Pakistani polio workers get police protection

LAHORE, Pakistan (AP) — Under police guard, thousands of health workers pressed on with a polio immunization program Thursday after nine were killed elsewhere in Pakistan by suspected militants who oppose the vaccination campaign.

Immunizations were halted in some parts of Pakistan and the U.N. suspended its field participation everywhere until better security was arranged for its workers. The violence risks reversing recent progress fighting polio in Pakistan, one of three countries in the world where the disease is endemic.

The Taliban have denied responsibility for the shootings. Militants have accused health workers of acting as spies for the U.S., alleging the vaccine is intended to make Muslim children sterile.

Taliban commanders in Pakistan's troubled northwest tribal region also said earlier this year that vaccinations can't go forward until the U.S. stops drone strikes in the country.

Insurgent opposition to the campaign grew last year after it was revealed that a Pakistani doctor ran a fake vaccination program to help the CIA track down and kill al-Qaida founder Osama bin Laden, who was hiding in the town of Abbottabad in the country's northwest.

There were a few attacks on polio workers in July, but the current level of violence is unprecedented. A polio worker died Thursday after being shot in the head in the northwestern city of Peshawar a day earlier, said health official Janbaz Afridi.

His death raised to nine the number of Pakistanis working on the campaign who have been killed this week. Six of the workers gunned down were women, three of whom were teenagers. Two other workers were critically wounded. All the attacks occurred in northwest Khyber Pakhtunkhwa province and the southern city of Karachi.

Despite the threat, local officials in the eastern city of Lahore continued the vaccination drive Thursday under police escort, said one of the top government officials in the city, Noorul Amin Mengal. About 6,000 Pakistani health workers were escorted by 3,000 police as they fanned out across the city, he said.

"It would have been an easy thing for us to do to stop the campaign," he said. "That would have been devastating."

Saddaf Malik, one of the polio workers in Lahore, said the killings sent a shudder of fear through him and his colleagues.

"We will carry on with our job with determination, but we want the government to adopt measures to ensure the security of polio vaccinators," he said.

This week's killings occurred as the government and the U.N. began a vaccination drive Monday targeting high-risk areas in the country's four provinces and the semiautonomous tribal region, part of an effort to immunize 34 million children under age 5. The campaign was scheduled to end Wednesday in most parts of the country, except for Lahore, where it ran a day longer.

Government officials ended the drive early in parts of Khyber Pakhtunkhwa and in Sindh province, where Karachi is the capital, said Elias Durry, the U.N. World Health Organization's senior coordinator for polio in Pakistan. The campaign ran its full course in the provinces of Baluchistan and Punjab, where Lahore is the capital, as well as in the tribal region, he said.

The government has approximately 250,000 people working on the campaign, said Durry. Most of them have other jobs, such as teaching or working as government clerks, and sign on to the vaccination drive to earn a little more money, about $2.50 per day, officials said.

The WHO and UNICEF have about 2,000 people between them who provide technical assistance to the polio teams across the country and educate locals about the program, said Durry and Michael Coleman, a UNICEF spokesman in Pakistan. The U.N. staff were pulled out of the field and asked to work from home Wednesday.

Workers were only able to immunize about 9 million children this week out of a target of 18.3 million because of the violence, said Durry.

Polio usually infects children living in unsanitary conditions, attacks the nerves and can kill or paralyze. Pakistan, Afghanistan and Nigeria remain the last battlegrounds for the fight against the disease.

There is no history of attacks on polio workers in Afghanistan, even though the country also faces a domestic Taliban insurgency. Muslim leaders in Nigeria have spoken out against polio vaccination in the country in the past, also claiming it makes children sterile. Many now support the campaign, but some Nigerians remain suspicious.

Prevention efforts have managed to reduce the number of cases in Pakistan to 56 this year, compared with 190 in 2011, a drop of about 70 percent. Most of the news cases in Pakistan are in the northwest, where the presence of militants makes it difficult to reach children. Clerics and tribal elders have been recruited to support polio vaccinations to try to open up areas previously inaccessible to health workers.

Israrullah Khan, a villager who attended the funeral of the polio worker who died Thursday, said most of the clerics and Islamic political parties in Khyber Pakhtunkhwa were in favor of the campaign.

"We don't understand why these attacks have suddenly started," Khan said. "It's very sad because they were trying to save our children's future for very low wages."

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Associated Press writers Jamal Khan in Peshawar, Pakistan, Zaheer Babar in Lahore, Pakistan, Adil Jawad in Karachi, Pakistan, and Munir Ahmed in Islamabad contributed to this report.

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Video game shares down in wake of shooting

LOS ANGELES (AP) — Shares of video game makers and sellers fell Thursday in the aftermath of a mass shooting at a Connecticut elementary school, which has renewed debate about violent games and their potential influence on crime.

Shares of GameStop Corp., whose stores sell video games as well as systems like the Xbox and Wii, fell 5 percent in afternoon trading.

Investors are seen as being increasingly concerned that the government may impose tougher rules on the sales of games rated for “mature” and older audiences.

