Q&A: Scramble for vaccine as flu season heats up

WASHINGTON (AP) — Missed flu-shot day at the office last fall? And all those "get vaccinated" ads? A scramble for shots is under way as late-comers seek protection from a miserable flu strain already spreading through much of the country.

Federal health officials said Friday that there is still some flu vaccine available and it's not too late to benefit from it. But people may have to call around to find a clinic with shots still on the shelf, or wait a few days for a new shipment.

"We're hearing of spot shortages," said Dr. Thomas Frieden, director of the Centers for Disease Control and Prevention.

Colorado offers an example. Kaiser Permanente, which has 535,000 members in the state, stopped giving flu shots this week. But it expected to resume vaccinations when new shipments arrive, expected this weekend.

Some questions and answers about flu vaccines:

Q: Are we running out of vaccine?

A: It's January — we shouldn't have a lot left. The traditional time to get vaccinated is in the fall, so that people are protected before influenza starts spreading.

Indeed, manufacturers already have shipped nearly 130 million doses to doctors' offices, drugstores and wholesalers, out of the 135 million doses they had planned to make for this year's flu season. At least 112 million have been used so far.

The nation's largest manufacturer, Sanofi Pasteur, said Friday that it still has supplies of two specialty vaccines, a high-dose shot for seniors, and an under-the-skin shot for certain adults, available for immediate shipment. But it also is working to eke out a limited supply of its traditional shots — some doses that it initially hadn't packaged into syringes, said spokesman Michael Szumera. They should be available late this month.

And MedImmune, the maker of the nasal spray vaccine FluMist, said it has 620,000 extra doses available.

Q: Can't they just make more?

A: No. Flu vaccine is complicated to brew, with supplies for each winter made months in advance and at the numbers expected to sell. Although health officials recommend a yearly flu vaccination for nearly everybody, last year 52 percent of children and just 39 percent of adults were immunized. Most years, leftover doses have to be thrown out.

Q: Should I still hunt for a vaccine?

A: It does take two weeks for full protection to kick in. Still, health officials say it's a good idea to be vaccinated even this late, especially for older people, young children and anyone with medical conditions such as heart or lung diseases that put them at high risk of dangerous flu complications. Flu season does tend to be worst in January and February, but it can run through March.

Q: I heard that a new flu strain is spreading. Does the vaccine really work?

A: Flu strains constantly evolve, the reason that people need an updated vaccine every year. But the CDC says this year's is a good match to the types that are circulating, including a new kind of the tough H3N2 strain. That family tends to be harsher than other flu types — and health officials warned last fall that it was coming, and meant this winter would likely be tougher than last year's flu season, the mildest on record.

Q: But don't some people get vaccinated and still get sick?

A: Flu vaccine never is 100 percent effective, and unfortunately it tends to protect younger people better than older ones. But the CDC released a study Friday showing that so far this year, the vaccine appears 62 percent effective, meaning it's working about as well as it has in past flu seasons.

While that may strike some people as low, Frieden said it's the best protection available. "It's a glass 62 percent full," he said. "It's well worth the effort."

Q: What else can I do?

A: Wash your hands often, and avoid touching your eyes, nose and mouth. Viruses can spread by hand, not just through the air. Also, cough in your elbow, not your hand. When you're sick, protect others by staying home.

And people who are in those high-risk groups should call a doctor if they develop symptoms, added CDC spokesman Tom Skinner. They might be prescribed antiviral medication, which works best if given within the first 48 hours of symptoms.

___

AP Medical Writers Lindsey Tanner and Mike Stobbe contributed to this report.

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IHT Rendezvous: Florence and Its Men's Wear Future

FLORENCE — Mayor Matteo Renzi spelled out a message that could be applied to men’s fashion as much as to this city of ancient buildings of historic beauty.

“We love our past — but the real challenge is to love our future,” said Mr. Renzi, adding that Florence today is a city of division that needs a vision.

The story from Pitti Uomo, the twice-yearly men’s fashion fair, was more upbeat: On the closing day Friday, Raffaello Napoleoni, chief executive of Pitti Immagine and its many cultural and commercial activities, said that although there was a slight fall in Italian buyers due to the spluttering economy, international visitors were up by just over 5 percent.

The powerful success of men’s wear in emerging markets since the new millennium represents both solace and a dilemma. At the trade fair, buyers are looking for the essence of men’s wear Italian-style: fine (but often innovative) fabrics, dynamic cut and an overall sense of luxury and fine living.

