CDC says US flu season starts early, could be bad

NEW YORK (AP) — Flu season in the U.S. is off to its earliest start in nearly a decade — and it could be a bad one.

Health officials on Monday said suspected flu cases have jumped in five Southern states, and the primary strain circulating tends to make people sicker than other types. It is particularly hard on the elderly.

"It looks like it's shaping up to be a bad flu season, but only time will tell," said Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention.

The good news is that the nation seems fairly well prepared, Frieden said. More than a third of Americans have been vaccinated, and the vaccine formulated for this year is well-matched to the strains of the virus seen so far, CDC officials said.

Higher-than-normal reports of flu have come in from Alabama, Louisiana, Mississippi, Tennessee and Texas. An uptick like this usually doesn't happen until after Christmas. Flu-related hospitalizations are also rising earlier than usual, and there have already been two deaths in children.

Hospitals and urgent care centers in northern Alabama have been bustling. "Fortunately, the cases have been relatively mild," said Dr. Henry Wang, an emergency medicine physician at the University of Alabama at Birmingham.

Parts of Georgia have seen a boom in traffic, too. It's not clear why the flu is showing up so early, or how long it will stay.

"My advice is: Get the vaccine now," said Dr. James Steinberg, an Emory University infectious diseases specialist in Atlanta.

The last time a conventional flu season started this early was the winter of 2003-04, which proved to be one of the most lethal seasons in the past 35 years, with more than 48,000 deaths. The dominant type of flu back then was the same one seen this year.

One key difference between then and now: In 2003-04, the vaccine was poorly matched to the predominant flu strain. Also, there's more vaccine now, and vaccination rates have risen for the general public and for key groups such as pregnant women and health care workers.

An estimated 112 million Americans have been vaccinated so far, the CDC said. Flu vaccinations are recommended for everyone 6 months or older.

On average, about 24,000 Americans die each flu season, according to the CDC.

Flu usually peaks in midwinter. Symptoms can include fever, cough, runny nose, head and body aches and fatigue. Some people also suffer vomiting and diarrhea, and some develop pneumonia or other severe complications.

A strain of swine flu that hit in 2009 caused a wave of cases in the spring and then again in the early fall. But that was considered a unique type of flu, distinct from the conventional strains that circulate every year.

__

Online:

CDC: http://www.cdc.gov/flu/weekly

Read More..

Conservatives make Boehner's life difficult

WASHINGTON— Conservatives panned the House Republican proposal released Monday to avoid the so-called "fiscal cliff," yet again giving House Speaker and lead negotiator John Boehner little room to maneuver as he works toward a deal with the White House.

The proposal includes extending current tax rates for all income levels and raising revenue by closing loopholes in the tax code.

"Rarely in modern American politics have more counterproductive, more foolish words been set to paper," wrote researchers at the Heritage Foundation in response to part of the letter sent to the White House from seven House leaders that outlined the Republican plan. The Heritage analysis, co-written by Alison Acosta Fraser and J.D. Foster, went on to say: "[T]he Republican counteroffer, to the extent it can be interpreted from the hazy details now available, is a dud. It is utterly unacceptable. It is bad policy, bad economics, and, if we may say so, highly questionable as a negotiating tactic."

Heritage's response echoed the sentiment of many conservatives in Washington who are urging House Republicans to avoid cutting a deal with the president if it means raising taxes.

In an open letter signed by more than 100 prominent conservative activists and organized by the advocacy group Let Freedom Ring, House Republicans were warned that they would not receive support in the future if they "cave" during negotiations.

"In the House, the nation elected in 2012 one of the largest Republican majorities in the past 100 years. You have a mandate to fight for conservative principles that is arguably much broader than the one that narrowly reelected President Barack Obama claims to have for his leftist agenda," the letter read. It was signed by Republican activists like Richard Viguerie, Leadership Institute founder Morton Blackwell, Eagle Forum founder Phyllis Schlafly, Media Research Center president Brent Bozell, and Republican donor Foster Friess.

"And if Republicans cave in now, when it really counts," the letter continued, "next time you will be weaker, because your conservative base will be outraged.  Many who worked hard to elect you in the past will never lift a finger for you again."

In the Senate on Tuesday, South Carolina Republican Sen. Jim DeMint, one of the tea party's staunchest allies in the upper chamber, accused House Republicans of promoting a plan that would "destroy American jobs."

