04 20 2015
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  • When should we use military to enforce US goals? NASHUA, N.H. (AP) — Rand Paul lashed out Saturday at military hawks in the Republican Party in a clash over foreign policy dividing the packed GOP presidential field. Paul, a first-term senator from Kentucky who favors a smaller U.S. footprint in the world, said that some of his Republican colleagues would do more harm in international affairs than would leading Democrat Hillary Rodham Clinton. "The other Republicans will criticize the president and Hillary Clinton for their foreign policy, but they would just have done the same thing — just 10 times over," Paul said on the closing day of a New Hampshire GOP conference that brought about 20 presidential prospects to the first-in-the-nation primary state. "There's a group of folks in our party who would have troops in six countries right now, maybe more," Paul said. Foreign policy looms large in the presidential race as the U.S. struggles to resolve diplomatic and military conflicts across the globe. The GOP presidential class regularly rails against President Barack Obama's leadership on the world stage, yet some would-be contenders have yet to articulate their own positions, while others offered sharply different visions. Former Florida Gov. Jeb Bush, whose brother, President George W. Bush, authorized the 2003 invasion of Iraq, declined to say whether he would have done anything different then. Yet Jeb Bush acknowledged a shift in his party against new military action abroad. "Our enemies need to fear us, a little bit, just enough for them to deter the actions that create insecurity," Bush said earlier in the conference. He said restoring alliances "that will create less likelihood of America's boots on the ground has to be the priority, the first priority of the next president." The GOP's hawks were well represented at the event, led by Florida Sen. Marco Rubio and Wisconsin Gov. Scott Walker, who has limited foreign policy experience but articulated a muscular vision during his Saturday keynote address. Walker said the threats posed by radical Islamic terrorism won't be handled simply with "a couple bombings." "We're not going to wait till they bring the fight to us," Walker said. "We're going to bring the fight to them and fight on their soil." South Carolina Sen. Lindsey Graham addressed the question of putting U.S. troops directly in the battle against the Islamic State group militants by saying there is only one way to defeat the militants: "You go over there and you fight them so they don't come here." Texas Sen. Ted Cruz suggested an aggressive approach as well. "The way to defeat ISIS is a simple and clear military objective," he said. "We will destroy them." Businesswoman Carly Fiorina offered a similar outlook. "The world is a more dangerous and more tragic place when America is not leading. And America has not led for quite some time," she said. Under Obama, a U.S.-led coalition of Western and Arab countries is conducting regular airstrikes against Islamic State targets in Iraq and Syria. The U.S. also has hundreds of military advisers in Iraq helping Iraqi security forces plan operations against the Islamic State, which occupies large chunks of northern and western Iraq. Paul didn't totally reject the use of military force, noting that he recently introduced a declaration of war against the Islamic State group. But in an interview with The Associated Press, he emphasized the importance of diplomacy. He singled out Russia and China, which have complicated relationships with the U.S., as countries that could contribute to U.S. foreign policy interests. "I think the Russians and the Chinese have great potential to help make the world a better place," he said. "I don't say that naively that they're going to, but they have the potential to." Paul suggested the Russians could help by getting Syrian President Bashar Assad to leave power. "Maybe he goes to Russia," Paul said. Despite tensions with the U.S., Russia and China negotiated alongside Washington in nuclear talks with Iran. Paul has said he is keeping an open mind about the nuclear negotiations. "The people who already are very skeptical, very doubtful, may not like the president for partisan reasons," he said, and "just may want war instead of negotiations."
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Flu symptoms chart

Some 16 people in Oregon and Washington are thought to have died from the H1N1 flu so far this season, and health officials say almost everyone should get a flu shot to avoid the worst effects.

While many people remember the vaccine shortage of 2009, which caused higher infection rates as states struggled to obtain the necessary number of doses, this season there is no shortage.

In fact, the number of young people who are being hospitalized and even dying – in Bothell, WA., the virus claimed the life of a healthy 30-year-old woman, and a young boy in Oregon who had already been vaccinated – has health officials urging  younger people to get a flu shot.

Jennifer Vines MD, deputy health officer for Multnomah and Clackamas Counties and health officer for WashingtonCounty, says despite the widespread concern there is no evidence that this year’s flu season is worse than any other.

"Flu seasons are notoriously unpredictable. How many people get sick and how many people get severely ill depends on how many people are vaccinated or have pre-existing immunity, the general health of the population (individuals with underlying health conditions are more likely to have flu complications), and how good of a match the vaccine is for circulating strains in a given year,” she said this week.

“So I don't think we can say the flu is more virulent this year. Rather, this year is a reminder that flu can strike all ages and in some cases cause severe illness and complications even in otherwise healthy people. The flu vaccine is not perfect but is by far the most important thing people can do to protect themselves and their loved ones."

The number of people affected is hard to track for a variety of reasons, but all jurisdictions reported an escalating number of deaths and hospitalizations.

As of Tuesday morning, nine deaths are confirmed in WashingtonState, and one in Oregon, but officials warned that their statistics are not “real time,” and that the numbers will be updated at the end of the week.

The Associated Press reported Monday that Portland-area hospitals have identified seven H1N1 flu deaths so far this season, with nearly 180 hospitalizations; state health officials say they could not confirm the number of adult deaths in Oregon because they do not track adult fatalities, only pediatric ones.

“It’s easy to get complacent about the flu, since we see it every year, but it brings real hardship and dangers,” said Jeff Duchin, MD, chief of Communicable Disease Epidemiology & Immunization for Public Health in Seattle & King County. 

“Catching the flu can not only disrupt your life, it can be severe enough to send you to the hospital.”

Jonathan Modie, spokesman for the Oregon Public Health Division, says the most important thing to know about the situation is that the vaccine is effective for most people.

“The thing to keep in mind is that during the pandemic we didn’t have a flu vaccine for H1N1 and when we did it was in short supply,” he said.

“We now have a vaccine that we and the CDC believe is very affective against H1N1 and the other strains of flu that are currently circulating out there.”

It takes two weeks for the vaccine to take effect, but the season has not peaked yet, so officials say it’s not too late to get it.

Experts say the key things to know this season include:

Younger adults face a greater risk of severe illness than usual. That’s because the dominant flu strain this year is similar to the 2009 flu virus. Compared to other flu strains, it causes higher rates of illness and death among young and middle-age adults, including those with no underlying health conditions.

Pregnant women should get vaccinated at any stage of pregnancy.  Vaccinating during pregnancy protects not only the mother but the fetus and child as well, experts say. That’s especially important because newborn infants can’t be vaccinated until they're six months old. 

 Anyone who lives with or cares for an infant younger than six months should also get vaccinated to protect the infant from getting flu.

 Other members of the community at increased risk for severe influenza include the elderly and people who have long-term health problems, like diabetes, asthma, and heart or lung problems.

“Anyone six months and older who has not yet been vaccinated this season should get an influenza vaccine now to reduce their risk of illness,” said Duchin. 

 Flu vaccine is your best protection, but antiviral drugs, such as Tamiflu, can help reduce symptoms.

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