Investors may be worried that parents will also avoid buying first-person shooter games like “Call of Duty: Black Ops 2″ after the tragedy Friday morning at Sandy Hook Elementary, in which 20 children and six adults were shot and killed by 20-year-old Adam Lanza.

“Maybe there will be more stringent efforts to make sure youth are not playing games that they’re not old enough to play,” said Mike Hickey, an analyst with National Alliance Securities. “Maybe there will be a greater effort by parents in managing the content their kids are playing.”

Shares of companies involved in the video game industry, many of which had been dropping since the shooting, declined further Thursday.

— GameStop stock lost $ 1.37, or 5 percent, to $ 26.18. Shares have barely changed since last Thursday’s close, the day before the shooting, to Wednesday’s close.

— Shares of Activision Blizzard Inc., the publisher of “Call of Duty: Black Ops 2,” fell 9 cents to $ 10.70. The stock had already dropped 5.6 percent.

— Electronic Arts Inc. shares fell 41 cents, or 2.9 percent, to $ 13.99. Shares had dropped 5.6 percent.

— Take-Two Interactive Software Inc. shares slipped 29 cents, or 2.5 percent, to $ 11.69. The stock had dropped 8 percent.

The declines came as broader markets rose. The Dow Jones industrial average was up 0.3 percent at 13,295.

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Twitter post offers clue to The Civil Wars' future

NASHVILLE, Tenn. (AP) — While there still remain questions about the future of The Civil Wars, there's new music on the way.

Joy Williams, one half of the Grammy Award-winning duo with John Paul White, said Thursday during a Twitter chat that she was in the studio listening to new Civil Wars songs.

It's a tantalizing clue to the future of the group, which appeared in doubt when a European tour unraveled last month due to "irreconcilable differences."

At the time, the duo said it hoped to release an album in 2013. It's not clear if Williams was referring Thursday to music for a new album or for a documentary score they have composed with T Bone Burnett. They're also set to release an "Unplugged" session on iTunes on Jan. 15.

Nate Yetton, the group's manager and Williams' husband, had no comment — though he has supplied a few hints of his own by posting pictures of recording sessions on his Instagram account recently. The duo announced last summer it would be working with Charlie Peacock, who produced its gold-selling debut "Barton Hollow." The photos do not show Williams or White, but one includes violin player Odessa Rose.

Rose says in an Instagram post: "Playing on the new Civil Wars record... Beautiful sounds."

Even with its future in doubt, the duo continues to gather accolades. Williams and White are up for a Golden Globe on Jan. 13, and two Grammy Awards on Feb. 10, for their "The Hunger Games" soundtrack collaboration "Safe & Sound" with Taylor Swift.

Williams' comments came during an installment of an artist interview series with Alison Sudol of A Fine Frenzy sponsored by The Recording Academy.

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Online:

http://thecivilwars.com

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Follow AP Music Writer Chris Talbott: http://twitter.com/Chris_Talbott.

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AP IMPACT: Steroids loom in major-college football

WASHINGTON (AP) — With steroids easy to buy, testing weak and punishments inconsistent, college football players are packing on significant weight — 30 pounds or more in a single year, sometimes — without drawing much attention from their schools or the NCAA in a sport that earns tens of billions of dollars for teams.

Rules vary so widely that, on any given game day, a team with a strict no-steroid policy can face a team whose players have repeatedly tested positive.

An investigation by The Associated Press — based on interviews with players, testers, dealers and experts and an analysis of weight records for more than 61,000 players — revealed that while those running the multibillion-dollar sport say they believe the problem is under control, that control is hardly evident.

The sport's near-zero rate of positive steroids tests isn't an accurate gauge among college athletes. Random tests provide weak deterrence and, by design, fail to catch every player using steroids. Colleges also are reluctant to spend money on expensive steroid testing when cheaper ones for drugs like marijuana allow them to say they're doing everything they can to keep drugs out of football.

"It's nothing like what's going on in reality," said Don Catlin, an anti-doping pioneer who spent years conducting the NCAA's laboratory tests at UCLA. He became so frustrated with the college system that it was part of the reason he left the testing industry to focus on anti-doping research.

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EDITOR'S NOTE — Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the first of a two-part series.

___

While other major sports have been beset by revelations of steroid use, college football has operated with barely a whiff of scandal. Between 1996 and 2010 — the era of Barry Bonds, Mark McGwire, Marion Jones and Lance Armstrong — the failure rate for NCAA steroid tests fell even closer to zero from an already low rate of less than 1 percent.

The AP's investigation, drawing upon more than a decade of official rosters from all 120 Football Bowl Subdivision teams, found thousands of players quickly putting on significant weight, even more than their fellow players. The information compiled by the AP included players who appeared for multiple years on the same teams.

For decades, scientific studies have shown that anabolic steroid use leads to an increase in body weight. Weight gain alone doesn't prove steroid use, but very rapid weight gain is one factor that would be deemed suspicious, said Kathy Turpin, senior director of sport drug testing for the National Center for Drug Free Sport, which conducts tests for the NCAA and more than 300 schools.

Yet the NCAA has never studied weight gain or considered it in regard to its steroid testing policies, said Mary Wilfert, the NCAA's associate director of health and safety.

