed to the gap. Co-author Dr. Monti Khatod, an orthopedic surgeon in Los Angeles, speculated that one factor may be a greater loss of bone density in women.

The failure of metal-on-metal hips was almost twice as high for women than in men. The once-popular models were promoted by manufacturers as being more durable than standard plastic or ceramic joints, but several high-profile recalls have led to a decrease in their use in recent years.

"Don't be fooled by hype about a new hip product," said Zuckerman, who wrote an accompanying commentary in the medical journal. "I would not choose the latest, greatest hip implant if I were a woman patient. ... At least if it's been for sale for a few years, there's more evidence for how well it's working."

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Online:

Journal: http://www.jamainternalmed.com

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Russian Meteor: Close Encounter, Preventing Impacts

Feb 18, 2013 7:03pm

MOSCOW — As if Friday’s massive meteor explosion over central Russia weren’t enough, just hours later a large asteroid buzzed dangerously close to Earth.

And that evening, the California sky was lit up by a fireball, apparently entering Earth’s atmosphere.

It’s a barrage from space that has people asking: Are we ready for the big one?

Nearly 100 tons of space debris enters Earth’s atmosphere every day. Most of it burns up or falls harmlessly into the ocean, but experts still worry that eventually something big will come our way.

PHOTOS: Meteorite Crashes in Russia

Image credit: Chelyabinsk Region Branch of Russian Interior Ministry/HO/EPA

The prospect of Earth getting hit by a giant hunk of space rock is concerning enough that the United Nations is gathering top minds in Italy this week to discuss it.

Scientists say the idea of blowing up an asteroid — as Bruce Willis’ character did in the movie “Armageddon” — is pure Hollywood fantasy. Even if we could hit it, it’s unlikely to stop it.

Existing sky-watching programs run by NASA and others can only spot the biggest asteroids, not the small ones that sneak up on us.

But fear not, citizens of Earth. Scientists have a plan.

RELATED: Russian Meteor: Rushing to Cash in on the Blast

One group, the non-profit B612 Foundation, proposes sending a telescope, called Sentinel, into space to detect incoming objects decades before their orbits intersect ours. Then, unmanned spacecraft could fly to them and nudge them clear of Earth’s path.

The group is trying to raise $200 million to make it happen and hopes to launch the telescope by 2016.

Another project, proposed by the University of Hawaii, aims to give earthlings a heads-up when necessary, starting by 2015.

RELATED: Meteor Events: Rare, but Dangerous

It is called the Atlas program, and the plan is to deploy a string of telescopes that would search for even smaller objects in the sky, hoping to be able to give people at least a few day’s notice that could allow time for an evacuation.

Until then, better keep Bruce Willis on speed dial.

SHOWS: World News

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Pakistan Shi'ites demand protection from militants

QUETTA, Pakistan (Reuters) - Pakistani Shi'ites furious over a sectarian bombing that killed 85 people protested on Monday, demanding that security forces protect them from hardline Sunni groups.

The attack, near a street market in the southwestern city of Quetta on Saturday, highlighted the government's failure to crack down on militancy in nuclear-armed Pakistan just a few months before a general election is due.

While the Taliban and al Qaeda remain a major source of instability, Sunni extremists, who regard Shi'ites as non-Muslims, have emerged as another significant security threat.

Shi'ite frustrations with waves of attacks on them have reached boiling point.

In Quetta, some ethnic Shi'ite Hazaras are refusing to bury their dead until the army and security forces go after Lashkar-e-Jhangvi (LeJ), the group which claimed responsibility for the latest bombing.

Around 4,000 men, women and children placed 71 bodies beside a Shi'ite place of worship. Muslim tradition requires that bodies are buried as soon as possible and leaving them above ground is a potent expression of grief and pain.

Protesters chanted "stop killing Shi'ites".

"We stand firm for our demands of handing over the city to army and carrying out targeted operation against terrorists and their supporters," said Syed Muhammad Hadi, spokesman for an alliance of Shi'ite groups.

"We will not bury the bodies unless our demands are met."

The paramilitary Frontier Corps is largely responsible for security in Baluchistan province, of which Quetta is the capital, but Shi'ites say it is unable or unwilling to protect them.

LeJ has stepped up suicide bombings and shootings in a bid to destabilize strategic U.S. ally Pakistan and install a Sunni theocracy, an echo of the strategy that al Qaeda pursued to try and trigger a civil war in Iraq several years ago.

The group was behind a bombing last month in Quetta, near the Afghan border, that killed nearly 100 people.

In Karachi, a strike to protest against the Quetta bloodshed brought Pakistan's commercial hub to a standstill.

