The Best Buy Company had better-than-expected holiday sales, setting off a gain of $2, or 16.4 percent, in its stock price, to $14.21 a share on Friday. The holiday quarter accounted for about a third of Best Buy’s revenue last year. The chain said that revenue at stores open at least a year fell 1.4 percent for the nine weeks ended Jan. 5. The company’s performance in the United States was flat. The chief executive, Hubert Joly, said in a statement that the result was better than the last several quarters. A Morningstar analyst, R. J. Hottovy, said the results showed that some of Best Buy’s initiatives, like more employee training and online price matching helped increase sales.
Business Briefing | Retailing: Best Buy Shares Rally on Improved Holiday Sales
Labels: Business
F.A.A. to Begin a Review of Boeing 787s
Labels: World
Federal authorities on Friday ordered a review of electrical systems in Boeing’s new 787 Dreamliner following a spate of incidents, including a battery fire earlier this week in Boston, 15 months after the technologically advanced aircraft came into service.
In an unusual high-priority review, the Federal Aviation Administration said it would focus on how the 787 was designed, manufactured and assembled and would examine critical electrical systems as well as other quality-control issues.
“We are concerned about recent events involving the Boeing 787,” Ray LaHood, the transportation secretary, said during a press conference in Washington. “We will look for the root causes of the recent events and do everything we can to ensure these events don’t happen again.”
Mr. LaHood said the F.A.A. had already spent 200,000 hours to certify the plane before it went into service.
The administrator of the F.A.A., Michael P. Huerta, said the review would focus on the electrical systems of the airplane, including the batteries and power distribution systems, and how they interact with each other.
Raymond L. Conner, the head of Boeing’s commercial airplane division, repeated at the press conference that Boeing had complete confidence in the 787, the first new airplane to be certified in the United States in more than 15 years.
“Every new commercial airplane has issues when it enters service,” Mr. Conner said.
The review, however, will not require the grounding of the 787 fleet, officials said. Boeing has delivered 50 of the airplanes since the first commercial flight in November 2011 and has received orders for more than 800. Eight airlines now fly the 787 – All Nippon Airways and Japan Airlines in Japan, Air India, Ethiopian Airlines, Chile’s LAN Airlines, Poland’s LOT, Qatar Airways and United Airlines.
It is uncommon for the F.A.A. to open a review of an airplane it has already certified, but it points to increased concern by regulators.
A Boeing spokesman, Marc Birtel, declined to comment on any review on Thursday evening. But he said Boeing was working actively with the F.A.A. to understand and address “introductory issues” that might come up with the new aircraft.
“While we take each issue seriously, nothing we’ve seen in service causes us to doubt the capabilities of the airplane,” he said.
The review comes amid an investigation by the National Transportation Safety Board into why a battery pack caught fire in a parked 787 at Logan International Airport in Boston on Monday. The fire occurred in a Japan Airlines plane from Tokyo after the passengers and crew had left the plane.
The battery, which powers the auxiliary power unit used when the plane is on the ground, sustained “severe fire damage,” according to the safety board.
But with the current focus on the 787’s problems, every incident, however small, is getting extra attention. Earlier on Friday, All Nippon Airlines of Japan reported cracks in the cockpit window of a 787 Dreamliner heading from Tokyo to Matsuyama, the third time that cracks had appeared in the windshield of one of the 17 787s operated by the airline.
The cracks were on the outermost of five layers that compose the cockpit windshield and did not endanger the aircraft, said Megumi Tezuka, a company spokeswoman.
Moreover, she said, cracks of this kind are not unique to the 787 Dreamliner; cracks have appeared in other aircraft types operated by All Nippon from time to time.
“We do not see this as a sign of a fundamental problem” with the aircraft, Ms. Tezuka said.
A bigger concern to investigators would be problems in the plane’s electric systems. The 787, which make extensive use of lightweight carbon composites, relies more on electric systems than previous generations of airplanes. Electrical systems, not mechanical ones, operate hydraulic pumps, de-ice the wings, pressurize the cabin and handle other tasks. The plane also has electric brakes instead of hydraulic ones.
This electric architecture helps cut energy consumption and makes the aircraft more efficient to operate.
