Chicano rock pioneers Los Lobos marking 40 years


LOS ANGELES (AP) — They are seen as the progenitors of Chicano rock 'n' roll, the first band that had the boldness, and some might even say the naiveté, to fuse punk rock with Mexican folk tunes.


It was a group called Los Lobos that had the unusual idea of putting an accordion, a saxophone and something called a bajo sexto alongside drums and Fender Stratocaster guitars and then blasting a ranchera-flavored folk tune or a Conjunto inspired melody through double reverb amps at about twice the volume you'd normally expect to hear.


"They were Latinos who weren't afraid to break the mold of what's expected and what's traditionally played. That made them legendary, even to people who at first weren't that familiar with their catalog," said Greg Gonzalez of the young, Grammy-winning Latino-funk fusion band Grupo Fantasma.


To the guys in Los Lobos, however, the band that began to take shape some 40-odd years ago in the hallways of a barrio high school is still "just another band from East LA," the words the group has used in the title of not one but two of its more than two dozen albums.


As a yearlong celebration of Los Lobos' 40th anniversary gets under way, having officially begun on Thanksgiving, much is likely to be made of how the band began as a humble mariachi group, toiling anonymously for nearly a decade at East LA weddings and backyard parties before the unlikely arrival of rock stardom.


That's, well, sort of true.


For long before there was mariachi in Los Lobos' life, there was power-chord rock 'n' roll. Before the Latin trio Las Panchos had an impact, there was Jimi Hendrix.


"I actually went to go see him when I was 14 or 15," says drummer-guitarist and principal lyricist Louie Perez, recalling how he had badgered his widowed mother to spend some of the hard-earned money she made sewing clothes in a sweatshop on a ticket to a Hendrix show.


"I sat right down front," he recalls, his voice rising in excitement. "That experience just sort of rearranged my brain cells."


About the same time, he had met a guitarist named David Hidalgo in an art class at James A. Garfield High, the school made famous in the 1988 film "Stand and Deliver" that profiled Jaime Escalante's success in teaching college-level calculus to poor barrio kids. Soon the two had recruited fellow students Conrad Lozano and Cesar Rosas, both experienced musicians.


"Cesar had played in a power trio," Perez recalls, while Lozano had been playing electric bass guitar for years.


It was sometime in November 1973 (no one remembers the exact day so they picked Thanksgiving) when the band is believed to have been born.


And the group might have stayed just another garage band from East LA, had it not been for a Mexican tradition called Las Mananitas.


"It's a serenade to someone on their birthday," Perez explains, and the group members' mothers had birthdays coming up.


"So we learned about four or five Mexican songs and we went to our parents' homes and did a little serenade," Hidalgo recalled separately.


They were such a hit that they began scouring pawn shops for genuine Mexican instruments and really learning to play them.


Because they were at heart a rock 'n' roll band, however, they always played the music a little too loud and a little too fast. That was acceptable at the Mexican restaurants that employed them, until they decided to break out the Stratocaster guitars they had so coveted as kids.


"They said, 'Well, that's not what we hired you for,'" Perez says, chuckling.


So they headed west down the freeway to Hollywood, where initially the reaction wasn't much better.


Saxophonist Steve Berlin recalls seeing the hybrid group showered with garbage one night when they opened for Public Image Ltd. Two years later, however, when they opened for Berlin's group the Blasters, the reaction was different.


"It was quite literally an overnight success kind of thing," the saxophonist recalls. "By the next morning, everybody I knew in Hollywood, all they were talking about was this band Los Lobos."


A few nights later, they asked Berlin if he might jam with them. They were working up some tunes melding punk rock with Norteno, a Latin music genre that uses an accordion and a saxophone, and they needed a sax player.


For his part, Berlin says, he had never heard of Norteno music.


Something clicked, however, and soon he was producing the group's first true rock album, 1984's "How Will the Wolf Survive?" At the end of the sessions he was in the band.


The next 28 years would be pretty much the same kind of up-and-down ride as the first 12 were.