DeMint's remarks this week, however, seemed to be somewhat of a departure from his characterization of a possible deal before the election, when he said Republicans who don't want to see the automatic defense spending reductions set to automatically trigger next year go into effect "might as well cut a deal" that includes tax increases.

"You can't get a deal with Obama without raising taxes on the producing class of folks," DeMint said in September, according to a report by Bloomberg News. "We might as well cut a deal. If Republicans want to maintain the defense, we're going to have to give tax increases to Obama."

In a statement to Yahoo News, DeMint's spokesman moved to clarify the remarks, saying that he had "simply stated the obvious" and would never support a plan with more taxes.

"Before the election, he simply stated the obvious, that Obama would try to use a lame duck session to rush through tax hikes that will hurt the economy," DeMint spokesman Wesley Denton said. "His point then was that if Republican leadership wasn't going to stand strong against tax hikes in the lame duck, they might as well be honest with voters before the election. Sadly, his predictions have proven correct and his long opposition to tax hikes that destroy jobs hasn't changed."

The conservative backlash, of course, could amount to mere noise as Boehner continues his negotiations with the president in search of a deal. The speaker and his allies in the House have spent two years navigating the thorn-riddled path between his party's conservative base and Obama's demands.

Read More..

Gunman severely wounds Swedish woman in Pakistan

LAHORE, Pakistan (AP) — A gunman on a motorcycle shot and severely wounded an elderly Swedish woman who worked at a church in eastern Pakistan on Monday, officials said.

The woman, who was identified by Pakistani police as Bargetta Emmi, was getting out of her car in front of her home in the city of Lahore when she was shot in the neck by an unknown assailant. Her servants reported the incident to police, said Pakistani police officer Malik Awais.

She was a director of FGA Church (Full Gospel Assemblies of Pakistan), Awais said.

Swedish Foreign Ministry spokesman Teo Zetterman confirmed en elderly Swedish woman was shot and severely wounded in Lahore. He said she was a volunteer worker in her 70s, but did not provide her name or where she worked.

The woman is a Swedish citizen but has lived and worked in Pakistan for several years, said Zetterman.

The gunman who shot Emmi escaped, and the motive was unclear.

Also in Lahore, gunmen on Monday desecrated over 100 graves of Ahmadis, members of a persecuted religious sect in Pakistan, said Awais, the police officer. More than a dozen gunmen held the caretakers of the graveyard hostage while they defaced the graves.

"You can't inscribe verses from the holy Quran on the graves. You are Ahmadis. You are not Muslims," one of the attackers told the caretakers, according to Awais.

Parliament amended Pakistan's constitution in 1974 to declare that Ahmadis were not considered Muslims under the law.

Ahmadis believe their spiritual leader, Hadrat Mirza Ghulam Ahmad, who died in 1908, was a messiah — a position rejected by the government in response to a mass movement led by Pakistan's major Islamic parties.

The Ahmadis' plight — along with that of Pakistan's other religious minorities, such as Shiite Muslims, Christians and Hindus — has deepened in recent years as hard-line interpretations of Islam have gained ground and militants have stepped up attacks against groups they oppose. Most Pakistanis are Sunni Muslims.

Also Monday, a roadside bomb ripped through a police van as it was patrolling on the outskirts of the northwestern city of Peshawar, killing two officers and wounding two others, said senior police officer Javed Khan.

Peshwar is on the edge of Pakistan's tribal region, the main sanctuary for Taliban militants in the country, and has been hit by frequent bombings over the past few years.

In the southern city of Karachi, a gunman riding on a motorcycle killed the leader of an Islamic seminary, sparking a riot by hundreds of seminary students, who stoned shops and set vehicles on fire, said police officer Azhar Iqbal.

Karachi has a long history of political, sectarian and ethnic strife, which has been on the rise this year.

____

Associated Press writers Louise Nordstrom in Stockholm, Adil Jawad in Karachi, Pakistan and Sebastian Abbot in Islamabad contributed to this report.

Read More..

Palace says Duchess of Cambridge expecting a baby

LONDON (AP) — Get the nursery ready: Prince William and his wife Kate are expecting their first child.

St. James's Palace announced the pregnancy Monday, saying that the Duchess of Cambridge — formerly known as Kate Middleton — has a severe form of morning sickness and is currently in a London hospital. William is at his wife's side.

The palace said since the pregnancy is in its "very early stages," the 30-year-old duchess is expected to stay in the hospital for several days and will require a period of rest afterward.

