First AME Church in dire financial state









First African Methodist Episcopal Church, one of the oldest black congregations in Los Angeles, faces a financial crisis, owing roughly $300,000 to a long list of creditors, church officials said.


Revelations of the money problems come amid declining membership and tithing under the leadership of a controversial former pastor, the Rev. John J. Hunter, who was reassigned following a tax investigation, a sexual harassment lawsuit and questionable use of church credit cards.


The new pastor, the Rev. J. Edgar Boyd, spoke to reporters Wednesday morning outside the storied church that became the pulse of the black community after the 1992 Los Angeles riots. He vowed to restore the image and glory of the church and investigate financial mismanagement that may have occurred under Hunter.





He said he is willing to take legal action if necessary.


"This local congregation will undergo a thorough and comprehensive reorganization to protect the precious resources which have been and will be entrusted to its care," he said. "We are preparing and re-tooling."


About 50 worshipers stood by his side. Many said later they were shocked by news of the church's dire financial state.


Boyd said he has not been paid since the reassignment earlier this month and had to pay for his own moving expenses.


"I didn't know it was this bad," said longtime member Julie Jackson, 65. "This is devastating."


Boyd did not detail the extent of the financial problems at Wednesday's news conference, but was more candid in a recent private meeting with church officials. He named the various creditors the church owes, a list that includes gas and electricity companies, as well as other necessities essential to keeping the church operating, according to several board members who attended the meeting.


Boyd took the helm of First AME after spending 20 years preaching at Bethel AME San Francisco. During his time there he grew the church's assets from $12 million to more than $80 million, according to Bishop T. Larry Kirkland.


Hunter was reassigned to Bethel AME in San Francisco, a move welcomed by many in his Los Angeles congregation. His critics said he was inaccessible, overspent on personal security guards and lived in Encino, rather than in South L.A., where the church is located. Attendance, tithings and the church's activist profile all declined under his tenure, they said.


After transferring to the Bay Area, Hunter was poorly received by the congregation of Bethel AME and the church's officials made it clear they did not want him in the pulpit.


In a phone interview with The Times, Hunter denied that First AME's financial problems are the result of any wrongdoing on his part. He said that when he took control of First AME in 2004, the church was in a similar, if not a worse, financial state.


The church owed about $325,000 and the sanctuary was in poor condition. Hunter said he had to replace the leaky roof and install new pews.


"I chose to build on a 100-year-plus ministry that preceded me," Hunter said. "I will not join my successor in the gutter of character assassination."


Hunter said that the economic recession dealt a crushing blow, resulting in dwindling tithes during his eight-year tenure. But he said this is a problem many churches are facing nationwide.


"Debt is a part of ministry; bills are a reality," Hunter said. "This may be overwhelming for a pastor who comes from a congregation of several hundred."


His supporters said that Hunter could never escape the shadows of the larger-than-life persona of the Rev. Cecil "Chip" L. Murray. Under Murray, who led the congregation for 27 years, the church swelled to 19,000 members and became a social, political and civil powerhouse that tackled the needs of the black community.


Though church members expressed worry, many said they remain hopeful that Boyd will help turn things around.


"We are going to get back on track to those glory days," said member Beverly King. "All we needed was leadership."


angel.jennings@latimes.com





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Toll Rises as U.S. Pushes for Israel-Hamas Truce





JERUSALEM — Efforts to agree on a cease-fire between Israel and Hamas intensified Tuesday, but the struggle to achieve even a brief pause in the fighting emphasized the obstacles to finding any lasting solution.




On the deadliest day of fighting in the week-old conflict, Secretary of State Hillary Rodham Clinton arrived hurriedly in Jerusalem and met with Prime Minister Benjamin Netanyahu of Israel to push for a truce. She was due in Cairo on Wednesday to consult with Egyptian officials in contact with Hamas, placing her and the Obama administration at the center of a fraught process with multiple parties, interests and demands.