The NCAA attributes the decline in positive tests to its year-round drug testing program, combined with anti-drug education and testing conducted by schools.

The AP's analysis found that, regardless of school, conference and won-loss record, many players gained weight at exceptional rates compared with their fellow athletes and while accounting for their heights.

Adding more than 20 or 25 pounds of lean muscle in a year is nearly impossible through diet and exercise alone, said Dan Benardot, director of the Laboratory for Elite Athlete Performance at Georgia State University.

In nearly all the rarest cases of weight gain in the AP study, players were offensive or defensive linemen, hulking giants who tower above 6-foot-3 and weigh 300 pounds or more. Four of those players interviewed by the AP said that they never used steroids and gained weight through dramatic increases in eating, up to six meals a day. Two said they were aware of other players using steroids.

"I ate 5-6 times a day," said Clint Oldenburg, who played for Colorado State starting in 2002 and for five years in the NFL. Oldenburg's weight increased over four years from 212 to 290.

Oldenburg told the AP he was surprised at the scope of steroid use in college football, even in Colorado State's locker room. "There were a lot of guys even on my team that were using." He declined to identify any of them.

The AP found more than 4,700 players — or about 7 percent of all players — who gained more than 20 pounds overall in a single year. It was common for the athletes to gain 10, 15 and up to 20 pounds in their first year under a rigorous regimen of weightlifting and diet. Others gained 25, 35 and 40 pounds in a season. In roughly 100 cases, players packed on as much 80 pounds in a single year.

In at least 11 instances, players that AP identified as packing on significant weight in college went on to fail NFL drug tests. But pro football's confidentiality rules make it impossible to know for certain which drugs were used and how many others failed tests that never became public.

Even though testers consider rapid weight gain suspicious, in practice it doesn't result in testing. Ben Lamaak, who arrived at Iowa State in 2006, said he weighed 225 pounds in high school. He graduated as a 320-pound offensive lineman and said he did it all naturally.

"I was just a young kid at that time, and I was still growing into my body," he said. "It really wasn't that hard for me to gain the weight. I love to eat."

In addition to random drug testing, Iowa State is one of many schools that have "reasonable suspicion" testing. That means players can be tested when their behavior or physical symptoms suggest drug use. Despite gaining 81 pounds in a year, Lamaak said he was never singled out for testing.

The associate athletics director for athletic training at Iowa State, Mark Coberley, said coaches and trainers use body composition, strength data and other factors to spot suspected cheaters. Lamaak, he said, was not suspicious because he gained a lot of "non-lean" weight.

But looking solely at the most significant weight gainers also ignores players like Bryan Maneafaiga.

In the summer of 2004, Bryan Maneafaiga was an undersized 180-pound running back trying to make the University of Hawaii football team. Twice — once in pre-season and once in the fall — he failed school drug tests, showing up positive for marijuana use but not steroids.

He'd started injecting stanozolol, a steroid, in the summer to help bulk up to a roster weight of 200 pounds. Once on the team, he'd occasionally inject the milky liquid into his buttocks the day before games.

"Food and good training will only get you so far," he told the AP recently.

Maneafaiga's former coach, June Jones, said it was news to him that one of his players had used steroids. Jones, who now coaches at Southern Methodist University, believes the NCAA does a good job rooting out steroid use.

On paper, college football has a strong drug policy. The NCAA conducts random, unannounced drug testing and the penalties for failure are severe. Players lose an entire year of eligibility after a first positive test. A second offense means permanent ineligibility for sports.

In practice, though, the NCAA's roughly 11,000 annual tests amount to a fraction of all athletes in Division I and II schools. Exactly how many tests are conducted each year on football players is unclear because the NCAA hasn't published its data for two years. And when it did, it periodically changed the formats, making it impossible to compare one year of football to the next.

Even when players are tested by the NCAA, experts like Catlin say it's easy enough to anticipate the test and develop a doping routine that results in a clean test by the time it occurs. NCAA rules say players can be notified up to two days in advance of a test, which Catlin says is plenty of time to beat a test if players have designed the right doping regimen. By comparison, Olympic athletes are given no notice.

Most schools that use Drug Free Sport do not test for anabolic steroids, Turpin said. Some are worried about the cost. Others don't think they have a problem. And others believe that since the NCAA tests for steroids their money is best spent testing for street drugs, she said.

Doping is a bigger deal at some schools than others.

At Notre Dame and Alabama, the teams that will soon compete for the national championship, players don't automatically miss games for testing positive for steroids. At Alabama, coaches have wide discretion. Notre Dame's student-athlete handbook says a player who fails a test can return to the field once the steroids are out of his system.

The University of North Carolina kicks players off the team after a single positive test for steroids. Auburn's student-athlete handbook calls for a half-season suspension for any athlete caught using performance-enhancing drugs.

At UCLA, home of the laboratory that for years set the standard for cutting-edge steroid testing, athletes can fail three drug tests before being suspended. At Bowling Green, testing is voluntary.

At the University of Maryland, students must get counseling after testing positive, but school officials are prohibited from disciplining first-time steroid users.

