After early start, worst of flu season may be over

NEW YORK (AP) — The worst of the flu season appears to be over.

The number of states reporting intense or widespread illnesses dropped again last week, and in a few states there was very little flu going around, U.S. health officials said Friday.

The season started earlier than normal, first in the Southeast and then spreading. But now, by some measures, flu activity has been ebbing for at least four weeks in much of the country. Flu and pneumonia deaths also dropped the last two weeks, the Centers for Disease Control and Prevention reported.

"It's likely that the worst of the current flu season is over," CDC spokesman Tom Skinner said.

But flu is hard to predict, he and others stressed, and there have been spikes late in the season in the past.

For now, states like Georgia and New York — where doctor's offices were jammed a few weeks ago — are reporting low flu activity. The hot spots are now the West Coast and the Southwest.

Among the places that have seen a drop: Lehigh Valley Hospital-Cedar Crest in Allentown, Pa., which put up a tent outside its emergency room last month to help deal with the steady stream of patients. There were about 100 patients each day back then. Now it's down to 25 and the hospital may pack up its tent next week, said Terry Burger, director of infection control and prevention for the hospital.

"There's no question that we're seeing a decline," she said.

In early December, CDC officials announced flu season had arrived, a month earlier than usual. They were worried, saying it had been nine years since a winter flu season started like this one. That was 2003-04 — one of the deadliest seasons in the past 35 years, with more than 48,000 deaths.

Like this year, the major flu strain was one that tends to make people sicker, especially the elderly, who are most vulnerable to flu and its complications

But back then, that year's flu vaccine wasn't made to protect against that bug, and fewer people got flu shots. The vaccine is reformulated almost every year, and the CDC has said this year's vaccine is a good match to the types that are circulating. A preliminary CDC study showed it is about 60 percent effective, which is close to the average.

So far, the season has been labeled moderately severe.

Like others, Lehigh Valley's Burger was cautious about making predictions. "I'm not certain we're completely out of the woods," with more wintry weather ahead and people likely to be packed indoors where flu can spread around, she said.

The government does not keep a running tally of flu-related deaths in adults, but has received reports of 59 deaths in children. The most — nine — were in Texas, where flu activity was still high last week. Roughly 100 children die in an average flu season, the CDC says

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

According to the CDC report, the number of states with intense activity is down to 19, from 24 the previous week, and flu is widespread in 38 states, down from 42.

Flu is now minimal in Florida, Kentucky, Maine, Montana, New Hampshire and South Carolina.

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Online:

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

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State fires contractor on tech project

SACRAMENTO – The state has fired the contractor on one of its biggest and most troubled technology projects after deep problems with the system were revealed.

The decision to terminate the contract Friday stalls the costly effort to overhaul an outdated and unstable computer network that issues paychecks and handles medical benefits for 240,000 state employees. The $371-million upgrade, known as the 21st Century Project, has fallen years behind schedule and tripled in cost.

The state has already spent at least $254 million on the project, paying more than $50 million of that to the contractor, SAP Public Services. The company was hired three years ago after the job sputtered in the hands of a previous contractor, BearingPoint.

But when SAP's program was tested last summer, it made errors at more than 100 times the rate of the aging system the state has been struggling to replace, according to state officials.

"It would be totally irresponsible to move forward," said Jacob Roper, a spokesman for the California controller.

The Times highlighted problems with the state's 21st Century Project in December, soon after officials sent a letter to SAP saying the overhaul was "in danger of collapsing."

During a trial run involving 1,300 employees, Roper said, some paychecks went to the wrong person for the wrong amount. The system canceled some medical coverage and sent child-support payments to the wrong beneficiaries.

Roper said the state also had to pay $50,000 in penalties because money was sent to retirement accounts incorrectly.

"State employees and their families were in harm's way," he said. "Taxpayers were in harm's way."

The controller's office, which oversees the upgrade, will try to recoup the money paid to SAP, Roper said. Meanwhile, officials will conduct an autopsy on the system to determine what can be salvaged.

And Senate leader Darrell Steinberg (D-Sacramento) called for a hearing to examine how so much money could be spent on the project with "apparently little to show for it."

A spokesman for SAP, Andy Kendzie, said the company was "extremely disappointed" that the controller terminated the contract.

"SAP stands behind our software and actions," Kendzie said in a statement. "SAP also believes we have satisfied all contractual obligations in this project."