The group became international rock stars in 1987 with their version of the Mexican folk tune "La Bamba" for the soundtrack of the film of the same name. They melded 1950s teen idol Ritchie Valens' rock interpretation with the original Son Jarocho style and sent the song to No. 1.


A two-year tour and a couple albums that nobody bought followed, leaving the group broke and disillusioned.


So they poured their anger and disillusionment into the lyrics and power chords of "Kiko," the 1992 album now hailed as their masterpiece. A new version, recorded live, was released earlier this year.


The influence of Los Lobos' cross-cultural work can be heard to this day in the music of such varied young Latino groups as the hip-hop rockers Ozomatli, the Son Jarocho-influenced alt-music band Las Cafeteras and the Latino pop-rock group La Santa Cecilia, says Josh Kun, an expert on cross-border music.


"All of these bands inherited, wittingly or not, the experimental and style crossing instincts that Los Lobos proved were possible while hanging onto and developing your roots as a Mexican-American group," said Kun, who curated the Grammy Museum's recent "Trouble in Paradise" exhibition that chronicled the modern history of LA music.


For Los Lobos, winner of three Grammys, that was just the natural way of doing things for guys, Perez says, who learned early on that they didn't fit in completely on either side of the U.S.-Mexico border.


"As Mexican-Americans in the U.S. we're not completely accepted on this side of the border. And then on the other side of the border it's like, 'Well, what are you?'" he mused.


"So if that's the case," he added brightly, "then, hey, we belong everywhere."


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Fewer health care options for illegal immigrants


ALAMO, Texas (AP) — For years, Sonia Limas would drag her daughters to the emergency room whenever they fell sick. As an illegal immigrant, she had no health insurance, and the only place she knew to seek treatment was the hospital — the most expensive setting for those covering the cost.


The family's options improved somewhat a decade ago with the expansion of community health clinics, which offered free or low-cost care with help from the federal government. But President Barack Obama's health care overhaul threatens to roll back some of those services if clinics and hospitals are overwhelmed with newly insured patients and can't afford to care for as many poor families.


To be clear, Obama's law was never intended to help Limas and an estimated 11 million illegal immigrants like her. Instead, it envisions that 32 million uninsured Americans will get access to coverage by 2019. Because that should mean fewer uninsured patients showing up at hospitals, the Obama program slashed the federal reimbursement for uncompensated care.


But in states with large illegal immigrant populations, the math may not work, especially if lawmakers don't expand Medicaid, the joint state-federal health program for the poor and disabled.


When the reform has been fully implemented, illegal immigrants will make up the nation's second-largest population of uninsured, or about 25 percent. The only larger group will be people who qualify for insurance but fail to enroll, according to a 2012 study by the Washington-based Urban Institute.


And since about two-thirds of illegal immigrants live in just eight states, those areas will have a disproportionate share of the uninsured to care for.


In communities "where the number of undocumented immigrants is greatest, the strain has reached the breaking point," Rich Umbdenstock, president of the American Hospital Association, wrote last year in a letter to Obama, asking him to keep in mind the uncompensated care hospitals gave to that group. "In response, many hospitals have had to curtail services, delay implementing services, or close beds."


The federal government has offered to expand Medicaid, but states must decide whether to take the deal. And in some of those eight states — including Texas, Florida and New Jersey — hospitals are scrambling to determine whether they will still have enough money to treat the remaining uninsured.


Without a Medicaid expansion, the influx of new patients and the looming cuts in federal funding could inflict "a double whammy" in Texas, said David Lopez, CEO of the Harris Health System in Houston, which spends 10 to 15 percent of its $1.2 billion annual budget to care for illegal immigrants.


Realistically, taxpayers are already paying for some of the treatment provided to illegal immigrants because hospitals are required by law to stabilize and treat any patients that arrive in an emergency room, regardless of their ability to pay. The money to cover the costs typically comes from federal, state and local taxes.


A solid accounting of money spent treating illegal immigrants is elusive because most hospitals do not ask for immigration status. But some states have tried.