Officials on all sides had raised expectations that a cease-fire would begin around midnight, followed by negotiations for a longer-term agreement. But by the end of Tuesday, officials with Hamas, the militant Islamist group that governs Gaza, said any announcement would not come at least until Wednesday.


The Israelis, who have amassed tens of thousands of troops on the Gaza border and have threatened to invade for a second time in four years to end the rocket fire from Gaza, never publicly backed the idea of a short break in fighting. They said they were open to a diplomatic accord but were looking for something more enduring.


“If there is a possibility of achieving a long-term solution to this problem through diplomatic means, we prefer that,” Mr. Netanyahu said before meeting with Mrs. Clinton at his office. “But if not, I’m sure you understand that Israel will have to take whatever actions necessary to defend its people.”


Mrs. Clinton spoke of the need for “a durable outcome that promotes regional stability and advances the security and legitimate aspirations of Israelis and Palestinians alike.” It was unclear whether she was starting a complex task of shuttle diplomacy or whether she expected to achieve a pause in the hostilities and then head home.


The diplomatic moves came as the antagonists on both sides stepped up their attacks. Israeli aerial and naval forces assaulted several Gaza targets in multiple strikes, including a suspected rocket-launching site near Al Shifa Hospital. More than 30 people were killed on Tuesday, bringing the total number of fatalities in Gaza to more than 130 — roughly half of them civilians, the Gaza Health Ministry said.


A delegation visiting from the Arab League canceled a news conference at the hospital because of the Israeli aerial assaults as wailing ambulances brought victims in, some of them decapitated.


The Israeli assaults carried into early Wednesday, with multiple blasts punctuating the otherwise darkened Gaza skies.


Militants in Gaza fired a barrage of at least 200 rockets into Israel, killing an Israeli soldier — the first military casualty on the Israeli side since the hostilities broke out. The Israeli military said the soldier, identified as Yosef Fartuk, 18, had died from a rocket strike that hit an area near Gaza. Israeli officials said a civilian military contractor working near the Gaza border had also been killed, bringing the number of fatalities in Israel from the week of rocket mayhem to five.


Other Palestinian rockets hit the southern Israeli cities of Beersheba and Ashdod, and longer-range rockets were fired at Tel Aviv and Jerusalem. Neither main city was struck, and no casualties were reported. One Gaza rocket hit a building in Rishon LeZion, just south of Tel Aviv, wounding one person and wrecking the top three floors.


Senior Egyptian officials in Cairo said Israel and Hamas were “very close” to a cease-fire agreement. “We have not received final approval, but I hope to receive it any moment,” said Essam el-Haddad, President Mohamed Morsi’s top foreign affairs adviser.


Foreign diplomats who were briefed on the outlines of a tentative agreement said it had been structured in stages — first, an announcement of a cease-fire, followed by its implementation for 48 hours. That would allow time for Mrs. Clinton to involve herself in the process here and create a window for negotiators to agree on conditions for a longer-term cessation of hostilities.


But it seemed that each side had steep demands of a longer-term deal that the other side would reject.


Khaled Meshal, the Hamas leader, said in Cairo that Israel needed to end its blockade of Gaza. Israel says the blockade keeps arms from entering the coastal strip.


Ethan Bronner reported from Jerusalem, and David D. Kirkpatrick from Cairo. Reporting was contributed by Jodi Rudoren and Fares Akram from Gaza; Isabel Kershner from Jerusalem; Peter Baker from Phnom Penh, Cambodia; David E. Sanger and Mark Landler from Washington; and Rick Gladstone from New York.



This article has been revised to reflect the following correction:

Correction: November 20, 2012

Because of an editing error, an earlier version of this article misspelled the family name of the Israeli soldier who was killed in a Palestinian rocket attack on Tuesday. He is Yosef Fartuk, not Yosef Faruk. An earlier version also referred imprecisely to the cause of deaths near Al Shifa Hospital. A series of attacks, not a single attack, killed more than a dozen people there.



