Op-Ed Contributor: How Turkey Can Make Peace With the Kurds

THE assassination of three Kurdish activists in Paris last week has raised fears that the true target was peace talks between Turkey and the rebel Kurdistan Workers’ Party, or the P.K.K. But the so-called peace process was already in shambles before the killings, which have not been solved.

Turkey’s prime minister, Recep Tayyip Erdogan, claims that he wants a deal to end nearly 30 years of war between the state and the P.K.K. rebels. But he has yet to take the decisive action needed for a credible peace process. Until he understands that the Kurdish problem in Turkey is about politics and identity, and not just about getting the guerrillas to withdraw from Turkey and give up their weapons, there will be no hope for peace.

The head of Turkish intelligence, Hakan Fidan, has recently been holding talks with the imprisoned P.K.K. leader, Abdullah Ocalan. Turkey’s intelligence services have had discussions with Mr. Ocalan since he was captured in February 1999, but to no avail.

The problem is that Mr. Ocalan may not be the right partner to negotiate with. He is held in extreme isolation on an island prison, with all communication vetted by his jailers. He received a television in his cell for the first time just a few days ago. Visits must be approved, and rarely are. This means that Mr. Ocalan has limited knowledge of developments in the Kurdish region of Turkey. And while he remains the head of the P.K.K., he has no practical control over the rebels’ day-to-day operations.

Even if he were in control, the highly authoritarian Mr. Ocalan is not necessarily the man to ensure democracy for Turkey’s Kurds. During the nearly two decades he was based in Syria, Mr. Ocalan consolidated power by killing or isolating challengers.

A viable peace deal must answer Kurdish demands for human rights in a manner that protects the views of all Kurds, not just those of Mr. Ocalan and the P.K.K. And the best way to do this is through the Kurdish Peace and Democracy Party, known as the B.D.P., which won seats in Turkey’s parliament in 2011 and can genuinely claim to represent Kurdish aspirations.

Mr. Erdogan needs to recognize that the way to peace is through politics. Instead of engaging solely with Mr. Ocalan, as if the P.K.K. rebellion were purely a security problem, he must craft a political process that addresses Kurds’ grievances about cultural rights and autonomy, giving the rebels a reason to lay down their weapons.

To end the conflict, which has killed more than 40,000 people and hampered Turkey’s ability to exert its clout in the Middle East, Turkey needs to do three things.

First, Mr. Erdogan must unequivocally commit to a negotiated process that includes compromises by both sides. While Turkey’s territorial integrity should not be up for debate, everything else should be. Mr. Erdogan has generally been dismissive of Kurdish grievances. In a recent interview, he said there was no need to instruct Kurdish students in their native tongue, because they can already study the language as an elective. Instead of belittling Kurds’ cultural demands, he should demonstrate good faith by pushing through stalled constitutional and legal reforms, including changes to constitutional provisions that restrict the use of the Kurdish language in schools, punish criticism of the Turkish state and define citizenship through the prism of Turkish identity.

Second, Mr. Erdogan needs to understand that disarming the P.K.K. won’t come at the beginning of the peace process, but at the end. He can, and should, ask for a cease-fire agreement, but it cannot be a one-sided call for Kurdish surrender. To silence the P.K.K.’s guns while talks are under way, Turkey will also have to suspend its military operations against rebels in the southeast and in northern Iraq.

Third, Turkey shouldn’t limit itself to negotiating with an imprisoned authoritarian figurehead; it should also negotiate with the B.D.P. Unlike the P.K.K., the B.D.P. has legal recognition. But it also has legitimacy among Kurds due to its close ties to the P.K.K.; its members share the P.K.K.’s political goals of Kurdish autonomy and recognize Mr. Ocalan as a leader of the Kurds. This is what makes the B.D.P. a serious negotiating partner; the party can be an effective conduit for P.K.K. demands and help devise a viable democratic reform package in Parliament.

Aliza Marcus is the author of “Blood and Belief: The PKK and the Kurdish Fight for Independence.”

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Tablet Too Small? Try Lenovo’s 27-Inch ‘Table PC’

Google’s aptly-named Nexus 7 tablet made a splash when it debuted last year, at $ 199 and with a screen 7 inches across. Apple soon released its own iPad Mini to join the increasingly crowded world of miniature tablets, which — at about half the size of a regular iPad — are so small as to be pocketable.