In a move to quell the damage to the plane’s reputation, Boeing on Wednesday defended its program and said it stood by its engineering and design choices, including the use of lithium-ion batteries such as the one that apparently caught fire.
Boeing pointed out that the plane had multiple layers of redundant systems and emphasized that any new plane program suffered from glitches in its first few years of production.
So far, airlines that operate the plane have stood by Boeing. After years of production delays, airlines have been eager to fly an airplane that promises significant fuel savings.
This week’s events followed incidents with the plane last month. In December, the F.A.A. ordered inspections of fuel line connectors on all 787s, warning of a risk of fuel leaks and fires. That same day, a United Airlines 787 flying from Houston to Newark was diverted to New Orleans after one of its six electric generators failed in midflight.
Boeing said this week that those problems were not related to the fire incident in Boston. It traced the problem on the United flight to a defective electric panel. It added that the 787 proved during testing that it could fly for more than five hours with just one of its six electrical generators.
Some safety experts agreed that the problems with the 787 pointed more to teething problems than structural faults. But the issues are still an embarrassment for Boeing’s flagship program. The plane maker has said it expects to sell 5,000 787s in the next 20 years.
In a separate matter, Japan Airlines said that an incident on Tuesday involving a fuel leak on a 787 was because one of four fuel valves connecting two tanks had been left open. This caused fuel to flow into a surge tank near the wing tip and out a vent. The plane was towed back to its gate but eventually left Boston for Tokyo after a delay of nearly four hours.
Bettina Wassener contributed reporting from Hong Kong.
Skype founder browses globe for next tech earner
Labels: TechnologyLONDON (Reuters) – Niklas Zennstrom, co-founder of internet phone service Skype, believes the next hot tech business will just as likely spring from Istanbul or Sao Paolo as from Silicon Valley or the coolest districts of London.
And he is prepared to fly around the world to find it.
“Talent can pop up anywhere in the world, it’s not just one city block,” the Swedish entrepreneur and venture capitalist said at the headquarters of his Atomico fund, based on upmarket New Bond Street in central London.
Zennstrom, who retains faint traces of a Swedish accent despite his years of globetrotting, is looking for start-ups ready to shift up a gear into new markets and has the experience, gained from growing Skype into a service used by millions around the world, to help them.
Skype was sold to eBay Inc in 2005 for roughly $ 3 billion, before being bought back by a consortium including Zennstrom in 2009 and then two years later sold on to Microsoft Corp for $ 8.5 billion, leaving him a multi-millionaire.
“If you have a product that works it’s important to scale (up) the business as quickly as possible,” said Zennstrom, named by Time Magazine in 2006 as one of its 100 most influential people. “As entrepreneurs, usually you may not have that experience; how does Asia work? Europe? Latin America?”
Atomico, founded by Zennstrom in 2006, has invested in companies in northern Europe including Finland-based Rovio, developer of Angry Birds, and Hailo, a London-based startup that has developed an app that connects passengers with taxi drivers and has raised $ 20 million so far.
It also led a $ 105 million funding round for U.S. online retailer Fab in July.
FUTURE PORTFOLIO
The investment fund, whose London office reception is decked out with simple designer furniture and modern art pieces, has opened offices in Turkey and Brazil, emerging markets with growing middle classes eager to shop online and buy internet services.
Zennstrom wants to make these markets a large part of Atomico’s portfolio in future.
The firm in 2011 backed Brazilian online retailers such as car parts supplier Connect Parts and announced a $ 16 million investment in a Russian online travel agency in October.
Atomico is not necessarily looking for the latest gizmo or internet trend, but savvy businesses with talented leaders who can take advantage of growth in nascent sectors such as e-commerce.
And Zennstrom, softly spoken and wearing an open-necked shirt and dark jacket, believes emerging market growth is fuelling a new breed of optimism and ambition.
“It’s a much more of an entrepreneurial spirit (in Turkey and Brazil) compared to southern European where it’s a depressed mindset,” he said.
Zennstrom earned his stripes in the tech world after helping launch file-sharing service Kazaa more than a decade ago, which failed as a business but paved the way for Skype.
He said getting investment today was far easier than when he was starting Skype. It took him a year to secure funding, whereas today the most talented entrepreneurs with the best ideas could take their pick of investors.