California, which is home to the nation's largest population of illegal immigrants, spent an estimated $1.2 billion last year through Medicaid to care for 822,500 illegal immigrants.


The New Jersey Hospital Association in 2010 estimated that it cost between $600 million and $650 million annually to treat 550,000 illegal immigrants.


And in Texas, a 2010 analysis by the Health and Human Services Commission found that the agency had provided $96 million in benefits to illegal immigrants, up from $81 million two years earlier. The state's public hospital districts spent an additional $717 million in uncompensated care to treat that population.


If large states such as Florida and Texas make good on their intention to forgo federal money to expand Medicaid, the decision "basically eviscerates" the effects of the health care overhaul in those areas because of "who lives there and what they're eligible for," said Lisa Clemans-Cope, a senior researcher at the Urban Institute.


Seeking to curb expenses, hospitals might change what qualifies as an emergency or cap the number of uninsured patients they treat. And although it's believed states with the most illegal immigrants will face a smaller cut, they will still lose money.


The potential impacts of reform are a hot topic at MD Anderson Cancer Center in Houston. In addition to offering its own charity care, some MD Anderson oncologists volunteer at a county-funded clinic at Lyndon B. Johnson General Hospital that largely treats the uninsured.


"In a sense we've been in the worst-case scenario in Texas for a long time," said Lewis Foxhall, MD Anderson's vice president of health policy in Houston. "The large number of uninsured and the large low-income population creates a very difficult problem for us."


Community clinics are a key part of the reform plan and were supposed to take up some of the slack for hospitals. Clinics received $11 billion in new funding over five years so they could expand to help care for a swell of newly insured who might otherwise overwhelm doctors' offices. But in the first year, $600 million was cut from the centers' usual allocation, leaving many to use the money to fill gaps rather than expand.


There is concern that clinics could themselves be inundated with newly insured patients, forcing many illegal immigrants back to emergency rooms.


Limas, 44, moved to the border town of Alamo 13 years ago with her husband and three daughters. Now single, she supports the family by teaching a citizenship class in Spanish at the local community center and selling cookies and cakes she whips up in her trailer. Soon, she hopes to seek a work permit of her own.


For now, the clinic helps with basic health care needs. If necessary, Limas will return to the emergency room, where the attendants help her fill out paperwork to ensure the government covers the bills she cannot afford.


"They always attended to me," she said, "even though it's slow."


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Sherman can be followed on Twitter at https://twitter.com/chrisshermanAP .


Plushnick-Masti can be followed on Twitter at https://twitter.com/RamitMastiAP .


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Evidence at suspected shooter’s home may point to motive, police say


Conn. State police spokesman Lt. Paul Vance at Saturday morning's news conference. (Jason Sickles/Yahoo News)


NEWTOWN, CT - Evidence recovered at gunman Adam Lanza's home may provide a motive for the massacre that left 26 dead at an elementary school, police said on Saturday.


State police spokesman Lt. Paul Vance declined to provide specifics about the evidence but said, "we're hopeful it will paint a complete picture."


Authorities say Lanza, 20, killed his mother at their home Friday morning before driving to Sandy Hook Elementary where he forced his way in to commit one of the worst mass shootings in U.S. history.


[Related: Follow the latest updates from our reporters in Newtown]


Armed with two semi-automatic pistols, Lanza rapidly sprayed bullets in hallways and classrooms. Twenty children, many of them kindergarteners, and six faculty members lost their lives. Lanza killed himself before police officers could reach him.


Lt. Vance said all the bodies were removed from the school overnight. A medical examiner is expected to release the names of the victims later today.


Police have assigned a trooper to support each victim's family in the days ahead. Vance asked reporters to respect the families' grief and privacy.


"This is an extremely heartbreaking thing for them to endure," Lt. Vance said.


It will likely take investigators two more days to process the school crime scene where it is believed Lanza fired as many as 100 rounds from his guns.


"It's going to be a slow, painstaking process," Lt. Vance said.