As the Caruso brand put it at the fair, in its witty presentation of men of different ethnic types carrying boards that said in their languages: “In men’s wear, do as the Italians do.”

Thoughtful fashion companies know that they cannot live off classics without renewing them, and that fashion has to have its roots in its heritage and tradition.

Perhaps the story was best expressed at Brunello Cucinelli, not just by the painterly mixes of blue from inky dark to pale winter sky, and by the fabric research that gave a new light weight to classics, but to the photographs on the wall. They were behind the tactile tweeds and softly fitted jackets and showed different generations interacting: grandmother and granddaughter and the male equivalent.

“I want people to think about the family liaisons,” said Mr. Cucinelli, whose clothes could be defined as for all ages, with the wearer adapting to suit.

Another way of looking at the current picture is that what once seemed old now feels fresh again. Erik Bjerkesjo, in his first runway show, held in the gilded salon of the Polimoda fashion school, actually included black satin that had been hoarded by his grandmother in the 1930s and used the tailoring skills he learned from his mother. The combination of the designer’s Swedish origins, the films of Ingmar Bergman and shoes inspired by ice skating, were an exemplary mix of imagination and experience, woven into modern design.

The Pitti fair, with its overwhelming choices of clothing types, always seems to hit the heart of the matter — as in a homage in the central forecourt to books, those dear departing paper versions with titles like “The Great Civilization” or “Cathedrals of the World” — all abandoned in a heap on the ground.

But the clothes on offer were not nostalgic, with rich, bright colors prevailing for winter 2013.

There is also a dry-eyed, even enthusiastic, acceptance of online buying, as opposed to brick-and-mortar shopping.

Curating creativity was the subject of a discussion initiated by Pitti Immagine with thecorner.com, the luxury online site powered by the YOOX Group.

As if providing the answer to every man’s (and maybe woman’s) dream, the fashion writer Angelo Flaccavento set out to create a unique and “ideal” wardrobe, choosing iconic pieces from different labels: shirts in the family tradition from G. Inglese, a Mackintosh raincoat or a Borsalino hat.

The discussion included editorial ways of styling, the influence of bloggers, and the power of images taken from the “catwalk” of the street. It all suggested that while absorbing the new media and personal sartorial visions, curating a closet is key to looking and feeling good.

Thinking of the future, not just its overwhelming Florentine past, Pitti Immagine has always looked outside its own Italian comfort zone.

While Ermanno Scervino came back from Milan to his native Florence to show his women’s and men’s wear in the famous Salone dei Cinquecento in the Palazzo Vecchio, he represented the more classic and elegant style of Italy, with beautifully crafted clothes. The only wild shot was in the digital lighting reflected on Giorgio Vasari’s monumental battle frescoes.

By contrast, Andrea Pompilio made an overeager exploration of pattern and color at his show in the Stazione Leopolda, although when the women’s wear switched to men’s, the clothes were often charming. There were smart mixes of colors and a sense of a down-to-earth world where the men carried bags filled with fresh produce.

Kenzo, the Paris-based brand founded by a Japanese designer, went back to its Asian roots with its current creative directors Humberto Leon and Carol Lim.

“We decided to approach the jungle — and what is above us,” said Mr. Leon, referring to the puffs of white cloud printed on cyberspace blue that opened the collection, while the show’s venue above a food market represented the importance the Asian world gives to food.

The result was sportswear with a puffy feel, tempered by sharp geometric lines; or streamlined coats and suits where the clouds, perhaps in red on black or red with blue, brought an airy feeling to more formal clothes. The show suggested that the designers are giving the Kenzo brand a new aesthetic, touched with Asian vision but with an international attitude.

For Maison Kitsuné, a Paris-based company founded by the music producer Gildas Loaëc and the Japanese architect Masaya Kuroki, the show — rather than the clothes — was the focus. The music included two Scandinavian singers (well suited to a Pitti W women’s season promoting designers from Copenhagen fashion week) and also Citizens!, a London band whose music was as hip and modern as their suits were from a 1950s past.

With music loud enough to rock the frescoed ceiling of the ancient palazzo, the Maison Kitsuné “happening” offered just the required meld of glorious past with cool future.

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Softbank to sell stake in eAccess to Samsung, others: source

TOKYO (Reuters) – Japan’s Softbank Corp is in final talks to sell its stake in eAccess Ltd, representing around 67 percent of voting rights, to Samsung Electronics Co and 10 others, a source with direct knowledge of the matter told Reuters.

The sale would ease concerns that Softbank could hold a monopoly on spectrum allocation designated by Japan’s Communications Ministry, the source said.