There is also increasing recognition that entrepreneurs might want to realize some of the value of their creations, something he said was lacking when Skype became successful.
“There was really no IPO market and it was not really accepted for founders to sell some of their shares to get some money off the table,” he said, adding that before Skype was sold to eBay, he could not even secure a mortgage on an apartment.
“I think we made the right decision for the time in terms of selling (Skype),” he said. “Today as an entrepreneur you have more options.”
(Editing by David Holmes)
Internet News Headlines – Yahoo! News
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Affleck, Argo win big at Critics' Choice Awards
Labels: LifestyleLOS ANGELES (AP) — Hours after a surprise snub in Academy Award nominations, Ben Affleck won best director and his film "Argo" was named best picture at the Critics' Choice Movie Awards.
Affleck, whose film was nominated for seven Oscars including best picture but not best director, accepted the award Thursday night at the Broadcast Film Critics Association's 18th annual awards in Los Angeles, joking as he took the trophy that he'd "like to thank the Academy."
Daniel Day-Lewis from "Lincoln" and Jessica Chastain from "Zero Dark Thirty" both added to earlier Oscar nods with Critics' Choice wins in the top acting categories.
Philip Seymour Hoffman won best supporting actor for his role in "The Master" and Anne Hathaway won best supporting actor for "Les Miserables."
The ceremony was broadcast on the CW network.
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The night's winners:
Best Picture: Argo
Actor: Daniel Day-Lewis
Actress: Jessica Chastain
Supporting Actor: Philip Seymour Hoffman
Supporting Actress: Anne Hathaway
Young Actor/Actress - Quvenzhane Wallis
Acting Ensemble: Silver Linings Playbook
Director: Ben Affleck
Original Screenplay: Quentin Tarantino
Adapted Screenplay: Tony Kushner
Cinematography: Claudio Miranda (Life of Pi)
Art Direction: Sarah Greenwood/Katie Spencer (Anna Karenina)
Editing: William Goldenberg/Dylan Tichenor (Zero Dark Thirty)
Costume Design: Jacqueline Durran (Anna Karenina)
Makeup: Cloud Atlas
Visual Effects: Life of Pi
Animated Feature: Wreck-It Ralph
Action Movie: Skyfall
Actor in an Action Movie - Daniel Craig
Actress in an Action Movie - Jennifer Lawrence
Comedy - Silver Linings Playbook
Actor in a Comedy - Bradley Cooper
Actress in a Comedy - Jennifer Lawrence
Sci-Fi/Horror Movie - Looper
Foreign Language Film - Amour
Documentary Feature - Searching for Sugarman
Song - Skyfall
Score - John Williams
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Online:
www.criticschoice.com
The New Old Age Blog: Taking a Zen Approach to Caregiving
Labels: HealthYou try to help your elderly father. Irritated and defensive, he snaps at you instead of going along with your suggestion. And you think “this is so unfair” and feel a rising tide of anger.
How to handle situations like this, which arise often and create so much angst for caregivers?
Jennifer Block finds the answer in what she calls “contemplative caregiving” — the application of Buddhist principles to caregiving and the subject of a year-long course that starts at the San Francisco Zen Center in a few weeks.
This approach aims to cultivate compassion, both for older people and the people they depend on, said Ms. Block, 49, a Buddhist chaplain and the course’s lead instructor. She’s also the former director of education at the Zen Hospice project in San Francisco and founder of the Beyond Measure School for Contemplative Care, which is helping develop a new, Zen-inspired senior living community in the area.
I caught up with Ms. Block recently, and what follows is an edited transcript of our conversation.
Let’s start with your experience. Have you been a caregiver?
My experience in caregiving is as a professional providing spiritual care to individuals and families when they are facing and coping with aging and sickness and loss and dying, particularly in hospital and hospice settings.
What kinds of challenges have you witnessed?
People are for the most part unprepared for caregiving. They’re either untrained or unable to trust their own instincts. They lack confidence as well as knowledge. By confidence, I mean understanding and accepting that we don’t know all the answers – what to do, how to fix things.
This past weekend, I was on the phone with a woman who’d brought her mom to live near her in assisted living. The mom had been to the hospital the day before. My conversation with the daughter was about helping her see the truth that her mother needed more care and that was going to change the daughter’s responsibilities and her life. And also, her mother was frail, elderly, and coming nearer to death.