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The Voice: Top Eight Contestants Revealed















11/20/2012 at 10:05 PM EST







From left: Adam Levine, Cee Lo Green, Christina Aguilera, Blake Shelton and host Carson Daly


Mark Seliger/NBC


Following what Blake Shelton called the "best episode of The Voice we've ever had", spirited group performances on Tuesday night's show kept the energy up and distracted viewers just long enough from the business at hand – impending eliminations.

Christina Aguilera brought the heat with her song "Let There Be Love." Rascal Flatts shared their hit "Changed." Later, Adam Levine performed a rendition of Queen's "Crazy Little Thing Called Love," followed by the contestants taking on Pat Benatar's "Hit Me with Your Best Shot."

But once again, the decisions about who would stay and who would go were completely up to the viewers. No input from the coaches could save contestants this time. Keep reading to find out which contestants will sing again next week ...

The first round of results turned out to be good news for Nicholas David and Cassadee, later joined by Dez Duron and Cody Belew in the top eight.

America also gave Terry McDermott, Melanie Martinez, Trevin Hunte and Amanda Brown another shot at superstardom.

That means Bryan Keith and Sylvia Yacoub won't be singing again on Monday night's episode.

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OB/GYNs back over-the-counter birth control pills

WASHINGTON (AP) — No prescription or doctor's exam needed: The nation's largest group of obstetricians and gynecologists says birth control pills should be sold over the counter, like condoms.

Tuesday's surprise opinion from these gatekeepers of contraception could boost longtime efforts by women's advocates to make the pill more accessible.

But no one expects the pill to be sold without a prescription any time soon: A company would have to seek government permission first, and it's not clear if any are considering it. Plus there are big questions about what such a move would mean for many women's wallets if it were no longer covered by insurance.

Still, momentum may be building.

Already, anyone 17 or older doesn't need to see a doctor before buying the morning-after pill — a higher-dose version of regular birth control that can prevent pregnancy if taken shortly after unprotected sex. Earlier this year, the Food and Drug Administration held a meeting to gather ideas about how to sell regular oral contraceptives without a prescription, too.

Now the influential American College of Obstetricians and Gynecologists is declaring it's safe to sell the pill that way.

Wait, why would doctors who make money from women's yearly visits for a birth-control prescription advocate giving that up?

Half of the nation's pregnancies every year are unintended, a rate that hasn't changed in 20 years — and easier access to birth control pills could help, said Dr. Kavita Nanda, an OB/GYN who co-authored the opinion for the doctors group.

"It's unfortunate that in this country where we have all these contraceptive methods available, unintended pregnancy is still a major public health problem," said Nanda, a scientist with the North Carolina nonprofit FHI 360, formerly known as Family Health International.

Many women have trouble affording a doctor's visit, or getting an appointment in time when their pills are running low — which can lead to skipped doses, Nanda added.

If the pill didn't require a prescription, women could "pick it up in the middle of the night if they run out," she said. "It removes those types of barriers."

Tuesday, the FDA said it was willing to meet with any company interested in making the pill nonprescription, to discuss what if any studies would be needed.

Then there's the price question. The Obama administration's new health care law requires FDA-approved contraceptives to be available without copays for women enrolled in most workplace health plans.

If the pill were sold without a prescription, it wouldn't be covered under that provision, just as condoms aren't, said Health and Human Services spokesman Tait Sye.

ACOG's opinion, published in the journal Obstetrics & Gynecology, says any move toward making the pill nonprescription should address that cost issue. Not all women are eligible for the free birth control provision, it noted, citing a recent survey that found young women and the uninsured pay an average of $16 per month's supply.

The doctors group made clear that:

—Birth control pills are very safe. Blood clots, the main serious side effect, happen very rarely, and are a bigger threat during pregnancy and right after giving birth.

—Women can easily tell if they have risk factors, such as smoking or having a previous clot, and should avoid the pill.

