From the Wires

India Marks Milestone In Fight Against Polio

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India Marks Milestone In Fight Against PolioIn this Sunday Jan. 23, 2011 photograph, Sanjana Shoba, a polio vaccinator, administers polio vaccine to a child in Tilkeshwar village, some 200 kilometers from Patna, India. India will celebrate a full year since its last reported case of polio on Friday Jan. 13, 2012, a major victory in a global eradication effort that appeared to be stalled just a few years ago. (AP Photo/Altaf Qadri)(Credit: AP)

NEW DELHI (AP) — India will celebrate a full year since its last reported case of polio on Friday, a major victory in a global eradication effort that appeared to be stalled just a few years ago.

If no previously undisclosed cases of the crippling disease are discovered across the country, India will no longer be considered to be polio endemic, leaving only Pakistan, Afghanistan and Nigeria on that list.

“This is a game changer in a huge way,” said Bruce Aylward, head of the World Health Organization’s global polio campaign.

The achievement gives a major morale boost to health advocates and donors who had begun to lose hope of ever defeating the stubborn disease that the world had promised to eradicate by 2000.

It also helps India, which bills itself as one of the world’s emerging powers, shed the embarrassing link to a disease associated with poverty and chaos, one that had been conquered long ago by most of the globe.

The government cautiously welcomed the milestone as a confirmation of its commitment to fighting the disease and the 120 billion rupees ($2.4 billion) it has spent on the program.

“We are excited and hopeful. At the same time, vigilant and alert,” Health Minister Ghulam Nabi Azad said in a statement. Azad warned that India needed to push forward with its vaccination campaign to ensure the elimination of any residual virus and to prevent the import and spread of virus from abroad.

The polio virus, which usually infects children in unsanitary conditions, attacks the central nervous system, sometimes causing paralysis, muscular atrophy, deformation and, in some cases, death.

With its dense population, poor sanitation, high levels of migration and weak public health system, India had been seen as “the perfect storm of polio,” Aylward said. In addition, even some vaccinated children fell ill with the virus because malnutrition and chronic diarrhea made their bodies too weak to properly process the oral vaccine.

In 2009, there were 741 cases in the country. That plunged to 42 in 2010. Last year, there was a single case, an 18-month-old girl named Ruksana Khatun who fell ill in the Indian state of West Bengal on Jan. 13. She was the country’s last reported polio victim.

Part of the sudden success is credited to a tighter monitoring program that allowed health officials to quickly hit areas of outbreaks with emergency vaccinations. Part is also attributed to the rollout of a new vaccine in 2010 that more powerfully targeted the two remaining strains of the disease.

Under the $300 million-a-year campaign the government runs with help from the WHO and UNICEF, 2.5 million workers fan out across the country twice a year to give the vaccine to 175 million children.

They hike to remote villages, wander through trains to reach migrating families and stop along roadsides to vaccinate the homeless.

Philanthropist Bill Gates, whose foundation has made polio eradication a priority, hailed India’s achievement as an example of the progress that can be made on difficult development problems.

“Polio can be stopped when countries combine the right elements: political will, quality immunization campaigns and an entire nation’s determination. We must build on this historic moment and ensure that India’s polio program continues to move full-steam ahead until eradication is achieved,” he said in a statement.

Health officials are working to make polio the second disease ever eradicated from the globe after smallpox. But while smallpox carriers were easy to find because everyone infected developed symptoms, only a tiny fraction of those infected with the polio virus ever contract the disease. So while no one in India is reported to have suffered from polio in a year, the virus — which travels through human waste — could still be lingering.

That’s why the country will not be certified as completely polio-free until it goes at least three full years without a case. And it is why public health advocates warn against complacency in the massive vaccination efforts.

“We are at a threshold. If we take a long step, we may be in trouble,” said Dr. Yash Paul, a pediatrician in the northern city of Jaipur who was a member of the Indian Academy of Pediatrics’ polio eradication committee until it was dismantled last year because the academy felt it was no longer needed.

Paul also appealed to public health officials to begin switching from the oral vaccine, which is easy to administer but contains live virus that can cause the disease in rare cases, to an injectible vaccine that uses dead virus.

The last time a country came off the endemic list was Egypt in 2006. If India succeeds in getting removed from the list in the coming weeks, only Pakistan, Afghanistan and Nigeria will remain. All three saw a rise in cases last year over 2010, and Pakistan is suffering a particularly explosive outbreak, Aylward said.

In addition, 22 other countries that had eradicated the disease suffered new outbreaks. However, some of those outbreaks stemmed from polio imported from India, so getting rid of the virus here is expected to lessen such outbreaks in the future.

Aylward hopes India’s success will spur donors to dedicate more money to the polio fight, partly because full eradication could free up funds for other global health issues.

The WHO program needs another $500 million to fund operations for the rest of the year, and some programs could run out of funding by March, he said.

“If we fail at this point, it’s an issue of will,” he said.

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Ravi Nessman can be reached at www.twitter.com/ravinessman

Hundreds of salmonella cases tied to chicks

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ATLANTA (AP) — Those cute mail-order chicks that wind up in children’s Easter baskets and backyard farms have been linked to more than 300 cases of salmonella in the U.S. — mostly in youngsters — since 2004.