Softbank, which is awaiting regulatory approval to buy a 70 percent stake in No. 3 U.S. mobile carrier Sprint Nextel Corp , bought Japanese rival eAccess last October as it stepped up competition with its nearest competitor KDDI Corp .

Softbank turned eAccess into a wholly owned subsidiary on January 1 after a share exchange, using 220 billion yen ($ 2.47 billion) worth of its own shares.

After dividing eAccess shares into voting and non-voting shares, Softbank is considering reducing its ownership of eAccess voting rights to less than one-third, the source said.

Non-voting shares make up around 1 percent of overall shares. The sale of eAccess’ voting rights would total several billion yen.

Other than Samsung, likely buyers include Sweden’s LM Ericsson , Orix Corp , the source said, adding that the eAccess voting shares would be divided between companies into hundreds of millions of yen each.

Softbank said on Saturday the news was not announced by the company and that it continued to mull options regarding its share holdings.

The Nikkei business newspaper reported earlier on Saturday that Softbank was also considering selling the eAccess stake to Finland’s Nokia Siemens Networks and five Japanese leasing companies.

Softbank cutting its eAccess stake would allow the company to work around the Communications Ministry’s policy on spectrum allocation to telecom service providers and avoid suggestions of any monopoly, but still allow Softbank or eAccess to seek spectrum.

Under the policy, either a parent company, or one of its units in which it owns more than 33 percent, can apply for an allocation of spectrum.

Softbank will remain the top shareholder in eAccess but lose veto power after the sale, which is expected to close by end January and raise several billion yen, the Nikkei daily said.

(Additional reporting by Sagarika Jaisinghani in Bangalore, Writing by Mari Saito; Editing by Michael Perry)

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Britney & Jason's Love Story in 6 Sweet Shots

From a snuggle in the surf to a surprise engagement, see the former couple's most romantic moments

Credit: Kevin Mazur/Wireimage

Updated: Friday Jan 11, 2013 | 07:00 AM EST
By: Cara Lynn Shultz

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Flu season puts businesses and employees in a bind

WASHINGTON (AP) — Nearly half the 70 employees at a Ford dealership in Clarksville, Ind., have been out sick at some point in the past month. It didn't have to be that way, the boss says.

"If people had stayed home in the first place, a lot of times that spread wouldn't have happened," says Marty Book, a vice president at Carriage Ford. "But people really want to get out and do their jobs, and sometimes that's a detriment."

The flu season that has struck early and hard across the U.S. is putting businesses and employees alike in a bind. In this shaky economy, many Americans are reluctant to call in sick, something that can backfire for their employers.

Flu was widespread in 47 states last week, up from 41 the week before, the Centers for Disease Control and Prevention said Friday. The only states without widespread flu were California, Mississippi and Hawaii. And the main strain of the virus circulating tends to make people sicker than usual.

Blake Fleetwood, president of Cook Travel in New York, says his agency is operating with less than 40 percent of its staff of 35 because of the flu and other ailments.

"The people here are working longer hours and it puts a lot of strain on everyone," Fleetwood says. "You don't know whether to ask people with the flu to come in or not." He says the flu is also taking its toll on business as customers cancel their travel plans: "People are getting the flu and they're reduced to a shriveling little mess and don't feel like going anywhere."

Many workers go to the office even when they're sick because they are worried about losing their jobs, says John Challenger, CEO of Challenger, Gray & Christmas, an employer consulting firm. Other employees report for work out of financial necessity, since roughly 40 percent of U.S. workers don't get paid if they are out sick. Some simply have a strong work ethic and feel obligated to show up.

Flu season typically costs employers $10.4 billion for hospitalization and doctor's office visits, according to the CDC. That does not include the costs of lost productivity from absences.

At Carriage Ford, Book says the company plans to make flu shots mandatory for all employees.

Linda Doyle, CEO of the Northcrest Community retirement home in Ames, Iowa, says the company took that step this year for its 120 employees, providing the shots at no cost. It is also supplying face masks for all staff.

And no one is expected to come into work if sick, she says.

So far, the company hasn't seen an outbreak of flu cases.

"You keep your fingers crossed and hope it continues this way," Doyle says. "You see the news and it's frightening. We just want to make sure that we're doing everything possible to keep everyone healthy. Cleanliness is really the key to it. Washing your hands. Wash, wash, wash."

Among other steps employers can take to reduce the spread of the flu on the job: holding meetings via conference calls, staggering shifts so that fewer people are on the job at the same time, and avoiding handshaking.