—Other over-the-counter drugs are sold despite rare but serious side effects, such as stomach bleeding from aspirin and liver damage from acetaminophen.

—And there's no need for a Pap smear or pelvic exam before using birth control pills. But women should be told to continue getting check-ups as needed, or if they'd like to discuss other forms of birth control such as implantable contraceptives that do require a physician's involvement.

The group didn't address teen use of contraception. Despite protests from reproductive health specialists, current U.S. policy requires girls younger than 17 to produce a prescription for the morning-after pill, meaning pharmacists must check customers' ages. Presumably regular birth control pills would be treated the same way.

Prescription-only oral contraceptives have long been the rule in the U.S., Canada, Western Europe, Australia and a few other places, but many countries don't require a prescription.

Switching isn't a new idea. In Washington state a few years ago, a pilot project concluded that pharmacists successfully supplied women with a variety of hormonal contraceptives, including birth control pills, without a doctor's involvement. The question was how to pay for it.

Some pharmacies in parts of London have a similar project under way, and a recent report from that country's health officials concluded the program is working well enough that it should be expanded.

And in El Paso, Texas, researchers studied 500 women who regularly crossed the border into Mexico to buy birth control pills, where some U.S. brands sell over the counter for a few dollars a pack. Over nine months, the women who bought in Mexico stuck with their contraception better than another 500 women who received the pill from public clinics in El Paso, possibly because the clinic users had to wait for appointments, said Dr. Dan Grossman of the University of California, San Francisco, and the nonprofit research group Ibis Reproductive Health.

"Being able to easily get the pill when you need it makes a difference," he said.

___

Online:

OB/GYN group: http://www.acog.org

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3 found dead in apparent murder-suicide at Torrance senior home









Three people were found shot to death Tuesday in the lobby of a Torrance senior-living facility in an apparent murder-suicide, allegedly at the hand of a resident who had a history of violent outbursts, according to law enforcement and witnesses.

About noon, the man was seen holding a gun near the business offices of Golden West Tower, a high-rise facility in the 3500 block of Maricopa Street.

One witness, Arturo Ramirez, a maintenance worker at the complex, said he spotted the gunman and dashed to the maintenance office, where he locked himself inside and called 911.





He said he could hear one of the women killed — a caregiver who tended to about 20 residents — plead for mercy.

"I heard her say, 'Please, no! Please!' " he said. "Then, I heard two gunshots."

A few minutes later, Ramirez said he heard another gunshot. He remained locked in the office until police found him and escorted him out of the building.

Other employees told The Times that the alleged perpetrator was a male resident of the facility and that the other woman killed was a manager there. One employee said that the alleged shooter was prone to violent outbursts and had expressed anger toward the two who were killed.

Authorities confirmed that one of the victims was an employee of the complex, but said that none of the purported threats had been reported to Torrance police.

Sgt. Robert Watt of the Torrance Police Department said that a handgun had been used and that investigators were still probing possible motives for the killings.

He could not name the victims, pending identification from the Los Angeles County coroner's office.

As investigators examined the crime scene, authorities cleared the building in the neighborhood of modest apartment complexes off Torrance Boulevard. The more than 100 people evacuated were taken back in, floor by floor, after three hours, Watt said. The crime scene, he said, was not visible to residents.

One of the residents, Lucia Alarcon, has lived in Golden West Tower for 15 years. She said she was scared when police knocked on her fifth-floor apartment door, instructing her to leave.

"I was surprised to see so many cops on my floor," she said.

And she was stunned to hear that such violence had taken place in her apartment building, a place she thought to be safe.

"Nothing like this has ever happened," Alarcon said. "… Life is too short sometimes."

ruben.vives@latimes.com

Times staff writers Rick Rojas and Rosanna Xia contributed to this report.





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Obama Receives Warm Welcome in Myanmar







YANGON, MYANMAR — The generals predicted that the Americans would come — but not like this.