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NKorea rocket launch shows young leader as gambler


PYONGYANG, North Korea (AP) — A triumphant North Korea staged a mass rally of soldiers and civilians Friday to glorify the country's young ruler, who took a big gamble this week in sending a satellite into orbit in defiance of international warnings.


Wednesday's rocket launch came just eight months after a similar attempt ended in an embarrassing public failure, and just under a year after Kim Jong Un inherited power following his father's death.


The surprising success of the launch may have earned Kim global condemnation, but at home the gamble paid off, at least in the short term. To his people, it made the 20-something Kim appear powerful, capable and determined in the face of foreign adversaries.


Tens of thousands of North Koreans, packed into snowy Kim Il Sung Square, clenched their fists in a unified show of resolve as a military band tooted horns and pounded on drums.


Huge red banners positioned in the square called on North Koreans to defend Kim Jong Un with their lives. They also paid homage to Kim Jong Un's father, Kim Jong Il, and his grandfather, North Korean founder Kim Il Sung.


Pyongyang says the rocket put a crop and weather monitoring satellite into orbit. Much of the rest of the world sees it as a thinly disguised test of banned long-range missile technology. It could bring a fresh round of U.N. sanctions that would increase his country's international isolation. At the same time, the success of the launch could strengthen North Korea's military, the only entity that poses a potential threat to Kim's rule.


The launch's success, 14 years after North Korea's first attempt, shows more than a little of the gambling spirit in the third Kim to rule North Korea since it became a country in 1948.


"North Korean officials will long be touting Kim Jong Un as a gutsy leader" who commanded the rocket launch despite being new to the job and young, said Kim Byung-ro, a North Korea specialist at Seoul National University in South Korea.


The propaganda machinery churned into action early Friday, with state media detailing how Kim Jong Un issued the order to fire off the rocket just days after scientists fretted over technical issues, ignoring the chorus of warnings from Washington to Moscow against a move likely to invite more sanctions.


Top officials followed Kim in shrugging off international condemnation.


Workers' Party Secretary Kim Ki Nam told the crowd, bundled up against a winter chill in the heart of the capital, that "hostile forces" had dubbed the launch a missile test. He rejected the claim and called on North Koreans to stand their ground against the "cunning" critics.


North Korea called the satellite a gift to Kim Jong Il, who is said to have set the lofty goal of getting a satellite into space and then tapped his son to see it into fruition. The satellite, which North Korean scientists say is designed to send back data about crops and weather, was named Kwangmyongsong, or "Lode Star" — the nickname legendarily given to the elder Kim at birth.


Kim Jong Il died on Dec. 17, 2011, so to North Koreans, the successful launch is a tribute. State TV have been replaying video of the launch to "Song of Gen. Kim Jong Il."


But it is the son who will bask in the glory, and face the international censure that may follow.


Even while he was being groomed to succeed his father, Kim Jong Un had been portrayed as championing science and technology as a way to lift North Korea out of decades of economic hardship.


"It makes me happy that our satellite is flying in space," Pyongyang citizen Jong Sun Hui said as Friday's ceremony came to a close and tens of thousands rushed into the streets, many linking arms as they went.


"The satellite launch demonstrated our strong power and the might of our science and technology once again," she told The Associated Press. "And it also clearly testifies that a thriving nation is in our near future."


Aside from winning him support from the people, the success of the launch helps his image as he works to consolidate power over a government crammed with elderly, old-school lieutenants of his father and grandfather, foreign analysts said.


Experts say that what is unclear, however, is whether Kim will continue to smoothly solidify power, steering clear of friction with the powerful military while dealing with the strong possibility of more crushing sanctions. The United Nations says North Korea already has a serious hunger problem.


"Certainly in the short run, this is an enormous boost to his prestige," according to Marcus Noland, a North Korea analyst at the Peterson Institute for International Economics in Washington.


Noland, however, also mentioned the "Machiavellian argument" that this could cause future problems for Kim by significantly boosting the power of the military — "the only real threat to his rule."