Newspaper editor Rob Blackwell says he had taken only two sick days in the last two years before coming down with the flu and then pneumonia in the past two weeks. He missed several days the first week of January and has been working from home the past week.

"I kept trying to push myself to get back to work because, generally speaking, when I'm sick I just push through it," says Blackwell, the Washington bureau chief for the daily trade paper American Banker.

Connecticut is the only state that requires some businesses to pay employees when they are out sick. Cities such as San Francisco and Washington have similar laws.

Challenger and others say attitudes are changing, and many companies are rethinking their sick policies to avoid officewide outbreaks of the flu and other infectious diseases.

"I think companies are waking up to the fact right now that you might get a little bit of gain from a person coming into work sick, but especially when you have an epidemic, if 10 or 20 people then get sick, in fact you've lost productivity," Challenger says.

___

Associated Press writers Mike Stobbe in Atlanta, Eileen A.J. Connelly in New York, Paul Wiseman in Washington, Barbara Rodriguez in Des Moines, Iowa, and Jim Salter in St. Louis contributed to this report.

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Wall Street Week Ahead: Attention turns to financial earnings

NEW YORK (Reuters) - After over a month of watching Capitol Hill and Pennsylvania Avenue, Wall Street can get back to what it knows best: Wall Street.

The first full week of earnings season is dominated by the financial sector - big investment banks and commercial banks - just as retail investors, free from the "fiscal cliff" worries, have started to get back into the markets.

Equities have risen in the new year, rallying after the initial resolution of the fiscal cliff in Washington on January 2. The S&P 500 on Friday closed its second straight week of gains, leaving it just fractionally off a five-year closing high hit on Thursday.

An array of financial companies - including Goldman Sachs and JPMorgan Chase - will report on Wednesday. Bank of America and Citigroup will join on Thursday.

"The banks have a read on the economy, on the health of consumers, on the health of demand," said Quincy Krosby, market strategist at Prudential Financial in Newark, New Jersey.

"What we're looking for is demand. Demand from small business owners, from consumers."

EARNINGS AND ECONOMIC EXPECTATIONS

Investors were greeted with a slightly better-than-anticipated first week of earnings, but expectations were low and just a few companies reported results.

Fourth quarter earnings and revenues for S&P 500 companies are both expected to have grown by 1.9 percent in the past quarter, according to Thomson Reuters I/B/E/S.

Few large corporations have reported, with Wells Fargo the first bank out of the gate on Friday, posting a record profit. The bank, however, made fewer mortgage loans than in the third quarter and its shares were down 0.8 percent for the day.

The KBW bank index <.bkx>, a gauge of U.S. bank stocks, is up about 30 percent from a low hit in June, rising in six of the last eight months, including January.

Investors will continue to watch earnings on Friday, as General Electric will round out the week after Intel's report on Thursday.

HOUSING, INDUSTRIAL DATA ON TAP

Next week will also feature the release of a wide range of economic data.

Tuesday will see the release of retail sales numbers and the Empire State manufacturing index, followed by CPI data on Wednesday.

Investors and analysts will also focus on the housing starts numbers and the Philadelphia Federal Reserve factory activity index on Thursday. The Thomson Reuters/University of Michigan consumer sentiment numbers are due on Friday.

Jim Paulsen, chief investment officer at Wells Capital Management in Minneapolis, said he expected to see housing numbers continue to climb.

"They won't be that surprising if they're good, they'll be rather eye-catching if they're not good," he said. "The underlying drive of the markets, I think, is economic data. That's been the catalyst."

POLITICAL ANXIETY

Worries about the protracted fiscal cliff negotiations drove the markets in the weeks before the ultimate January 2 resolution, but fear of the debt ceiling fight has yet to command investors' attention to the same extent.

The agreement was likely part of the reason for a rebound in flows to stocks. U.S.-based stock mutual funds gained $7.53 billion after the cliff resolution in the week ending January 9, the most in a week since May 2001, according to Thomson Reuters' Lipper.

Markets are unlikely to move on debt ceiling news unless prominent lawmakers signal that they are taking a surprising position in the debate.

The deal in Washington to avert the cliff set up another debt battle, which will play out in coming months alongside spending debates. But this alarm has been sounded before.

"The market will turn the corner on it when the debate heats up," Prudential Financial's Krosby said.

The CBOE Volatility index <.vix> a gauge of traders' anxiety, is off more than 25 percent so far this month and it recently hit its lowest since June 2007, before the recession began.