In the paranoid decades of military rule, members of Myanmar’s junta told diplomats that they feared an American invasion and regime change.


On Monday, there was a large American deployment to Myanmar, but of an entirely different kind. Two jumbo jets carrying President Barack Obama, Secretary of State Hillary Rodham Clinton and their substantial entourage arrived for a six-hour visit. They were greeted by hundreds of people along Yangon’s streets, many of them waving U.S. flags.


“I saw Obama and nearly fainted,” said U Sein Hla Maung, an accounting teacher, who was perched on a hill overlooking the airport. “I’m very excited.”


Across the city there were symbols of how much mistrust has dissolved between the two governments and how much Myanmar has changed over the past two years as it moves from a dictatorship and toward a democracy. There were graffiti tributes to Mr. Obama, and shops sold T-shirts with his image.


“You are the legend hero of our world,” read a large sign in English held by a group of women standing along the road where Mr. Obama’s motorcade passed.


The warm greeting that Mr. Obama received here was partly government pomp and protocol. Hundreds of students in uniform were bused to the airport to line the roads and chanted in unison a rehearsed greeting: “President Obama is warmly welcomed to Myanmar!”


But the hundreds of others who came to greet the president’s motorcade on their own said they were deeply moved by Mr. Obama’s presence.


“We’ve been waiting 50 years for this visit,” said Kyaw Soe Moe, a restaurateur who had stood along the road with two large American flags. “There is justice and law in the United States. I want our country to be like that.”


During Myanmar’s military rule, American flags were taboo and symbols of defiance. On Monday, well-wishers said it was a measure of new freedoms in the country that they could greet Mr. Obama holding the Stars and Stripes.


“America always meant support for democracy for us,” Win Min, a former student activist who was one of two interpreters of a speech Mr. Obama delivered during his visit. “It was the country that had the strongest criticism of the military regime. We looked up to America.”


In 1988, when students and striking workers rose up against military rule, they marched almost daily to the U.S. Embassy. The military put down the uprising in a crackdown that killed many. It has only been 20 months since the junta in Myanmar ceded power to the civilian government of President Thein Sein. Therefore, American flags strewn across the capital, and Air Force One parked at the airport in Yangon, were a novel and somewhat jarring sight.


“There were people in the old regime and there are probably some people in the new government who still fear America,” said U Thant Myint-U, a historian who was in the audience for Mr. Obama’s speech. “They are afraid of what American influence could unleash here.”


Mr. Obama’s visit suggests that the Myanmar government “now has gained a level of confidence,” Mr. Thant Myint-U said.


Some members of the governing party, which is led by former generals of the junta, sought to play down the visit.


“I want to say that America is not the only friend of our nation — China and India are our friends too,” said U Khin Maung Htoo, a member of Parliament with the Union Solidarity and Development Party.


Mr. Khin Maung Htoo also said it was inappropriate for Mr. Obama to have met Myanmar’s president in Yangon instead of Naypyidaw, the capital built and conceived by the military.


The timing of the visit was awkward for Mr. Thein Sein, who flew from a regional meeting of the Association of Southeast Asian Nations in Cambodia to meet Mr. Obama and then flew back to Cambodia immediately afterward.


In his speech at the University of Yangon, Mr. Obama spoke about the changes to the country and offered a “hand of friendship” between two countries that had become “strangers.” The speech was carried live on Myanmar television, but without explanation the announcers stopped simultaneous interpretation in Burmese after several minutes.


Mr. Obama spoke about Myanmar’s continuing ethnic strife and said the country should harness the “power of diversity.” He said that people with his skin color were once denied the right to vote in the United States.


“And so that should give you some sense that if our country can transcend its differences,” Mr. Obama said, “then yours can too.”


On the street outside the university was U Ko Ni, a former political prisoner, who held up a sign: “Welcome Americans. No other nation has full human rights and democracy. We need and want democracy. Do help.”