Other manufacturers, however, aren’t taking the “smaller is better” route. Microsoft‘s Surface tablet debuted with a 10.6-inch screen, almost an inch across more than the iPad. And now at the recent Consumer Electronics Show, at least two companies were showing off “tablets” the size of an HDTV.

The “IdeaCentre Horizon Table PC”

That’s the actual name of Lenovo‘s new product, which Lenovo is calling an “interpersonal PC” (yes, that is an interpersonal Personal Computer, in case you were wondering). It’s a Windows 8 tablet, with a screen 27 inches across. It can apparently serve as an iMac-style, all-in-one desktop just fine, but Lenovo wants people to use it flat on their tables, like in a promo video which evokes the original Microsoft Surface.

A $ 10,000 bathtub

That’s basically what the first Surface amounted to — the Microsoft prototype of years ago, which never saw widespread use. It was a super-expensive, bathtub-sized table, with a Windows Vista PC inside and a camera array which optically scanned its top surface. It wasn’t a true touchscreen, in other words, so much as an expensive hack that was mostly just good for demos and reminding people of the desks in “Tron.”

Lenovo’s “Table PC” is smaller than that Surface, but will also be a lot cheaper when it comes out “beginning in early summer,” at $ 1,699. And like in those giddy tech demos, it’s designed for multiple people to use it at once; for things like sorting through vacation photos, or even playing animated digital board games, using physical accessories like special dice. (Lenovo calls this sort of hybrid activity “phygital,” a name which probably won’t catch on.)

What about the games and apps?

Thanks to Microsoft’s push for developers to make tablet apps, the Windows Market is starting to fill with touch titles. Lenovo is mostly pushing its own shop, however, run in partnership with Intel, which has “5,000+ multi-user entertainment apps.” It’s not clear how many of those are actually designed for the Horizon Table PC, but it comes with a selection of entertainment and children’s titles, and with the built-in BlueStacks player it should be able to run certain Android apps as well.

Is 27 inches a little too big?

The Asus Transformer AiO, also shown off at CES, is based on a similar concept. It’s an 18.4-inch all-in-one Windows 8 PC, where the screen can detach and become a huge (but not as huge) tablet. Most of the hardware is in the base station, but it can connect to it wirelessly inside the home, Wii U style. It also converts to an Android tablet, for use separate from the base station.

Jared Spurbeck is an open-source software enthusiast, who uses an Android phone and an Ubuntu laptop PC. He has been writing about technology and electronics since 2008.

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It's a Boy for Elton John

Mom & Babies
Celebrity Baby Blog

01/15/2013 at 10:00 PM ET

George Pimentel/WireImage

Elton John is a father again!

The musician and David Furnish welcomed their second child, son Elijah Joseph Daniel Furnish-John, via surrogate on Friday, Jan. 11 in Los Angeles, the couple confirm to HELLO.

Born at 6:40 p.m., Elijah weighed in at 8 lbs., 4 oz.

John and Furnish, who married in 2005, are already parents to son Zachary Jackson Levon, 2.

“Both of us have longed to have children, but the reality that we now have two sons is almost unbelievable. The birth of our second son completes our family in a most precious and perfect way,” the couple say in a statement.

“It is difficult to fully express how we are feeling at this time; we are just overwhelmed with happiness and excitement.”

John, 65, has been open about his desire to expand their family.

“I know when he goes to school there’s going to be an awful lot of pressure, and I know he’s going to have people saying, ‘You don’t have a mummy,’” says the singer-songwriter of his decision to have another baby.

“It’s going to happen. We talked about it before we had him. I want someone to be at his side and back him up. We shall see.”

– Sarah Michaud

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Risk to all ages: 100 kids die of flu each year

NEW YORK (AP) — How bad is this flu season, exactly? Look to the children.

Twenty flu-related deaths have been reported in kids so far this winter, one of the worst tolls this early in the year since the government started keeping track in 2004.

But while such a tally is tragic, that does not mean this year will turn out to be unusually bad. Roughly 100 children die in an average flu season, and it's not yet clear the nation will reach that total.

The deaths this year have included a 6-year-old girl in Maine, a 15-year Michigan student who loved robotics, and 6-foot-4 Texas high school senior Max Schwolert, who grew sick in Wisconsin while visiting his grandparents for the holidays.