Kendzie did not directly address the controller's concerns about errors during testing, nor did he say whether the company would fight any state effort to recover the $50 million.

Other California entities have struggled with SAP's work.

A $95-million plan to upgrade the Los Angeles Unified School District's payroll system with SAP software became a disaster in 2007, when some teachers were paid too much and others weren't paid at all.

More recently, Marin County officials decided to scrap their SAP-developed computer system, saying it never worked right and cost too much to maintain.

Both of those projects were managed by Deloitte Consulting.

chris.megerian@latimes.com

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India Ink: Five Questions for: Author and Filmmaker Laleh Khadivi

Laleh Khadivi is an author and filmmaker who was born in Esfahan, Iran, and grew up in California. Her first novel, “The Age of Orphans,” received the Whiting Award for Fiction, the Barnes and Noble Discover New Writers Award and an Emory Fiction Fellowship, and it was translated into eight languages. Her latest novel, “The Walking,” will be published in March. Her debut documentary film, “900 Women,” premiered at the Human Rights Watch Film Festival in 2001. India Ink interviewed Ms. Khadivi at the Jaipur Literature Festival.

What are the occupational hazards of being a writer?

Depression? I’m kidding. I think that when you write, and that is the only thing you do and you don’t have another job you end up spending a lot of time alone in worlds of your creation and so that can make living in the world of reality a little bit difficult. I feel like, for myself and a few other writers I know intimately, going between those two worlds is often very difficult. You don’t have the ease with which to converse randomly at a dinner party when you’ve been writing a torture scene all day. You kind of have to step in and out of the things that you know are fiction and the things that you know to be real. Otherwise, writing is a pretty sweet job. You can’t really complain about it, you know.

What is your everyday writing ritual?

When I’m in the middle of writing a book, doing the day-to-day writing of it, I develop a ritual for that book, but it changes for each book. So I ideally would like to write every morning between 7 a.m. and noon if I can get those many hours –though I just had a son so this is not going to ever happen again. And then from noon until 7, do other things. And then I find the night very useful for writing so I write again from dark until when I go to sleep. At the end of the day, I’m a writer, and in the middle, a regular person.

Why should we read your latest book?

My latest book is about the effects of movies on the imagination. It’s about a lot of other things as well — political things and social things — but mostly it’s about a boy’s love of the cinema and what the cinema does to your desires. How if you only know one world – one particular village or one town – and you watch movies that happen halfway across the globe, how you are changed and how you suddenly think to yourself, “Oh wait, the Earth is bigger than what I know. How do I get to this other place?”

India has such a rich history of cinema, and Bollywood is all about spinning imaginary tales. They might not involve other places on the planet, but they involve other classes, other gender dynamics and other fashion.

It’s a book about that distance between where you are and what you see, and where you can be in cinema and how it changes what you want. It takes place partially in the Kurdish region of Iran and partially in Los Angeles.

How do you deal with your critics?

Ha! I’ve been trying to figure that out.

I think ideally the best way to deal with it is to just not read the reviews. Because with my first book I got these reviews, and some of them were great, and some of them were not. I realized that the ones that were great did not make me feel good — I didn’t celebrate it. And a bad review made me feel terrible. So there was nothing to win, nothing to gain from reading the reviews. Granted, your ego is very tempted to go and see what they are saying about your book, but you know if it’s good and where it’s not good and what the weak parts are.

If someone gives it a bad review and doesn’t like it, there is a good chance they just didn’t get it or it’s not their thing. If I was asked to review a book by John Updike, I would say terrible things, but someone else would give him the Pulitzer Prize. It’s a personal preference. Reviews are very bizarre – they are assigned to one reader and that reader might hate the Middle East. I see the intellectual background of where the reviewer is from – if they do not like Faulkner’s writing, chances are they are not going to like mine.

Why does the Jaipur Literature Festival matter to you?

One billion people – not all of them reading, but still a country of a billion people — you just can’t ignore that. There’s a billion universes going on in those people’s lives and communities, and I feel like because there is an English-speaking presence here and my books can be read without translation, I should go and help people get excited about them.

I have been blown away by the attentiveness and the eagerness of the audiences in Jaipur. I also think that beyond just engaging with readers, I think it’s important to engage with writers about writing and have public discourse about the life of the mind. Our world is increasingly not giving writers and thinkers and artists a place to do that, and so Jaipur is like this small little window to have discussions that are not about money, but about art or politics or inspiration. That’s important to me, and I think that’s important to the increasing readership of Indians.