Wai Moe contributed reporting from Yangon.


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People turn to Twitter for CPR information: study
















(Reuters) – Amid snarky comments and links to cat videos, some Twitter users turn to the social network to find and post information on health issues like cardiac arrest and CPR, according to a U.S. study.


Over a month, researchers found 15,234 messages on Twitter that included specific information about resuscitation and cardiac arrest, said the study published in the journal Resuscitation.













“From a science standpoint, we wanted to know if we can reliably find information on a public health topic, or is (Twitter) just a place where people describe what they ate that day,” said Raina Merchant, the study’s lead author and a professor at the Department of Emergency Medicine at the University of Pennsylvania.


According to the researchers, they found people using Twitter to send and receive a wide variety of information on CPR and cardiac arrest, including their personal experiences, questions and current events.


Some researchers and organizations already use Twitter for public health matters, including tracking the 2009 H1N1 “swine flu” pandemic and finding the source of the Haitian cholera outbreak, the researchers said.


For the study, the researchers created a Twitter search for key terms, such as CPR, AED (automatic external defibrillators), resuscitation and sudden death.


Between April and May 2011, their search returned 62,163 tweets, which were whittled down to 15,324 messages that contained specific information about cardiac arrest and resuscitation.


Only 7 percent of the tweets were about specific cardiac arrest events, such as a user saying they just saw a man being resuscitated, or a user asking for prayers for a sick family member.


About 44 percent of the tweets were about performing CPR and using an AED. Those types of tweets included information on rules about keeping AEDs in businesses and questions about how to resuscitate a person.


The rest of the tweets were about education, research and news events, such as links to articles about celebrities going into cardiac arrest.


The vast majority of the Twitter users send fewer than three tweets about cardiac arrest or CPR throughout the month. Users that sent more tweets typically had more followers – people who subscribe to their messages – and often worked in a health-care related field.


About 13 percent of the tweets were re-sent, or retweeted, by other users. The most popular retweeted messages were about celebrity-related cardiac arrest news, such as an AED being used to revive a fan at a Lady Gaga concert.


“I think the pilot (study) illustrated for us that there is an opportunity to potentially provide research and information for people in real time about cardiac arrest and resuscitation,” Marchant said.


“I can imagine in the future we will see systems that would automatically respond to tweets of individual users. Twitter is a really powerful tool, and we’re just beginning to understand its abilities.”


SOURCE: http://bit.ly/T2bj7u


(Reporting from New York by Andrew Seaman at Reuters Health; editing by Elaine)


Internet News Headlines – Yahoo! News



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Dancing with the Stars: Couples Perform Crazy Combinations in Semi-Finals






Dancing With the Stars










11/19/2012 at 11:05 PM EST







Shawn Johnson and Derek Hough


Craig Sjodin/ABC


It's the semi-finals!

The remaining five couples on Dancing with the Stars faced two rounds of competition on Monday. First, the pairs performed mixed-up routines, blending uncommon styles with unusual themes. Then, they celebrated the 25th anniversary of Michael Jackson's hit album Bad with more traditional ballroom numbers.

Keep reading for all the details and scores ...

Melissa Rycroft & Tony Dovolani
Last week's top scorers kicked off the night with a caveman hustle. "Fred and Wilma have never danced so well," Len Goodman said, while Bruno Tonioli said they lost footing during the turns. They scored a 27.5. But their red-hot Argentine tango to "Dirty Diana" was a perfect 30. "That was beyond anything I could have imagined for you," a thrilled Carrie Ann Inaba said. "I would be really disappointed if you're not here next week," Len added.

Shawn Johnson & Derek Hough
Hough said he would rather put mustard on ice cream than combine their Knight Rider theme with the Bhangra style. But the judges ate up the routine – and awarded the pair a perfect 30. In round two, their Argentine tango sparked disagreement on the panel. Bruno and Len held up 10s but Carrie Ann knocked off a point. "Every line was perfect, but dance is sometimes more than just movement and I thought that you lacked the real passion of the Argentine tango," she said.