That’s hard, isn’t it?
Yes, because we live in a death-denying society. Also, we live in a fast-paced, demanding world that says don’t sit still — do something. But people receiving care often need most of all for us to spend time with them. When we do that, their mortality and our grief and our helplessness becomes closer to us and more apparent.
How can contemplative caregiving help?
We teach people to cultivate a relationship with aging, sickness and dying. To turn toward it rather than turning away, and to pay close attention. Most people don’t want to do this.
A person needs training to face what is difficult in oneself and in others. There are spiritual muscles we need to develop, just like we develop physical muscles in a gym. Also, the mind needs to be trained to be responsive instead of reactive.
What does that mean?
Here’s an example. Let’s say you’re trying to help your mother, and she says something off-putting to you like “you’ve always been terrible at keeping house. It’s no wonder you lost my pajamas.”
The first thing is to notice your experience. To become aware of that feeling, almost like being slapped emotionally. To notice your chest tightening.
Then I tell people to take a deep breath. And say something to themselves like “soften” to address that tightness. That’s how you can stay facing something uncomfortable rather than turning away.
If I were in this position, I might say something to myself like “hello unhappiness” or “hello suffering” or “hello aging” to tether myself.
The second step would be curiosity about that experience. Like, wow, where do I feel that anger that rose up in me, or that fear? Oh, it’s in my chest. I’m going to feel that, stay with it, investigate it.
Why is that important?
Because as we investigate something we come to understand it. And, paradoxically, when we pay attention to pain it changes. It softens. It moves. It lessens. It deepens. And we get to know it and learn not to be afraid of it or change it or fix it but just come alongside of it.
Over hours, days, months, years, the mind and heart come to know pain. And the response to pain is compassion — the wish for the alleviation of pain.
Let’s go back to what mother said about your housekeeping and the pajamas. Maybe you leave the room for five minutes so you can pay attention to your reaction and remember your training. Then, you can go back in and have a response rather than a reaction. Maybe something like “Mom, I think you’re right. I may not be the world’s best housekeeper. I’m sorry I lost your pajamas. It seems like you’re having a pretty strong response to that, and I’d like to know why it matters so much to you. What’s happening with you today?”
Are other skills important?
Another skill is to become aware of how much we receive as well as give in caregiving. Caregiving can be really gratifying. It’s an expression of our values and identity: the way we want the world to be. So, I try to teach people how this role benefits them. Such as learning what it’s like to be old. Or having a close, intimate relationship with an older parent for the first time in decades. It isn’t necessarily pleasant or easy. But the alternative is missing someone’s final chapter, and that can be a real loss.
What will you do in your course?
We’ll teach the principles of contemplative care and discuss them. We’ll have homework, such as ‘Bring me three examples of someone you were caring for who was caring toward you in return.’ That’s one way of practicing attention. And people will train in meditation.
We’ll also explore our own relationship to aging, sickness, dying and loss. We’ll tell our stories: this is the situation I was in, this is where I felt myself shut down, this was the edge of my comfort or knowledge. And we’ll teach principles from Buddhism. Equanimity. Compassion. Deep inner connectedness.
What can people do on their own?
Mindfulness training is offered in almost every city. That’s one of the core components of this approach.
I think every caregiver needs to have their own caregiver — a therapist or a colleague or a friend, someone who is there for them and with whom they can unburden themselves. I think of caregiving as drawing water from a well. We need to make sure that we have whatever nurtures us, whatever supplies that well. And often, that’s connecting with others.
Are other groups doing this kind of work?
In New York City, the New York Zen Center for Contemplative Care educates the public and professionals about contemplative care. And in New Mexico, the Upaya Zen Center does similar work, much of it centered around death and dying.
People who want to read about this might want to look at a new book of essays, “The Arts of Contemplative Care: Pioneering Voices in Buddhist Chaplaincy and Pastoral Work” (Wisdom Publications, 2012).
Official Urges Greater Accountability by Euro Members
Labels: Business
BRUSSELS — Olli Rehn, the European Union commissioner in charge of the euro currency, on Friday defended the bloc’s austerity policies and urged legislators to pass a law that would let him push countries even harder to shore up their finances.