An estimated 50 million live poultry are sold through the mail each year in the United States in a business that has been booming because of the growing popularity of backyard chicken farming as a hobby among people who like the idea of raising their own food.

But health officials are warning of a bacterial threat on the birds’ feet, feathers, beaks and eggs.

“Most people can tell you that chicken meat may have salmonella on it,” said Casey Barton Behravesh of the Centers for Disease Control and Prevention. “But surprisingly, we found many people are not aware that live chicks and chickens can spread salmonella to people.”

Since 2004, at least 316 people in 43 states got sick in an outbreak tied primarily to one mail-order hatchery. Health officials believe thousands more illnesses connected to the business were probably never reported.

No one died, but three dozen people were hospitalized with bloody diarrhea or other symptoms. The illnesses were detailed Wednesday in the New England Journal of Medicine.

Salmonella can cause diarrhea, fever and stomach pain but is rarely fatal. It is most dangerous to very young children, the elderly and people with weakened immune systems. The infection is usually contracted from food, but live animals can transmit it, too, because it can be in their feces.

Salmonella outbreaks have been linked to hatcheries for more than 50 years. And health officials have long warned that people can get salmonella from touching chickens — especially children, who tend to put their fingers in their mouths. Indeed, the CDC says children under 5 shouldn’t be allowed to touch chickens at all.

Health officials also advise people not to bring birds into their homes and to wash their hands thoroughly after handling live poultry.

About 20 hatcheries mail live chicks overnight in the U.S., supplying not only feed stores and farms but amateurs with backyard coops. The mail-order houses have been seeing record sales in recent years.

“It’s all part of this greener, healthier lifestyle,” said Behravesh, a veterinary epidemiologist.

Jonah McDonald, a 32-year-old Atlanta man who keeps three hens and insists a backyard egg tastes better, said he does not know of anyone who has gotten salmonella from handling chickens.

“The kids in my neighborhood come over and feed scraps into the cages,” he said. “It’s a real community thing.”

The CDC described an eight-year investigation into salmonella illnesses, with more than 80 percent of the cases tied to a single hatchery in the western U.S. While CDC officials refused to identify the business, a previous report on the investigation by the health agency indicated it is in New Mexico.

Investigators interviewed victims and concluded many had caught salmonella from touching chicks or ducklings, often at home. From there, most of the illnesses were traced to the hatchery.

Behravesh said the hatchery has taken steps to curb the spread of salmonella — including replacing equipment, adopting new egg-cleaning procedures and vaccinating chickens — and is not considered a health threat. She said she was not aware of any fines or penalties against the business over the outbreak.

During the eight years studied, the annual number of illnesses linked to the hatchery ranged as high as 84, with 29 cases last year and only one so far in 2012.

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Online:

Journal: http://www.nejm.org

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Award-winning illustrator Leo Dillon dead at 79

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NEW YORK (AP) — Leo Dillon, the groundbreaking illustrator who collaborated with his wife, Diane, on dozens of books for kids and adults and became the first African-American to win the Caldecott Medal for children’s books, has died. He was 79.

Dillon died May 26 at Long Island College Hospital from complications after lung surgery, publisher Scholastic Inc. announced Wednesday. Harlan Ellison, a close friend, wrote on his website that “Half my soul for 50 years went with him.”

Leo and Diane Dillon met at the Parsons School of Design in 1953 and married four years later. An interracial couple, they worked on a wide range of children’s projects, mastering a bold, colorful style that helped introduce kids to stories of black people worldwide. They won the Caldecott for best illustration in 1976 for “Why Mosquitoes Buzz in People’s Ears: A West African Folktale” and again won Caldecott the following year for “Ashanti to Zulu: African Traditions.”

The Dillons received awards as diverse as their books, including a Hugo Award for science fiction illustration and an NAACP Image Award.

“People often comment on the ‘Dillon style,’” Leo Dillon said in 2000 during an interview with Locus Magazine. “I think that someplace, the two of us made a pact with each other. We both decided that we would give up the essence of ourselves, that part that made the art each of us did our own. And I think that in doing that we opened the door to everything.”

Their credits included more than 40 books, from cover designs for Ellison, Ray Bradbury and other science fiction and fantasy writers to illustrations for books by Margaret Wise Brown, Madeleine L’Engle and Verna Aardema, author of the two Caldecott winners.

They wrote and illustrated the picture books “Rap a Tap Tap” and “Jazz on a Saturday Night” and collaborated with their son Lee Dillon on “Pish, Posh, Said Hieronymus Bosch.” A new work by Leo and Diane Dillon, “If Kids Ran the World,” is scheduled for 2014.

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US again imposes clean-energy tariffs on China

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WASHINGTON (AP) — The Obama administration is moving to impose stiff new tariffs on wind-energy towers made in China, the latest strike in an escalating trade war over clean energy.