Successfully firing a rocket was so politically crucial for Kim at the onset of his rule that he allowed an April launch to go through even though it resulted in the collapse of a nascent food-aid-for-nuclear-freeze deal with the United States, said North Korea analyst Kim Yeon-su of Korea National Defense University in Seoul.


The launch success consolidates his image as heir to his father's legacy. But it could end up deepening North Korea's political and economic isolation, he said.


On Friday, the section at the rally reserved for foreign diplomats was noticeably sparse. U.N. officials and some European envoys stayed away from the celebration, as they did in April after the last launch.


Despite the success, experts say North Korea is years from even having a shot at developing reliable missiles that could bombard the American mainland and other distant targets.


North Korea will need larger and more dependable missiles, and more advanced nuclear weapons, to threaten U.S. shores, though it already poses a shorter-range missile threat to its neighbors.


The next big question is how the outside world will punish Pyongyang — and try to steer North Korea from what could come next: a nuclear test. In 2009, the North conducted an atomic explosion just weeks after a rocket launch.


Scott Snyder, a Korea specialist for the Council on Foreign Relations, wrote recently that North Korea's nuclear ambitions should inspire the U.S., China, South Korea and Japan to put aside their issues and focus on dealing with Pyongyang.


If there is a common threat that should galvanize regional cooperation, "it most certainly should be the prospect of a 30-year-old leader of a terrorized population with his finger on a nuclear trigger," Snyder said.


____


Jon Chol Jin in Pyongyang, and Foster Klug and Sam Kim in Seoul, South Korea, contributed to this report. Follow Jean H. Lee on Twitter: (at)newsjean.


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From 'Sherlock' to 'Star Trek' for Cumberbatch


LONDON (AP) — Benedict Cumberbatch has had a busy 24 hours.


The British actor was nominated for a Golden Globe, chased by the paparazzi in London and unveiled the first nine minutes of the new "Star Trek" movie Friday.


At a special IMAX presentation of the footage in London, Cumberbatch's menacing character John Harrison was introduced at the beginning of the much-anticipated "Star Trek Into Darkness."


The sequel kicks off at a fast pace, with Captain Kirk's trademark quips, a volcano erupting and Spock in grave danger during a mission to save a planet.


Cumberbatch was not allowed to reveal much about the plot, but the 36-year-old did admit that he auditioned for the role of Harrison — who he describes as "a phenomenal one-man weapon of mass destruction" — on an iPhone in his friend's kitchen.


Fans wanting to see the footage can catch it in front of selected IMAX 3D screenings worldwide of "The Hobbit," beginning Friday.


"Star Trek Into Darkness," directed by J.J. Abrams, opens next May.


___


The Associated Press spoke to the "Sherlock" star Friday after the presentation.


AP: "How did it feel coming here and seeing your face so big on that screen?"


BENEDICT CUMBERBATCH: "I always get incredibly nervous, especially on an empty stomach having only had a macchiato. It makes your heart beat a lot faster and I don't like it. I look away when it's me, I don't like being my own audience. It's very weird. ... You probably saw my nostril hairs, counted how many pores I've got on my nose and which one of my teeth is wonky. "


AP: "It's obviously in the great tradition of having an English baddie."


CUMBERBATCH: "I'm following in the very hallowed footsteps of (Jeremy) Irons, (Alan) Rickman and Tom Hiddleston, my great friend in this summer's "Avengers." There are a few of us who have done it before, it stretches back as old as time. They get excited about these actors with theatre training who can do stuff. It's hugely flattering but you're not going to see me do a whole raft of villains after this."


AP: "Congratulations on the Golden Globe nomination (best actor in a miniseries for "Sherlock"). Did you celebrate?"


CUMBERBATCH: "I went out with my niece, who is my PA (personal assistant) Emily, and we got papped (followed by paparazzi) to the point that I couldn't actually see and I had to put my head down and just blink a couple of times. I was trying to get in the car with her and so immediately they presume, 'ah, beautiful blonde.' Poor girl, she's never experienced that before — I've never experienced that — like 15 of them hanging off the bonnet of the car."