Signaling little let-up in the need for wrenching adjustments in Europe, Mr. Rehn also issued warnings to a wide range of countries — including some with the region’s largest economies — to keep to the reform path and contribute to overall growth.
France and Finland need to address their declining competitiveness while Germany should do more to open up its services market, Mr. Rehn told a meeting organized by the European Policy Center, a research group.
Meanwhile Cyprus, which is negotiating a European bailout, needs to ease suspicions its financial sector is a hub for money-laundering, he said.
Mr. Rehn acknowledged the value of recent studies by economists at the International Monetary Fund suggesting that damage created by austerity was up to three times more severe than previously thought. But Mr. Rehn also warned those studies may not take sufficient account of the need to restore faith in countries blocked from borrowing money on international markets.
“We have not only the quantifiable effect, which is something that the economists like to emphasize, but we also have the confidence effect,” said Mr. Rehn.
“What would have happened if Italy would have loosened its fiscal policy in November 2011?” he asked, referring to a period when Italy's borrowing costs were rocketing upwards. That situation threatened “both an economic crisis and political dead-end,” but recent reforms and belt-tightening had helped Italy’s economy to stabilize, he said.
Mr. Rehn said efforts were underway among the European Commission, the I.M.F. and the European Central Bank to reach a consensus on the impact of austerity policies.
Mr. Rehn also highlighted evidence showing that public debt levels in excess of 90 percent of Gross Domestic Product — a level in many parts of Europe — meant that economies were more likely to lack dynamism and to experience low growth lasting many years.
Underscoring the plight of Cyprus, the ratings agency Moody’s on Friday cut the country’s debt rating by three notches because of the capital needs of its banks that were heavily afflicted by an earlier debt write-down in Greece. Cypriot banks had invested heavily in Greek bonds, in large part to make use of money that had flooded into the banks by Russian depositors seeking a non-ruble haven.
In a sign of how difficult it will be to help Cyprus out of its financial black hole, Mr. Rehn gave no indications of when an assistance package would be finished. That package was still “very much a work in progress” and any decision would be made “in due course,” he said.
Cyprus still needed to implement "new laws against money laundering” as a precondition for aid, he said. Once “Cyprus reforms its financial sector in line with European principles, we will work alongside Cyprus as we did in Spain,” said Mr. Rehn. He was apparently referring to an agreement reached last year with the government in Madrid to extend tens of billions of euros in loans to restructure and recapitalize its banking sector.
Mr. Rehn also urged members of the European Parliament to speed up an agreement on fiscal legislation.
Those rules would require member states to present their public finance plans to the European Commission in greater detail, and sooner, than is currently required. The commission could then demand revisions, as deemed necessary. For member states that are already in financial trouble, those rules would let the commission conduct regularly scheduled reviews and require more information about a country’s financial sector than is currently the case.
The rules would give “stronger possibilities of pre-emptive oversight as to national budgets before they are finally presented to national parliaments” in order “to ensure that the member states practice what they preach,” said Mr. Rehn.
Failing to pass the law could invite a rerun of events in the middle of the past decade, when Germany and France essentially ignored their deficit-cap provisions, contributing to the current debt-crisis in Europe, warned Mr. Rehn.
“It’s a very serious issue,” he said.
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Netflix announces ‘Super HD’ and 3D streaming for select ISPs
Labels: TechnologyNetflix (NFLX) on Tuesday announced new enhanced streaming options for users on select ISPs. Following a series of rumors that suggested as much, Netflix has confirmed the availability of “Super HD” streaming — which is simply Netflix’s branding for 1080p content — and 3D video streaming. Both services are available immediately with a huge caveat: only Netflix subscribers with Cablevision or Google Fiber Internet service have access to the new content. For those lucky subscribers, Super HD and 3D content is accessible using a number of devices including the Wii U, compatible Roku players, the Apple TV, Windows 8 PCs and select smart TVs and Blu-ray players. Netflix’s full press release follows below.