It would not say how far along she is, only that she has not yet reached the 12-week mark.

News of the pregnancy drew congratulations from across the world, with the hashtag "royalbaby" trending globally on Twitter.

Not only are the attractive young couple popular — with William's easy common touch reminding many of his mother, the late Princess Diana — but their child is expected to play an important role in British national life for decades to come.

William is second in line to the throne after his father, Prince Charles, so the couple's first child would normally eventually become a monarch.

In recent days, Middleton has kept up her royal appearances — recently playing field hockey with schoolchildren at her former school.

The confirmation of her pregnancy caps a jam-packed year of highs and lows for the young royals, who were married in a lavish ceremony at Westminster Abbey last year.

They have traveled the world extensively as part of Queen Elizabeth II's Diamond Jubilee celebrations and weathered the embarrassment of a nude photos scandal, after a tabloid published topless images of the duchess.

Joe Little, managing editor of Majesty magazine, said the news bookended a year that saw the royal family riding high in popular esteem after celebrations of Queen Elizabeth II's 60 years on the throne.

"We're riding on a royal high at the moment at the end of the Diamond Jubilee year," he said. "People enjoyed the royal romance last year and now there's this. It's just a good news story amid all the doom and gloom."

Speculation about when the couple would start a family has been rife since their wedding.

William's mother — the late Princess Diana — got pregnant just four months after her wedding in 1981. Diana reportedly suffered from morning sickness for months and complained of constant media attention.

"The whole world is watching my stomach," Diana once said.

American tabloid speculation of the pregnancy has been rampant for months. One newspaper even cited anonymous sources talking about Kate's hormone levels. Others have focused on the first signs of the royal bump.

The palace said the royal family was "delighted" by the news, while British Prime Minister David Cameron wrote on Twitter that the royals "will make wonderful parents."

Whether boy or girl, the child will be next in line behind William in the line of succession to the throne, Cabinet Office officials have said.

Leaders of Britain and the 15 former colonies that have the monarch as their head of state agreed in 2011 to new rules which give females equal status with males in the order of succession.

Although none of the nations had legislated to make the change as of September 2012, the British Cabinet Office confirmed that this is now the de-facto rule.

On the couple's recent tour of Malaysia, Singapore, the Solomon Islands and Tuvalu in September, William reportedly said he hoped he and Kate would have two children.

___

Associated Press writers Jill Lawless and Paisley Dodds contributed to this report.

Read More..

Explainer: Why was pregnant duchess hospitalized?

LONDON (AP) — While morning sickness in pregnant women is common, the problem the Duchess of Cambridge has been hospitalized with is not.

In a statement Monday, palace officials said she was hospitalized with hyperemesis gravidarum, a potentially dangerous type of morning sickness where vomiting is so severe no food or liquid can be kept down. Palace officials said the duchess was expected to remain hospitalized for several days and would require a period of rest afterwards.

"It's not unusual for pregnant women to get morning sickness, but when it gets to the point where you're dehydrated, losing weight or vomiting so much you begin to build up (toxic) products in your blood, that's a concern," said Dr. Kecia Gaither, director of maternal fetal medicine at Brookdale University and Medical Center in New York.

The condition is thought to affect about one in 50 pregnant women and tends to be more common in young women, women who are pregnant for the first time, those expecting multiple babies and in non-smokers. Gaither said that fewer than one percent of women with the condition need to be hospitalized.

Doctors aren't sure what causes it but suspect it could be linked to hormonal changes or nutritional problems.

Women admitted to the hospital with hyperemesis gravidarum are usually treated with nutritional supplements and given fluids intravenously to treat dehydration. Dr. Dagni Rajasingam, a spokeswoman for the Royal College of Obstetricians and Gynaecologists, said most women hospitalized with the condition are discharged within several days.

"It depends on how well the woman is keeping fluids down," she said.

If the problem is recognized and treated early, doctors say there are no long-term effects for either the mother or the child. Left untreated, the mother could be at risk of developing neurological problems — including seizures — or risk delivering the baby early.

Gaither said the condition usually subsides by the second trimester.

"The rest of the pregnancy could be entirely uneventful," she said, adding that pregnant women treated for the condition are usually advised to avoid fatty foods that could aggravate the problem.

Gaither said the duchess would probably be able to meet her usual royal obligations by her second trimester.

"She should be able to meet all her public obligations soon," she said, advising her to take her vitamins and ensure there are no other underlying health problems. "She should just be looking forward to having a healthy little plump person."