AP: "Surely it's only going to get worse after this "Star Trek" film?"


CUMBERBATCH: "I hope not. I don't court it. I think you have to be in certain places at certain times. Of course, promoting a film you're out in the public and I'm proud to do that for the work I've done. But I'm quite a private person at heart."


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APNewsBreak: Texas cancer probe draws NCI scrutiny


AUSTIN, Texas (AP) — The federal National Cancer Institute says it's taking a fresh look at a troubled $3 billion cancer-fighting effort already being scrutinized by prosecutors and lawmakers in Texas.


The U.S. government's cancer research agency confirmed Friday that upheaval within the Cancer Prevention and Research Institute of Texas caught its attention. NCI spokeswoman Aleea Farrakh Khan told The Associated Press that officials are "evaluating recent events" at CPRIT.


CPRIT is on an exclusive list of NCI-approved funding entities, which includes the American Cancer Society. The designation is a federal seal-of-approval that signals high peer review standards and conflict of interest policies.


Khan says NCI has made no decisions about CPRIT or contacted the agency directly.


Prosecutors are investigating CPRIT following an $11 million award to a private company that bypassed review.


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Report: Children shot, killed at Conn. elementary school


NEWTOWN, Connecticut (Reuters) - At least 27 people, including children, were killed on Friday when at least one shooter opened fire at an elementary school in Newtown, Connecticut, CBS News reported, citing unnamed officials.


The shooter, the father of a student there, was also killed, CBS News reported. The principal and school psychologist were among the dead, CNN said.


There were unconfirmed reports of a second shooter after witnesses reported hearing dozens of shots fired.


Sandy Hook Elementary School teaches children from kindergarten through fourth grade - roughly ages 5 to 10.


"It was horrendous," said parent Brenda Lebinski, who rushed to the school where her daughter is in the third grade. "Everyone was in hysterics - parents, students. There were kids coming out of the school bloodied. I don't know if they were shot, but they were bloodied."


Television images showed police and ambulances at the scene, and parents rushing toward the school. Parents were seen reuniting with their children and taking them home.


(Additional reporting by Dan Burns, Chris Francescani and Paul Thomasch; Editing by Daniel Trotta and Jackie Frank)



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Panetta: Karzai to meet Obama in Washington


KABUL (AP) — Defense Secretary Leon Panetta said Thursday that President Hamid Karzai has accepted an invitation from President Barack Obama to meet in Washington next month for critical talks on the future of Afghanistan.


Panetta said at a joint news conference with Karzai that the meeting is to be held during the week of Jan. 7.


The two leaders will use the meeting to discuss Afghanistan's future. Karzai said he and Obama will discuss the number of U.S. troops that will remain in Afghanistan after the combat mission ends there in December 2014.


Panetta also said that a suicide car bomber who staged an attack at the Kandahar Air Field killed one American serviceman and wounded three others. Two Afghan civilians were also killed in the attack Thursday. He told reporters that the bomber was aiming at a U.S. armored vehicle. It wasn't clear if the U.S. casualties were inside that vehicle.


Taliban spokesman Qari Jusuf Ahmedi claimed responsibility for the attack in an email, saying a suicide car bomber had targeted foreign military vehicles that were stopped near the gate of Kandahar Airfield.


It was unclear if the attack had anything to do with Panetta's unannounced visit to Kandahar Airfield. Kandahar is a huge and sprawling facility that houses more than 20,000 service members from 20 countries and has more than 11,000 civilian contract workers.


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Documents: Prisoner plotted to kill Justin Bieber


LAS CRUCES, N.M. (AP) — An imprisoned man whose infatuation with Justin Bieber included a tattoo of the pop star on his leg has told investigators in New Mexico he hatched a plot to kill him.


Court documents in a New Mexico district court say Dana Martin told investigators he persuaded a man he met in prison and the man's nephew to kill Bieber, Bieber's bodyguard and two others not connected to the pop star.