(The interview has been lightly edited and condensed.)

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American Idol: Early Favorites Eliminated in Hollywood

TV Watch

American Idol

By Steve Helling

02/07/2013 at 10:30 PM EST

From left: Randy Jackson, Mariah Carey, Ryan Seacrest, Nicki Minaj and Keith Urban

Michael Becker/FOX.

At the beginning of Thursday's American Idol, there were 43 men left in the competition. The next hour was a bloodbath, with many tears and a few tantrums – as well as some standout performances. Curtis Finch Jr., for example, performed a version of Christina Perri's "Jar Of Hearts" that was arguably the strongest of the evening. It may be the season's most overdone song, yet Finch successfully infused it with a rising gospel vibe.

Like every reality show, the contestants learned valuable life lessons as they fought to stay in the game. Here are five:

1. Never Let Them See You Sweat
Paul Jolley looked like he was going to throw up when he took the stage. "I'm so nervous," he said as he fought back tears. The judges watched quietly as he pulled himself together and gave a strong performance of Carrie Underwood's "Blown Away." He advanced, but not before Nicki Minaj criticized him for showing his nerves. "You walked out so defeated and that really irritated me," she said. "Just give us one minute of professionalism."

2. Be Funny and Unexpected
Admit it: It was kind of funny watching Gurpreet Singh Sarin nail "Georgia On My Mind." The judges liked him, perhaps because he doesn't fit any mold. Neither does Charlie Askew, who worked his quirky awkwardness into an intriguing version of Gotye's "Somebody that I Used To Know," complete with a spoken-word intro. "I am obsessed with you," Minaj said, prompting Askew to respond, "Baby, I could say the same thing." She ate it up.

3. Too Much of A Good Thing Can Be Lethal
Matheus Fernandes, one of the standouts from the Los Angeles auditions, was eliminated after a shaky rendition of Kelly Clarkson's "Stronger." The 4'9" contestant made one too many self-depreciating comments about his height, prompting Minaj to say, "Sometimes things can go from being inspiring to becoming you wanting a pity party." When Carey called him a "good person," his face said it all – Fernandes knew he wouldn't be advancing to the next round. In contrast, Lazaro Arbos said nary a word about his stutter, yet he advanced easily, despite an unspectacular rendition of Lady Gaga's "Edge of Glory."

4. If You Lose, Lose Gracefully
The night's "Sour Grapes Award" goes to Papa Peachez, who performed a karaoke-worthy version of Gaga's "Yoü and I." Minaj was unimpressed. "I'm so disappointed," she said. "I don't know why you chose that song." After he was eliminated, Peachez decided he didn't want to win American Idol, after all. "This isn't the competition for me," he said. "I just don't like singing other people's songs."

5. Big Risks Can Reap Big Rewards
Nick Boddington was eliminated in Las Vegas last season, so he came back determined to take some risks. He accompanied himself on the piano while singing Grace Potter's "Stars." It was a strong performance that the judges loved.

After the dust settled, 28 contestants remained. The judges corralled them onto the stage and announced that they would eliminate eight more male contestants next week, after the ladies' auditions.

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Southern diet, fried foods, may raise stroke risk

Deep-fried foods may be causing trouble in the Deep South. People whose diets are heavy on them and sugary drinks like sweet tea and soda were more likely to suffer a stroke, a new study finds.

It's the first big look at diet and strokes, and researchers say it might help explain why blacks in the Southeast — the nation's "stroke belt" — suffer more of them.

Blacks were five times more likely than whites to have the Southern dietary pattern linked with the highest stroke risk. And blacks and whites who live in the South were more likely to eat this way than people in other parts of the country were. Diet might explain as much as two-thirds of the excess stroke risk seen in blacks versus whites, researchers concluded.

"We're talking about fried foods, french fries, hamburgers, processed meats, hot dogs," bacon, ham, liver, gizzards and sugary drinks, said the study's leader, Suzanne Judd of the University of Alabama in Birmingham.

People who ate about six meals a week featuring these sorts of foods had a 41 percent higher stroke risk than people who ate that way about once a month, researchers found.

In contrast, people whose diets were high in fruits, vegetables, whole grains and fish had a 29 percent lower stroke risk.