Read More..

Duchess of Cambridge expecting a baby

ABC News' Christina Ng and Carolyn Durand report:

Kate Middleton is pregnant.


The most eagerly awaited pregnancy was announced today by St. James Palace on behalf of Middleton and her husband Prince William.

The child, whether boy or girl, will eventually be heir to the British
throne according to new legislation awaiting final approval.

The duchess was admitted to King Edward VII Hospital today in central
London with hyperemesis gravidarum, an acute morning sickness which
requires supplementary hydration and nutrients, the palace said.

Click here for photos of Kate through the years.

"As the pregnancy is in its very early stages, Her Royal Highness is
expected to stay in hospital for several days and will require a period
of rest thereafter," the statement said.

The royal family was clearly delighted with the news.

"Their Royal Highnesses The Duke and Duchess of Cambridge are very
pleased to announce that The Duchess of Cambridge is expecting a baby,"
the palace said in a statement today. "The Queen, The Duke of Edinburgh,
The Prince of Wales, The Duchess of Cornwall and Prince Harry and
members of both families are delighted with the news."

The baby will be the queen's third great-grandchild.

Robert Lacey, author of the definitive book "Majesty" said, "The British
public and indeed the whole world will be delighted for the same, it
keeps the monarchy going. The royal wedding brought a magic back to the
monarchy and people are fascinated by William and Catherine."

The announcement follows relentless public and media speculation about
when Prince William and his wife would have an heir. The guessing game
began almost immediately after the couple said, "I do."

VOTE: What Should They Name the Baby?

Tabloids began snapping close-ups of Middleton's stomach for any
indication of a baby bump. Baby rumors abounded when the duchess held a
baby at a press event and when she declined peanut butter at another
event. British physicians are known to warn women against eating peanuts
during pregnancy. When the couple got a dog, Lupo, headlines wondered
if they were practicing for another addition to the family.

The palace, which rarely comments on speculation, took the unusual step
of saying, "We would be the ones to make the announcement, not
Hollywood."

"It is quite strange reading about it, but I try not to let it bother
me," Prince William said in an interview with ABC News' Katie Couric in
May 2012. "I'm just very keen to have a family and both Catherine and I
are looking forward to having a family in the future."

Asked by Couric if there was anything else he wanted to share, he coyly
answered, "You won't get anything out of me. Tight lipped."

Due to a dramatic change in the rules of succession, the royal couple's
first-born will likely be the heir to the throne, regardless of the
baby's gender.

Last year, the heads of 16 Commonwealth countries agreed to a change in
the rules of succession so that first-born children of either gender can
take the throne. Queen Elizabeth II was only eligible to be monarch
because her father had no male children. The British Parliament must
still amend existing law to make the succession change official.

"Put simply, if the Duke and Duchess of Cambridge were to have a little
girl, that girl would one day be our queen," British Prime Minister
David Cameron told reporters in 2011.

Royal babies have typically been born within one year of marriage.
Princess Diana gave birth to William just 11 months after her wedding
and the queen gave birth to Prince Charles six days before her first
wedding anniversary.

PHOTOS: Royal Heirs Around the World

Prince William and Kate were married on April 29, 2011.

Click here for an interactive look at William and Kate's love story.

William, who has long been known for making privacy a priority, will now
be faced with the inevitable fascination with his first child. And the
scrutiny will doubtless be familiar to him.

From his infant trip to Australia with his mother to his graduation from
St. Andrews University, William's life was filled with photo ops.

"We have a paradox here. William loathes the press and exposure to the
publicity. On the other hand, Diana exposed both sons at an early age.
They are immensely assured young men," Lacey said. "While he may want to
keep his children out the limelight, as a modern monarch he knows he
has to deal with the media."


PHOTOS: William and Kate: The College Years

Now, the name guessing game begins.

"They'll stick to traditional names," Lacey predicts. "William has a
great sense of history from working with his grandmother. The queen
would have him over for tea to teach him about history and the workings
of the monarchy."

It's typical for royals to have three or four names. Prince William's full name is William Arthur Philip Louis.

"If it's a girl it's not likely to be called Diana," Lacey said. "But
you're very likely to see Diana in one of the middle names. You might
very likely get Elizabeth Diana something. It shows the bravery with
which he's kept his mother's memory alive, right down to the ring on
Kate's finger."

Read More..