He told investigators that Mark Staake and Tanner Ruane headed east, planning to be near a Bieber concert scheduled in New York City. They missed a turn and crossed into Canada from Vermont. Staake was arrested on an outstanding warrant. Ruane was arrested later.


The two men face multiple charges stemming for the alleged plot.


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Study: People worldwide living longer, but sicker


LONDON (AP) — Nearly everywhere around the world, people are living longer and fewer children are dying. But increasingly, people are grappling with the diseases and disabilities of modern life, according to the most expansive global look so far at life expectancy and the biggest health threats.


The last comprehensive study was in 1990 and the top health problem then was the death of children under 5 — more than 10 million each year. Since then, campaigns to vaccinate kids against diseases like polio and measles have reduced the number of children dying to about 7 million.


Malnutrition was once the main health threat for children. Now, everywhere except Africa, they are much more likely to overeat than to starve.


With more children surviving, chronic illnesses and disabilities that strike later in life are taking a bigger toll, the research said. High blood pressure has become the leading health risk worldwide, followed by smoking and alcohol.


"The biggest contributor to the global health burden isn't premature (deaths), but chronic diseases, injuries, mental health conditions and all the bone and joint diseases," said one of the study leaders, Christopher Murray, director of the Institute of Health Metrics and Evaluation at the University of Washington.


In developed countries, such conditions now account for more than half of the health problems, fueled by an aging population. While life expectancy is climbing nearly everywhere, so too are the number of years people will live with things like vision or hearing loss and mental health issues like depression.


The research appears in seven papers published online Thursday by the journal Lancet. More than 480 researchers in 50 countries gathered data up to 2010 from surveys, censuses and past studies. They used statistical modeling to fill in the gaps for countries with little information. The series was mainly paid for by the Bill & Melinda Gates Foundation.


As in 1990, Japan topped the life expectancy list in 2010, with 79 for men and 86 for women. In the U.S. that year, life expectancy for men was 76 and for women, 81.


The research found wide variations in what's killing people around the world. Some of the most striking findings highlighted by the researchers: — Homicide is the No. 3 killer of men in Latin America; it ranks 20th worldwide. In the U.S., it is the 21st cause of death in men, and in Western Europe, 57th.


— While suicide ranks globally as the 21st leading killer, it is as high as the ninth top cause of death in women across Asia's "suicide belt," from India to China. Suicide ranks 14th in North America and 15th in Western Europe.


— In people aged 15-49, diabetes is a bigger killer in Africa than in Western Europe (8.8 deaths versus 1 death per 100,000).


— Central and Southeast Asia have the highest rates of fatal stroke in young adults at about 15 cases per 100,000 deaths. In North America, the rate is about 3 per 100,000.


Globally, heart disease and stroke remain the top killers. Reflecting an older population, lung cancer moved to the 5th cause of death globally, while other cancers including those of the liver, stomach and colon are also in the top 20. AIDS jumped from the 35th cause of death in 1990 to the sixth leading cause two decades later.


While chronic diseases are killing more people nearly everywhere, the overall trend is the opposite in Africa, where illnesses like AIDS, malaria and tuberculosis are still major threats. And experts warn again shifting too much of the focus away from those ailments.


"It's the nature of infectious disease epidemics that if you turn away from them, they will crop right back up," said Jennifer Cohn, a medical coordinator at Doctors Without Borders.


Still, she acknowledged the need to address the surge of other health problems across Africa. Cohn said the agency was considering ways to treat things like heart disease and diabetes. "The way we treat HIV could be a good model for chronic care," she said.


Others said more concrete information is needed before making any big changes to public health policies.


"We have to take this data with some grains of salt," said Sandy Cairncross, an epidemiologist at the London School of Hygiene and Tropical Medicine.


He said the information in some of the Lancet research was too thin and didn't fully consider all the relevant health risk factors.


"We're getting a better picture, but it's still incomplete," he said.


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Online:


www.lancet.com


http://healthmetricsandevaluation.org


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