"The market doesn't react to the same news twice. It will have to be more brutal than the fiscal cliff," Krosby said. "The market has been conditioned that, at the end, they come up with an agreement."

(Reporting by Gabriel Debenedetti; editing by Rodrigo Campos)

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Hotel Fire in Philippines Kills 7, Officials Say

OLONGAPO CITY, Philippines — A fast-moving fire ripped through a small hotel early Friday morning near the former United States naval base in Subic Bay, killing seven people, including four foreign visitors to the area, officials said.

The fire started on the ground floor of the Dryden Hotel Subic, in the Barrio Barretto entertainment district, sending flames and smoke into upstairs rooms where guests were sleeping, Jose Borlagdatan, Olongapo City’s chief fire investigator, said in an interview outside the establishment.

Fire investigators on the scene described a hellish situation as the fire raged through the hotel’s upper floors, where guests died trying to escape fast-moving flames and intense smoke. One woman was found dead cowering in a cabinet apparently trying to avoid the smoke.

“The casualties were the people sleeping upstairs,” said Mr. Borlagdatan, who added that the cause of the blaze was still under investigation.

Mr. Borlagdatan said hotel front desk registration records helped identify three American fatalities – James Brigati of Kodiak, Alaska, and Patrick Burt and Joseph Valuso, whose cities of residence were not known. A South Korean national was identified as Kyung Ook Kim of Suwan City. 

The other casualties were nationals of the Philippines whose identities had not yet been determined, Mr. Borlagdatan said.

The fire department received the initial report of the blaze at 3:37 a.m. Friday morning and quickly extinguished it upon arriving at the scene, said Mr. Barlagdatan.

Jovy Lustre, a cashier and front desk clerk working at the hotel when the fire broke out, that she was alerted when a co-worker ran from the back of the establishment yelling “fire.”

Ms. Lustre said she checked the back of the hotel and saw fire near a back office, with flames licking the ceiling and sending smoke gushing forward. She said she tried to call the fire department but the hotel phone had no dial tone. She ran to a nearby community center to report the incident.

“The fire got bigger and bigger,” she said. “It was fast.”

On Friday afternoon, the hotel – which is along a national highway about 100 miles north of Manila – appeared gutted. The windows on the second floor, where guests where sleeping when the fire broke out, were broken and the panes were charred.

The hotel, lodged between the Lollipop and Rum Jungle nightclubs, which were also damaged in the fire, offered rooms from $20 to $30 for visitors to the beach and entertainment district near Subic Bay.

The United States turned over the Subic Bay Naval Base to the Philippines in 1991 and since then the facility has been transformed into a special economic zone. Neighboring Olongapo City was a booming red-light district for decades while the navy base supported the operations of the American navy’s Seventh Fleet.

In the 20 years since the base was handed over, Olongapo has retained a red-light district but has also gained popularity as a popular beach resort area for Filipino families seeking to escape the heat and congestion of Manila.

 

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Holiday sales of PCs slide for first time in five years: IDC

SEATTLE (Reuters) – Holiday season sales of personal computers fell for the first time in more than five years, according to tech industry tracker IDC, as Microsoft Corp’s new Windows 8 operating system failed to excite buyers and many opted for tablet devices and powerful smartphones instead of PCs.

PC makers such as Hewlett-Packard Co, Lenovo Group and Dell Inc sold 89.8 million PCs worldwide in the fourth quarter of last year, down 6.4 percent from the same quarter of 2011. That was slightly worse than expected by most.

For all of 2012, 352 million PCs were sold, down 3.2 percent from 2011. That was the first annual decline since 2001, according to IDC. (Reporting By Bill Rigby; Editing by Gary Hill)

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Audrey Hepburn: Remembering the Private Legend

By Elizabeth McNeil

01/10/2013 at 07:35 PM EST

Audrey Hepburn with her son, Luca Dotti, in 1985

Audrey Hepburn Childrens Fund

She captivated the world with her doe-eyed beauty, but behind the Givenchy glamour, there was an Audrey Hepburn few people knew.

She thought her nose too big, her feet too large and her neck too long. She loved to shop for groceries (but not clothes), didn't wear makeup at home, never went to the gym and enjoyed two fingers of Scotch every night. 

"She was not this ethereal creature," says Robert Wolders, 76, the Dutch actor who was her companion for the last 13 years of her life. "She was an earthy woman with a ribald sense of humor."

What Hepburn had, adds Wolders, "was more than beauty. It was this extraordinary mystique."