Authorities boosted security as protesters blocked roads, including routes to the airport, disrupted rail services to other parts of the country and torched vehicles.

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

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 such links.

(Writing by Michael Georgy; Editing by Alex Richardson)

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Pakistan protesters demand end to killing of Shiites

QUETTA, Pakistan: Thousands of women refused to bury victims of a bloody bombing and a strike shut down Pakistan's biggest city Karachi as protesters across the country demanded protection for Shiite Muslims.

Up to 4,000 women began their sit-in in Quetta Sunday evening, a day after a bomb in the city killed 81 members of the minority community including nine women and two girls aged seven and nine.

The women blocked a road and refused to bury the dead until authorities take action against the extremists behind the attack, which wounded 178 people.

The bomb, containing nearly a tonne of explosives hidden in a water tanker, tore through a crowded market in Hazara Town, a Shiite-dominated area on the edge of the city on Saturday evening.

It was the second deadly blast in the city in little over a month.

The sit-in continued Monday at Hazara Town and near a local station, said Wazir Khan Nasir, police chief of Quetta which is the capital of the southwestern province of Baluchistan.

"We are going to resume negotiations with the Shiite community leaders this morning to convince them to bury the dead," Nasir told AFP.

However a local Shiite party leader, Qayyum Changezi, said the protesters "will not bury the dead until a targeted operation is launched".

UN Secretary General Ban Ki-moon strongly condemned the bomb blast and called on authorities to act quickly against those responsible.

Sit-in demonstrations were held in several cities and towns across the country demanding an end to the killing of Shiites.

Public transport drivers and traders stopped work in Karachi Monday after a Shiite party called a protest strike, residents said.

Schools were closed, traffic was off the roads and attendance in offices was thin in the city. Several political and religious parties have backed the strike call.

"We will continue our peaceful struggle for protection of the Shiite community," said a Shiite party leader, Hasan Zafar Naqvi.

Baluchistan has increasingly become a flashpoint for surging sectarian bloodshed between Pakistan's majority Sunni Muslims and Shiites, who account for around a fifth of the country's 180 million people.

Saturday's attack takes the death toll in sectarian attacks in Pakistan this year to almost 200 compared with more than 400 in the whole of 2012 -- a year which Human Rights Watch described as the deadliest on record for Shiites.

A double suicide bombing on a snooker club in Quetta on January 10 killed at least 92 people, the deadliest-ever single attack on the community in Pakistan.

No one has been arrested for that attack and Daud Agha, chairman of the Shia Conference, told AFP anger was rising in the community.

Although it is customary for Muslims to bury the dead swiftly, protesters after the snooker club bombing refused to do so, prompting Islamabad to sack the provincial government.

The banned militant group Lashkar-e-Jhangvi (LeJ) claimed responsibility for Saturday's attack -- as it did for the snooker hall bombing and a February 1 attack on a Shiite mosque in northwest Pakistan that killed 24.

There is anger and frustration at the apparent inability or unwillingness of the authorities to tackle the LeJ. Activists say the failure of the judiciary to prosecute sectarian killers allows them to operate with impunity.

Baluchistan governor Zulfiqar Magsi pointed the finger at the security forces over the latest atrocity.

"Repeated occurrence of such attacks is a failure of our intelligence agencies," he told reporters late Saturday.

"Our security institutions, police, FC (paramilitary Frontier Corps) and others are either scared or cannot take action against them."

But Baluchistan home secretary Akbar Hussain Durrani said authorities were already taking action. "Law enforcement agencies have arrested so many suspects and seized huge cache of arms," Durrani said.

Pakistan is due to hold a general election in coming months but there are fears that rising sectarian and Islamist violence could force the postponement of polls.

- AFP/ir

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Normalcy returns to Kashmir after days of curfew

SRINAGAR: Normalcy returned to Kashmir valley on Monday after nine days of curfew and strike in the aftermath of the execution of Parliament attack convict Mohammad Afzal Guru.

The markets in Srinagar and other major towns were abuzz with activity as shopkeepers opened their outlets this morning.

Government and private offices and other commercial establishments opened as per their normal schedule. Public transport was also seen plying on the roads.

Authorities had imposed curfew across the Valley on February 9 due to apprehensions of law and order problems following Guru's execution inside the Tihar Jail.

Separatists had called for a seven-day shutdown in the Valley, and as the authorities lifted curfew late on Friday, hardline Hurriyat led by Syed Ali Shah Geelani extended the strike by two days in support of the demand that Guru's body be handed over to his family for last rites.

Three persons died and over 60 others injured including 25 policemen in the clashes between protesters and security forces following Guru's execution.

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