Only about half the student athletes in a 2009 NCAA survey said they believed school testing deterred drug use. As an association of colleges and universities, the NCAA could not unilaterally force schools to institute uniform testing policies and sanctions, Wilfert said.

"We can't tell them what to do, but if went through a membership process where they determined that this is what should be done, then it could happen," she said.

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Associated Press writers Ryan Foley in Cedar Rapids, Iowa; David Brandt in Jackson, Miss.; David Skretta in Lawrence, Kan.; Don Thompson in Sacramento, Calif., and Alexa Olesen in Shanghai, China, and researchers Susan James in New York and Monika Mathur in Washington contributed to this report.

___

Contact the Washington investigative team at DCinvestigations (at) ap.org.

Whether for athletics or age, Americans from teenagers to baby boomers are trying to get an edge by illegally using anabolic steroids and human growth hormone, despite well-documented risks. This is the first of a two-part series.

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Blizzards, tornadoes, blackouts hit Midwest

CHICAGO (Reuters) - The first major winter storm of the year hit the U.S. Midwest on Thursday, bringing a blizzard to the Plains and tornadoes to Alabama and Arkansas, and leaving some 133,000 customers without electricity.

Bad driving conditions led to a 25-car pileup on a highway near Clarion, Iowa, that left three people dead, authorities said. Blizzard warnings were in effect in eastern Iowa and parts of Wisconsin and Illinois Thursday afternoon, according to the National Weather Service.

"It's going to be very windy with considerable blowing and drifting of snow," said Bruce Terry, a senior National Weather Service forecaster at the HydroMeteorological Prediction Center in College Park, Maryland. He called the pre-Christmas storm "a major winter snowstorm" for the Midwest and western Great Lakes.

Accumulations of up to a foot of snow were expected in some areas, Terry said, adding there was a potential for severe weather on the so-called "warm side" of the storm in the U.S. Southeast.

Blowing snow led to school closures in parts of Iowa, Nebraska, Kansas and Missouri, plus the closure of all state government offices in Iowa.

"Thunder" snow was reported in Iowa Wednesday night, especially in southeastern Iowa, as thunder and lightning accompanied the storm as it surged across the state.

Travel was not advised on Iowa roads for the rest of the day, according to Annette Dunn with the Iowa Department of Transportation.

"We're going to have visibility and drifting problems through midnight," she said.

Late Thursday morning, troopers responded to a 25-car crash which killed three people on southbound Interstate 35 in northern Iowa. Iowa DOT closed I-35 at Highway 30 due to deteriorating conditions.

The Iowa National Guard has deployed about 80 soldiers from across the state to help highway assistance teams cope with the storm.

In Nebraska, portions of I-80 were closed Thursday due to snow-packed and icy road conditions. The entire road was expected to reopen before 4 p.m. local time.

In Chicago, rain was expected to change to snow Thursday night, with wind gusts of as much as 50 miles per hour, the NWS said.

Due to low visibility, airlines at Chicago's O'Hare International Airport were reporting delays of up to 90 minutes and have canceled more than 200 flights. At Midway Airport in Chicago, airlines canceled 150 flights and Southwest Airlines canceled all flights after 4:30 p.m.

A twister near downtown Mobile, Alabama, damaged buildings, snapped trees, downed power lines and flipped vehicles early on Thursday, but there were no reports of injuries, authorities said.

"The potential is there certainly for some isolated tornadoes," Terry said, referring to a broad swath of Gulf of Mexico coast and inland territory stretching from southeast Louisiana through the western Florida Panhandle.

The National Weather Service confirmed on Thursday that a tornado destroyed a mobile home southwest of Sheridan, Arkansas. There were no reports of injuries.

High winds of around 45 miles per hour in Tennessee knocked down trees and power lines.

While the heavy snow in the Upper Midwest will create potentially dangerous travel conditions, meteorologist Jeff Masters said it put an end to this year's "record-length snowless streaks in a number of U.S. cities."

Writing on his website weatherunderground.com, Masters said the storm would also provide "welcome moisture for drought-parched areas of the Midwest."

The winter storm, named Draco by the Weather Channel, began Tuesday in the Rocky Mountains and marked a dramatic change from the mild December so far in most of the nation.

High winds kicked up a dust storm in West Texas on Wednesday, leading to at least one death in a traffic accident near Lubbock.

Power companies reported electrical outages in Iowa, Nebraska, Arkansas, Louisiana, Texas, Kansas, Missouri, Alabama, Mississippi, Oklahoma, West Virginia, Virginia and Tennessee, with a peak of 400,000 customers without power Thursday morning. That fell to 133,000 by Thursday afternoon.

(Writing by Tom Brown and Nick Carey; Reporting by Mary Wisniewski in Chicago, Eileen O'Grady in Houston, Kaija Wilkinson in Mobile, Alabama and Keith Coffman in Denver, Tim Ghianni in Nashville, Kay Henderson in Des Moines, Iowa, Kevin Murphy in Kansas City, Brendan O'Brien in Milwaukee, Matthew Waller in San Angelo, Texas and Suzi Parker in Little Rock, Arkansas.; Editing by Bernadette Baum, Greg McCune, Tim Dobbyn and Jim Marshall)

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UN suspends polio drive in Pakistan after killings

PESHAWAR, Pakistan (AP) — The United Nations suspended its polio vaccination drive in Pakistan on Wednesday after eight people involved in the effort were shot dead in the past two days, a U.N. official said.