"It's a very big difference," Judd said. "The message for people in the middle is there's a graded risk" — the likelihood of suffering a stroke rises in proportion to each Southern meal in a week.

Results were reported Thursday at an American Stroke Association conference in Honolulu.

The federally funded study was launched in 2002 to explore regional variations in stroke risks and reasons for them. More than 20,000 people 45 or older — half of them black — from all 48 mainland states filled out food surveys and were sorted into one of five diet styles:

—Southern: Fried foods, processed meats (lunchmeat, jerky), red meat, eggs, sweet drinks and whole milk.

—Convenience: Mexican and Chinese food, pizza, pasta.

—Plant-based: Fruits, vegetables, juice, cereal, fish, poultry, yogurt, nuts and whole-grain bread.

—Sweets: Added fats, breads, chocolate, desserts, sweet breakfast foods.

—Alcohol: Beer, wine, liquor, green leafy vegetables, salad dressings, nuts and seeds, coffee.

"They're not mutually exclusive" — for example, hamburgers fall into both convenience and Southern diets, Judd said. Each person got a score for each diet, depending on how many meals leaned that way.

Over more than five years of follow-up, nearly 500 strokes occurred. Researchers saw clear patterns with the Southern and plant-based diets; the other three didn't seem to affect stroke risk.

There were 138 strokes among the 4,977 who ate the most Southern food, compared to 109 strokes among the 5,156 people eating the least of it.

There were 122 strokes among the 5,076 who ate the most plant-based meals, compared to 135 strokes among the 5,056 people who seldom ate that way.

The trends held up after researchers took into account other factors such as age, income, smoking, education, exercise and total calories consumed.

Fried foods tend to be eaten with lots of salt, which raises blood pressure — a known stroke risk factor, Judd said. And sweet drinks can contribute to diabetes, the disease that celebrity chef Paula Deen — the queen of Southern cuisine — revealed she had a year ago.

The National Institute of Neurological Disorders and Stroke, drugmaker Amgen Inc. and General Mills Inc. funded the study.

"This study does strongly suggest that food does have an influence and people should be trying to avoid these kinds of fatty foods and high sugar content," said an independent expert, Dr. Brian Silver, a Brown University neurologist and stroke center director at Rhode Island Hospital.

"I don't mean to sound like an ogre. I know when I'm in New Orleans I certainly enjoy the food there. But you don't have to make a regular habit of eating all this stuff."

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Marilynn Marchione can be followed at http://twitter.com/MMarchioneAP

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Big Bear locked down amid manhunt

The bustling winter resort of Big Bear took on the appearance of a ghost town Thursday as surveillance aircraft buzzed overhead and police in tactical gear and carrying rifles patrolled mountain roads in convoys of SUVs, while others stood guard along major intersections.

Even before authorities had confirmed that the torched pickup truck discovered on a quiet forest road belonged to suspected gunman Christopher Dorner, 33, officials had ordered an emergency lockdown of local businesses, homes and the town's popular ski resorts. Parents were told to pick up their children from school, as rolling yellow buses might pose a target to an unpredictable fugitive on the run.

By nightfall, many residents had barricaded their doors as they prepared for a long, anxious evening.

PHOTOS: A tense manhunt amid tragic deaths

"We're all just stressed," said Andrea Burtons as she stocked up on provisions at a convenience store. "I have to go pick up my brother and get him home where we're safe."

Police ordered the lockdown about 9:30 a.m. as authorities throughout Southern California launched an immense manhunt for the former lawman, who is accused of killing three people as part of a long-standing grudge against the LAPD. Dorner is believed to have penned a long, angry manifesto on Facebook saying that he was unfairly fired from the force and was now seeking vengeance.

Forest lands surrounding Big Bear Lake are cross-hatched with fire roads and trails leading in all directions, and the snow-capped mountains can provide both cover and extreme challenges to a fugitive on foot. It was unclear whether Dorner was prepared for such rugged terrain.

Footprints were found leading from Dorner's burned pickup truck into the snow off Forest Road 2N10 and Club View Drive in Big Bear Lake.

San Bernardino County Sheriff John McMahon said that although authorities had deployed 125 officers for tracking and door-to-door searches, officers had to be mindful that the suspect may have set a trap.

"Certainly. There's always that concern and we're extremely careful and we're worried about this individual," McMahon said. "We're taking every precaution we can."

PHOTOS: A fugitive's life on Facebook

Big Bear has roughly 400 homes, but authorities guessed that only 40% are occupied year-round.