Pakistani Hindus protest destruction of temple

KARACHI, Pakistan (AP) — Pakistani Hindus Sunday protested the destruction of a Hindu temple in the southern port city of Karachi. The temple was razed, along with some nearby homes, by a builder.

Minority Hindus have complained of increasing harassment and discrimination in Muslim-dominated Pakistan in recent years, including the destruction or desecration of their places of worship.

Residents and members of the Hindu community said Sunday a builder with a police escort razed the small temple in one of the older neighborhoods of Karachi, along with some surrounding buildings.

The outer walls and roof of the temple were demolished, and rubble was strewn about the area. Local residents told an AP reporter on the scene that authorities took statues and artifacts out of the building before it was destroyed.

One of the longtime residents, 75-year-old Kali Das, said he was born in the area and remembers when the temple, called Sri Rama Peer Naval, was built. He said more than a hundred families lived nearby and prayed at the temple.

Residents protested at the Karachi Press Club on Sunday, demanding compensation as well as the return of religious materials they said were taken during the incident.

Ramesh Kumar Vankwani from the Pakistan Hindu Council said there is a long-running legal dispute between the builder and residents over the land, but it belongs to the Hindu residents.

Zeenat Ahmad, who runs the department in charge of military land, said a court order allowed some of the buildings to be razed. A Pakistani police officer, Parvez Iqbal, denied anything was taken.

The military owns vast tracts of land in Karachi and other parts of the country.

Vankwani said the incident was another example of the problems Hindus are facing in Pakistan. Hindus complain that girls are forcibly converted to Islam, there is no legal recognition for Hindu marriages, and Hindus are discriminated against when it comes to access to government jobs or schooling.

"Every month there is an incident, like taking property of Hindu people or forced conversion of Hindu girls," he said.

During partition in 1947, the violent separation of Pakistan and India into separate countries, hundreds of thousands of Hindus decided to migrate to India, where Hinduism is the dominant religion. Those who remained and their descendants now make up a tiny fraction of Pakistan's estimated 190 million citizens. Most live in Sindh province in the southern part of the country.

___

Associated Press writer Rebecca Santana in Islamabad contributed.

Read More..

Letterman up for jabs with Kennedy Center Honors

WASHINGTON (AP) — David Letterman's "stupid human tricks" and Top 10 lists are being vaulted into the ranks of cultural acclaim as the late-night comedian receives this year's Kennedy Center Honors with rock band Led Zeppelin and three other artists.

Stars from New York, Hollywood and the music world gathered Sunday in Washington to salute the comedian and the band, along with Dustin Hoffman, Chicago bluesman Buddy Guy and ballerina Natalia Makarova.

The honors are the nation's highest award for those who influenced American culture through the arts. President Barack Obama will host the honorees at the White House before they are saluted by fellow performers in a show to be broadcast Dec. 26 on CBS.

Meryl Streep introduced the honorees Saturday during a dinner at the U.S. State Department and noted Letterman had surpassed his mentor, Johnny Carson, in sustaining the longest late-night television career for more than 30 years.

Stephen Colbert and Jimmy Kimmel joined in celebrating his influence on many other comedians.

"I knew Johnny, and I loved Johnny. Johnny was beyond reproach," Colbert said in a toast to Letterman. "Dave was stupid. Dave was ours. Dave was like us.

"We wanted to throw things off of buildings. ... We would love to stick our heads out the window of 30 Rock and yell at passers-by, 'I'm not wearing any pants!'"

Colbert marveled at Letterman receiving such an award after he "corrupted the minds of a generation."

Paul Shaffer, Letterman's longtime band leader, said he knew his boss was uncomfortable hearing such accolades, but that he was also enjoying every second of it.

Big names from the rock world dressed in black tie for the occasion to honor their heroes in Led Zeppelin as a string ensemble played "Kashmir" and other tunes at the State Department.

Foo Fighters singer Dave Grohl said he never took any music lessons when he was starting out because "my teachers were Led Zeppelin. ... They were the most powerful thing in my life."

Lenny Kravitz said their music was special and became a lasting part of the culture of rock and roll.

"It's very difficult," he said. "You get four guys that come together and make something so much more powerful than they all are."

Zeppelin front man Robert Plant said he was flattered and overwhelmed in receiving the American culture prize. He said he was glad to see his former band mates, John Paul Jones and Jimmy Page, using good table manners.

The trio is scheduled to appear Monday on CBS' "Late Show with David Letterman." They are often asked if they'll reunite.