The suspension was a grave blow to the drive to bring an end to the scourge of polio in Pakistan, one of only three countries where the crippling disease still survives.

On Wednesday, gunmen shot at a woman working on the campaign in northwest Pakistan, killing her and her driver, one of five attacks during the day on polio workers. A male polio immunization worker was critically wounded in one of the shootings.

This week six other people have been killed who were working on the immunization program, which has been jointly conducted with the Pakistani government. No one has claimed responsibility, but some Islamic extremists charge that the program is a cover for espionage.

At the U.N., Secretary-General Ban Ki-moon condemned the killing as "cruel, senseless and inexcusable." He said the eight workers were among thousands across Pakistan "working selflessly to achieve the historic goal of polio eradication."

Sarah Crowe, spokeswoman for UNICEF, said the vaccination program has been suspended everywhere in Pakistan until an investigation by the Pakistani government is completed.

"This is undoubtedly a tragic setback, but the campaign to eradicate polio will and must continue," she said.

Some provincial governments in Pakistan continued to immunize children, independent of the U.N. drive.

Prevention efforts have managed to reduce the number of cases in Pakistan by around 70 percent this year compared to 2011, but the recent violence threatens to reverse that progress.

Suspicion for the attacks has fallen on the Pakistani Taliban because of their virulent opposition to the polio campaign, but the group's spokesman, Ahsanullah Ahsan, denied responsibility in a telephone call to The Associated Press. Police say they have killed two militant suspects and arrested a dozen others in connection to the attacks but did not say whether they were Taliban.

Militants accuse health workers of acting as spies for the U.S. and claim the vaccine makes children sterile. Taliban commanders in the troubled northwest tribal region have also said vaccinations can't go forward until the U.S. stops drone strikes in the country.

Insurgent opposition to the campaign grew last year after it was revealed that a Pakistani doctor ran a fake vaccination program to help the CIA track down and kill al-Qaida founder Osama bin Laden, who was hiding in the town of Abbottabad in the country's northwest.

The number of attacks this week on polio workers is unprecedented. They came as the government started a three-day vaccination drive Monday targeting high risk areas of the country, part of an effort to immunize millions of children under the age of five.

The deadliest of Wednesday's attacks occurred in the northwestern town of Charsadda, where the female polio worker and her driver were gunned down, said senior government official Syed Zafar Ali Shah. Gunmen attacked two other polio immunization teams in Charsadda and one in the town of Nowshera, but no one was hurt in those attacks, he said.

Earlier in the day, gunmen shot a polio worker in the head in the city of Peshawar, wounding him critically, said Janbaz Afridi, a senior health official in surrounding Khyber Pakhtunkhwa province.

On Tuesday, gunmen killed five female polio workers — three of them teenagers — in a series of attacks in Karachi, the capital of southern Sindh province, and a village outside Peshawar. Two men who were working alongside the women were critically wounded in those attacks. A male polio worker was also shot to death in Karachi on Monday.

Police conducted two operations in Karachi in the wake of the shootings in which they arrested a dozen suspects and killed two suspected militants, said senior police official Shahid Hayat.

Several dozen polio immunization workers and human rights activists protested against the killings in Pakistan's capital, Islamabad, on Wednesday and demanded security for the field staff.

The Pakistani government also condemned the attacks, saying they deprive Pakistan's most vulnerable populations — specifically children — of basic life-saving health interventions. The U.N. said it was increasing security for its polio workers, but did not provide any details.

Polio usually infects children living in unsanitary conditions, attacks the nerves and can kill or paralyze. A total of 56 polio cases have been reported in Pakistan during 2012, down from 190 the previous year, according to the U.N. Most of the new cases in Pakistan are in the northwest, where the presence of militants makes it difficult to reach children.

The new campaign aimed to give oral polio prevention drops to 34 million children under the age of five. Clerics and tribal elders were recruited to support polio vaccinations in an attempt to open up areas previously inaccessible to health workers.

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Associated Press writer Rasool Dawar in Peshawar, Pakistan, and Adil Jawad in Karachi, Pakistan, contributed to this report.

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Claire Danes and Hugh Dancy welcome a baby boy

NEW YORK (AP) — Claire Danes and Hugh Dancy's "Homeland" just got bigger.

Danes' rep confirms the couple welcomed a baby boy named Cyrus Michael Christopher.

People.com first reported Monday's birth.

It's the first child for 33-year old Danes and 37-year-old Dancy. They were married in 2009.

There's no word yet whether the new mom will attend the Golden Globe Awards on Jan. 13. She's nominated for Best Performance by an Actress in a Television Series for her work on Showtime's "Homeland."

Up next, Dancy stars in NBC's "Hannibal," an adaptation of Thomas Harris' novel "Red Dragon."