"He was kind of a gentle giant" whose death has had a huge impact on his hometown of Flower Mound, said Phil Schwolert, the Texas boy's uncle.

Health officials only started tracking pediatric flu deaths nine years ago, after media reports called attention to children's deaths. That was in 2003-04 when the primary flu germ was the same dangerous flu bug as the one dominating this year. It also was an earlier than normal flu season.

The government ultimately received reports of 153 flu-related deaths in children, from 40 states, and most of them had occurred by the beginning of January. But the reporting was scattershot. So in October 2004, the government started requiring all states to report flu-related deaths in kids.

Other things changed, most notably a broad expansion of who should get flu shots. During the terrible 2003-04 season, flu shots were only advised for children ages 6 months to 2 years.

That didn't help 4-year-old Amanda Kanowitz, who one day in late February 2004 came home from preschool with a cough and died less than three days later. Amanda was found dead in her bed that terrible Monday morning, by her mother.

"The worst day of our lives," said her father, Richard Kanowitz, a Manhattan attorney who went on to found a vaccine-promoting group called Families Fighting Flu.

The Centers for Disease Control and Prevention gradually expanded its flu shot guidance, and by 2008 all kids 6 months and older were urged to get the vaccine. As a result, the vaccination rate for kids grew from under 10 percent back then to around 40 percent today.

Flu vaccine is also much more plentiful. Roughly 130 million doses have been distributed this season, compared to 83 million back then. Public education seems to be better, too, Kanowitz observed.

The last unusually bad flu season for children, was 2009-10 — the year of the new swine flu, which hit young people especially hard. As of early January 2010, 236 flu-related deaths of kids had been reported since the previous August.

It's been difficult to compare the current flu season to those of other winters because this one started about a month earlier than usual.

Look at it this way: The nation is currently about five weeks into flu season, as measured by the first time flu case reports cross above a certain threshold. Two years ago, the nation wasn't five weeks into its flu season until early February, and at that point there were 30 pediatric flu deaths — or 10 more than have been reported at about the same point this year. That suggests that when the dust settles, this season may not be as bad as the one only two years ago.

But for some families, it will be remembered as the worst ever.

In Maine, 6-year-old Avery Lane — a first-grader in Benton who had recently received student-of-the-week honors — died in December following a case of the flu, according to press reports. She was Maine's first pediatric flu death in about two years, a Maine health official said.

In Michigan, 15-year-old Joshua Polehna died two weeks ago after suffering flu-like symptoms. The Lake Fenton High School student was the state's fourth pediatric flu death this year, according to published reports.

And in Texas, the town of Flower Mound mourned Schwolert, a healthy, lanky 17-year-old who loved to golf and taught Sunday school at the church where his father was a youth pastor.

Late last month, he and his family drove 16 hours to spend the holidays with his grandparents in Amery, Wis., a small town near the Minnesota state line. Max felt fluish on Christmas Eve, seemed better the next morning but grew worse that night. The family decided to postpone the drive home and took him to a local hospital. He was transferred to a medical center in St. Paul, Minn., where he died on Dec. 29.

He'd been accepted to Oklahoma State University before the Christmas trip. And an acceptance letter from the University of Minnesota arrived in Texas while Max was sick in Minnesota, his uncle said.

Nearly 1,400 people attended a memorial service for Max two weeks ago in Texas.

"He exuded care and love for other people," Phil Schwolert said.

"The bottom line is take care of your kids, be close to your kids," he said.

On average, an estimated 24,000 Americans die each flu season, according to the Centers for Disease Control and Prevention. People who are elderly and with certain chronic health conditions are generally at greatest risk from flu and its complications.

The current vaccine is about 60 percent effective, and is considered the best protection available. Max Schwolert had not been vaccinated, nor had the majority of the other pediatric deaths.

Even if kids are vaccinated, parents should be watchful for unusually severe symptoms, said Lyn Finelli of the CDC.

"If they have influenza-like illness and are lethargic, or not eating, or look punky — or if a parent's intuition is the kid doesn't look right and they're alarmed — they need to call the doctor and take them to the doctor," she advised.

___

CDC advice on kids: http://www.cdc.gov/flu/protect/children.htm

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Dow, S&P 500 inch up with retailers but Apple drags again

NEW YORK (Reuters) - The Dow and S&P 500 edged higher on Tuesday after stronger-than-expected retail data, though tech heavyweight Apple dragged on the market for a third day.