Plant told The Associated Press he plans to continue traveling the world and wants to make new music along the way.

"If anybody wants to write some new songs, I'm game to write songs," he said.

Hoffman was honored for charting his own path after taking a junior college class in acting that "nobody ever flunks." Streep said it became a pilgrimage with Hoffman waiting tables and typing for the yellow pages.

"He'd do anything if it meant at night he could find himself on the stage," she said.

Glenn Close toasted him for defining the character actor as leading man and as an artist who insisted on setting the highest standards for himself.

President Bill Clinton saluted Guy, the Chicago bluesman who was born into a family of sharecroppers with no electricity or running water in Louisiana. He went on to pioneer the use of distortion and feedback with his electric guitar.

"Buddy Guy's life is a miracle," Clinton said. "Just imagine you want to be a guitar player and you get your first strings by tearing off the screen door. ... He came from that to this."

Secretary of State Hillary Rodham Clinton said the ballerina Makarova "risked everything to have the freedom to dance the way she wanted to dance" when she defected from the Soviet Union in 1970.

Makarova quickly made her debut with the American Ballet Theatre and later was the first exiled artist to return to the Soviet Union before its fall to dance with the Kirov Ballet.

Clinton also took special note of Letterman, saying he must be wondering what he's doing in a crowd of talented artists and musicians.

"Dave and I have a history," she said. "I have been a guest on his show several times, and if you include references to my pant suits, I'm on at least once a week."

The crowd of artists and entertainers gave Clinton a standing ovation as she hosted her final salute to the nation's artists as secretary of State.

Kennedy Center Chairman David Rubenstein gave her a subtle nudge to run for president in 2016, saying there's another room at the State Department to name after a secretary who later becomes president.

___

Follow Brett Zongker on Twitter at https://twitter.com/DCArtBeat

Read More..

Asperger's dropped from revised diagnosis manual

CHICAGO (AP) — The now familiar term "Asperger's disorder" is being dropped. And abnormally bad and frequent temper tantrums will be given a scientific-sounding diagnosis called DMDD. But "dyslexia" and other learning disorders remain.

The revisions come in the first major rewrite in nearly 20 years of the diagnostic guide used by the nation's psychiatrists. Changes were approved Saturday.

Full details of all the revisions will come next May when the American Psychiatric Association's new diagnostic manual is published, but the impact will be huge, affecting millions of children and adults worldwide. The manual also is important for the insurance industry in deciding what treatment to pay for, and it helps schools decide how to allot special education.

This diagnostic guide "defines what constellations of symptoms" doctors recognize as mental disorders, said Dr. Mark Olfson, a Columbia University psychiatry professor. More important, he said, it "shapes who will receive what treatment. Even seemingly subtle changes to the criteria can have substantial effects on patterns of care."

Olfson was not involved in the revision process. The changes were approved Saturday in suburban Washington, D.C., by the psychiatric association's board of trustees.

The aim is not to expand the number of people diagnosed with mental illness, but to ensure that affected children and adults are more accurately diagnosed so they can get the most appropriate treatment, said Dr. David Kupfer. He chaired the task force in charge of revising the manual and is a psychiatry professor at the University of Pittsburgh.

One of the most hotly argued changes was how to define the various ranges of autism. Some advocates opposed the idea of dropping the specific diagnosis for Asperger's disorder. People with that disorder often have high intelligence and vast knowledge on narrow subjects but lack social skills. Some who have the condition embrace their quirkiness and vow to continue to use the label.

And some Asperger's families opposed any change, fearing their kids would lose a diagnosis and no longer be eligible for special services.

But the revision will not affect their education services, experts say.

The new manual adds the term "autism spectrum disorder," which already is used by many experts in the field. Asperger's disorder will be dropped and incorporated under that umbrella diagnosis. The new category will include kids with severe autism, who often don't talk or interact, as well as those with milder forms.

Kelli Gibson of Battle Creek, Mich., who has four sons with various forms of autism, said Saturday she welcomes the change. Her boys all had different labels in the old diagnostic manual, including a 14-year-old with Asperger's.

"To give it separate names never made sense to me," Gibson said. "To me, my children all had autism."

Three of her boys receive special education services in public school; the fourth is enrolled in a school for disabled children. The new autism diagnosis won't affect those services, Gibson said. She also has a 3-year-old daughter without autism.