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Experts: Kids are resilient in coping with trauma

WASHINGTON (AP) — They might not want to talk about the gunshots or the screams. But their toys might start getting into imaginary shootouts.

Last week's school shooting in Connecticut raises the question: What will be the psychological fallout for the children who survived?

For people of any age, regaining a sense of security after surviving violence can take a long time. They're at risk for lingering anxiety, depression, post-traumatic stress disorder.

But after the grief and fear fades, psychiatrists say most of Newtown's young survivors probably will cope without long-term emotional problems.

"Kids do tend to be highly resilient," said Dr. Matthew Biel, chief of child and adolescent psychiatry at MedStar Georgetown University Hospital.

And one way that younger children try to make sense of trauma is through play. Youngsters may pull out action figures or stuffed animals and re-enact what they witnessed, perhaps multiple times.

"That's the way they gain mastery over a situation that's overwhelming," Biel explained, saying it becomes a concern only if the child is clearly distressed while playing.

Nor is it unusual for children to chase each other playing cops-and-robbers, but now parents might see some also pretending they're dead, added Dr. Melissa Brymer of the UCLA-Duke National Center for Child Traumatic Stress.

Among the challenges will be spotting which children are struggling enough that they may need professional help.

Newtown's tragedy is particularly heart-wrenching because of what such young children grappled with — like the six first-graders who apparently had to run past their teacher's body to escape to safety.

There's little scientific research specifically on PTSD, post-traumatic stress disorder, in children exposed to a burst of violence, and even less to tell if a younger child will have a harder time healing than an older one.

Overall, scientists say studies of natural disasters and wars suggest most children eventually recover from traumatic experiences while a smaller proportion develop long-term disorders such as PTSD. Brymer says in her studies of school shootings, that fraction can range from 10 percent to a quarter of survivors, depending on what they actually experienced. A broader 2007 study found 13 percent of U.S. children exposed to different types of trauma reported some symptoms of PTSD, although less than 1 percent had enough for an official diagnosis.

Violence isn't all that rare in childhood. In many parts of the world — and in inner-city neighborhoods in the U.S., too — children witness it repeatedly. They don't become inured to it, Biel said, and more exposure means a greater chance of lasting psychological harm.

In Newtown, most at risk for longer-term problems are those who saw someone killed, said Dr. Carol North of the University of Texas Southwestern Medical Center, who has researched survivors of mass shootings.

Friday's shootings were mostly in two classrooms of Sandy Hook Elementary School, which has about 450 students through fourth-grade.

But those who weren't as close to the danger may be at extra risk, too, if this wasn't their first trauma or they already had problems such as anxiety disorders that increase their vulnerability, she said.

Right after a traumatic event, it's normal to have nightmares or trouble sleeping, to stick close to loved ones, and to be nervous or moody, Biel said.

To help, parents will have to follow their child's lead. Grilling a child about a traumatic experience isn't good, he stressed. Some children will ask a lot of questions, seeking reassurance, he said. Others will be quiet, thinking about the experience and maybe drawing or writing about it, or acting it out at playtime. Younger children may regress, becoming clingy or having tantrums.

Before second grade, their brains also are at a developmental stage some refer to as magical thinking, when it's difficult to distinguish reality and fantasy. Parents may have to help them understand that a friend who died isn't in pain or lonely but also isn't coming back, Brymer said.

When problem behaviors or signs of distress continue for several weeks, Brymer says it's time for an evaluation by a counselor or pediatrician.

Besides a supportive family, what helps? North advises getting children back into routines, together with their friends, and easing them back into a school setting. Studies of survivors of the Sept. 11 terrorist attacks found "the power of the support of the people who went through it with you is huge," she said.

Children as young as first-graders can benefit from cognitive-behavioral therapy, Georgetown's Biel said. They can calm themselves with breathing techniques. They also can learn to identify and label their feelings — anger, frustration, worry — and how to balance, say, a worried thought with a brave one.

Finally, avoid watching TV coverage of the shooting, as children may think it's happening all over again, Biel added. He found that children who watched the 9/11 clips of planes hitting the World Trade Center thought they were seeing dozens of separate attacks.

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EDITOR'S NOTE — Lauran Neergaard covers health and medical issues for The Associated Press in Washington.

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Scam artists creep in as families grieve

NEWTOWN, Conn. (AP) — The family of Noah Pozner was mourning the 6-year-old, killed in the Newtown school massacre, when outrage compounded their sorrow.

Someone they didn't know was soliciting donations in Noah's memory, claiming that they'd send any cards, packages and money collected to his parents and siblings. An official-looking website had been set up, with Noah's name as the address, even including petitions on gun control.

Noah's uncle, Alexis Haller, called on law enforcement authorities to seek out "these despicable people."

"These scammers," he said, "are stealing from the families of victims of this horrible tragedy."

It's a problem as familiar as it is disturbing. Tragedy strikes — be it a natural disaster, a gunman's rampage or a terrorist attack — and scam artists move in.

It happened after 9/11. It happened after Columbine. It happened after Hurricane Katrina. And after this summer's movie theater shooting in Aurora, Colo.