Netflix “Open Connect” Delivery Network Gains Widespread Global Acceptance
Cablevision Most Recent Major Provider to Join Open Connect
New Super HD and 3D Video Formats Available on Open Connect
[More from BGR: Apple’s next iPhone to reportedly feature larger screen and ‘brand new exterior design’]
Jan 8, 2013
LAS VEGAS, Jan. 8, 2013 /PRNewswire/ — Netflix Open Connect, the single purpose video content delivery network launched last year, is now delivering the majority of Netflix international traffic and is growing at a rapid pace in the domestic market.
In early 2012 Netflix began enabling Internet service providers (ISPs) to receive, at no cost to them, Netflix video directly at the interconnection point of the ISP’s choice. By connecting directly through Open Connect, ISPs can more effectively manage their networks and more efficiently deliver Internet services to consumers, including the more than 1 billion hours of Netflix TV shows and movies consumers watch every month.
Netflix Open Connect is now widely deployed around the world, serving the vast majority of Netflix video in Europe, Canada and Latin America, and a growing proportion in the U.S., where Netflix has over 25 million streaming members.
“Leading-edge ISPs around the world such as Cablevision, Virgin Media, British Telecom, Telmex, Telus, TDC, GVT, among many others, are already participating in Open Connect to provide the highest-possible quality Netflix service to consumers,” said Netflix Chief Executive Officer Reed Hastings. “Our goal is to have all of our members served by Open Connect as soon as possible.”
“Optimum is committed to providing the highest-quality TV, phone and Internet to our customers, and our new partnership with Netflix supports this critical objective,” said James L. Dolan, president and CEO of Cablevision, the most recent major provider to join Open Connect. “With Open Connect, we are establishing a direct local connection with Netflix that delivers a higher-quality Netflix viewing experience for Optimum customers than Verizon or AT&T can provide, including access to new Netflix Super HD and 3D TV shows and movies.”
Netflix Super HD and 3D
Now available through Open Connect partners, Netflix Super HD is the highest quality video format offered by Netflix, providing an even better picture on 1080p HDTVs.
In the U.S., Netflix is also for the first time offering a small number of titles streaming in 3D through Open Connect partners. Available for 3D viewing are, among other titles, the action fantasy drama “Immortals,” Red Bull Media House’s snowboarding documentary “The Art of Flight,” and a number of titles from the Discovery/Sony/Imax joint venture 3net Studios – including the native, original 3D series “African Wild,” “Scary Tales,” and “Live Fire.” Depending on member demand, Netflix will consider adding 3D titles and expanding availability to international markets.
“These new Super HD and 3D formats are more challenging to deliver than our other video streams, which is why we will deliver them through Open Connect,” said Ken Florance, vice president of content delivery at Netflix. “Any ISP that wants to be able to deliver our new formats can do so easily and for free.”
Netflix members can verify if their ISP is part of Open Connect and provides access to Netflix Super HD and, in the U.S. only, 3D on this Web site: http://www.netflix.com/superhd
ISPs that are not yet on Open Connect can contact Netflix at openconnect.netflix.com to start their Open Connect relationship. As part of Open Connect, Netflix is also sharing its hardware design and the open source software components. These designs are suitable for any other provider of large media files and are very cost efficient.
Linux/Open Source News Headlines – Yahoo! News
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Mass. charge against Gene Shalit to be dismissed
Labels: LifestyleGREAT BARRINGTON, Mass. (AP) — A misdemeanor driving charge against retired television movie critic Gene Shalit is set to be dismissed in Massachusetts.
The 86-year-old Shalit was cited in October after his vehicle struck a utility pole and came to rest against a house in Lenox, in western Massachusetts. Shalit, who lives in nearby Stockbridge, wasn't hurt. He told police he fell asleep.
The agreement between police and Shalit's lawyer was approved during a probable cause hearing Wednesday in Southern Berkshire District Court. The hearing was continued to April 2, when the driving to endanger charge will be dismissed.
Shalit's lawyer tells The Berkshire Eagle (http://bit.ly/VL5eMe ) his client won't drive until the next hearing, at which time his driving status will be re-assessed.
Shalit, known for his bushy hair and mustache, reviewed movies for NBC's "Today" show from 1973 until 2010.
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Information from: The Berkshire (Mass.) Eagle, http://www.berkshireeagle.com
Flu Widespread, Leading a Range of Winter’s Ills
Labels: Health
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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