The search will probably play out with the backdrop of a winter storm that is expected to hit the area after midnight.

Up to 6 inches of snow could blanket local mountains, the National Weather Service said.

Gusts up to 50 mph could hit the region, said National Weather Service meteorologist Mark Moede, creating a wind-chill factor of 15 to 20 degrees.

Extra patrols were brought in to check vehicles coming and going from Big Bear, McMahon said, but no vehicles had been reported stolen.

"He could be anywhere at this point," McMahon said. When asked if the burned truck was a possible diversion, McMahon replied: "Anything's possible."

Dorner had no known connection to the area, authorities said.

Craig and Christine Winnegar, of Murrieta, found themselves caught up in the lockdown by accident. Craig brought his wife to Big Bear as a surprise to celebrate their 28th wedding anniversary. Their prearranged dinner was canceled when restaurant owners closed their doors out of fear.

"It's definitely scary," Christine Winnegar said.

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Lashkar-e-Taiba Founder Takes Less Militant Tone in Pakistan

Diego Ibarra Sanchez for The New York Times

“I move about like an ordinary person — that’s my style,” said Hafiz Muhammad Saeed. “My fate is in the hands of God, not America.”

LAHORE, Pakistan — Ten million dollars does not seem to buy much in this bustling Pakistani city. That is the sum the United States is offering for help in convicting Hafiz Muhammad Saeed, perhaps the country’s best-known jihadi leader. Yet Mr. Saeed lives an open, and apparently fearless, life in a middle-class neighborhood here.

“I move about like an ordinary person — that’s my style,” said Mr. Saeed, a burly 64-year-old, reclining on a bolster as he ate a chicken supper. “My fate is in the hands of God, not America.”

Mr. Saeed is the founder, and is still widely believed to be the true leader, of Lashkar-e-Taiba, the militant group that carried out the 2008 attacks in Mumbai, India, in which more than 160 people, including six Americans, were killed. The United Nations has placed him on a terrorist list and imposed sanctions on his group. But few believe he will face trial any time soon in a country that maintains a perilous ambiguity toward jihadi militancy, casting a benign eye on some groups, even as it battles others that attack the state.

Mr. Saeed’s very public life seems more than just an act of mocking defiance against the Obama administration and its bounty, analysts say. As American troops prepare to leave Afghanistan next door, Lashkar is at a crossroads, and its fighters’ next move — whether to focus on fighting the West, disarm and enter the political process, or return to battle in Kashmir — will depend largely on Mr. Saeed.

At his Lahore compound — a fortified house, office and mosque — Mr. Saeed is shielded not only by his supporters, burly men wielding Kalashnikovs outside his door, but also by the Pakistani state. On a recent evening, police officers screened visitors at a checkpoint near his house, while other officers patrolled an adjoining park, watching by floodlight for intruders.

His security seemingly ensured, Mr. Saeed has over the past year addressed large public meetings and appeared on prime-time television, and is now even giving interviews to Western news media outlets he had previously eschewed.

He says that he wants to correct “misperceptions.” During an interview with The New York Times at his home last week, Mr. Saeed insisted that his name had been cleared by the Pakistani courts. “Why does the United States not respect our judicial system?” he asked.

Still, he says he has nothing against Americans, and warmly described a visit he made to the United States in 1994, during which he spoke at Islamic centers in Houston, Chicago and Boston. “At that time, I liked it,” he said with a wry smile.

During that stretch, his group was focused on attacking Indian soldiers in the disputed territory of Kashmir — the fight that led the military’s Inter-Services Intelligence Directorate to help establish Lashkar-e-Taiba in 1989. But that battle died down over the past decade, and Lashkar began projecting itself through its charity wing, Jamaat-ud-Dawa, which runs a tightly organized network of hospitals and schools across Pakistan.

The Mumbai attacks propelled Lashkar-e-Taiba to notoriety. But since then, Mr. Saeed’s provocations toward India have been largely verbal. Last week he stirred anger there by suggesting that Bollywood’s highest-paid actor, Shah Rukh Khan, a Muslim, should move to Pakistan. In the interview, he said he prized talking over fighting in Kashmir.

“The militant struggle helped grab the world’s attention,” he said. “But now the political movement is stronger, and it should be at the forefront of the struggle.”