Sometimes fraud takes the form of bogus charities asking for donations that never get sent to victims. Natural disasters bring another dimension: Scammers try to get government relief money they're not eligible for.

"It's abominable," said Ken Berger, president and CEO of Charity Navigator, which evaluates the performance of charities. "It's just the lowest kind of thievery."

Noah Pozner's relatives found out about one bogus solicitation when a friend received an email asking for money for the family. Poorly punctuated, it gave details about Noah, his funeral and his family. It directed people to send donations to an address in the Bronx, one that the Pozners had never heard of.

It listed a New York City phone number to text with questions about how to donate. When a reporter texted that number Wednesday, a reply came advising the donation go to the United Way.

The Pozner family had the noahpozner.com website transferred to its ownership. Victoria Haller, Noah's aunt, emailed the person who had originally registered the name. The person, who went by the name Jason Martin, wrote back that he'd meant "to somehow honor Noah and help promote a safer gun culture. I had no ill intentions I assure you."

Alexis Haller said the experience "should serve as a warning signal to other victims' families. We urge people to watch out for these frauds on social media sites."

Consumer groups, state attorneys general and law enforcement authorities call for caution about unsolicited requests for donations, by phone or email. They tell people to be wary of callers who don't want to answer questions about their organization, who won't take "no" for an answer, or who convey what seems to be an unreasonable sense of urgency.

"This is a time of mourning for the people of Newtown and for our entire state," Connecticut Attorney General George Jepsen said in a statement this week. "Unfortunately, it's also a time when bad actors may seek to exploit those coping with this tragedy."

But scam artists know that calamity is fertile ground for profit, watered by the goodwill of strangers who want to help and may not be familiar with the cause or the people they're sending money to.

After the shootings at Columbine High School in Littleton, Colo., scammers asked for credit card donations for victims' families. After the 9/11 attacks, the North American Securities Administrators Association warned investors to be wary of Internet postings encouraging them to invest in supposed anti-terrorist technologies.

In 2006, the FBI warned about an email widely circulated after the Sago, W.Va., mine explosion, which claimed to be from a doctor treating one of the survivors and asking for donations to cover medical bills.

"As was learned after the tragic events of 9/11/01, the tsunami disaster, and more recently with Hurricane Katrina, unscrupulous cyber criminals have shown the desire and means to exploit human emotion by attempting to defraud the public when they are perceived to be most vulnerable," the FBI said at the time.

This fall, the police in Aurora, Colo., accused a local woman of trying to profit off the deadly movie theater rampage by a gunman who killed 12 people. The woman told people that she was the caretaker for a little girl named Kadence, whose mother had died in the shooting. The police said the child was made up. The scam unraveled when a donor got a phone call from what seemed to be a woman imitating a child's voice.

When the government doled out disaster aid after Hurricane Katrina, scammers asked for money to rebuild houses they never lived in or to pay benefits for relatives who never existed.

The government later set up the National Center for Disaster Fraud to try to root out such scams in the federal relief programs administered after Hurricanes Katrina, Rita and Wilma. It has since expanded its mandate to other disasters.

The cases brought since then by the Justice Department sketch a colorful picture of fraud:

— A woman who filed for small-business disaster benefits after the 2010 Gulf Coast oil spill, even though she'd sold the business before the accident.

— A judge and a commissioner in Texas who, after Hurricane Ike, were accused of awarding debris removal contracts to a company in return for kickbacks. The judge also commandeered a 155-kilowatt generator meant for the county to power his convenience store, according to the government.

— A pastor who submitted inflated claims to a government-funded program that reimbursed groups sheltering Hurricane Katrina evacuees.

Bob Webster, spokesman for the NASAA, knows the sad pattern.

"We know cons try to cash in on headlines, and any who would even think about stooping to capitalize on the tragedy in Newtown are the lowest of the low," he said.

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Rexrode reported from New York. Associated Press researcher Rhonda Shafner and writer Allen Breed contributed to this report.

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Both SKorean presidential hopefuls promise change

SEOUL, South Korea (AP) — South Koreans bundled in thick mufflers and parkas braved frigid weather Wednesday to choose between the liberal son of North Korean refugees and the conservative daughter of a late dictator. For all their differences, the presidential candidates hold similar views on the need to engage with Pyongyang and other issues.

One big reason: Many voters are dissatisfied with current President Lee Myung-bak, including with his hardline stance on the country's authoritarian rival to the north. Park Geun-hye, who belongs to Lee's party, has had to tack to the center in her bid to become South Korea's first woman president.

Earlier polls showed Park and liberal candidate Moon Jae-in in a dead heat in the race to lead Asia's fourth-largest economy and an important U.S. security bulwark in the region.

"I skipped breakfast to vote. I've been waiting to vote for five years. I think it's time to change the government," said 37-year-old Kim Young-jin as he hurried to a polling station set up inside an apartment complex. Kim, who voted for Moon, said he was excited to be participating in what he called a historic moment in South Korean history.

There's deepening worry about the economy and disgust over the alleged involvement of aides close to Lee in corruption scandals.