The Commerce Department said in a preliminary decision Wednesday that Chinese companies have received government subsidies on steel wind towers ranging from about 14 percent to 26 percent. The decision could result in tariffs of those amounts being imposed on about a dozen Chinese companies that export large numbers of steel wind towers to the United States.

It follows a Commerce Department decision this month to impose tariffs averaging about 31 percent on solar cells and panels imported from China.

China has called the U.S. action on solar equipment unfair and warned that higher tariffs could hurt efforts to promote clean energy.

US levies new sanctions on key Syrian bank

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WASHINGTON — The Obama administration added new sanctions on a Syrian bank Wednesday as a top White House official said the U.S. wants to economically throttle the regime of Syrian President Bashar Assad and cut off salaries of pro-government thugs blamed for the grisly massacre in Houla.

The Treasury Department said the Syria International Islamic Bank has been acting as a front for other Syrian financial institutions seeking to circumvent sanctions. The new penalties will prohibit the SIIB from engaging in financial transactions in the U.S. and will freeze any assets under U.S. jurisdiction.

With the Obama administration unwilling at this point to pursue military options in Syria, the U.S. has relied heavily on economic sanctions as a means for pressing Assad to leave power. The United States will host other nations in Washington next week to look at ways to tighten international sanctions further.

“We are strangling the regime economically,” White House deputy national security adviser Denis McDonough said.

David Cohen, Treasury undersecretary for terrorism and financial intelligence, said the toll taken by sanctions on Syria is “mounting day by day.”

“They’re drawing down their reserves without a ready means of replenishing those reserves,” Cohen said.

The White House also blamed Iran for stirring up violence inside Syria and said Assad’s fall would be a huge blow to Tehran. The United States is increasingly linking Syria and Iran rhetorically and tactically, applying economic pressure with and without help from the United Nations or other countries.

Iran is Syria’s only staunch defender in the Middle East, and the Syria crisis has united Sunni Arab neighbors who see in Syria a way to weaken Iran, their main Shiite enemy.

“The Assad clique will end up, ultimately, in the dustbin of history and the people of Syria will have the chance to determine their own destiny,” McDonough said. “When that happens, it will also be the most profound strategic setback that Syria’s closest ally, Iran, has faced in decades. That is surely why Iran has provided material support and advice to the regime in brutalizing the Syrian people.”

Speaking to a Brookings Institution forum in Doha, Qatar, McDonough pointed to what he called a recent “stunning” admission from Iran that its armed forces were joining the fight in support of the regime in Syria, and said Iran had tried to backtrack and “cover up” the announcement.

He blamed the Assad regime squarely for the massacre of 108 civilians last weekend in the town of Houla, and said claims that the killings were carried out by unaffiliated roughnecks are “a lie.” Assad’s associates pay the pro-government gunmen known as the shabiha, he claimed.

“Our objective is straightforward: Starve the regime of the resources it requires to pay the army, and deprive Assad’s cronies of the money they need to buy the shabiha’s brutal conspiracy.”

The violence in Syria is spiraling out of control as an uprising against Assad that began in March 2011 has morphed into an armed insurgency.

In the wake of the Houla massacre, the United States and several other countries expelled Syrian diplomats to protest the killings.

McDonough said the U.S. is also lobbying Russia to distance itself from its ally Syria and apply pressure on Assad to leave office. A negotiated exit similar to one the U.S. helped broker for Yemen’s longtime leader is one possibility, McDonough said, but he offered little optimism that U.S. arguments are gaining traction.

“I won’t speak for any other government,” White House press secretary Jay Carney said in Washington. “I would simply say that it is our belief, and it’s the belief that we express in these conversations, that supporting the Assad regime is placing oneself or one’s nation on the wrong side of history.”

The U.S. has also sought United Nations action against Syria, but those efforts have been stymied by Russia and China, both of whom have veto power on the U.N. Security Council.

Susan Rice, ambassador to the United Nations, said that the most likely scenario is that the peace plan crafted by special envoy Kofi Annan will fail.

Russia criticized the diplomatic expulsions, calling them “counterproductive,” and has said new Security Council action would be premature.

Cohen said he plans to travel to Russia to discuss Syria. He said he thinks Russia shares the goal of a more open political system, although so far Russia has been a dogged defender of Assad. He also said some of Russia’s commercial ties to Syria are troubling. He did not elaborate, but Russia is a trading partner to Damascus and has supplied the regime with weapons, food and medical supplies.

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Corps: Fort Peck Dam repair may top $225 million

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BILLINGS, Mont. (AP) — The U.S. Army Corps of Engineers says the price tag on proposed fixes to Montana’s Fort Peck Dam following major flooding along the Missouri River could top $225 million.

But with money short, Corps officials said Wednesday they will be able to afford only $46 million in interim fixes for now.

Record snowfalls and massive spring rains in Wyoming and Montana last year prompted the release of unprecedented volumes of water from the Corps’ six Missouri River dams.

The torrent damaged Fort Peck’s spillway gates and eroded areas downstream from the dam, located at the top of the Missouri River system.

Fort Peck Project Manager John Daggett says the planned repairs will ensure the spillway can be used to safely release water during future flooding.

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