Apple was the biggest weight on both the S&P 500 and Nasdaq 100 <.ndx> after reports on Monday of cuts to orders for iPhone parts. Shares declined 3.2 percent to $485.92 and closed below $500 for the first time since February.

Retail stocks advanced after a government report showing retail sales rose more than expected in December was seen as a favorable sign for fourth-quarter growth. A separate report showed manufacturing activity in New York state contracted for the sixth month in a row in January.

"A little better-than-expected news on retail sales once again reinforces that the consumer remains alive and reasonably well," said Mark Luschini, chief investment strategist at Janney Montgomery Scott in Philadelphia, which manages about $54 billion in assets.

Among retailers, American Eagle Outfitters Inc gained 4.8 percent to $20.58 and Gap Inc rose 3.4 percent to $32.46. The Morgan Stanley retail index <.mvr> advanced 1.5 percent.

Express Inc surged 23.8 percent to $17.40 after the apparel retailer raised its fourth-quarter and full year 2012 outlook.

The Dow Jones industrial average <.dji> was up 27.57 points, or 0.20 percent, at 13,534.89. The Standard & Poor's 500 Index <.spx> was up 1.66 points, or 0.11 percent, at 1,472.34. The Nasdaq Composite Index <.ixic> was down 6.72 points, or 0.22 percent, at 3,110.78.

Apple's stock has lost about 7 percent in the last three sessions and is down 8.7 percent since the start of the year.

"It's tough to discern exactly what's putting the pressure on it. But at the end of the day, its influence, considering it's still 3 1/2 to 4 percent of the S&P 500 index, is being felt," Luschini said.

"I attribute (it) to just some of the bloom coming off of the rose. They haven't necessarily done anything wrong, as much as others have caught up."

Also keeping investors on edge is the looming debt ceiling debate. On Monday, President Barack Obama rejected any negotiations with Republicans over raising the U.S. debt ceiling. The United States could default on its debt if Congress does not increase the borrowing limit.

Resolving the debt ceiling is more a question of how than if. Investors don't expect a U.S. default, but they are also wary of another eleventh-hour agreement like the one in August 2011.

An expected lackluster earnings season, too, kept investors from taking aggressive bets. Analyst estimates for the quarter have fallen sharply since October. S&P 500 earnings growth is now seen up just 1.8 percent from a year ago, Thomson Reuters data showed.

Homebuilder Lennar reported a sharp rise in quarterly profit, but the stock declined 0.8 percent to $40.68 on worries that growth in orders was slowing.

Dell Inc shares added to Monday's gains, ending up 7.2 percent to $13.17 after sources said talks to take the computer maker private are in an advanced stage.

On the down side, shares of Facebook dropped 2.7 percent to $30.10. The company unveiled a "graph search" feature that CEO Mark Zuckerberg said would help its billion-plus users sort through content within the social network and its content feeds.

Volume was roughly 5.8 billion shares traded on the New York Stock Exchange, the Nasdaq and the NYSE MKT, compared with the 2012 average daily closing volume of about 6.45 billion.

Advancers outpaced decliners on the NYSE by about 17 to 12 and on the Nasdaq by about 13 to 11.

(Additional reporting by Chuck Mikolajczak; Editing by Kenneth Barry and Nick Zieminski)

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New Restrictions Imposed on Mostafa Kamel Mostafa, Lawyers Say

Lawyers for a disabled Islamic preacher jailed in Manhattan said on Monday that the Federal Bureau of Prisons had recently imposed harsh new restrictions on their client, which have made it harder for him to prepare for his trial.

The preacher, Mostafa Kamel Mostafa, 54, has been held in a highly secure wing of the Metropolitan Correctional Center since his extradition from Britain in October. He has pleaded not guilty to charges that he conspired in a 1998 kidnapping of tourists in Yemen and in an attempt to establish a terrorist training camp in Oregon.

His lawyers, speaking at a hearing in Federal District Court in Manhattan and in interviews afterward, said that about two weeks ago, jail officials imposed special administrative measures, known as SAMs, on Mr. Mostafa.

Such measures, which severely restrict an inmate’s communications with outsiders other than lawyers or immediate family members, are used when a finding is made that there is “a substantial risk” that an inmate’s communications “could result in death or serious bodily injury” to others, officials say.