Many voters blame Lee's hardline views for encouraging North Korea to conduct nuclear and missile tests — including Pyongyang's rocket launch last week. Some also say the chill in North-South relations led to two attacks blamed on Pyongyang that killed 50 South Koreans in 2010.

At one polling station in Seoul, young and old voters alike stood in line, despite a bitter cold snap. Wednesday is a national holiday in South Korea. Electric stoves inside the polling station warmed the line of voters that stretched longer as the sun rose. Polls opened at 6 a.m. local time. Some voters blew on their freezing hands as they hurried into the polling station.

More than 13,000 polling stations have been set up across the country, according to South Korea's election watchdog.

The effort to create distance with Lee has been more difficult for Park, whose popularity rests on a staunchly conservative, anti-North Korea base.

Both candidates propose pulling back from Lee's insistence that engagement with North Korea be linked to so-far-nonexistent nuclear disarmament progress by Pyongyang. Park, however, insists on more conditions than Moon, who wants to restore large-scale government aid.

Moon is a former chief of staff to Lee's predecessor, late President Roh Moo-hyun, who championed the so-called "sunshine policy" of no-strings-attached aid for Pyongyang.

Moon wants an early summit with North Korean leader Kim Jong Un. Park has also held out the possibility of such a meeting, but only if it's "an honest dialogue on issues of mutual concern."

Whoever wins the presidential Blue House will set the initial tone for new North Korea policy not just in Seoul but in Washington, Beijing and Tokyo. All those governments have recently undergone an election, a change of leadership or both, and they have been waiting for a new South Korean leader before making any big decisions on North Korea policy.

A Moon election could lead to friction with Washington if new engagement with Pyongyang comes without any of the reciprocal nuclear disarmament progress that Washington demands from the North.

Moon and Park also agree on the need to fight widespread government corruption, strengthen social welfare, help small companies, close growing gaps between rich and poor, ease heavy household debt and rein in big corporations that have grown so powerful they threaten to eclipse national laws. They differ mainly in how far they want to go.

Moon wants to drastically expand welfare, while Park seeks more cautious improvement in the system, out of concern that expanding too much could hurt the economy, according to Chung Jin-young, a political scientist at Kyung Hee University in South Korea.

Both candidates also have promised to strengthen the traditional alliance with the United States while boosting economic ties with booming China.

Park is aiming to make history as the first female leader in South Korea — and modern Northeast Asia. But she also works under the shadow of her father, Park Chung-hee, who imposed his will on South Korea as dictator for 18 years until his intelligence chief killed him during a drinking party in 1979.

Park's father is both an asset and a soft spot. Many older South Koreans revere his strict economic policies and tough line against North Korea. But he's also loathed for his odious treatment of opponents, including claims of torture and snap executions.

"Nostalgia for Park Chung-hee still runs deep in our society, particularly in the older generation," Chung said.

A Park win would mean that South Korean voters believe she would evoke her father's strong charisma as president and settle the country's economic and security woes, Chung said.

Moon, on the other hand, was a young opponent of Park Chung-hee. Before working for Roh, whom Lee replaced in 2008, Moon was a human rights lawyer. He also spent time in jail for challenging the government of Park.

Moon's parents lived in the North Korean port city of Hungnam before fleeing to South Korea aboard a U.S. military ship in December 1950, six months after the Korean War broke out. They were among an estimated 100,000 North Korean refugees transported by the United States from Hungnam to South Korea in daring evacuation operations that month.

Moon's parents lived in an interim shelter on South Korea's southeastern Geoje Island and later moved to a nearby village where Moon was born in 1953. Moon's father, a former agriculture official at Hungnam city hall, did manual labor at the camp while his mother peddled eggs.

A Moon win would be a clear judgment against the Lee government, said Hahm Sung Deuk, a political scientist at Korea University in Seoul. Moon's appeal is that he "appears to be nice, honest and clean."

With South Korea's economy facing a 2 to 3 percent annual growth rate for this year and the next, the presidential candidates have focused on welfare and equality and fairness issues. Neither, however, has matched Lee's campaign promise to boost South Korea's economy by an ambitious 7 percent growth annually, apparently aware of the global economic challenges that beset the country's export-driven economy.

Economic worries may be the focus of many voters, but North Korea has forced itself as an issue in the closing days of campaigning with its rocket launch last week, which the United States and others call a cover for a banned test of technology that could power a missile to the U.S. mainland. North Korea says it sought only to put a peaceful satellite into orbit.

The launch won't be a major election influence, but it will consolidate conservative votes in favor of Park, said Hahm. He said the launch will remind South Korean voters that "the North Koreans are unpredictable and belligerent."

The rocket launch could also make it harder to quickly mend relations with North Korea, especially if Park wins.

"She has a firm stance on national security, but she has few ideas on how to establish a peace regime and lacks the determination to do so," said Cheong Seong-chang, a North Korea analyst at the private Sejong Institute in South Korea. "If Park becomes president, South-North relations would get better, but a big improvement in ties would be difficult."

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AP writers Sam Kim and Youkyung Lee contributed to this story.

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