Hepburn left Hollywood at age 34 at the height of her fame, moving into a 1732 farmhouse in Tolochenaz, a small Swiss village, where she found happiness raising two sons and purpose in her charity work for UNICEF. 

Two decades after her death from abdominal cancer at 63 on Jan. 20, 1993, her children and her last love remember the Audrey they adored. 

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Flu season strikes early and, in some places, hard

NEW YORK (AP) — From the Rocky Mountains to New England, hospitals are swamped with people with flu symptoms. Some medical centers are turning away visitors or making them wear face masks, and one Pennsylvania hospital set up a tent outside its ER to deal with the feverish patients.

Flu season in the U.S. has struck early and, in many places, hard.

While flu normally doesn't blanket the country until late January or February, it is already widespread in more than 40 states, with about 30 of them reporting some major hot spots. On Thursday, health officials blamed the flu for the deaths of 20 children so far.

Whether this will be considered a bad season by the time it has run its course in the spring remains to be seen.

"Those of us with gray hair have seen worse," said Dr. William Schaffner, a flu expert at Vanderbilt University in Nashville.

The evidence so far points to a moderate season, Schaffner and others say. It looks bad in part because last year was unusually mild and because the main strain of influenza circulating this year tends to make people sicker and really lay them low.

David Smythe of New York City saw it happen to his 50-year-old girlfriend, who has been knocked out for about two weeks. "She's been in bed. She can't even get up," he said.

Also, the flu's early arrival coincided with spikes in a variety of other viruses, including a childhood malady that mimics flu and a new norovirus that causes vomiting and diarrhea, or what is commonly known as "stomach flu." So what people are calling the flu may, in fact, be something else.

"There may be more of an overlap than we normally see," said Dr. Joseph Bresee, who tracks the flu for the Centers for Disease Control and Prevention.

Most people don't undergo lab tests to confirm flu, and the symptoms are so similar that it can be hard to distinguish flu from other viruses, or even a cold. Over the holidays, 250 people were sickened at a Mormon missionary training center in Utah, but the culprit turned out to be a norovirus, not the flu.

Flu is a major contributor, though, to what's going on.

"I'd say 75 percent," said Dr. Dan Surdam, head of the emergency department at Cheyenne Regional Medical Center, Wyoming's largest hospital. The 17-bed emergency room saw its busiest day ever last week, with 166 visitors.

The early onslaught has resulted in a spike in hospitalizations. To deal with the influx and protect other patients from getting sick, hospitals are restricting visits from children, requiring family members to wear masks and banning anyone with flu symptoms from maternity wards.

One hospital in Allentown, Pa., set up a tent this week for a steady stream of patients with flu symptoms. But so far "what we're seeing is a typical flu season," said Terry Burger, director of infection control and prevention for the hospital, Lehigh Valley Hospital-Cedar Crest.

On Wednesday, Boston declared a public health emergency, with the city's hospitals counting about 1,500 emergency room visits since December by people with flu-like symptoms.

All the flu activity has led some to question whether this year's flu shot is working. While health officials are still analyzing the vaccine, early indications are that it's about 60 percent effective, which is in line with what's been seen in other years.

The vaccine is reformulated each year, based on experts' best guess of which strains of the virus will predominate. This year's vaccine is well-matched to what's going around. The government estimates that between a third and half of Americans have gotten the vaccine.

In New York City, 57-year-old Judith Quinones skipped getting a flu shot this season and suffered her worst case of flu-like illness in years. She was laid up for nearly a month with fever and body aches. "I just couldn't function," she said.

But her daughter got the vaccine. "And she got sick twice," Quinones said.

Europe is also suffering an early flu season, though a milder strain predominates there. Flu reports are up, too, in China, Japan, the West Bank, the Gaza Strip, Algeria and the Republic of Congo. Britain has seen a surge in cases of norovirus.

On average, about 24,000 Americans die each flu season, according to the CDC. That's an estimate — the agency does not keep a running tally of adult flu deaths each year, only for children. Some state health departments do keep count, and they've reported dozens of flu deaths so far.

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.

Most people with flu have a mild illness and can help themselves and protect others by staying home and resting. But people with severe symptoms should see a doctor. They may be given antiviral drugs or other medications to ease symptoms.

Flu vaccinations are recommended for everyone 6 months or older. Of the 20 children killed by the flu this season, only two were fully vaccinated.

___

AP Medical Writer Maria Cheng in London contributed to this report.

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Online:

CDC flu: http://www.cdc.gov/flu/index.htm

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