People with dyslexia also were closely watching for the new updated doctors' guide. Many with the reading disorder did not want their diagnosis to be dropped. And it won't be. Instead, the new manual will have a broader learning disorder category to cover several conditions including dyslexia, which causes difficulty understanding letters and recognizing written words.

The trustees on Saturday made the final decision on what proposals made the cut; recommendations came from experts in several work groups assigned to evaluate different mental illnesses.

The revised guidebook "represents a significant step forward for the field. It will improve our ability to accurately diagnose psychiatric disorders," Dr. David Fassler, the group's treasurer and a University of Vermont psychiatry professor, said after the vote.

The shorthand name for the new edition, the organization's fifth revision of the Diagnostic and Statistical Manual, is DSM-5. Group leaders said specifics won't be disclosed until the manual is published but they confirmed some changes. A 2000 edition of the manual made minor changes but the last major edition was published in 1994.

Olfson said the manual "seeks to capture the current state of knowledge of psychiatric disorders. Since 2000 ... there have been important advances in our understanding of the nature of psychiatric disorders."

Catherine Lord, an autism expert at Weill Cornell Medical College in New York who was on the psychiatric group's autism task force, said anyone who met criteria for Asperger's in the old manual would be included in the new diagnosis.

One reason for the change is that some states and school systems don't provide services for children and adults with Asperger's, or provide fewer services than those given an autism diagnosis, she said.

Autism researcher Geraldine Dawson, chief science officer for the advocacy group Autism Speaks, said small studies have suggested the new criteria will be effective. But she said it will be crucial to monitor so that children don't lose services.

Other changes include:

—A new diagnosis for severe recurrent temper tantrums — disruptive mood dysregulation disorder. Critics say it will medicalize kids' who have normal tantrums. Supporters say it will address concerns about too many kids being misdiagnosed with bipolar disorder and treated with powerful psychiatric drugs. Bipolar disorder involves sharp mood swings and affected children are sometimes very irritable or have explosive tantrums.

—Eliminating the term "gender identity disorder." It has been used for children or adults who strongly believe that they were born the wrong gender. But many activists believe the condition isn't a disorder and say calling it one is stigmatizing. The term would be replaced with "gender dysphoria," which means emotional distress over one's gender. Supporters equated the change with removing homosexuality as a mental illness in the diagnostic manual, which happened decades ago.

___

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

Read More..

Geithner on averting cliff: 'I actually think we're going to get there'

Boehner, Geithner (AP/Getty)

With the fiscal cliff looming--and Republicans, like House Speaker John Boehner, slamming the White House's latest proposal--U.S. Treasury Secretary Timothy Geithner hit the Sunday morning talk show circuit, saying the partisan posturing is part of the "political theater" but that he's hopeful a deal will get done.

"I actually think that we're gonna get there," Geithner said on ABC's "This Week With George Stephanopoulos." "I mean, inevitably [there is] gonna be a little political theater in this context--sometimes that's a sign of progress. I think we're actually making a little bit of progress, but we're still some distance apart."

Geithner said the GOP lawmakers need to realize that the burden is on them to work with Democrats, and that the "ball really is with them now."

"There's just no reason why 98 percent of Americans have to see their taxes go up because some members of Congress on the Republican side want to block tax rate increases for 2 percent of the wealthiest Americans," the treasury secretary said.

"They really are in a difficult position," he added. "And they're going to have to figure out their politics of what they do next."

On CNN's "State of the Union With Candy Crowley," Geithner dismissed Boehner's contention that debt talks were at a "stalemate."

"I think we're far apart still, but I think we're moving closer together," Geithner said. "Republicans have said for the first time in decades, if I'm not mistaken, that they are prepared to raise taxes as part of a deal that helps reduce our long-term deficits. Now, what they haven't said to us is how far they're willing to go both on rates and revenues. And that's something we're going to need to see from them if we're going to have an agreement."

He added: "There's going to be a lot of political theater between now and when we get there."

"We laid out a very detailed plan," Geithner said on "Fox News Sunday."

On "Meet The Press," Geithner said he thinks a deal will get done by the end of the year.

"The only thing standing in the way of that would be a refusal by Republicans to accept that rates are going to have to go up on the wealthiest Americans," he said. "And I don't really see them doing that."

Geithner's Sunday talk show tour was met with immediate criticism from the GOP.

"The president and the White House have had three weeks and this is the best we've got?" Boehner asked on "Fox News Sunday." "We are nowhere."

Read More..