Pakistan analysts caution that Mr. Saeed’s new openness is no random occurrence, however. “This isn’t out of the blue,” said Shamila N. Chaudhary, a former Obama administration official and an analyst at the Eurasia Group, a consulting firm. “These guys don’t start talking publicly just like that.”

What it amounts to, however, may depend on events across the border in Afghanistan, where his group has been increasingly active in recent years. In public, Mr. Saeed has been a leading light in the Defense of Pakistan Council, a coalition of right-wing groups that lobbied against the reopening of NATO supply routes through Pakistan last year. More quietly, Lashkar fighters have joined the battle, attacking Western troops and Indian diplomatic facilities in Afghanistan, intelligence officials say.

This article has been revised to reflect the following correction:

Correction: February 7, 2013

An earlier version of this article misspelled the surname of a former Obama administration official who is now an analyst at the Eurasia Group, a consulting firm. She is Shamila N. Chaudhary, not Chaudhry.

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American Idol: It's a Guys' Night in Hollywood

TV Watch

American Idol

By Jamie Bufalino

02/06/2013 at 11:00 PM EST

From left: Randy Jackson, Mariah Carey, Ryan Seacrest, Nicki Minaj and Keith Urban

George Holz/FOX

Caution: Contains spoilers!

"It does feel a bit like The Hunger Games," said Keith Urban, ramping up the drama as American Idol kicked off the first day of Hollywood Week. Although producers didn't unleash any tracker jackers on the contestants, they did throw in a couple unexpected twists: This season the week started off as a guys-only competition (the girls arrive in Hollywood next week), and after surviving a round of sudden death solo sing-offs, contestants would then be put into groups from which they couldn't escape.

During the solo round, the standouts included two memorable contestants from the nationwide auditions. First up, Navy man Micah Johnson, who developed a speech impediment after suffering through a botched surgery to remove his tonsils. After a rousing rendition of Elton John's "Bennie and the Jets," Johnson was the first to get the green light to the next round.

Joining him soon after was Cuban-American Lazaro Arbos, a 21-year-old ice cream scooper from Naples, Fla., who speaks with a severe stutter but sings with ease. Although Arbos admitted to being both "scared" and "petrified," he quickly won the judges over – Nicki Minaj made her fingers into a heart-shape while he sang – with his take on the Robbie Williams hit, "Angels."

When it came time to form groups of four, the Idol producers threw a few more curveballs – such as pairing a couple of country crooners with two flamboyant (think glitter and faux fur) dudes Ryan Seacrest described as the show's "resident divas."

The result: a quartet that dubbed themselves Country Queen, which delivered a train wreck of a performance. Still, somehow three of the four made it through.

Meanwhile, Arbos's group experience also proved to be a bit of a disaster – which some of his cohorts blamed on his inability to quickly learn the lyrics and melody to the Beach Boys hit "Wouldn't It Be Nice." Although his main nemesis got the boot, a tearful Arbos got the chance to sing another day.

The day of auditions came to a close with what was possibly the most heartbreaking Idol exit ever. New York City subway singer Frankie Ford got a case of the jitters before going on stage, then proceeded to screw up the lyrics and sing off key – leaving the judges no choice but to pull the plug on his dreams. Before walking off into the night, a sobbing Ford stared into the camera and said, "I swear to God I'm coming back next year and I'm going to win."

There will be more solos Thursday (8 p.m. ET), as the judges have to whittle the 43 men left in the competition down to 20 lucky fellas.

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New whooping cough strain in US raises questions

NEW YORK (AP) — Researchers have discovered the first U.S. cases of whooping cough caused by a germ that may be resistant to the vaccine.

Health officials are looking into whether cases like the dozen found in Philadelphia might be one reason the nation just had its worst year for whooping cough in six decades. The new bug was previously reported in Japan, France and Finland.

"It's quite intriguing. It's the first time we've seen this here," said Dr. Tom Clark of the Centers for Disease Control and Prevention.

The U.S. cases are detailed in a brief report from the CDC and other researchers in Thursday's New England Journal of Medicine.

Whooping cough is a highly contagious disease that can strike people of any age but is most dangerous to children. It was once common, but cases in the U.S. dropped after a vaccine was introduced in the 1940s.

An increase in illnesses in recent years has been partially blamed on a version of the vaccine used since the 1990s, which doesn't last as long. Last year, the CDC received reports of 41,880 cases, according to a preliminary count. That included 18 deaths.