Apolo Ohno & Karina Smirnoff
Their big top jazz routine was another sticking point for Carrie Ann and Bruno. She found the mime-themed dance "very disjointed," "out of sync" and "quite sloppy." He found it "edgy, surreal" and a "great mixture of jazz movement." They earned 27 points. But there was no arguing over their rumba to "Man in the Mirror," which earned a perfect 30. "It was like the sea," Len said. "There was wave after wave of effortless motion. There was a subtlety to it, there was a calmness. It captivated. It was fabulous."

Emmitt Smith & Cheryl Burke
The goal of their espionage lindy hop was to be cartoonish. Though that was tough for the former Dallas Cowboy, the judges were pleased and awarded the pair 27 points. "It was like a Looney Tunes version of James Bond," Bruno said. "It was the most fun performance I've seen you do." Their tango to "Leave Me Alone" was more of a challenge, but Len still gave Smith credit: "You've coped marvelously well with two dances that didn't really suit you," he said.

Kelly Monaco & Val Chmerkovskiy
Their surfer flamenco was super sexy – Val ended up in nothing but Speedo! – but the judges had issues with their technique, and handed out only 25.5 points. "It had a lot of aggression and a lot of fire. But the flamenco has very, very exact placement and it wasn't there," Bruno said. Carrie Ann called it "robotic." But they added 28.5 points with a romantic rumba to "I Just Can't Stop Loving You." "That was smoldering, driven by desire, consumed by lust," Bruno said. "The chemistry between you two is literally singeing."

Two couples are heading home Tuesday night, leaving just three to compete in next week's finale. Who deserves a chance at the mirror-ball trophy? Discuss in the comments below.

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New push for most in US to get at least 1 HIV test

WASHINGTON (AP) — There's a new push to make testing for the AIDS virus as common as cholesterol checks.

Americans ages 15 to 64 should get an HIV test at least once — not just people considered at high risk for the virus, an independent panel that sets screening guidelines proposed Monday.

The draft guidelines from the U.S. Preventive Services Task Force are the latest recommendations that aim to make HIV screening simply a routine part of a check-up, something a doctor can order with as little fuss as a cholesterol test or a mammogram. Since 2006, the Centers for Disease Control and Prevention also has pushed for widespread, routine HIV screening.

Yet not nearly enough people have heeded that call: Of the more than 1.1 million Americans living with HIV, nearly 1 in 5 — almost 240,000 people — don't know it. Not only is their own health at risk without treatment, they could unwittingly be spreading the virus to others.

The updated guidelines will bring this long-simmering issue before doctors and their patients again — emphasizing that public health experts agree on how important it is to test even people who don't think they're at risk, because they could be.

"It allows you to say, 'This is a recommended test that we believe everybody should have. We're not singling you out in any way,'" said task force member Dr. Douglas Owens, of Stanford University and the Veterans Affairs Palo Alto Health Care System.

And if finalized, the task force guidelines could extend the number of people eligible for an HIV screening without a copay in their doctor's office, as part of free preventive care under the Obama administration's health care law. Under the task force's previous guidelines, only people at increased risk for HIV — which includes gay and bisexual men and injecting drug users — were eligible for that no-copay screening.

There are a number of ways to get tested. If you're having blood drawn for other exams, the doctor can merely add HIV to the list, no extra pokes or swabs needed. Today's rapid tests can cost less than $20 and require just rubbing a swab over the gums, with results ready in as little as 20 minutes. Last summer, the government approved a do-it-yourself at-home version that's selling for about $40.

Free testing is available through various community programs around the country, including a CDC pilot program in drugstores in 24 cities and rural sites.

Monday's proposal also recommends:

—Testing people older and younger than 15-64 if they are at increased risk of HIV infection,

—People at very high risk for HIV infection should be tested at least annually.