The measures may also limit what Mr. Mostafa may read or his access to a computer, the lawyers said. They contended that no incident had warranted such restrictions on their client, who is also severely disabled, having lost the lower portions of both arms in explosions years ago.

One lawyer, Joshua L. Dratel, said after the hearing that the measures were arbitrary, “an excuse for whatever” the jail “doesn’t want to provide” to Mr. Mostafa on any particular day.

The lawyers also noted that their client, who is also known as Abu Hamza al-Masri, had not yet been provided with a new prosthetic device that he was to have been fitted with, complicating his ability to care for himself in prison. Mr. Mostafa has long worn a hook as a prosthetic device, which officials have said he may use while in his cell.

The Bureau of Prisons said it would not comment on an inmate’s specific conditions of confinement. As for Mr. Mostafa’s prostheses, a spokesman reiterated an earlier statement, saying that the agency “makes every reasonable accommodation that is consistent with safety and security,” and that the process of “acquiring new prosthetics in this case continues.”

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TSX off 10-month high, energy weakness offsets RIM jump

TORONTO (Reuters) – Canada‘s main stock index finished short of a 10-month high on Monday as investor optimism for Research In Motion Ltd shares over the upcoming launch of its BlackBerry 10 devices was offset by falling energy shares.

Weakness in the materials sector, which includes mining stocks, also added pressure, while volatile oil prices were a drag on the energy sector. The two heavyweight sectors kept an otherwise positive index in check.

RIM shares extended a 13-percent gain made on Friday. The stock added 10.44 percent to C$ 14.70 and helped the information technology sector gain 2.48 percent.

“The investor confidence is brought about simply because of hope, and hope that the new BlackBerry 10 is going to be an answer to their prayers,” said Fred Ketchen, director of equity trading at ScotiaMcLeod.

“There has been some talk that this is a revival of RIM. We’ll have to wait and see,” he added.

The Toronto Stock Exchange‘s S&P/TSX composite index <.gsptse> finished little changed, up a 0.91 of a point, or 0.01 percent, at 12,603.09. Earlier, it touched 12,636.68, its highest since March 5, 2012.</.gsptse>

The index, which marked its fifth consecutive day of gains, swung back and forth between positive and negative territories in choppy trade.

“There’s a lot of indecisiveness out there. People don’t really know which way to go and you’re getting these markets that aren’t really doing much of anything,” said Julie Brough, vice president at Morgan Meighen & Associates.

Investors kept a close watch on the U.S. debt ceiling talks, seen as a significant catalyst for the markets, with hopes that a compromise will be reached. “There is reasonable optimism that it would be resolved,” Brough said.

The energy sector was down 0.5 percent, with Canadian Natural Resources Ltd slipping 1.81 percent to C$ 29.26 and Talisman Energy Inc falling 2.64 percent to C$ 11.78. Oil prices were volatile, with Brent crude rising to $ 112 on supply concerns.

Encana Corp shares dropped 2.31 percent to C$ 19.05 after the surprise resignation of the chief executive officer of Canada’s largest natural gas producer.

The three energy companies were the three biggest drags on the index.

Materials stocks, home to mining firms, was down 0.3 percent amid a slew of deals within the sector.

Miner Alamos Gold Inc said it will buy Aurizon Mines Ltd for about C$ 780 million ($ 793 million) in cash and stock to get access to Aurizon’s only operating gold mine, Casa Berardi, in northern Quebec. Aurizon shares jumped 34 percent to C$ 4.57, while Alamos Gold fell 11.94 percent to C$ 14.90.

Russia’s state uranium firm agreed to pay $ 1.3 billion to take Canada’s Uranium One Inc private, as the successor to the Soviet Union’s nuclear industry seeks to strengthen its grip on supplies. Uranium One’s stock rose 14.52 percent to C$ 2.76.

In other company news, shares of Harry Winston Diamond Corp rose 4.41 percent to C$ 14.90 on the company’s plans to sell its high-end watches-to-necklaces division to Swatch Group in a $ 750 million cash deal that expands the Swiss watchmaker’s luxury offering and lets the Canadian group concentrate on its diamond mines.

(Additional reporting by Solarina Ho; Editing by James Dalgleish and Nick Zieminski)

Gadgets News Headlines – Yahoo! News

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Bachelor Sean Lowe: My Girl Must Love Dogs

For any of the 25 women looking to win over this season's Bachelor, Sean Lowe, here's a tip straight from the source: "The girl I'm dating must be into my dogs," he tells PEOPLE.