The new study suggests that the new whooping cough strain may be why more people have been getting sick. Experts don't think it's more deadly, but the shots may not work as well against it.

In a small, soon-to-be published study, French researchers found the vaccine seemed to lower the risk of severe disease from the new strain in infants. But it didn't prevent illness completely, said Nicole Guiso of the Pasteur Institute, one of the researchers.

The new germ was first identified in France, where more extensive testing is routinely done for whooping cough. The strain now accounts for 14 percent of cases there, Guiso said.

In the United States, doctors usually rely on a rapid test to help make a diagnosis. The extra lab work isn't done often enough to give health officials a good idea how common the new type is here, experts said.

"We definitely need some more information about this before we can draw any conclusions," the CDC's Clark said.

The U.S. cases were found in the past two years in patients at St. Christopher's Hospital for Children in Philadelphia. One of the study's researchers works for a subsidiary of Johnson & Johnson, which makes a version of the old whooping cough vaccine that is sold in other countries.

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JournaL: http://www.nejm.org

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Village mourns latest victim of runaway tour bus crash

MOUNTAIN HOME VILLAGE — Smoke from the warm fire inside Fred Richardson's home hung in the mountain air outside his house Wednesday, masking the heartbreak inside and throughout the tiny creekside town where he lived for seven decades.

His son, Steve, grieved silently on the front porch. Along with the wind sifting through the pines and sycamores, the only other sound came from traffic winding down the mountain highway just a few blocks away — the same highway that took his father's life.

Richardson, 72, was driving to his home in the San Bernardino Mountains on Sunday evening, after wrapping up a landscaping job in Yucaipa, when an out-of-control tour bus traveling down California 38 from Big Bear smashed into his Ford pickup truck.

Richardson clung to life until Wednesday morning, when he died of massive head and chest trauma. He was the eighth fatality resulting from the horrific crash, which killed seven bus passengers.

"We're all still struggling," his son said before turning to go inside with the rest of the family.

Down the street, Richardson's older sister, Jan Fagerstedt, shared her fondest memories. Since he was a toddler, her little brother loved to fish for rainbow trout in the nearby creeks. He was a church deacon. He delivered firewood to homebound neighbors, and once helped save the town from a raging flood.

"He was the most warm-hearted man you'd ever met," she said, pausing to gather strength. "He lived a life. He lived a good moral life.... I miss my brother so."

The night of the deadly crash, Fagerstedt was outside gathering kindling when she heard commotion on the highway less than 100 feet from her home.

"I heard this terrible loud honking. I jumped. And I went in and told my husband, 'You know, I think we have a runaway truck,' " she recalled. "But it had to be that bus. A little while later that accident happened. So that bus went by here, and I heard it. And I thought, 'I hope nobody's in the way.' "

Investigators from the National Transportation Safety Board and California Highway Patrol on Wednesday began a "full mechanical breakdown" of the tour bus and other vehicles involved in Sunday's crash. Investigators continue to pore over maintenance records and interview employees of the bus company, Scapadas Magicas in National City, NTSB spokesman Eric Weiss said.

The investigation will focus heavily on the brakes and other mechanical equipment of a bus that has a history of safety violations, including faulty brakes.

CHP spokesman Mario Lopez said the bus driver, Norberto Perez, has been released from the hospital. The 52-year-old San Ysidro man has not been charged in connection with the accident, Lopez said.

The tour bus left Tijuana early Sunday with 38 passengers, including children, and was returning from the ski resort town of Big Bear Lake when the driver lost control on the sweeping, downhill bends of the mountain road. The bus clipped a sedan and then flipped, ejecting passengers, before hitting Richardson's pickup truck.

News of Richardson's death Wednesday overwhelmed his hometown. Fewer than 100 families live amid the narrow snaking roads of Mountain Home Village, a town hidden in the folds of the San Bernardino Mountains. Some homes, Richardson's among them, were hand-crafted with stones hauled up from nearby Mountain Home Creek.

California 38 used to wind right through town. And it has brought heartache to the Richardson family before.

In the 1960s, Fred Richardson's 4-year-old niece was struck and killed by a passing car after she stepped out of the town market. Another niece, Beaumont City Councilwoman Brenda Knight, was with her cousin when it happened.

"It just doesn't seem fair that a family should suffer so," she said.

phil.willon@latimes.com

Times staff writer Ari Bloomekatz contributed to this report.

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