—It's not clear how often to retest people at somewhat increased risk, but perhaps every three to five years.

—Women should be tested during each pregnancy, something the task force has long recommended.

The draft guidelines are open for public comment through Dec. 17.

Most of the 50,000 new HIV infections in the U.S. every year are among gay and bisexual men, followed by heterosexual black women.

"We are not doing as well in America with HIV testing as we would like," Dr. Jonathan Mermin, CDC's HIV prevention chief, said Monday.

The CDC recommends at least one routine test for everyone ages 13 to 64, starting two years younger than the task force recommended. That small difference aside, CDC data suggests fewer than half of adults under 65 have been tested.

"It can sometimes be awkward to ask your doctor for an HIV test," Mermin said — the reason making it routine during any health care encounter could help.

But even though nearly three-fourths of gay and bisexual men with undiagnosed HIV had visited some sort of health provider in the previous year, 48 percent weren't tested for HIV, a recent CDC survey found. Emergency rooms are considered a good spot to catch the undiagnosed, after their illnesses and injuries have been treated, but Mermin said only about 2 percent of ER patients known to be at increased risk were tested while there.

Mermin calls that "a tragedy. It's a missed opportunity."

___

Online:

Task force recommendation: http://www.uspreventiveservicestaskforce.org

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Neighbors cheer, jeer plans for Rose Bowl to host NFL games









About 120 people packed a Pasadena City Hall meeting Monday night to cheer or jeer city plans to allow the Rose Bowl to host professional football games for up to five years if an NFL team moves to Los Angeles.


Residents of the tony neighborhoods near the iconic 90-year-old stadium say NFL games would unleash rowdy fans and cause traffic jams at the expense of homeowners and recreational users.


More than 25,000 vehicles would come to the Rose Bowl on game days, according to a city study, shutting down Brookside Park, the Rose Bowl Aquatics Center, Kidspace Museum and Brookside Golf Course on game days. UCLA also plays its home football games at the Rose Bowl.





Proponents say NFL-related revenue would bail the city-owned stadium out from more than $30 million in cost overruns for ongoing renovation work. Once budgeted at $152 million, the project's cost has climbed to nearly $195 million.


To begin talks with the NFL, the City Council must pass an ordinance to increase the number of large events at the Rose Bowl from a limit of 12 a year to as many as 25. City leaders were expected to vote on the measure late Monday night.


Betsy Nathane, who lives in the Linda Vista neighborhood next to the stadium, said before the meeting started that people from around the region would be put out if a team comes in.


"I use the arroyo nearly every day," she said. "To have [park facilities] closed off for 25 days a year is going to change a lot of people's lifestyles."


Nanyamka Redmond, who lives west of the Rose Bowl, said the economic boost is worth the hassle.


"Traffic and noise are secondary issues compared to jobs," she said. "I understand people east of the Rose Bowl have spent a pretty penny on their houses and want a certain quality of life, but it's not often any city has the opportunity to generate jobs in this capacity."


Earlier this month, consulting firm Barrett Sports Group estimated that the Rose Bowl could raise $5 million to $10 million annually from an NFL deal. The figure does not include revenue from sales and other taxes generated by local businesses.


City voters in 2005 rejected a plan to allow an NFL team to take up permanent residence at the Rose Bowl. No team has committed to Southern California, and the Los Angeles Memorial Coliseum is another possible venue for any team awaiting an NFL stadium to be built in the area.


Councilman Victor Gordo said the city will make accommodations to reduce impacts on residents, but that Pasadena must position itself to negotiate with a team. The Rose Bowl, he said, "was given to us generations ago. It's gone from a park to being America's stadium, and in my mind also a tremendous economic engine for the city and the region."


Brian McCarthy, the NFL's vice president of corporate communications, said in an interview that the league will "monitor all developments in the Los Angeles area" but "has not had any recent conversations with Pasadena or L.A. Coliseum officials."


joe.piasecki@latimes.com





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