The proud pet parent to two pooches, a boxer named Lola and a chocolate Labrador named Ellie, Lowe says, "For so long it's just been me and my two dogs, and I'm certainly not going to replace them with any woman."

Having had both animals for the past six years, the hunk has developed a special bond with the duo – though he admits his quest for love has forced him to make some changes.

"For many years, my dogs would sleep in the bed with me," he says. "I'm a big guy and I've got two good-sized dogs, so it's a full bed. Then I just realized one day, 'Alright, if I get married and a woman's going to join me in the bed, there's not going to be enough room.' I had to break the dogs of the habit of sleeping in the bed."

Luckily for Lowe, the pair have taken to their new accommodations easily.

"They're very intelligent dogs; they pick up on things really quickly," he says. "They learn pretty fast."

To hear more from Sean Lowe – including how his dogs help him navigate the dating world – check out the video above.

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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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Apple drags on S&P, Nasdaq; Dell jumps after report

NEW YORK (Reuters) - The S&P 500 and Nasdaq ended lower on Monday as worries over demand for Apple products drove down its shares and investors braced for earnings disappointments.

Running counter to that was Dell Inc's stock which jumped 13 percent to about a five-month high at $12.29 after Bloomberg reported the No. 3 personal computer maker is in talks with private equity firms to go private. Dell's gains offset some tech-sector weakness.

Tech heavyweight Apple lost 3.6 percent to $501.75 and was the biggest weight on both the S&P 500 and Nasdaq 100 <.ndx> indexes after reports the company has cut orders for LCD screens and other parts for the iPhone 5 this quarter due to weak demand. The stock hit a session low of $498.51, the first dip below $500 since February 16.

"With Apple, it seems as if the sentiment has shifted from this being the one stock that everybody wanted to own to people beginning to look at it as a company (whose) business is slowing down somewhat," said Eric Kuby, chief investment officer of North Star Investment Management Corp in Chicago.

Adding to investor unease, fourth-quarter earnings kick into high gear this week. Analyst estimates for the quarter have fallen sharply since October. S&P 500 earnings growth is now seen up just 1.9 percent from a year ago, Thomson Reuters data showed.

The Dow Jones industrial average <.dji> was up 18.89 points, or 0.14 percent, at 13,507.32. The Standard & Poor's 500 Index <.spx> was down 1.37 points, or 0.09 percent, at 1,470.68. The Nasdaq Composite Index <.ixic> was down 8.13 points, or 0.26 percent, at 3,117.50.

Apple suppliers also lost ground, with Cirrus Logic off 9.4 percent at $28.62 and Qualcomm down 1 percent at $64.24.

The Dow fared better than the other two indexes, helped in part by Hewlett-Packard shares, which rose 4.9 percent to $16.95. The stock, up early in the session after JPMorgan upgraded its rating on the shares and raised its price target to $21 from $15, added to gains following the Dell report.

Tech has "become the arena for private equity or other capital-restructuring type of maneuvers because of the way their valuations and their balance sheets are," Kuby said.

Appliance and electronics retailer Hhgregg Inc slumped 5.7 percent to $7.44 after the company cut its same-store sales forecast for the full year.

Earnings reports are due this week from Goldman Sachs , Bank of America , Intel and General Electric , among other companies. Third-quarter reports ended with a gain of just 0.1 percent, the worst for an S&P 500 profit period in three years, according to Thomson Reuters data.

President Barack Obama warned Congress at a news conference on Monday that a refusal to raise the U.S. debt ceiling next month could mean a government shutdown and trigger economic chaos.

S&P futures had little reaction to comments after the bell by Federal Reserve Chairman Ben Bernanke, who urged lawmakers to lift the country's borrowing limit to avoid a debt default.

Volume was roughly 5.6 billion shares traded on the New York Stock Exchange, the Nasdaq and the NYSE MKT, compared with the 2012 average daily closing volume of about 6.45 billion.

Decliners were about even with advancers on the NYSE while decliners outpaced advancers on the Nasdaq by about 12 to 11.

(Additional reporting by Chuck Mikolajczak; Editing by Kenneth Barry, Nick Zieminski and Andrew Hay)

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